summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA), Lidia Tinoco arrived at the Brighter Horizon Cottonwood STRTP for the purpose of conducting the Annual Required Inspection. LPA met with Facility Administrator, Isaiah Brown. A walk through inspection of the facility was conducted, the following was observed: the temperature of the facility was a comfortable temperature of 73 degrees. Centrally stored medications are maintained in a locked a container inside a locked closet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. No firearms or weapons are allowed in the facility. The facility has no bodies of water. Appropriate staff/client ratios were observed during this inspection. 5 records of clients were reviewed. A Guardian check conducted on 04/27/26 confirmed that the staff listed on the LIC500 are cleared and associated to the facility. The facility has a Mental Health Program Approval valid through 1/22/27. The licensee has Accreditation through CARF valid through 08/31/2028. Further review is required to complete the Annual Inspection. LPA Tinoco will return on a different date. Agency was issued Technical Violations and Technical Assistance. Agency was issued 3 type B deficiencies: ILS (Interim Licensing Standards) 87070(b)(13) and 87070(c)(1) Children's Records, CCR (California Code of Regulations) 80069(a) Medical Assessment. A copy all reports and appeal rights were provided to Isaiah Brown at the conclusion of this inspection.

visit_type: Annual

met_with: Isaiah Brown


state: CA

facility_name: BRIGHTER HORIZON TREATMENT CENTERS, ELM

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher met with the administrator for the purpose of resolving a complaint investigation at the Short Term Residential Therapeutic Program (STRTP) and met with Administrator Nikkia Moton. During the course of the investigation LPA conducted confidential interviews and reviewed documentation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Due to conflicting interviews the allegations are considered to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

report_type: Complaint Investigation

met_with: Nikkia Moton

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Lisa Slusher conducted a complaint inspection at Brighter Horizon Treatment Center- Elm for the purpose of delivering the findings of the above complaint allegation. During the investigation, LPA Lisa Slusher inspected the facility, reviewed staff and client files, and conducted confidential interviews which revealed that there is not sufficient evidence to find whether the above allegation happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of this report to the STRTP. An exit interview was conducted. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Exeter, CA and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegation and based on information obtained, the above allegation could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 11/28/2023 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 01/16/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:TIME COMPLETED:01: PM 9Staff does not ensure facility has adequate laundry soap supply. INVESTIGATION FINDINGS: 13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Articles Through 10, section Personal Rights (c)(8)(B). See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Carolyn Ruffin, Anthony Williams, Nikkia Moten


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continue from Page 1... Reporting Requirement (b), Title 22, Division 6, Chapter 1, Article 07. Physical Environment, section Building and Grounds (a), and two civil penalties. See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection.

Investigation Findings:
13On January 16, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Nikkia Moten, Director Carolyn Ruffin, and Clinical Director Anthony Williams. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Article 06. Continuing Requirements, section Personal Rights (c)(1) and Personal Rights (c)(15), General Requirements, Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements section CONTINUED ON PAGE 2... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: VISIT DATE: 01/16/2024

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On January 24, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon Elm located in Clovis, CA and met with Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Carolyn Ruffin


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On January 8, 2024, Licensing Program Analysts (LPAs), Lisa Slusher and Vanessa Galvan traveled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA, to deliver the findings of a complaint investigation and met with Nikkia Moten, Adminstrator. LPA conducted a confidential interviews, reviewed documentation, and obtained copies of pertinent documentation. Based on investigation conducted, the allegation is SUBSTANTIATED. No deficiencies observed or cited during today's inspection. A copy of this report was provided to the facility at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analysts (LPA) Lisa Slusher and Vanessa Galvan conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility has not consistently maintained adequate care and supervision. The allegation is substantiated. A citation is issued on this date pursuent to CCR Title 22 division 6 section 80078(a) Responsibility for Providing care and supervision. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Nikkia Moten


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher and Vanessa Galvan conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility has not consistently maintained adequate care and supervision. The allegation is substantiated. A citation is issued on this date pursuent to CCR Title STRTP ILS section 87072(c)(8)(B) Personal Rights SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


facility_name: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
On June 19, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with Direct Care Staff, Rachel Lucio. On February 23, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator via telephone on April 27, 2021 and April 28, 2021. The LPA observed the following documents: The LPA reviewed five Incident Reports.. The investigation revealed that the client (see Confidential Names, LIC Ref. #1 dated June 18, 2021) in question regarding the awol is not placed at this facility, but at the facility's other licensed location. The Administrator informed the LPA that reports of awol should be written in incident reports and in the client's notes. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to Ms. Lucio. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Rachel Lucio


