summary: Facility Evaluation

raw_content:
Narrative:
On 8/4/2022 at 10: AM, Licensing Program Analyst (LPA) Marisol Lopez conducted an unannounced case management at the above facility and met with Program Administrator (P1) Yoshita Conrad. The purpose of the case management is to follow-up on information received by community care licensing. It was reported that staff violated clients personal rights. LPA conducted confidential interview, a safety inspection of the facility, and no safety hazards were observed. No deficiencies are being cited at this time. Due to the need to gather additional information this investigation is being extended. The outcome of the investigation will be provided to the administrator. An exit interview was conducted and a copy of this report was provided to facility administrator Yoshita Conrad.


state: CA

facility_name: CIRCLE OF FRIENDS

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker conducted a case management inspection on 4/11/23 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, 6 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated 4/11/23. 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 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 Veronica Whitaker 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 Freddie Macias, Facility Manager.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Freddie Macias


summary: Facility Evaluation

raw_content:
Narrative:
On May 3, 2023, at 8: AM Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced annual facility inspection. LPA met with Nicole Wilson, Facility Representative who provided LPA with a guided indoor and outdoor tour of the facility. The facility is a four-bedroom, two-bathroom one story home with a living room, dining room, kitchen, staff office, laundry room, two car garage, and small back patio. The living room was observed to have two couches, a TV, board games, and ample space for activities. The living room contained hallway closet that was observed to be locked. The dinning room connects with living room and dinning table was observed with six chairs. The kitchen area was observed to be clean and no observable hazards. LPA observed sufficient perishable food for six clients for two days and seven days of non-perishable foods. Bedrooms one and three serve one client. Bedroom two serves two clients with a bathroom and shower, and bedroom four serves two clients. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The closet in the hallway contained towels for client use. The bathroom located in the hallway was observed clean and in good repair. The laundry room contains washer, dryer, with built-in cabinets and a utility sink. LPA observed cabinets to have extra blankets and linens for client use. The garage is always maintained locked. LPA observed two couches, and small desk that is utilized for therapy sessions. Sharps, detergents, and chemicals are maintained in a locked cabinet in the garage. LPA observed locked lockers for client use. LPA observed a second refrigerator in working condition and in good repair. Continued..... A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced located in the staff office. LPA tested the water temperature which measured 117.0 degrees Fahrenheit(F) which is within the acceptable range of 105 degrees and 120 degrees F. First aid kit is centrally stored in the living room closet with all required items. Medications are centrally stored in a locked toolbox in the locked living room closet. Per staff there are no firearms in the home. LPA observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule and Emergency Plan. Personnel Files are maintained off-site and transported to LPA within reasonable time. LPA reviewed five staff files and six client files. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Based on observations made during the inspection, no deficiencies were observed during today's visit. An exit interview was conducted with Enrique Hernandez, Facility Representative. A copy of this report along with appeal rights was provided to Enrique Hernandez, Facility Representative.

visit_type: Annual

met_with: Nicole Wilson, Facility Representative and Enrique Hernandez, Facility Representative


summary: Facility Evaluation

raw_content:
Narrative:
On 08/25/2021 at 09: AM, Licensing Program Analyst (LPA) Marisol Lopez and LPA Danielle Garcia conducted a case management with Program Administrator Yoshita Conrad. A case management is being conducted in response to a complaint investigation at the facility. LPA's conducted a safety inspection and observed a dripping faucet in the bathroom, a broken window screen in one bedroom, two walls with holes and a door with hole. LPA's also observed a door that was broken off the hinges and a sheet was hanging in replace of the door. Based on the inspection of the facility, the facility is cited for violation of Title 22, Division 6, Chapter 1, Article Physical Environment 80087(a) Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. An exit interview was conducted, and a copy of this report was provided along with appeal rights to Program Administrator Yoshita Conrad.

