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

raw_content:
Narrative:
Confidential interviews were conducted with nine individuals, RP, S1, S2, S3, SW1, A1, C1, C2, C4 and attempted with C3 during the period of 06/24/2025 to 08/26/2025. An investigation was conducted regarding the allegation: Staff not implementing prudent parenting standards. Six out of nine confidential interviews conducted were consistent that staff are unfamiliar with prudent parent standards. RP, S1, S2, S3, SW1, and A1 stated they received sufficient training but were unaware of the meaning of reasonable prudent parent standards. Additionally, documentation reviewed such as eleven staff training logs did not show there were Reasonable Prudent Parent Standard trainings conducted. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility will be cited for California Code of Regulations, Title 22, Chapter 7. Short-Term Residential Therapeutic Program, Interim Licensing Standards (ILS), Articles Through 10, Version 5, 87067(a) Reasonable and Prudent Parent Standard, are being cited on the attached LIC 9099D." An exit interview was conducted with and a copy of this report and appeal rights were provided to Tahira Francis, Facility Manager. Confidential interviews were conducted with nine individuals, RP, S1, S2, S3, SW1, A1, C1, C2, C4 and attempted with C3 during the period of 06/24/2025 to 08/26/2025. An investigation was conducted regarding the allegation: Facility does not have sufficient staff to meet the youth's needs. Seven out of nine confidential interviews conducted were consistent the facility has sufficient staff to meet the youth's needs. S1, S2, S3, SW1, A1, C1, C2, and C4 stated all staff meet the youth's needs such as hygiene products, food, clothing and transportation services. Additionally, documentation reviewed such as staff work schedule between April to June 2025 documented a minimum of two staff on duty per shift, including a "floater" staff. An investigation was conducted regarding the allegation: Staff not following the Emergency Intervention Plan when youth leave without permission. Eight out of nine confidential interviews conducted were consistent that staff do follow the Emergency Intervention Plan when youth leave without permission. S1, S2, S3, SW1, A1, C1, C2, and C4 stated staff follow during AWOL's until loss of eyesight. Additionally, documentation reviewed such as Runaway plan revealed that staff follow youth who are AWOL until loss of sight. The facility will contact law enforcement if youth is AWOL for 30 minutes or more. An investigation was conducted regarding the allegation: No activities that are age appropriate or can be done separately. Nine out of nine confidential interviews conducted were consistent that youth are allowed to participate in activities that are age appropriate or can be done separately. S1, S2, S3, SW1, A1, C1, C2, and C4 stated they participate in age-appropriate activities and can do them separately. No youth stated they participated in activities that were not age appropriate at the facility. Additionally, documentation reviewed such as activities log between April to June 2025 listed interactive activities that were age appropriate for youth. An investigation was conducted regarding the allegation: Youth not allowed to shut their bedroom doors. Nine out of nine confidential interviews conducted were consistent that youth are not allowed to shut their bedroom doors. RP, S1, S2, S3, SW1, A1, C1, C2, and C4 stated they are to keep doors cracked open. Additionally, documentation reviewed such general rules for youth in the facilities program statement revealed bedroom doors are to remain open at all times according to the facilities general rule, number six. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to X.

Investigation Findings:
13Licensing Program Analyst (LPA) Angelique Hill conducted an unannounced complaint inspection with the above facility on 10/07/2025 at 12:15PM and met with Tahirah Francis, Facility Manager. The purpose of the inspection was to deliver complaint findings for the allegations of: Staff not implementing prudent parenting standards. During the course of the investigation, the following documents were gathered and reviewed: Client Roster between 2024-2025, Staff Roster from 2024-2025 and Staff Schedule, Needs and Services Plans for five youth, CFT notes/Preservation Plan (if applicable), Personal Inventory Log, Safety Plans, Incident Reports for five youth in care, Activities log, training logs, discipline policy, transportation policy, Emergency Intervention plan and in-house/facility rules. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Angelique Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/07/2025

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

Deficiencies:
87067: 1
2
3
4
5
6
7

met_with: Tahira Francis, Facility Manager

title:
REASONABLE AND PRUDENT PARENT STANDARD (a) The facility staff member, designated by the licensee as described in Section 87065(d) shall apply the "Reasonable and Prudent Parent Standard," as defined in Section 87001(r)(1)...and specified in Welfare and Institutions Code sections 362.05 and 727.., in determining
whether to allow a child to participate in age or developmentally appropriate
extracurricular, enrichment, cultural and social activities.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


state: CA

facility_name: PARADISE OAKS - MARIPOSA

summary: Facility Evaluation

raw_content:
Narrative:
On 06/18/21 at 1: PM, the second collaborative a quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. The first meeting was held on March 19, 2020. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 28. Two locations have closed, Linda Creek on 2/3/21 and Violets on 5/11/21. The following were present on an MS Teams virtual meeting: · CCL: Margo Castaneda, Regional Manager, Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst. · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director, Thomas Harrer, Clinical Director POYS provided a status update of the CARF evaluation stating the accreditation approval is over two months out due to backlogs from covid. An extension of approval is in effect. The Mental Health review by Dept. of Health Care Service (DHCS) was completed in April 2021 and at this time POYS is working with DHCS in providing the plan of corrections. POYS reports numerous clients recently graduated from high school. Some graduates are enrolled in community college, some are working, some are seeking transitional housing programs, and some are still figuring things out. Distance learning challenges were reported to be with band-width issues both from the schools and at the facilities. Distance learning was embraced by about half of the clientele, with the other half preferring in-person learning. CCL reported a decrease in complaints and incident reports. POYS attribute the decline to a more deliberate intake process and screening for better compatibility with the current clients. They also reported they were revamping their level system. In addition, POYS is training house staff to participate more closely with each client and their overall treatment plan. Staff are eliciting more input from youth on what is working/not working with the program. Youth have responded with more engagement. POYS reported they are resuming a higher level of training for staff as more in-person training become available. They have contracted with Relias Learning for staff training. When asked about the status of overnight staff, POYS reported, they have two roamers that are assigned to three homes each. They also have one floater that helps out as needed or if someone calls out. This model is used both for the day shift and nighttime shift. The roamers and floaters meet regularly with staff to discuss client behaviors and needs. Sacramento County had no specific areas of concern. They complimented the discussed areas of change and the graduation of youth. DHCS discussed the pros/cons of the virtual Mental Health review and was appreciative for POYS' feedback on the process. Clarification on mask wearing requirements for POYS clients and staff will be provided as the Department receives details. POYS will submit an electronic Program Statement to include recent revisions. They next meeting is scheduled for September 17, 2021. A copy of this report will be emailed for signatures to Laynee Kuhn.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Executive Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Tamara Hill, Marla Horne and Jennifer Baca made an unannounced annual inspection on 7/21/21 at 10: AM and met with Jovan Metoyer. LPAs toured the facility inside and out during the inspection today. LPAs observed four client bedrooms, two single occupancy and two dual occupancy bedrooms that had all of the required bedding and furniture as required. LPA observed that there are two bathrooms available to clients and one half bathroom available to staff and that all of the bathrooms were appropriately equipped with toilet paper and paper towels. LPA observed that the bathrooms had warm water as required. LPA observed that the showers and toilets functioned and required and showers had hot water as required. LPAs observed that the facility had an adequate supply of perishable and nonperishable food for the clients in care. LPAs observed that there is a fire extinguisher in the facility and it was last inspected in June 2021. LPA observed that there is a carbon monoxide detector in the hallway near the client bedrooms. LPAs were not able to test the smoke detectors as they are linked to the pull system. LPA observed that the facility appliances, fridge and freezer appeared to be clean and function as required. LPA observed that sharps and disinfectants and cleaning supplies were appropriately stored where not accessible to clients in care. LPA observed a menu posted in the facility. LPA observed that the facility has laundry services available for each youth to complete their own laundry. LPA observed that the facility has a functioning telephone in the facility. LPA observed that the facility vehicles appeared to be in good operating condition. LPA observed that there is no transition strip from the living room to the kitchen area which may lead to a trip hazard and did advise that the facility to put one in place. No citations were issued during the inspection today and exit interview was conducted with Mr. Metoyer.