raw_content:
Narrative:
It was reported the facility stored expired medications from previous placements incase a current placement's medication prescription was not refilled timely. The facility staff denied the allegation. Statements obtained from interviews conducted with staff indicated expired medication is taken to a pharmacy to be disposed and if a client's placement is terminated, their respective County Social Worker will pick-up left-over medication. Statements obtained from confidential interviews conducted revealed two clients did not have a prescription filled on one occasion each. One of the reported incidents was due to the facility being unable to obtain documentation from the client's home county. It was reported the facility lost a client's medication. The facility staff denied the allegation. Statements obtained from interviews conducted with staff did not reveal knowledge of, or incidents related to a client having medication lost or stolen. Statements obtained from confidential interviews conducted indicated that current clients placed in the facility have not had medication lost or stolen. It was reported medication was accessible to clients in care. The facility staff denied the allegations. Statements obtained from staff indicate that medication is kept in a secured lock box and inaccessible to clients. Statements obtained from confidential interviews conducted provided conflicting statements. One client reported that medication is inaccessible to clients while another client reported that medication was accessible to clients. Statements obtained from confidential interviews conducted indicated previous facility staff would allow multiple clients to enter the staff office while administering medication and create the opportunity for clients to access another client's medication. However, this client further reported that current staff implemented a new system and allow only one client in the office at a time during medication administration. It was reported the facility billed a county for providing 1:1 staff to client ratio and did not provide the client the 1:1 supervision. This allegation was disproved by statements obtained from an interview conducted with the clients SCSW, who reported the facility did not bill the respective county for 1:1 supervision while the client was in placement. Based on information obtained through interviews conducted and records reviewed the allegations were found unsubstantiated. Although the allegations may have happened or are valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited during this inspection.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/30/21 at 2: PM. During the inspection, LPA Larios met with Mia Maniaci, Direct Care Staff. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with two clients on 6/28/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, one Supervising County Social Worker (SCSW) on 6/24/21, two staff on 6/24/21, others were interviewed on 5/16/21 and 6/23/21. One client was hospitalized during the investigation and a statement was not obtained, another client was unable to be located via the CSW or by their placement history. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, medication records and special incident reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 06/30/2021

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

met_with: Mia Maniaci


raw_content:
Narrative:
It was reported the facility failed to prevent drug use at the facility. The facility staff denied the allegation. Statements obtained from confidential interviews conducted revealed that staff do not allow clients to use drugs in the facility. Furthermore, confidential interviews conducted revealed that staff take preventative measures such as conducting searches, confiscating contraband and also offering clients substance abuse counseling if needed. Statements obtained from interviews conducted with CSWs indicated there were no concerns related to the allegation. Based on information obtained through interviews conducted and records reviewed the allegation was found unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. Exit interview conducted no deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/30/21 at 2: PM. During the inspection, LPA Larios met with Mia Maniaci, Direct Care Staff. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with three clients on 5/12/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, two staff on 6/24/21, others were interviewed on 2/25/21 and 5/13/21. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, allowance logs, special incident reports and food service menus. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 06/30/2021

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
It was reported the food service at the facility was not adequate. Staff denied that allegations. A records review revealed that on 3/5/21 staff conducted a review of the food supply at the facility. Staff reported observing expired food, food stored in containers without a lid and an incomplete posted food menu with a scheduled meal that had not been prepared. Statements obtained from confidential interviews conducted revealed clients with concerns related to food service. Clients reported they were served chicken that was burned and served the same food weekly. It was reported that staff did not give youth a proper allowance. Statements obtained from interviews conducted with staff confirmed clients were not allowed to handle their cash allowance. Statements obtained from confidential interviews conducted revealed that facility staff did not allow clients to handle their cash allowances and instead, had staff make purchases for clients. Furthermore, statements obtained from confidential interviews conducted revealed that clients had their allowance reduced to $21.00 after being able to earn between $30.00 to $50.00. A record review indicated that there were no Child Family Team Meetings conducted and CSWs were not notified of the changes to client's allowances. Based on information obtained form interviews conducted and records reviewed, the allegations were substantiated, the facility did not afford the clients there personal rights as required by the Interim Licensing Standards. Facility cited for violation of Interim Licensing Standards, Section 87072(d)(11) Personal Rights. Record review and statements obtained from confidential interviews indicated the facility food service was inadequate. The facility is additionally cited for violation of Interim Licensing Standards, Section 87072(d)(7) Personal Rights. Statements obtained from confidential interviews conducted and staff statements indicated staff did not allow youth to handle their own cash resources. Exit interview conducted and a copy of the LIC9099 and LIC9099D were provided to the administrator. Appeal rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/26/21 at 3: PM. During the inspection LPA Larios met with Administrator Princess Wesley. The purpose of the inspection was to deliver findings for the above mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with three clients on 5/12/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, two staff on 6/24/21, others were interviewed on 2/25/21 and 5/13/21. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, allowance logs, special incident reports and food service menus. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/26/2021