met_with: Yoshita Conrad


facility_name: CIRCLE OF FRIENDS II

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA), Tamara Melikian met with the Short Term Residential Therapeutic Program (STRTP) administrator and Facility Manager to discuss the investigative findings for the above stated allegations. LPAs Tamara Melikian and Marisol Lopez interviewed five of seven staff members (S1, S2, S3, S4, S5) and three of four former clients (C1, C2, C3) as well as reviewed client and facility records and obtained records from law enforcement. On October 17, 2022, Community Care Licensing received information alleging that the staff(unknown which staff) was not adequately supervising the youth's behavior and that the minor had access to a sharp object. Confidential interviews state that the staff is following the emergency intervention plan, however there are conflicting reports stating the staff is not adequately supervising the youth's behavior. In addition, confidential interviews state that the minor(C1) made a threat of having a sharp object, however, one could not be located. Some confidential interviews disclosed not really recalling any incident regarding C1 making threats with a sharp object. During LPAs Melikian and Lopez inspection to the facility, there were no observations of sharp objects accessible to the clients in care. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on interviews and confidential information obtained during the course of this investigation, the allegations that the staff did not adequately supervise youth's behavior and that the minor had access to a sharp object may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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 3

report_type: Complaint Investigation

met_with: Tammy Hudson

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA), Tamara Melikian met with the Short Term Residential Therapeutic Program (STRTP) administrator and Facility Manager to discuss the investigative findings for the above stated allegation. LPAs Tamara Melikian and Marisol Lopez interviewed five of seven staff members(S1-S7) and three of four former clients(C1, C2, C3) as well as reviewed client and facility records and obtained records from law enforcement. One client refused to be interviewed. On October 31, 2022, Community Care Licensing received information alleging that the staff(unknown which staff) was not providing adequate supervision to the minors while in care. Confidential interviews state that the staff is following the emergency intervention plan, however there are conflicting reports stating the staff is not providing adequate supervision. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on interviews and confidential information obtained during the course of this investigation, the allegation that the staff are not providing adequate supervision to the minors while in care may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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 3


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
On May 18, 2023, the Department received an allegation that S1 provides marijuana to C1 in care. It was reported that S1 provides C1 marijuana. Confidential interviews stated S1 denied providing C1 any type of drug including marijuana. Confidential interviews revealed that clients feel safe at the facility with no concerns of being provided marijuana by staff members. There were no witnesses to the event. Based on confidential interviews, the allegation that S1 provides marijuana to C1 in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Yoshita Conrad, Administrator.

Investigation Findings:
13On July 5 2023, at 1: PM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Yoshita Conrad, Administrator of Circle of Friends to discuss the investigative findings for the allegation noted above. On May 19, 2023, Community Care Licensing's (CCL) Investigations Branch Bureau (IB), Investigator Annette Renquist was assigned the investigation. On May 19, 2023 at 12: PM, LPA conducted an initial complaint investigation and met with Jeanette Villareal, Facility Representative. LPA conducted a safety inspection and no deficiencies were observed at that time. The investigation, consisted of confidential interviews with three Clients (C1-C3), four Staff (S1-4), Program Administrator (P1), County Social Worker (CSW1), two School Personnel (W1-2), and review of documents: incident reports, search procedure policy, and C1's needs and services plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: CIRCLE OF FRIENDS IIFACILITY NUMBER: VISIT DATE: 07/05/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Yoshita Conrad, Administrator


raw_content:
Narrative:
Confidential interviews indicated overnight staff was not aware that C1 was not on any medication, but it is unknown if S1 would have been briefed on C1's medication if C1 was taking prescribed medications. Based on confidential interviews, the allegation that facility staff was unaware of C1's prescribed medications and facility staff refused to provide supervision for hospitalized youth, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report along with appeal rights was provided to Yoshita Conrad, Administrator.

Investigation Findings:
13On January 5, 2024, at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection and met with Yoshita Conrad, Administrator. The purpose of the inspection is to deliver the findings for the above allegations. LPA conducted an inspection of the facility on July 5, 2023, and no deficiencies were noted. During the investigation LPA conducted three staff interviews (P1, S1,S2). On June 29, 2023, Community Care Licensing (CCL) received the allegations that S1 was unaware of clients prescribed medications and S1 refused to provide supervision for hospitalized youth. Confidential interviews indicated it was C1's first day at the facility, client was taken to school and AWOLed. Confidential interviews indicated C1 was taken to the hospital by law enforcement. Confidential interviews revealed conflicting statements as to whether staff was asked to provide supervision at the hospital. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: CIRCLE OF FRIENDS IIFACILITY NUMBER: VISIT DATE: 01/05/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Record review indicated C1 was placed at Circle of Friends II, where S1 worked at the facility, from January 2021 through June of 2021 and never during a Christmas season. Due to lack of interviews or other evidence to corroborate the allegation, the allegation is unsubstantiated. The allegation that staff sexually abused a minor while in care may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights was sent via US Postal Service Certified mail to the facility's last known mailing address.