visit_type: Annual

met_with: Jovan Metoyer, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Tamara Hill and Marla Horne made an unannounced annual continuation inspection on 7/27/21 at 3: PM at the administrative offices for Paradise Oaks Youth Services located at Sunrise Vista Drive, Citrus Heights 95610. The purpose of the visit to this location is to review the staff files at the administrative office. LPAs reviewed staff files during this inspection but were not able to complete the file reviews on this date. Additional review is needed to complete the staff file inspection. No citations were issued during the inspection today. Exit interview with Laynee Kuhn, Executive Director.

met_with: Laynee Kuhn, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual continuation inspection on 7/30/21 at 1: PM at the facility and met with Carly Brown, Case Manager. The purpose of the visit to this location is to review the client files at the facility. LPA reviewed two client files during this inspection. Visit to be continued at the administrative office to review file documents. Exit interview was conducted with Ms. Brown.

met_with: Carly Brown, Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual continuation inspection on 7/30/21 at 1: PM at the facility and met with Laynee Kuhn, CEO. The purpose of the visit to this location is to review two staff files at the administrative offices for the agency. LPA reviewed two staff files during this inspection. LPA was unable to access the tool during the inspection today thus did complete a manual review of the staff files. LPA did not observe any deficiencies with the staff files and exit interview was conducted with Ms. Kuhn.

met_with: Laynee Kuhn, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/21 at 1: PM, the third collaborative quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 27. Three locations: Madison, Sunset and Old Auburn currently have no foster youth placed. The following were present on an MS Teams virtual meeting: · CCL: Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst (LPA), Cindy Johnson, LPA, Tammy Hill, LPA · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director POYS reported a staff and family moved into Sunset after their home burned down approximately 2 weeks ago. Annual inspections were completed for all their facilities in June and July, resulting in Technical Advisory/Advisory Notes and no deficiencies cited. CCL will provide the electronic program statement revisions to System of Care. Program statement revisions for the SAY population was submitted but still needs to be reviewed and approved. LPA Marla Horne will review by October 20, 2021. Incident reports regarding smoking on grounds was discussed. Both trauma-informed practices and harm reduction protocols were discussed. Harm reduction practices have not been approved by the Department. POYS is reminded that incident reports should document interventions including staff discouraging youth from smoking. CCL pointed out youth smoking in the backyard is still smoking on grounds which may require additional case management inspections. CCL requested program statement revision to Transportation services to add details of exceptions to provide transportation to youth when extreme weather, youth not feeling well or after hours. CCL requested incident reports be typed due to the difficulty of reading the handwritten reports. At this time there are multiple POYS staff that still hand write reports. This has been an ongoing conversation between POYS and CCL. CCL requests all reports be typed by November 1, 2021. POYS declined this request. CCL requested all youths' names be included in one incident report rather than referring to other involved youth as "peer". CCL recommended using a legend to submit the report to CCL and redacting the names for POYS purposes. POYS declined the request due to confidentiality. The CCL request was requested and approved through upper management and noted not to be a HIPPA violation. CCL requested incident reports and timeframes be more specific. Antecedent information is specific and thorough, yet more follow up details or resolution information is needed and requested. CCL recommended POYS to Technical Support Program (TSP) for incident report writing. POYS approved the recommendation. Sacramento County had no specific areas of concern. DHCS had no specific areas of concern. Due to the upcoming impact of FFPSA on program statements, a deadline for the revisions was not determined and will be included at the time of the FFPSA changes. No further meetings are scheduled

met_with: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director,


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced collateral inspection on 9/24/21 at 12: PM to the administrative office location for the agency located at Sunrise Vista Drive, Suite 2100, Citrus Heights 95610 and met with Laynee Kuhn, Chief Executive Officer for the agency. LPA made the visit to discuss the following incident reports for this facility: 4/14/21 there are five reports related to property destruction in the facility and one resulted in a restraint after causing a hole in the wall as a result of opening a door too hard. LPA questioned what was happening at the facility and why this one particular incident resulted in a restraint of C1. Ms. Kuhn states that the staff that handled this incident has been out as a result of this restraint due to an injury sustained by the staff person. Ms. Kuhn is to provide a follow up statement from staff that would provide additional detail to this incident. . C2 also reportedly had females at the facility overnight and it was reported to the agency that the overnight staff knew that the females were there and did not do anything to deter this from happening. When speaking with Ms. Kuhn, the staff was immediately terminated as a result of this incident. LPA did obtain additional documentation related to staff person (S1). C2 was observed to be playing with fire/starting fires in the living room of the facility. Facility reports that there was not any reported damage to the facility and this incident was discussed in child and family team meeting but that the child is no longer in the facility. C3 had gone out on his own and gotten a job interview and when reporting this to the facility, C3 was informed that per the child and family team meeting, C3 was not authorized to have a job. LPA asked what the protocol of this is and Ms. Kuhn states that they discuss age and behavior appropriate readiness for employment and this youth was not cleared to have outside employment. C4 left the facility to go to the store after getting allowance and staff contacted to report youth as unauthorized to be out of the facility. LPA asked if youth was authorized community time and if law enforcement was contacted due to youth not signing out of the facility. LPA was informed that they contact law enforcement immediately if they do not have authorized community time per the discussion in the child and family team meetings. C5 left the facility to go to a store and there is mention about juvenile hall on the report. LPA inquired as to why a youth leaving to go to a store would justify contact with juvenile hall. LPA was informed that when the missing persons report was filed per the agency protocol, they were informed of an outstanding warrant record however this issue had already been cleared up in court prior to youth coming into placement. LPA discussed with Ms. Kuhn the additional clarification needed on the reports to ensure all details including antecedents and follow up are captured appropriately. No citations were issued as a result of this inspection. Document provided to Ms. Kuhn.

met_with: Laynee Kuhn, Chief Executive Officer


summary: Facility Evaluation

raw_content:
Narrative:
On 1/21/22, Licensing Program Analyst (LPA) Stephanie Lor conducted a case management inspection and met with Administrator and Case Manager worker. The purpose of this inspection is to discuss two incident reports concerning youth using illegal substances and no refills on youth's medication. Staff reported that the youth is scheduled for a CFT and has been referred to AOD twice, but the youth is refusing services. Staff reported that they have provided education about the effects of smoking and would redirect the youth when youth engages in smoking. Incident two reported that youth ran out of medication. Staff reported that the medication arrived late and is now in stocked in the office. Medication and binder logged were shown to LPA Lor. No interviews were conducted with any of the youth due to AWOL. No citations were issued during this inspection. This case management inspection will be closed. An exit interview was conducted and a copy of this report will be email to Administrator.

met_with: Stephanie Piring, Float Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2/2/22 at 2:15pm, Licensing Program Analyst (LPA) Stephanie Lor conducted an over the phone case management inspection to the above FFA facility. LPA Lor spoke with Case Manager. LPA Lor discussed an incident report submitted to Community Care Licensing on 9/29/21 concerning sexual behavior at the facility between two youth. A plan was developed after the incident to separate the youth. Sex education was also provided to the youth. Interviews couldn't be conducted with youth one due to being discharged from the facility. Youth two was unavailable during the time of the phone call. An exit interview was conducted and a copy of this report will be emailed to the facility. Case management will be closed. No further investigation needed.