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

met_with: Princess Wesley


raw_content:
Narrative:
Information obtained through confidential interviews revealed that during a recent power outage clients were taken to a nearby hotel where they resided for the night due to the power being out for an extended period. Staff and clients denied all allegations further indicating that no client in the facility have been denied access to the facility phone, nor has any staff member smoked marijuana on the facility premises. Staff and clients indicated that the facility has two to three staff members present during the day shift meeting the required (1:3) ratio and one staff member at night pending circumstances. Staff and clients indicated that the facility vehicles are in good working condition and are serviced when needed. As to the allegations of staff driving without a valid driver's license and facility Administrator not being present at the facility for a minimum of twenty hours, staff denied the allegations and further indicated that all staff members at both facilities have valid drivers licenses and that the Administrator is present at the facility well over twenty hours. As to the allegation of staff not providing activity for clients, staff and client's denied the allegation stating that clients conduct various activities such as swimming, movie nights, the roller-rink and other small activities like making slime and bracelet's at the facility. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 1:00 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Magnolia) and met with Princess Wesley facility Administrator. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 18, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff did not follow emergency plan; Minors denied access to phones; Facility staff smoking marijuana on premises; Facility operated out of capacity; Staff drive without valid licenses; Administrator present in facility less than 20 hours per week; Facility does not have operational vehicle and Staff not providing activities for minors. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with three staff S2, S3 on 2/26/21, S1 on 7/22/2021 and 5 of 5 clients on 7/22/21. (Reference Confidential Names Form LIC 811, dated July 28, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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

met_with: Princess Wesley - Administrator


raw_content:
Narrative:
Information obtained through confidential interviews revealed that the above facility is adhering to their program statement and are training staff according to the Short-Term Residential Therapeutic Interim Licensing Standards Chapter 7.5. Furthermore, a review of current staff and client files contained all appropriate documents. Staff and C1 indicated that the facility mental health is on site Monday through Friday or as needed. Staff and C1 indicated that all resident are provided an abundance of linen and that cleaning chemicals are stored in a locked cabinet away from clients in the staff office. Staff denied leaving food out for long periods of time and further indicating that all left over food is placed in containers and get stored in the refrigerator marked with the date it was made. As to the allegation of staff not providing a safe and healthy environment for residents, Staff denied the allegation further stating the client's safety and the completion of their programs is priority and will assist the clients with what they can to make the clients succeed. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 11:40 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Magnolia) and met with Princess Wesley Facility Administrator. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 25, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the above allegations. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, staff files and interviews with three staff S1, S2, S3 on 6/28/21, C1 on 6/28/2021 and 2 attempted contacts with C2 and C3. (Reference Confidential Names Form LIC 811, dated July 28, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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


raw_content:
Narrative:
Information obtained from confidential interviews revealed that the facility abides by the Interim Licensing Standards and maintains a (1:3) staff-to-client ratio. Staff further disclosed that at times they feel short-handed due to not having enough workers to cover when staff call off and at times feel overworked. S2 however further disclosed that management is continuously accepting applications however are having a difficult time finding qualified applicants and due to COVID-19 slowing the process down. As to the allegation of the facility not being prepared for a power outage, staff and clients denied the allegation indicated that the proper hotel accommodations were made once it was determined that the power was going to be out much longer than expected due to the recent high temperatures. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Direct Cares Staff. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Direct Care Staff.

Investigation Findings:
13On December 10, 2021, at 1:12 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to Brighter Horizon Treatment Center (Magnolia) and met with Facility Direct Care Staff Minga Allen. The purpose of the inspection was to deliver the findings for the above complaint allegations. On July 15, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility not meeting staffing ratio and Facility not prepared for a power outage. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, and interviews with Staff members (S1, S2, S3) on 7/29/21 and Clients (C1, C2, C3, C4) on 7/26/21. (Reference Confidential Names Form LIC 811, dated December 10, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/10/2021

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

met_with: Minga Allen - Direct Care Staff


raw_content:
Narrative:
Information obtained from confidential interviews with staff and clients confirmed that stated allegations are unsubstantiated. Per interviews, the following information was obtained: Tobacco products are not allowed in the facility and staff stated that if tobacco is discovered, it will be confiscated and disposed of. Clients stated that tobacco products are brought in by the clients after returning from AWOL's, as during self-search procedures, clients do not surrender it. Both staff and clients denied that inappropriate interactions occur between the minors in care and further denied any knowledge of that allegation. As to staff handling minors in care in a rough manner, threatening minors in care, and speaking inappropriately to minors in care, both staff and clients denied said allegations. Staff stated that respect is given to clients in care and that staff utilizes a proper verbal redirection approach with clients per procedure. Clients stated that they have not witnessed or personally experienced staff interacting with clients in an inappropriate manner by threatening clients, speaking inappropriately, or acting in a rough manner with clients. As to the allegation of staff not providing adequate food service to minors in care, staff denied said allegation. Staff stated that they provide a well-balanced diet consisting of three meals a day with snacks in between and a varied home-cooked menu that provides nutritious foods from all of the food groups. Clients stated that they do not like the menu provided by the facility and would prefer to eat fast-food. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the above staff. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with Ms. Allen.

Investigation Findings:
13On December 10, 2021, at 1:12 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to Brighter Horizon Treatment Center (Magnolia) and met with Facility Direct Care Staff Minga Allen. The purpose of the inspection was to deliver the findings for the above complaint allegations. On July 26, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minors have access to tobacco products while in care, Inappropriate interactions between minors in care, Staff handle minor in care in a rough manner, Staff threaten minor in care, Staff speak inappropriately to minor in care and Staff did not provide adequate food service to minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/10/2021

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


raw_content:
Narrative:
Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was emailed to Mr. Ott.

Investigation Findings:
On June 12, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Lead House Staff, Tavion Ott. On February 18, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator Princess Wesley, via telephone on April 27, 2021 and April 28, 2021; two Clients (see Confidential Names, LIC Ref. #1 and #2 dated May 6, 2021) via telephone on April 27, 2021. There were statements made that there were no mental health services provided to the clients. Then a statement was made that the services were provided via Zoom. An inconsistent statement was provided to the LPA regarding the mental health services. There was a statement made that money was not provided for activities for the clients. The current Administrator provided the LPA a list of activities for the clients. Interviews with the clients did not reveal evidence that activities were not provided. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 06/12/2021

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

met_with: Tavion Ott


raw_content:
Narrative:
It was alleged that, staff denied minor from attending religious services. Based on interviews conducted with (S1) and (S2) denied the allegation. (S1) and (S2) stated that the minor did in fact attend religious services and was accompanied by (S3). (C1) had a One-on-One staff that was (S2) during walks or while attending religious services. (C1) did not have a specific religion and would switch from one religion to another. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. It was alleged that; staff is restricting a minor while in care. Based on interviews conducted with (S1), (S2) and (S3) denied the allegation. (C1) had a 1 on 1 staff and was not restricted on walks or while attending religious services. (C2) and (C3) denied that staff is restricting minors while in care. It was alleged that; Staff is threatening a minor while in care. Based on interviews conducted with (S1), (S2) & (S3) all staff denied the allegation. Based on confidential interviews, (C2) & (C3) denied the allegations regarding the alleged incident. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. LPA Chavez did not find corroborating evidence to substantiate the allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, a copy of this report as well as the LIC 811 was provided to the facility representative via email with signatures.

Investigation Findings:
13On June 16, 2021 at 10:40AM, Licensing Program Analyst (LPA) Janeth Chavez delivered the findings of a complaint investigation concerning the allegations above. LPA Chavez spoke with the facility representative named above and discussed the findings. During the investigation, LPA Chavez conducted a record review on 02/12/21 and obtained copies of client's needs and services plan (NSP) and current special incident reports. LPA obtained copies of the LIC 500, staff contact information, and staff trainings. LPA Chavez conducted confidential interviews with Facility Manager, Staff 1 (S1) and Staff 2 (S2) on 02/12/21, Staff 3 (S3) on 06/16/21, County Social Worker (CSW) and Client 1 (C1) on 2/12/21, Client 2 (C2) on 02/12/21, and Client (C3) on 06/16/21 (See Confidential Names List Form LIC 811 dated 06/16/2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 06/16/2021