met_with: Shelby Miller, Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Torres conducted a case management inspection May 5, 2022 at 9:13am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 7 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 3 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated May 5, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA David Torres observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Javon Metoyer, Administrator.

met_with: Javon Metoyer, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 6/10/22 at 11:40am, Licensing Program Analyst (LPA), Stephanie Lor made an unannounced visit to conduct a case management regarding an incident report received by Community Care Licensing on 5/16/22 regarding youth feeling unsafe at the facility. LPA knocked on the door and called the facility, but no one answered. LPA returned at 12:30pm, but no one was at the facility. LPA will conduct this case management at another time. This case management investigation needs further investigation.


summary: Facility Evaluation

raw_content:
Narrative:
On January 27, Licensing Program Manger (LPM) Dara Campos, Regional Office Manager Margo Castaneda, and Licensing Program Analyst (LPA) Stephannie Verna held an Informal Conference Meeting from 1: PM to 2: PM to discuss concerns. The meeting was facilitated by LPM Campos. Attendees included (in-person) Paradise Oaks Youth Services staff, Laynee Kuhn (Executive Director), Stephanie Fischer (Administrator), Amanda Lee (administrator) and Board Member Al Werner, as well as (Via Teams Meeting), Shawn Wade Fresno County Social Worker, Julie Leong, Case Manager Mateo County Behavioral Health, Khoa Nguyen Stanislaus County Social Worker, and Tia Carter Sacramento County Social Worker. The topics discussed included: Absent without Permission Temporary Release (TR) Communication with local law enforcement Cancelling Missing Person reports Incident Report details No deficiencies were cited during today's meeting. A copy of this report was provided to Laynee Kuhn, Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On April 06, 2023 at 11: AM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of conducting a collateral visit to gather testimony from a facility staff (S1). LPA met Jovan Metoyer, Facility Administrator, and S1. LPA conducted an inspection of the facility. LPA conducted two confidential interviews. No citations were issued related to the collateral visit. A copy of this report was issued to the facility and an exit interview was conducted with Jovan Metoyer, Facility Administrator.

met_with: Jovan Metoyer, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Tina Thorn on 06/01/2023 at 8:30 am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia and Thorn met with Jovan Metoyer, Administrator and inspected the facility inside and out. LPA reviewed zero (0) child's records and three (3) staff personnel files on site at the facility. LPA reviewed zero of five (0/5) child's psychotropic medications and medication records. There are currently no children in care taking psychotropic medications. LPA interviewed three of five (3 of 5) staff files on site to discuss the facilities policies and procedures of operation. LPA interviewed zero (0) children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Jovan Metoyer, Administrator . No deficiencies are being cited at this time. LPA conducted exit interview with Jovan Metoyer, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2024, at 10: AM, Licensing Program Analyst (LPA) Shalisa Stiger made an unannounced visit to the facility for the purpose of an Annual Inspection. LPA Stiger toured the facility inside and out. LPA observed the living room to be clean and free from debris. LPA observed client bedrooms that had all of the required bedding and furniture. LPA observed client bathrooms and one half bathroom available to staff. LPA Stiger observed that the facility had an adequate supply of perishable and nonperishable food for the clients in care. LPA observed the food menu posted on refrigerator. LPA observed a fire extinguisher in the facility and carbon monoxide in the hallway, tested and working. LPA observed sharps and disinfectants and cleaning supplies were appropriately stored and not accessible to clients in care. LPA observed that the facility has laundry services available for each youth to complete their own laundry. LPA observed that the facility has a functioning telephone in the facility. LPA observed that the facility vehicles appeared to be in good operating condition. LPA observed the front yard and backyard to be clean and free from debris. LPA Stiger observed five (5) client files and three (3) staff files. LPA Stiger interviewed one (1) youth and three (3) staff. No citations were issued. LPA conducted an exit interview and provided a copy of report to the facility.

met_with: Administrator, Jovan Metoyer


summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2024, Licensing Program Analyst (LPA) Shalisa Stiger conducted a case management visit following an incident report received on January 19, 2024. The incident advised the facility found bed bugs in two (2) bedrooms and two (2) youths reported bites. The facility put a Plan of Action to: -Replace both bed frames in Rm 1 and Rm 2 -mattresses included - Wash all bedding, clothing, and upholstery for all youth and common areas at a local laundry mat. - Spray down entire facility with Bed Bug spray (Rooms, couches, chairs, etc). - Toss out a love seat sofa in common area that maybe concern for re-infestation. LPA Stiger toured the facility and observed the client beds were replaced, bedding washed, rooms disinfected and common area furniture removed. LPA Stiger interviewed two (2) staff and one (1) youth advising LPA they have not seen any new occurrences since the 1/19/24 incident. An exit interview was conducted with the Administrator and this case management investigation is closed. A copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2024, Licensing Program Analyst (LPA) Shalisa Stiger conducted a case management visit following an incident report received by the Department on January 19, 2024. The incident report received indicated client's medication was off count by three (3) pills and staff's initials were missing from 1/17/24, 1/18/24 and 1/19/24. It was reported that staff forgot to give youth their medication. LPA Stiger observed and obtained a copy of the medication log showing missing initials. Administrator provided a correction memo to staff to included additional training. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management needs further investigation.


summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2024, Licensing Program Analyst (LPA) Shalisa Stiger conducted a case management visit following an incident report received by the Department on January 19, 2024. The incident report received indicated client's medication was off count by three (3) pills and staff's initials were missing from 1/17/24, 1/18/24 and 1/19/24. It was reported that staff forgot to give youth their medication. LPA Stiger observed and obtained a copy of the medication log showing missing initials. Administrator provided a correction memo to staff to included additional training. After conducting interviews, it was reported that the youth refused to take the medication. The Youth does not take medication and was taking the medication for an isolated incident (bug bites). An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management is closed.