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

met_with: Princess Wesley, Administrator


facility_name: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIA

raw_content:
Narrative:
. The confidential interviews conducted did not collaborate the allegation. During a virtual tour of the facility LPA observed the medication cabinet was locked and in the staff office. There was no corroborating information obtained through interviews nor observations to confirm the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On June 24, 2021 at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with Facility Administrator Princess Wesley. During the course of the investigation, LPA Cabral interviewed one facility staff on 3/5/21 and three facility staff 6/15/21. LPA interviewed two clients and attempted to interview one client on 6/15/21 (see Confidential Names Form LIC 811 dated June 24, 2021). LPA attempted to interview three county social workers on 6/15/21. The facility staff denied the allegation that medication is accessible to the clients in care. The facility staff indicated the client's medications are kept in the staff office and are located in a cabinet that is always locked. The facility staff stated no clients have access to their medication without staff administering the medication UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Brighter Horizon Treatment Center: Sequoiafacility Number: Visit Date: 06/24/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32. The confidential interviews conducted did not collaborate the allegation. During a virtual tour of the facility LPA observed the medication cabinet was locked and in the staff office. There was no corroborating information obtained through interviews nor observations to confirm the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
Information obtained from facility staff and C2 revealed that staff did address C1 by the proper pronouns and further disclosed that C1 from week to week would change C1's pronouns depending on who was around C1 at that specific time. S2 further indicated that during one of C1's CFT meeting S1 did use the "wrong pronouns" when speaking of C1 to C1's therapist and CSW, however S1 indicated that the day prior to the meeting C1 had requested to be identified by the pronouns he/him. S1 further indicated that S1 was corrected by C1's CSW and therapist and when trying to explain on why theses incident occurred S1 was shut down and advised to follow C1's NSP. As to the allegation of not preventing C1 from AWOLING, staff stated that they will shadow clients while trying to verbally redirect the client to come back to the facility and will file a missing person's report with the local Police Department as needed. As to the allegations of not meeting minors needs and not reporting incidents, Staff denied the allegations further indicating that staff provides whatever is necessary for each of their clients and adheres to each client's individual needs and services plan. Facility staff indicated that all incidents are reported in a timely manner to the proper agencies. Information obtained from CSW and CASA worker indicated that all though an incident of referring to C1 with the inappropriate pronoun occurred there was a reasonable explanation, in that C1 has a history of changing request of different pronoun usage from day to day. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 11:00 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection to Brighter Horizon Treatment Center and met with Princess Wesley Facility Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. On February 8, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff no properly identifying with minor's gender pronouns; Staff did not prevent minor from AWOLING; Staff did not report an incident to authorized party and Staff is not meeting minor's needs. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with S2 and S3 on 2/18/21, S1 on 4/22/21, C2 on 4/22/21, C1, C3 and C4 were AWOL at the time of attempted interviews, CSW on 4/22/21 and CASA worker on 4/22/21. (Reference Confidential Names Form LIC 811, dated July 23, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/21/2021

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


raw_content:
Narrative:
The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, staff files and interviews with three staff S1, S2, S3 on 6/16/21, C1, C2, C3 and C4 on 6/16/2021. (Reference Confidential Names Form LIC 811, dated July 28, 2021). Staff and clients denied all allegations further indicating that all medications are locked and stored away in the staff office. All medication is administered in a timely manner and logged in the medication binder. Medication that has expired is properly disposed of at the nearest medication disposal drop box. Staff indicated that any incident involving medical attention is priority and is treated as such. Staff denied knowing any staff member driving the facility vehicle without a valid driver's license and further indicating that the facility vehicle is operating and is serviced when needed. As to the allegations of clients being denied access to the facility phone and not having adequate food supply on hand, clients denied the allegation and further disclosed that they do have access to the facility phone and have an ample amount of food. Furthermore clients indicated that they eat three meals a day with an option for snacks in between meals. Staff and clients indicated that two to three staff members are present at the facility depending on the circumstances. As to the allegation of not having a qualified Administrator, documents obtained support the qualification and adhere to the Interim Licensing Standards Chapter 7. Version 3. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 10:19 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Sequoia) and met with Princess Wesley. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 18, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility is mismanaging medications; Staff did not provide timely medical treatment; Staff drive without valid licenses; Facility does not have operating vehicle; Minors denied access to phones; Facility does not have adequate food supply on hand; Facility not adhering to staff to child ratios and facility does not have qualified Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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


raw_content:
Narrative:
It was alleged the facility failed to ensure clients in care did not receive their initial physical exams within the required 30-day time period. Statements obtained from interviews conducted with CSW revealed that three out of four clients received their initial physical exam within the required amount of time. One Social Worker indicated her client habitually ran away when his appointments were scheduled and led to a delay in receiving his physical exam. It was alleged C1 was denied care services when he was yelled at by staff and asked for staff to contact the psychiatric response telephone line. Staff denied the allegations. Statements obtained from interviews conducted with staff indicated C1 was afforded psychiatric services as needed or as requested. Statements obtained from interviews conducted with staff indicated C1 was triggered when staff monitored his cell phone usage and when he lacked attention. LPA Larios was unable to obtain a statement from C1 or his CSW regarding the allegation due to C1's placement facility and CSW not returning phone call contacts made by LPA Larios. Statements obtained from confidential interviews conducted indicated staff did contact psychiatric response teams as needed for clients in care. It was alleged the facility did not follow proper food handling practices. Staff denied the allegations. Statements obtained from interviews conducted with staff revealed food is stored properly in containers and on shelves. Statements obtained from interviews conducted with CSWs revealed there were no observations made during in person visits related to improper food handling or storage. It was alleged the facility does not provide a safe and healthy environment for clients. Staff denied the allegations. Statements obtained from interviews conducted with staff were consistent and indicated the facility garage is used as a storage and game room for clients. Furthermore, staff denied cleaning supplies are left out after use nor is trash left in the garage. Statements obtained from interviews conducted with CSW revealed there were no observations made indicating cleaning supplies were left out at the facility or hazardous materials were left in the garage during in person visits. Statements obtained from confidential interviews conducted did not reveal witnesses to the allegations. It was alleged the facility does not provide proper furniture for clients. Staff denied the allegations. Statements obtained from confidential interviews conducted indicated clients have appropriate dresser space as required. Statements obtained from interviews conducted with CSW revealed appropriate dresser space for clients was observed during in person visits. It was alleged the facility did not supply linens to clients in care. Staff denied the allegations and reported linen is stored in a hallway closet and accessible to clients as needed. Statements obtained from confidential interviews conducted revealed that linens for bathing and hand washing are accessible to clients as needed. Based on information obtained from interviews conducted and records reviewed the allegations were found unsubstantiated. Although, the allegations may have occurred or are valid, the standard of the preponderance of evidence was not met to prove the allegations occurred. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited during this inspection.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/30/21 at 11: AM. During the inspection LPA Larios met with Clinical Supervisor (CS) Alicia Aguirre and inspected the facility inside and out. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted interviews with four County Social Workers (CSW) on 7/21/22 and 7/22/21, two Staff on 7/29/21, two Clients on 7/21/21 and 7/28/21. Three Clients were unable to be interviewed due to being run-away or the inability of the authorized representative or placement facility to assist with scheduling an interview. (Reference Confidential Names list LIC811 dated 7/30/21) A record review was conducted on 3/8/21 and LPA Larios obtained copies of staff and client rosters, client medical consent forms and staff training records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/30/2021

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

met_with: Alicia Aguirre


raw_content:
Narrative:
It was alleged the facility did not have medical consent forms on file for clients in care. On 3/8/21 a records review was conducted by LPA Larios and the facility provided LPA Larios copies of clients (C1, C2, C3) consent forms but, other clients (C4, C5) were not furnished. During an interview with staff (S1) on 7/29/ LPA Larios inquired about the missing consent forms and was informed by S1 that she needed to consult with the Director regarding the whereabouts of the documents. On 7/30/ LPA Larios conducted a subsequent record review and obtained a copy of C4's medical consent form. LPA Larios observed the consent form unsigned by the clients authorized representative. Based on information obtained from interviews conducted and records reviewed the allegation is substantiated. The facility did not ensure the clients medical consent forms were kept on file as required by the Interim Licensing Standards (ILS) Version 3.1, section 87070(b)(10). The allegation is valid because the preponderance of the evidence has been met. Facility cited for violation of Interim Licensing Standards Version 3.1, section 87070(b)(10): Children's Records. A record review on 3/8/21 revealed that clients (C4, C5) did not have medical consent forms signed by authorized representatives on file. Exit interview conducted and a copy of this report along with a LIC9099D and LIC811 were provided to the facility representative. Appeals rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/30/21 at 11: AM. During the inspection LPA Larios met with Clinical Supervisor (CS) Alicia Aguirre and inspected the facility inside and out. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with four County Social Workers (CSW) on 7/21/22 and 7/22/21, two Staff on 7/29/21, two Clients on 7/21/21 and 7/28/21. Three Clients were unable to be interviewed due to being run-away or the inability of the authorized representative or placement facility to assist with scheduling an interview. A record review was conducted on 3/8/21 and LPA Larios obtained copies of staff and client rosters, client medical consent forms and staff training records. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/30/2021

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


raw_content:
Narrative:
It was alleged that staff did not prevent minors from AWOL. Reporting Party stated the facility is not reporting incident reports and that there are minors that have AWOL and it has not been reported by staff. Reporting party could not provide specific dates of when this incident allegedly happened. Staff denied the allegation. Based on interviews conducted with staff it was revealed that staff redirects and counsels minors in care when they try to AWOL. Also, that when C1 would AWOL staff would follow until they lose sight of the minor and then contact Bakersfield PD. On 06/14/2021, C1 was detained by law enforcement and has not returned to the facility. Staff interviewed had direct contact with minor in question and denied the allegation. It is noted that the allegation was made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. Based on confidential interviews conducted with minors it was revealed that C1 was no longer in the facility and they had no knowledge of the alleged incident. However, minors revealed that staff does try to redirect, counsel and follow when they try to AWOL. LPA Chavez did not find corroborating evidence to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, a copy of this report as well as the LIC 811 was provided to the facility representative.