summary: Facility Evaluation

raw_content:
Narrative:
On October 16, 2024 at approximately 8: AM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a Case Management to follow up on an incident report received by the department on October 8, 2024, involving a medication issue. LPA met with Facility Administrator, Jovan Metoyer. A tour was conducted of the facility, the facility is in compliance. LPA Turner conducted interviews and copies of the Staff Roster, Client Roster, Staff Schedule, Medication Logs, and Primary Discussion Reports for one client in care, were requested and obtained. This case management will remain open, further investigation is needed. An exit interview conducted and a copy of this report was left with Jovan Metoyer, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On October 29, 2024 at approximately 12: PM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a Case Management to follow up on an incident report received by the department on October 8, 2024, involving a medication issue. LPA met with Facility Administrator, Jovan Metoyer. A tour was conducted of the facility, the facility is in compliance. LPA Turner conducted interviews and copies of the Staff Roster, Client Roster, Staff Schedule, Medication Logs, and Primary Discussion Reports for one client in care, were requested and obtained. LPA Turner observed the following deficiencies. Missed medication between October 4, 2024 and October 7, 2024. (See LIC TV) This case management is closed, no further investigation is needed. An exit interview conducted and a copy of this report was left with Jovan Metoyer, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2024 at approximately 3: PM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a Case Management to follow up on an incident report received by the department on November 12, 2024, involving physical contact between a client and a staff member. LPA met with Facility Administrator, Jovan Metoyer. A tour was conducted of the facility, the facility is in compliance. LPA Turner conducted three staff interviews and one client interview. Police Report number was requested and obtained. This case management will remain open, further investigation is needed. An exit interview conducted and a copy of this report was left with Jovan Metoyer, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 3, 2024 at approximately 2: PM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a Case Management to follow up on an incident report received by the department on November 12, 2024, involving physical contact between a client and a staff member. LPA met with Facility Administrator, Jovan Metoyer. A tour was conducted of the facility and no deficiencies were noted. The facility is in compliance. LPA Turner conducted four staff interviews and one client interview. A Police Report number was obtained. This case management is now closed, all interviews have been conducted. No further investigation is needed. An exit interview conducted and a copy of this report was left with Jovan Metoyer, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On January 14, 2025 at approximately 9: AM Licensing Program Analysts LPA Zaria Turner made an unannounced visit with the purpose of conducting an annual inspection to the above Short Term Residential Therapeutic Program (STRTP). LPA met with Facility Administrator, Jovan Metoyer, and a walk through of the interior and exterior was completed. Physical Plant LPA conducted a walk though of the interior and exterior of the facility. The facility was clean, safe, and kept free of obstruction. LPA observed the posting of a License, Personal Rights, and Emergency Disaster Plan. The facility consists of four bedrooms, 3 bathrooms, a classroom, kitchen, living room, dining room, staff room, and an office. Two client rooms are quipped with one bed, bedding, a closet, and a dresser for clothing and personal belongings. Two client rooms are equipped with two beds, bedding, a closet, and two dressers for clothing and personal belongings. The three bathrooms at the facility are equipped with working toilets and running water. The living room is equipped with two sofas, two coffee tables, an office desk and a monitor, a TV, and hockey table. The dining room is equipped with a sofa, chair, and dining table with five chairs. There are three closets with extra linens, towels, toys, and a water heater. There are two storage rooms which contain two fridges, shelves, and cabinets for snacks. The staff bathroom contains a washer and dryer. Disinfectants and cleaning solutions are inaccessible to clients in care and locked in the staff bathroom and laundry room. Refrigerator temperature is at or below 45 degrees Fahrenheit. There is nonperishable food for one week and fresh perishable food for three days minimum. Sharp objects are locked away in a cabinet in the office. There are containers to place leftover food. A working telephone is available at the facility. Continue summary of inspection on 809-C Carbon monoxide and smoke detectors are in working order. The First Aid Kit is fully stocked. The Hot Water is between 105-120 degrees Fahrenheit. The Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. The facility is free of vermin. The backyard contains a grassy area with a tether ball set. There is a concrete area with a basket ball hoop, punching bag, and a bin containing extra basketballs. There is safety netting along the top edges of the fence. There is no pool on the premises. The following domains were also reviewed during today's inspection, Physical Plant, Operation, Disaster Preparedness, Emergency Intervention, Staff and Client Records, and Core and Therapeutic Services. A total of five staff files and three client files were reviewed. LPA conducted three staff interviews and one client interview. A review of the Licensing Information System indicates the facility is up to date on their facility annual fees. No deficiencies were cited during today's inspection. An exit interview was conducted with Jovan Metoyer, Facility Administrator, and a copy of this report was provided during today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On June 6, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Therapeutic Residential Program (STRTP) to follow up on an incident report received by the department on March 12, 2025, involving missed medication. LPA met with Facility Manager, Tahira Francis. LPA Turner was given permission by Facility Administrator, Jovan Metoyer, to have Facility Manager, Tahira Francis sign off on all reports. A tour was conducted of the facility, the facility is in compliance. LPA Turner requested copies of the Staff Roster, Client Roster, Staff Schedule, Medication Logs. This case management will remain open, further investigation is needed. An exit interview conducted and a copy of this report was left with Tahira Francis Facility Manager.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Aleza Ruiz on 10/30/2025 at 10:45am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Ruiz met with Carla Izzarelli, Administrator and inspected the facility inside and out. LPA reviewed 0 of 4 child's records and 5//67 of staff personnel files on site at the facility. LPA reviewed 0 of 4 of child's psychotropic medications and medication records. LPA interviewed 2/10 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 0 children currently prescribed psychotropic medication. No Clients qualified. LPA provided a copy of this licensing report to Carla Izzarelli, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Carla Izzarelli, Administrator.

met_with: Carla Izzarelli, Administrator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
During the investigation LPA obtained inconsistent statements during the investigations process about staff do not provide a safe environment for minors. Six of eight interviews confirmed staff take all necessary precautions to keep all minors safe in the environment. Additionally, 6 of 8 interviews confirmed that staff do not speak inappropriately to minors. During confidential interviews, LPA obtained consistent statements about staff speaking to minors with respect. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur therefore the allegations are unsubstantiated.

Investigation Findings:
13On December 9, 2025, Licensing Program Analyst (LPA) Orlando Areizaga conducted an unannounced visit to the above agency to deliver the findings of a complaint investigation. LPA met with Jovan Metoyer, Administrator and was granted entry. Prior to the meeting, LPA initiated the complaint investigation on September 30, 2025. No deficiencies were cited during that inspection. LPA requested the following documents client roster, client face sheets, needs and services, and staff schedule. 8 confidential interviews were conducted between September 2025 and November 2025 by LPA Areizaga. Lastly, LPA could not confirm the allegations with Staff 2 (S2) after multiple failed attempts to contact. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Orlando Areizaga LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 12/09/2025

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On June 12, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Therapeutic Residential Program (STRTP) to follow up on an incident report received by the department on March 12, 2025, involving missed medication. LPA met with Facility Administrator, Jovan Metoyer. A tour was conducted of the facility, the facility is in compliance. LPA Turner requested copies of the Staff Roster, Client Roster, Staff Schedule, Medication Logs. LPA Turner observed the following deficiencies. Missed medication on May 11, 2025. (See LIC 809-D) This case management will remain open until the Plan of Correction is cleared via email by June 19, 2025, to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Jovan Metoyer, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/07/2025 at 12:15PM Licensing Program Analyst (LPA), Angelique Hill, met with Tahira Francis, Facility Manager for the purpose of a case management inspection. During an inspection, LPA reviewed eleven staff training logs which did not list any Trauma Informed Trainings conducted for the year of 2025. The facility is being cited Title 22, Chapter 7. Short-Term Residential Therapeutic Program, Interim Licensing Standards (ILS), Articles Through 10, Version 5, 87078.2(a) Trauma-Informed Interventions and Treatment Practices on the attached LIC809D. Exit interview conducted and a copy of this report is left with Ashley Rupp, Assistant Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Jean Stidman and Cecilia Warren on 6/13/22 at 10:00am. During the inspection, LPAs met with Jovan Metoyer, Administrator and inspected the facility inside and out. LPAs reviewed two child's records on site at the facility at 10:00am. During the review of one child's records, LPA Stidman observed child (C1) psychotropic medication logs for medications M1, M2, M3 for June 2022 have inaccurate information including medication counts for M1, M2 and M3, psychotropic medication administration logs month dates, prescription numbers and start dates. LPAs observed two client's Needs and Services Plans are missing the signature of the client and the client's authorized representative. The facility is cited on the attached LIC 809D under the California Code of Regulations, Interim Licensing Standards # 87068.2(d) and 87070(b)(13). LPAs reviewed two staff personnel files on site at the facility at 10:00am. LPAs interviewed two staff on site at 10:00am. LPAs interviewed one child currently taking psychotropic medication at 1:30pm. LPAs conducted exit interview with Jovan Metoyer, Administrator at 4:45pm LPA provided the Summary Report to Jovan Metoyer, Administrator upon completion. On 9/7/ LPA met with Ranjeeta Sharma Assistant Administrator to amend this Summary Report.

met_with: Ranjeeta Sharma Assistant Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 2/6/2026 at 1:30 pm Licensing Program Analyst (LPA) Maie Soliman arrived unannounced at the facility. LPA met with Uylous Ingram Junior, Facility Manager who assisted with the inspection. The LPA conducted a tour of the facility. During the inspection, the LPA observed two bathrooms in unsanitary condition, with one bathroom exhibiting more significant unsanitary conditions than the other. Specifically, the shower areas contained visible dark black matter along the edges and corners of the shower stalls and on the sliding glass doors. These conditions indicate that the bathrooms were not being maintained in a clean and sanitary manner. The facility is cited under Title 22, Division 6, Chapter 1, Article 07, Section 80087(a) - Buildings and Grounds, which states: "The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors." See attached LIC 809D. An exit interview was conducted and a copy of this report was left with Uylous Ingram Junior, Facility Manager along with appeal rights.