Investigation Findings:
13On October 19, 2021 at 12: PM, Licensing Program Analyst (LPA) Janeth Chavez delivered the findings of a complaint investigation concerning the allegation above. LPA Chavez spoke with the facility representative named above and discussed the findings. During the investigation, LPA Chavez conducted a record review on 09/07/21 and obtained copies of client's needs and services plan (NSP) and current special incident reports. LPA obtained copies of the LIC 500 and staff contact information. LPA Chavez conducted confidential interviews with Reporting Party on 10/15/21. LPA conducted interviews with Staff 1, 2, 3, and Administrator on 10/19/21. LPA attempted to interview C1 but was unable to locate. LPA conducted confidential interviews with Client 2,, 3 & 4 on 10/19/21. (See Confidential Names List Form LIC 811 dated 10/19/2021). Report Continues on Next Page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 10/19/2021

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

met_with: Princess Wasley


facility_name: BRIGHTER HORIZON TREATMENT CTR., ELM

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Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Isaiah Brown. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff hit a client; and Staff kicked a client. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13On February 4, 2025, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Elm located in Fresno, CA to conduct an unannounced complaint inspection and met with the Assistant Administrator Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews and file review. Based on information obtained, confidential interviews, and observation it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, 80078, Responsibility for Providing Care and Supervision. See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Precious Beard at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CTR., ELMFACILITY NUMBER: 107207261

met_with: Precious Beard


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Investigation Findings:
13On February 4, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Elm STRTP and met Assistant Administrator. The purpose of the inspection is to deliver the findings of the above allegations. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted, the department found that there was conflicting information, and refusal of confidential interviews. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report and appeal rights was discussed and provided to Precious Beard at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


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Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs), Lidia Tinoco and Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Elm Facility in order to deliver the findings of the above allegations and met with Facility Manager, Isaiah Brown. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted the department found that there was conflicting information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report along with appeal rights were provided at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs), Lidia Tinoco and Vanessa Galvan conducted an unannounced visit to the Brighter Horizons Elm Facility in order to deliver the findings of the above allegations and met with Facility Manager, Isaiah Brown. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted the department found that there was conflicting and insuficient information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report along with appeal rights were provided at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


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Investigation Findings:
13On March 27, 2025, Licensing Program Analyst (LPA), Vanessa Galvan conducted an unannounced inspection at Brighter Horizons Elm STRTP and met Assistant Administrator Isaiah Brown. The purpose of the inspection is to deliver the findings of the above allegation. The above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on confidential interviews and records reviewed, the department found that there was conflicting information. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is Unsubstantiated at this time. A copy of this report and appeal rights was discussed and provided to Isaiah Brown at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


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Investigation Findings:
13On April 29, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a complaint inspection at Brighter Horizons Treatment Ctr., Elm STRTP and met with Direct Care Staff Breanna Salinas. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Breanna Salinas, Direct Care Staff


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Investigation Findings:
13On May 16, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a complaint inspection at Brighter Horizons Treatment Ctr., Elm STRTP and met with Head of Service Taz Alarakhia. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or are valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to Taz at the conclusion of the inspection via email due to printer error. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Taz Alarahia


summary: Facility Evaluation

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Narrative:
On 05/19/2026, Licensing Program Analyst (LPA) Sonia Sanchez traveled to Brighter Horizon Treatment Center, Elm, STRTP in Fresno, CA to conduct an unannounced case management and met with Isaiah Brown, Administrator and Tez Tehzin, Head of Service, MHRS. The purpose of the inspection is to discuss an incident report (2990-FN) that was submitted to the department on 05/02/2026 regarding a safety concern with C1. Based on record review, on 04/25/ C1 participated in self-harm activity using an eyebrow cutter, which is unclear where it came from. C1 notified staff that the reason they self harmed was due to ongoing bullying from other youth. Mental Health team contacted law enforcement and EMS to request C1 be taken to the hospital per the request of C1. C1 disclosed they take depression medication and reported it is not effective. C1 had an appointment to discuss depression medication with the prescribing psychiatrist and there were no changes to medication. C1 has a follow-up with psychiatrist today (05/19/2026), however C1 has since been taking medication as prescribed and there has not been any further incident or concerns. Staff will continue to monitor the situation and redirect negative behaviors and comments, as well as speak to the youth about how to treat others with respect. Administrator and Head of Service conduct weekly case collaboration with Social Worker to provide updates. MHRS provided a copy of the safety plan and LPA reviewed the STRTP Mental Health Services Notes, a CFT meeting is scheduled for next week. There are no deficiencies to be cited on this date. An exit interview was conducted and a copy of this report was left at the facility with Isaiah Brown.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Isaiah Brown, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/19/2026, Licensing Program Analyst (LPA) Sonia Sanchez traveled to Brighter Horizon Treatment Center, Elm, STRTP in Fresno, CA to conduct an unannounced case management and met with Isaiah Brown, Administrator. The purpose of the inspection is to discuss an incident report (2989-FN) that was submitted to the department on 05/01/2026 regarding a safety concern with C1 and C2. Based on record review, on 04/24/2026 while staff were transporting all youth to an outing C1 and C2 exited the vehicle, while the vehicle was stopped at a red light, and fled the area. Both youth returned to the facility later that evening. Staff discussed the incident along with traffic and car safety with the youth and will explore different avenues when in comes to transporting youth, whether it be smaller groups, or additional staff presence to ensure the safety of the youth and staff. There are no deficiencies to be cited on this date. An exit interview was conducted to discuss this report and the report was left at the facility with Isaiah Brown, Administrator.


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Isaiah Brown, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging staff do not ensure that children attend school and staff do not adequately supervise children. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, a copy of this report and appeal rights were discussed and provided to Isaiah Brown, Administrator at the conclusion of the visit. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


facility_name: BRIGHTER HOR. Treatment Ctr., CEDAR

raw_content:
Narrative:
product" at C1 and it hit C1's hand. During investigation, confidential interviews reported that C5 threw an object at another client (C4) but that it hit C1 instead. Confidential interviews reported that this incident occurred without any staff witnessing it. Other confidential interviews reported that facility staff did witness this incident and helped to de-escalate the situation. Confidential interviews reported that this incident was reported to staff. Other confidential interviews reported that there was no injury observed to C1 when this alleged incident was reported. Additional confidential interviews disclosed that the facility staff are constantly supervising all the facility's clients and if the incident was observed, an incident report would have been completed. Confidential interviews reported that facility staff conducted routine room checks and didn't leave clients unsupervised. In regard to the allegation that due to lack of supervision, client (C5) hits other clients (C1, C2, C3, C4). Confidential interviews reported that C5 hits other clients in the facility. Confidential interviews reported that C5 often got angry at the other clients in the facility, because C5 was the oldest and was "easily annoyed." Other confidential interviews reported that C5 didn't have a history of physical aggression to other clients. LPA received inconsistent information about this allegation. Confidential interviews reported that the clients felt the facility staff were doing a good job of supervising the clients. Based on confidential interviews and record reviews, the allegations that due to lack of supervision, C5 threw an object at C1 and due to lack of supervision, C5 hits C1, C2, C3, and C4 may have occurred, however, there was not a preponderance of evidence to support the alleged violations. 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 Trelanie Harris, Assistant Administrator.

Investigation Findings:
13On 08/27/2025, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit Brighter Horizon Treatment Center-Cedar Short Term Residential Treatment Program (STRTP) and met with Trelanie Harris, Assistant Administrator to deliver the investigative finding for the allegation listed above. On 06/17/2025, Community Care Licensing received allegations that due to lack of supervision, minor threw an object at another minor and due to lack of supervision, minor hits other minors. On 06/19/2025, LPA Joon Choi conducted a health and safety inspection at the facility and no immediate health and safety hazards were observed. In addition, LPA Choi obtained pertinent documents and interviewed clients 1, 2 and 4 (C1, C2, C4), staff 1, 2 and 3 (S1-S3) and a county social worker (CSW). Client 3 (C3) declined LPA's request for an interview and client 5 (C5) was not able to be located for an interview during the investigation. In regard to the allegations that due to lack of supervision, a client (C5) threw an object at another client (C1); it was reported that C1 had a bruise on their hand. It was further reported that C5 "threw a Febreze 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 Riverside, CA Facility Name: Brighter Hor. Treatment Ctr., CEDARFACILITY NUMBER: VISIT DATE: 08/27/2025

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


raw_content:
Narrative:
in the facility due to lack of supervision. During investigation. confidential interviews reported that C1 and C2 might be consuming alcohol and using drugs in the facility. Other confidential interviews reported that C1 and C2 were using drugs and alcohol while they were AWOL from the facility. LPA received inconsistent information. Confidential interviews reported that after returning from AWOL, the facility staff have protocols in place to ensure the clients didn't sneak in alcohol or drugs into the facility. Confidential interviews reported that there was no documented incident in which C1 and C2 used drugs or alcohol in the facility. Based on confidential interviews and record reviews, the allegation that lack of staff supervision resulting in minors engaging in inappropriate activities 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 (LIC 9099) and appeal rights were explained and given to Trelanie Harris, Assistant Administrator.

Investigation Findings:
13On 08/27/2025, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit Brighter Horizon Treatment Center-Cedar Short Term Residential Treatment Program (STRTP) and met with Trelanie Harris, Assistant Administrator to deliver the investigative finding for the allegation listed above. On 06/23/2025, Community Care Licensing received an allegation that lack of staff supervision has resulted in minors engaging in inappropriate activities. On 06/25/2025, LPA Joon Choi conducted a health and safety inspection at the facility and no immediate health and safety hazards were observed. In addition, LPA Choi obtained pertinent documents and interviewed clients 1 (C1) staff 1, 2 and 3 (S1-S3). Client 2 (C2) was not able to be located for an interview during the investigation. In regard to the allegation that lack of staff supervision resulting in minors (C1, C2) engaging in inappropriate activities; it was reported that C2 has been providing alcohol and drugs to C1, and C2 was attempting to "groom" C1. It was further reported there was concern that drug/alcohol use is happening 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 Riverside, CA Facility Name: Brighter Hor. Treatment Ctr., CEDARFACILITY NUMBER: VISIT DATE: 08/27/2025

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