Deficiencies:
80087(a): "

met_with: Yulous Ingram Junior, Facility Manager

title: - Buildings and Grounds, which states


facility_name: PARADISE OAKS - OLD AUBURN

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services Main Office to initiate a Required Annual on 6/23/2021 at 10: AM with Laynee Kuhn, Executive Director, due to this facility not currently having any placements. Areas discussed: annual fees & outstanding fees, updated Administrator Certificate, waiver for 40 hours of annual staff training; and updated Emergency Disaster Plan (per H&S Code 1565). The status of other requirements was discussed, and current/updated version is being requested, for the following: · CARF International Accreditation was conducted 4/26/21-4/28/21, new certificate is pending · Mental Health Contract is renewed annually with Sacramento County · Mental Health Program approval- is currently in process of renewal and making corrections. · Emergency Intervention Log, via Board Meeting Minutes for the past 6 months, LPA Johnson arrived at this facility on 6/25/2021 at 9: AM and conducted the inspection with Amanda Lee, Administrator (another house). The following items were observed and evaluated by LPA Johnson: Posted items in the facility: Facility License, Emergency Mass Casualty Disaster Plan, Foster Youth Personal Rights, Foster Youth Ombudsman posters, exit routes, COVID-19 hand washing instructions with health & safety information. Kitchen- There is no oven in the facility. Two refrigerators tested below 45 degrees F; two freezers tested at zero degrees. Area to post menus is available. Water furnace had been turned off and the water did not meet the regulatory range. After turning it on, it took while for the hot water temperature to reach the regulatory range of 105-120 degrees (107 degrees). Knives and Sharps will be stored and locked inside the staff office. However, none are currently present. Dishwasher is operable. There are no refrigerated medications. Trash can has a lid. No disinfectants or cleaners are stored in the kitchen. Dining table has areas with random paint. Removal of paint or tablecloth was recommended. Additional chairs are needed for the dining table to for the capacity of 6. Living Area- Furniture is clean and in good repair. Smoke & Carbon monoxide detectors are present and operable. Carpet and flooring are in good repair. A fireplace screen is not fastened / attached to secure blockage of access of clients. Bedrooms- There are 3 client bedrooms with double occupancy. Some required furnishings were missing: Bedroom 1- dresser needs repairs, Master bedroom only had one dresser. The facility has the required items for a bed: mattress pad, fitted sheet, top sheet, pillow and mattress in good repair, even if not on the bed; extra linen supply was present. Smoke detectors are operable. There are no staff bedrooms. Bathroom- There are 2 client bathrooms (regular & master) and 1 staff bathroom. Ceiling light/vent in staff bathroom needs some cleaning. Water furnace had been turned off and the water did not meet the regulatory range. After turning it on, it took while for the hot water temperature to reach the regulatory range of 105-120 degrees (105 degrees). Toilets, sinks and tub/showers were operable; toilets need to be cleaned. Buildings and Grounds- - Fire extinguisher was serviced in 2021. Carbon monoxide detector and smoke detector were tested and working. Cleaning & Chemical Supplies were not accessible. Doors and passageways are clean and free of obstructions. Facility has no bodies or water, cameras, or firearms on the premises. Facility Telephone was not operable or present. Detached structure (workshop for maintenance staff) was inspected and stores many dangerous items (tools, chemical, cleaners, & tools). In addition to being locked, it has an audio alarm system. Facility was clear of hazards and observed to be clean, safe and sanitary. Medication- Medication is stored and locked in the filing cabinets inside the staff office, when it is present. Since no youth are currently placed, no medication or documentation were present to inspect. First aid kit was not available to be inspected. Since this facility is currently not occupied with clients and staff are not assigned to this location, file reviews and interviews were not conducted. Prior to resuming operations of this facility, the following items remain needed: Updated forms: LIC 308, 500, 610C If the administrator is changed, an updated board resolution and valid certificate. Adequate food supply- 2 days of perishable, 1 week of non-perishable and snacks Monthly menus and activity schedule need to be posted. Adequate dishware and cooking utensils. Hygiene supplies. Inspection of facility vehicle Beds have all required items No deficiencies are being cited due to no clients in placement. The agency should address all items prior to resuming the operation of the facility. Exit interview conducted and reports discussed with Laynee Kuhn, Executive Director; copies of documentation were provided to the facility, via email.

met_with: Amanda Lee, Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 27, Licensing Program Manger (LPM) Dara Campos, Regional Office Manager Margo Castaneda, and Licensing Program Analyst (LPA) Stephannie Verna held an Informal Conference Meeting from 1: PM to 2: PM to discuss concerns. The meeting was facilitated by LPM Campos. Attendees included (in-person) Paradise Oaks Youth Services staff, Laynee Kuhn (Executive Director), Stephanie Fischer (Administrator), Amanda Lee (administrator) and Board Member Al Werner, as well as (Via Teams Meeting), Shawn Wade Fresno County Social Worker, Julie Leong, Case Manager Mateo County Behavioral Health, Khoa Nguyen Stanislaus County Social Worker, and Tia Carter Sacramento County Social Worker. The topics discussed included: Absent without Permission Temporary Release (TR) Communication with local law enforcement Cancelling Missing Person reports Incident Report details No deficiencies were cited during today's meeting. A copy of this report was provided to Stephanie Fisher, Administrator.

met_with: Stephanie Fisher, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 05, 2023 at 09: A.M. Licensing Program Analyst Stephannie Verna arrived at the above facility and conducted an unannounced annual facility inspection. LPA met with Amanda Lee, Facility Administrator (Olivine) who assisted LPA with the inspection. LPA and the Licensee conducted a joint inspection of the interior and exterior areas of the facility's physical plant. The facility is licensed for a capacity of six ambulatory clients, ages 0 to 17 years old. The census is currently zero. The facility license, Emergency Disaster plan, Facility Sketch, Client Personal Rights postings, Client menu, Client Daily Activity Schedule, and a boards of resources and flyers were posted in a prominent location in the facility. The home is one story and consists of three bedrooms, three bathrooms, kitchen, dining room, living room, a staff office, garage, and a backyard with no swimming pool or pond. There are no cameras utilized in the home or exterior cameras posted. LPA observed that the living room contained two couches, coffee table, along with a television, a desk and computer, and cabinets which contained games. In the hallway LPA observed a drop box to submit grievance forms, however the agency grievance forms and the facility's policy regarding procedures was not posted in a location in the facility which is accessible to children and their authorized representatives. continued on 809-c LPA observed hallway cabinets which contained extra linens, pillows, towels, and paper supplies. There is a fireplace in the living room, that not used. The garage contained storage supplies and holiday decor. LPA observed that the dining area was included in the kitchen and the table had six chairs. LPA observed that the kitchen area was located off the living room and the kitchen area had the stove, oven, dishwasher, microwave and refrigerator/freezer. The kitchen cabinets and drawers were in good repair. Sharps were locked in the staff office in a locked box. The pantry was located in the kitchen. LPA observed sufficient amounts of food in the pantry, refrigerator and freezer and fresh fruits and snacks on the counter. Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days were observed. LPA observed that the facility has three bedrooms with double-occupancy floor plan, and each bedroom had two beds and clean bedding provided including mattress cover, fitted sheet, top sheet and blanket, and pillows. Dressers with operational drawers for personal items, lighting and ample closet or storage space was provided. Windows and screens were in good repair. There were three bathrooms observed in the facility. One bathroom was located in a client bedroom, and the other bathrooms were located in the hallway and the staff office. The bathrooms had a working toilet, shower/tub, and sink faucet. The water temperature was measured to be at 120 degrees Fahrenheit. The bathrooms contained soap and paper towels for hand washing. LPA observed a laundry room, which contained a washer and dryer. Cleaning supplies and detergents were locked in the cabinets. Next to the laundry room is the staff office and a locked door to the breezeway and backyard. The The staff office contained a working landline phone and art supplies, and confidential client medication and records were stored in a locked filing cabinet. continued on 809-c The backyard contained a small courtyard, a lawn, garden, and a basketball court. There were no areas of damage to the surrounding fenced area. The front and back yards were free of clutter; and the passageways and egress were unobstructed. LPA observed working Carbon Monoxide and smoke detectors, and they were tested and in working condition. LPA observed that there was a fire extinguisher in the hallway. The fire extinguishers were charged and last inspected in August 2023. LPA observed the first aid kit were stored in the staff office. The first aid kit was in tact. Upon request to review past licensing reports, the Administrator stated that they do not have facility's past licensing reports for the past three years at the facility and they are stored with the Director at the Agency's Administrative Office. It was observed that while the facility has a written complaint procedures by which children or their authorized representatives are permitted to file complaints, however they were not posted in a location in the facility which is accessible to children and their authorized representatives. LPA Verna conducted one personnel interview, with Amanda Lee, Administrator. LPA Verna completed the following domains of the inspection: Physical Plant, Operations, and Disaster Preparedness. There were no clients in placement at the facility and client and personnel files were not required for inspection. The required annual inspection was completed on today's date. The facility is being issued two technical advisories related to STRTP ILS, section 87072.2(a)(3) and Health and Safety Code, section 1538.5(a)(3). An exit interview was conducted and a copy of this report and technical advisories were provided to Amanda Lee, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced Annual/Random inspection on July 08, 2025 at 10: AM. During the inspection LPA Martinez met with Jovan Metoyer (Facility Administrator) who assisted with the inspection. LPA Martinez conducted a walk-through of the facility inside and out with Jovan Metoyer (Facility Administrator). Facility staff-client ratio at time of inspection: zero staff and zero children. (There are no children who reside at this home).Number of staff interviewed: zero Number of clients interviewed zero LPA Martinez observed # _3__bedrooms, # __2_bathrooms. Posting of license X Personal Rights X Disinfectants/Cleaning solutions inaccessible X Refrigerator Temperature at or below 45 degrees F X Freezer Temperature at or below 0 degrees X Nonperishable Foods one week and fresh perishable foods two days minimum 0 due to having no client the facility Menu present and posted: At this time there is no menu posted due to census being zero. Working telephone X Carbon monoxide detectors X Smoke Detector X First Aid Kit fully stocked X Common Room available X Dining area (enough seating, furniture good condition, not broke or damaged) X Medication centrally stored, locked/inaccessible: There are no medications stored at this facility. Office (locked and privacy) X Hot Water between 105-120 degree F (Properly labeled if over 125 degree F X Continued... Fire Extinguisher X July Toilets wash basin, bath and shower fixtures in good repair water Soap and Paper towels X Laundry Facilities X Bedrooms- required linen and furnishings X Motor Vehicle properly maintained there are no vehicles being used at this facility due to census being zero. Facility free of vermin Yes Locked Facilities (open locked storage area/building/sheds) Yes Bedroom are in good repair and furnished. Complaint Procedures For Youth Reviewed Yes Board Minutes Reviewed- Requested and will be emailed to LPA Martinez. CQI Report Reviewed Requested and will be emailed to LPA Martinez. Disaster and mass casualty plan updated and available Yes Quarterly Drills conducted and documented-There are no children residing at this home. Disaster preparedness supplies verified There are no children residing at this home. There are no current staff or children in the home. At this time, there are no files. There were no deficiencies observed at this annual inspection. An exit interview was conducted with Jovan Metoyer (Facility Administrator), and a copy of this report was provided to Jovan Metoyer (Facility Administrator).

met_with: Jovan Metoyer (Facility Administrator)


facility_name: PARADISE OAKS - OLIVINE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
One staff (S1) stated that she is Pro-Act trained but new employees do not get the hands-on role playing because Covid has forced the training online. Staff stated with the assaultive behaviors of their youth, there is not enough staff if there are multiple crises but staff are trained. Staff acknowledge Covid has created employee shortages and lack of in-person training. C3 stated that staff do not do enough when clients are escalated, but there is not much staff can do. C1 stated staff try to get us to disengage with each other and calm us down and go for walks or go outside. C1 stated if there were more staff, there would be more support for everybody. It is alleged that the needs of a child are not being met. CSW stated that C1 is getting TBS from the facility clinicians. Therapeutic behavioral services are an intensive, individualized, one-to-one behavioral mental health service for youth with serious emotional challenges. CSW stated the facility typically had a lot of resources but Covid has made it difficult everywhere. The facility social worker (SW) stated the number one issue is keeping C1 safe from self-harming tendencies. SW is working closely with house staff so interactions with the youth are consistent with her treatment plan. S1 stated youth participates in all her therapies but has a high need for recognition and seeks attention, so it is difficult to answer if youth is getting her needs met. C1 stated she would like more support when she is upset. C1 stated she has a treatment plan and participates in therapy sessions but she feels more one-on-one time would help. C1 used to go on drives with her social worker but that ended with the Covid restrictions. Based on the interviews conducted the allegations, that staff are not adequately trained to intervene during incidents and the treatment needs of a child are not being met, are UNSUBSTANTIATED. Although the allegations may or may not have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report, appeal rights and the LIC811 were discussed and left with Amanda Lee.

Investigation Findings:
13On 6/28/21 at 9:40 am, Licensing Program Analyst (LPA) Robin Sullivan contacted Amanda Lee, Administrator, to deliver findings for the allegations that staff are not adequately trained to intervene during incidents and the treatment needs of a child are not being met. LPA interviewed three foster youth (C1, C2, C3, see confidential names on LIC811) on 3/24/21, the facility social worker (SW) on 6/14/21, one staff (S1) and the county social worker (CSW) on 6/15/21, and one staff (S2) on 4/8/21. LPA conducted a file review and obtained the following documents: Pro-Act training certificates, staff contacts, maintenance repair logs, four needs and services plans and treatment plans, behavioral plans, and a register of current clients. It is alleged that staff are not adequately trained to intervene during incidents. Staff attend Professional Assault Crisis Training (Pro-Act) for de-escalation and restraint training. The first sixteen hours of Pro-Act training is on hands-off de-escalation techniques. Staff are then trained to use hands-on restraints as a last course of action. If a restraint becomes necessary, two restraint-trained staff must be present to conduct the restraint. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Robin Sullivan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 06/28/2021

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

met_with: Amanda Lee, Administrator


raw_content:
Narrative:
C3 confirmed she smokes cigarettes but learned she may be pregnant and will stop smoking. C3 and three staff confirm that when youth leaves the facility, staff follow her. If staff loses sight they immediately call law enforcement to report a runaway. C2 confirmed she sometimes smokes marijuana when she goes on unauthorized leave but not at the facility because staff get in her face. S1 stated C2 uses substances infrequently. All clients are offered alcohol and substance use classes if they are using substances or they indicate they may be interested in attending. If clients are using substances staff discuss the dangers, coax clients to give substance to staff, have clients conduct a self-search if they show signs of intoxication or use, and encourage substance use treatment. It is alleged that a minor in care is not adequately provided with care and supervision. C1 fears that C3 is too aggressive and impulsive to live there and that regular staff are doing their best but if C3 returns to the facility she will be a threat to herself, other clients, and staff. C1 stated that C3 needs a higher level of care. According to S1, C3 will not be returning to the facility. A higher level of care is being sought for the youth. Based on information obtained from the interviews C1's concerns were based on fear that C3 may come back to the facility. Staff follow runaway protocol and contact law enforcement if they lose sight of a youth. Substance use treatment is offered to clients and searches are conducted if contraband is suspected. The inappropriate interactions between minors in care occurred during an unauthorized absence. Staff were not present but had notified law enforcement of youth's absence. It was determined that C3 requires a higher level of care and will not return to the facility. Although the incidents have occurred, staff followed standard procedures, therefore the allegations that inappropriate interactions between minors in care, staff did not prevent minors from smoking marijuana, minor in care not adequately provided with care and supervision, and lack of supervision resulting in minor going AWOL are UNSUBSTANTIATED. 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 and a copy of this report left at the facility.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


raw_content:
Narrative:
In LPA's review of the facility's Program Statement, there was no mention of confiscating clients' belongings as a consequence and storing them locked in the garage for 24 hours. The Department has not approved this method. The facility's Program Statement states the facility uses positive discipline, trauma-informed practices, and that, "staff are trained not to be punitive with the youth." The facility is not following their Program Statement, nor CCL Personal Rights regulations, by confiscating clients' clothes and other personal belongings as a consequence. This practice is also not trauma-informed. Based on LPA's interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Short Term Residential Therapeutic Program Interim Licensing Standards, Version 4, Section 87072(c)(11) is being cited on the attached LIC 9099D. An exit interview was conducted with FM and a copy of this report along with appeal rights was emailed to FM with a read receipt which will serve as the record of receipt. LPA learned from confidential interviews that C1 would often try to push their way into the staff office and need to be prevented from entering by way of body blocking, removing them from the door, or by shutting the door before C1 could enter. LPA reviewed four incident reports detailing incidents like that. LPA was informed in one confidential interview that when C1 had barricaded themselves in their room, S1 tried to push open the door. It became a pushing back and forth situation between them and one individual states that staff pushed the door on the client, and another individual denied it. All other non-involved individuals interviewed either stated they have never seen S1 do that to a client, or that they did not have knowledge of the incident. All staff and all but one client interviewed denied that staff have threatened a client before, other than phrasing for giving consequences. An example of this could be something to the effect of: "if you don't do X, you'll have a point taken away." One client claimed that S1 threatened violence on them. S1 denies ever threatening any client. Based on all evidence collected through interviews and incident reports, LPA has found that C1 and S1 at times have a tumultuous relationship, there are inconsistent statements from clients and staff, and it is uncertain whether or not the allegations occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with FM and a copy of this report along with appeal rights was emailed to FM with a read receipt which will serve as the record of receipt.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with facility manager Joanna Barnhill, who assisted with the inspection. LPA investigated this complaint by reviewing the facility's Program Statement, Incident Reports, and by conducting confidential interviews with six staff, the Administrator, and five clients on 6/15/2022, 6/16/2022, 6/21/2022, 6/22/2022, and 6/23/2022. LPA also received a written statement from the Administrator on 4/1/2022. Based on confidential interviews, LPA learned that staff and clients do put clients' belongings in the garage due to overflow in the clients' own room. This is generally a voluntary choice by the client. However LPA also learned from four clients, the Administrator, and four staff interviewed that clients have had their belongings taken away from them as a punishment for at least 24 hours before, which staff locked inside of the garage. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 06/29/2022

met_with: Joanna Barnhill


raw_content:
Investigation Findings:
13On 8/31/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for this complaint alleging "Facility is violating client's personal rights by not providing adequate clothing." LPA met with Amanda Lee, Administrator, to review findings. During the course of the investigation, LPA conducted five confidential interviews, and reviewed client files for needs and services plans, clothing inventories, journal entries, and cash resources. LPA interviews determined that each youth is provided adequate clothing. This agency has investigated the allegations of this complaint. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted with administrator and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger 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: Amanda Leel; Administrator


raw_content:
Narrative:
During interviews, three out of three clients denied that staff took inappropriate pictures or videos of them, and instead stated in various ways that staff ask permission first, take a picture for them then delete it, or take a picture of the client on the client's phone. All of these instances were of appropriate pictures. During interviews with the Reporting Party, Assistant Administrator, and the Administrator LPA learned that the accused staff member has been harassed by a former partner who they believe fabricated this allegation. LPA reviewed harassing voicemails and texts by this individual towards the staff. LPA was also informed that there is a past history of this, and Law Enforcement found no merit to this allegation. No inappropriate videos or information were provided to Law Enforcement, and there was no physical evidence of this allegation occurring. 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 with Assistant Administrator and a copy of this report and appeal rights were left with them

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with Assistant Administrator Johanna Barnhill who assisted with the inspection. LPA investigated this complaint by conducting confidential interviews with the Reporting Party, three clients, the Assistant Administrator and the Administrator on 1/10/2023 and 1/11/2023. LPA also conducted an internet search for the accused staff and reviewed the staff's social media accounts and personal phone and tablet pictures, which were voluntarily shown to LPA by the staff. LPA did not observe any pictures or videos of any client posted by the accused staff on any of their social media accounts. There were also no inappropriate pictures or videos of clients in the staff's cellphone or tablet. There were three deleted pictures of one client which the staff took for the client and then deleted afterwards. These pictures were not inappropriate. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 01/25/2023

met_with: Johanna Barnhill


raw_content:
Narrative:
Confidential interviews were conducted with nine individuals, and attempted with two individuals, during the period of 03/27/2023 to 05/17/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent that staff, S1, caused injury to a minor in care, FC1. Statements given by individuals interviewed were inconsistent, including regarding the events that occurred, and the location of the incident. Additionally, it could not be determined when the injury and bruising on FC1's arm occurred or if it had been caused by S1. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Amanda Lee- Administrator Confidential interviews were conducted with nine individuals, and attempted with two individuals, during the period of 03/27/2023 to 05/17/2023. LPA's observation, interviews conducted, and records reviewed were consistent that staff, S1, used profanity and made inappropriate comments to youth in care. Statements given during interviews were consistent that there were multiple occasions where S1 used profanity and/or made inappropriate comments to youth. Staff were made aware of one instance that S1 used profanity and/or made inappropriate comments to FC5. Based on a review of personnel documentation and based on statements given, this instance was not reported to the Department and the facility stated that no disciplinary action was taken against S1. Additionally, while some allegations of S1 using profanity and/or making inappropriate comments to youth were denied by S1, S1 did admit to multiple instances of using profanity and making inappropriate comments to youth, including to FC1 and FC5, due to "losing their patience" with the youth. The facility is being issued one citation for violations to STRTP ILS section 87072(c)(10). See LIC 809-D for citation and Plan of Correction (POC) information. An exit interview was conducted and a copy of this report and appeal rights were provided to Amanda Lee- Administrator

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on May 23, 2023 at 03: PM and met with Stephanie Piring, Floating Administrator. The purpose of the inspection was to deliver complaint findings for the above allegations. On March 27, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Stephanie Piring, Floating Administrator. During the course of the investigation, the following documents were gathered and reviewed: Incident Reports for multiple youth, Needs and Services Plans, Intake documentation, and client face sheet for one youth, staff personnel documentation, staff roster and client roster. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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 NO. Cal Cr/res., Natomas Park Dr., STE This is an official report of an unannounced visit/investigation of a complaint received in our office on 03/17/2023 and conducted by Evaluator Stephannie Verna PUBLICCOMPLAINT CONTROL NUMBER: 23-CR- FACILITY NAME:PARADISE OAKS - OLIVINEFACILITY NUMBER: ADMINISTRATOR:AMANDA LEEFACILITY TYPE: ADDRESS: OLIVINE AVENUETELEPHONE: (916) 726- CITY:CITRUS HEIGHTSSTATE: CAZIP CODE: CAPACITY:6CENSUS: DATE: 05/23/ UNANNOUNCEDTIME BEGAN: 03: PM MET WITH:Amanda Lee- AdministratorTIME COMPLETED:04: PM Staff caused an injury to minor INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on May 23, 2023 at 03: PM and met with Stephanie Piring, Floating Administrator. The purpose of the inspection was to deliver complaint findings for the above allegations. On March 27, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Stephanie Piring, Floating Administrator. During the course of the investigation, the following documents were gathered and reviewed: Incident Reports for multiple youth, Needs and Services Plans, Intake documentation, and client face sheet for one youth, staff personnel documentation, staff roster and client roster. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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: 3 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 05/23/2023

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

met_with: Amanda Lee- Administrator.


raw_content:
Narrative:
The youth was discharged to their Authorized Representative and the future custody of the youth was between Authorized Representative and a community member who works at the facility. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this report and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Tasha Bradford, Facility Manager


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews were conducted with ten individuals and attempted with one individual during the period of 10/05/2023 to 12/28/2023. LPA's interviews conducted, and records reviewed were consistent that a staff violated a youth's personal rights. Multiple statements given during interviews were consistent that S1 had violated FC1's personal rights, by not affording them dignity and respect, when laughing at the youth, making insensitive comments and power-struggling with the youth. Additionally, S1 did not utilize a trauma-informed approach when engaging with FC1. Documentation, including Incident Reports, revealed that there was prior known concerns of personal rights and HIPAA violations regarding S1 recording FC1 during an interaction that occurred on 10/02/2023. S1 has received coaching from their Supervisor in the months of October and November 2023, however additional development and training was identified as still being needed for S1, per S1's employment evaluation completed and dated October 22, 2023. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is being issued one citation regarding a violation of STRTP ILS section 87072(c)(10), Personal Rights. The facility is also being issued a Civil Penalty for a repeat violation of the same regulation within a 12 month period. An exit interview was conducted and a copy of this report and appeal rights were provided to Amanda Lee, Administror.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on December 28, 2023 at 02: PM and met with Amanda Lee, Administrator. The purpose of the inspection was to deliver complaint findings for the above allegation. On October 09, 2023 at 10: AM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Aubrey Douglas, Facility Manager. LPA completed an inspection of the facility and gathered documentation related to the complaint allegations. During the course of the investigation, the following documents were gathered and reviewed: Two personnel files, including staff training records, background clearance records, written disciplinary actions and internal investigation documents for S1, facility Grievance Forms issued for/by S1 and S2; and facility roster, staff roster; and one client file, including Needs and Services Plans, Placement Agreement, Reward System Documentation, Electronic Contract, Intake Documentation, Incident Reports. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 12/28/2023

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Confidential interviews were conducted with six individuals, and attempted with one individual, during the period of 8/6/24 to 11/5/24. The department has conducted a complaint investigation regarding the allegations: Lack of staff supervision resulting in minors engaging in inappropriate activity. During the investigation, six interviews were conducted, C1 reported feeling pressured by C2 to vape and expressed dissatisfaction with staff support but admitted to being a follower and not standing up for herself. C2 denied pressuring C1, claiming that C1 initiated requests to vape, and that staff provided support for her coping skills. Staff generally reported that while C1 and C2 had a complicated dynamic, there was no clear evidence of C2 pressuring C1. Staff supervision is in ratio and if C1 has AWOL they do follow their emergency intervention. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with, and a copy of this report was provided to Amanda Lee, Administrator.

Investigation Findings:
13On November 8, 2024 at 1:43PM LPA Kayla Green arrived at the Agency to deliver allegation findings. LPA Green met with Amanda Lee, Administrator and discussed the above allegations. On August 6, 2024 at 2: PM Licensing Program Analysts (LPA), Kayla Green arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Amanda Lee, Administrator. LPA requested the following documents for review: Client Roster, Staff Roster and Schedule, Needs and Services Plan, CFTS notes/Preservation Plan, Personal Belongings and Inventory Log, Safety Plans, Incident Reports for one youth in care, background clearance records, written disciplinary actions, Placement Agreement, Intake Documentation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Kayla Green LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 11/08/2024

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


raw_content:
Narrative:
Confidential interviews were conducted with five individuals during the period of 9/5/24 to 11/27/24. The department has conducted a complaint investigation regarding the allegations: Staff made inappropriate comments towards a minor During the investigation, multiple interviews were conducted with C1, S1, S2, S3, and S4, and relevant records were reviewed. C1 alleged that S3, told them to "shut up" during a conversation about an activity. However, S2, S1, and S4, denied making the comment. They stated that C1 became upset over a misunderstanding regarding the activity and used inappropriate language, but no one recalled telling C1 to "shut up." S3, who was not present at the time of the incident, also denied hearing any staff make inappropriate comments toward C1 or any other youth. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with, and a copy of this report was provided to Aubrey Douglas, Facility Manager.

Investigation Findings:
13On December 10, 2024 at 9:30AM LPA Kayla Green arrived at the Agency to deliver allegation findings. LPA Aubrey Douglas, Facility Manager and discussed the above allegations. On September 5, 2024 at 1: PM Licensing Program Analysts (LPA), Kayla Green arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Naeem Brown, Assistant Administrator. LPA requested the following documents for review: Client Roster, Staff Roster, and Schedule, Needs and Services Plan, CFTS notes/Preservation Plan, Personal Belongings and Inventory Log, Safety Plans, Incident Reports for one youth in care, background clearance records, written disciplinary actions, Placement Agreement, Intake Documentation. LPA reviewed documents and there are no concerns. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Kayla Green LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 12/10/2024

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

met_with: Aubrey Douglas, Facility Manager


raw_content:
Narrative:
Confidential interviews were conducted with five individuals, and attempted with one individual, during the period of 9/5/24 to 11/27/24. The department has conducted a complaint investigation regarding the allegations: Staff speaks inappropriately to minors in care. Staff does not provide adequate supervision to minors in care. Facility administrator is not present during facility operations. During the investigation, S1, S2, S3, and C1 were all interviewed regarding the allegations. S1, S2, and S3 consistently denied that staff had spoken inappropriately to minors or used derogatory language, with no clear evidence to support such claims. C1 mentioned overhearing an isolated instance of inappropriate language but could not identify who said it or to whom it was directed. C2 however reported there was derogatory comments toward her by S1. Regarding supervision, all staff confirmed that minors are adequately monitored, although C1 and C2 expressed concern when only one staff member is present with multiple minors. However, staff explained they follow established procedures in such situations. Finally, while the Administrator's presence was reported to be minimal, there was no indication that it negatively impacted the care or operations of the facility. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with, and a copy of this report was provided to Naeem Brown Assistant Administrator.

Investigation Findings:
13On March 10, 2024, at 1: PM, Licensing Program Analyst (LPA), Avelina Martinez, arrived at the Agency unannounced to deliver allegations findings. LPA Martinez met with Naeem Brown Assistant Administrator and discussed the above allegations. On September 5, 2024 at 1: PM Licensing Program Analyst (LPA), Kayla Green arrived unannounced at the agency for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Naeem Brown, Assistant Administrator. LPA requested the following documents for review: Client Roster, Staff Roster, and Schedule, Needs and Services Plan, CFTS notes/Preservation Plan, Personal Belongings and Inventory Log, Safety Plans, Incident Reports for one youth in care, background clearance records, written disciplinary actions, Placement Agreement, Intake Documentation. LPA reviewed documents and there are no concerns. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Avelina 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 03/10/2025

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

met_with: Naeem Brown Assistant Administrator