Investigation Findings:
13On 09/10/2025, Licensing Program Analyst (LPA) Lucero Jauregui sent this LIC Complaint Investigation Report and appeal rights via US Postal Service certified mail to the facility's last known mailing address, as the facility has ceased operating. On July 25, 2025, Special Investigator (SI) Thomas Smith served initial complaint notice via US Postal Service certified mail to the last known facility business office. The investigation was conducted by Special Investigator (SI) Thomas Smith. During the investigation, SI interviewed one County Social Worker (CSW1) and one staff (S2). SI Smith attempted to interview one client (C1) and one staff (S1), however, after numerous attempts SI was unsuccessful. On July 16, 2025, Community Care Licensing (CCL) received an allegation that staff sexually abused a minor while in care. It was reported that C1 was sexually abused by a facility staff. It was reported that C1 was 15 years old and S1 invited C1 over to their home during Christmas break to have sexual relations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CIRCLE OF FRIENDS IIFACILITY NUMBER: VISIT DATE: 09/10/2025

visit_type: Complaint Investigation


summary: Facility Evaluation

raw_content:
Narrative:
On 06/21/19 at 1: P.M, Licensing Program Analyst (LPA) Marisol Lopez arrived at the above facility for the purpose of conducting a required/annual Inspection. LPA met with Program Administrator Yoshita Conrad and inspected the facility inside and out. The facility consists of a one story, four-bedroom, two bathroom with a staff office at the entrance, laundry room, kitchen, with pantry, living room, family room and dining area. There is a current census of three clients. Bedroom #1 is occupied by one client; it contains one twin bed, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #2 is not occupied; it contains one twin bed, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #3 is occupied by one client; it contains two twin beds, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #4 is occupied by one client; it contains two twin beds, all required linen, mattress, closet space and dresser with enough space for clients belongings. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/books/games were observed for client's recreation time. LPA observed sufficient perishable food for six clients for two days and seven days of non-perishable foods and appears to be following the posted menu. LPA tested the water temperature which measured 116.0 degrees Fahrenheit(F) which is within the acceptable range of 105 degrees and 120 degrees. The hallway closet contains extra linen, wash cloths, towels and bed sheets. The closet contains mop, brooms and a vacuum. The staff office contains two desks, office supplies, file cabinet with office supplies, a large locked file cabinet that contains medications triple locked, sharps and first aid kit double locked. Personnel files were reviewed to ensure they contained all required documentation. Children and staff records are organized. Staff's CPR and First Aid card were current. Child's records contain original needs and services plan signed by the child and their authorized rep. Child's records contain authorization for emergency medical care signed by each child's authorized rep. Licensee has a current needs and services plan for each resident on file. Facility personnel meet staff training requirements Program Administrator is present at the facility a minimum of 20 hours a week, as verified by staff schedule. Appropriate staff/client ratios were verified during this inspection. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and this report was reviewed with Administrator Yoshita Conrad and a copy of this report was provided. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The laundry room contains a washer and dryer. The living room contains a large screen TV, two couches, kitchen bar seating with two bar chairs and a dining area with six chairs. The family room contains a couch, television, game system, board games, as well as books for the client's entertainment. LPA observed the bathrooms were clean and in good repair. In the garage LPA observed a second refrigerator, an extra freezer filled with food, locked medications refrigerator, locked cabinets with tools, chemicals and poisons in a locked cabinet, office equipment, extra storage and locked storage cabinets for clients use. All hazardous items were made inaccessible to clients. The facility's smoke detectors located in each of the bedrooms and the living room and office were checked and were operable. The carbon monoxide detector located in the hallway area was tested and is in operable condition. The single fire extinguisher has a current inspection tag. The following required posted items were observed and accessible to children: Ombudsman Poster, Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, and current menu. LPA observed that the personal rights was updated to meet the current Interim Licensing Standards (ILS). Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Licensee has obtained National Accreditation through CARF and the Accreditation is valid through November 2021. LPA discussed the following with the Program Manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. Personnel Files are maintained off-site and transported to LPA within reasonable time. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. A review of client records was also completed on this date including the Medication Administration Record (See Confidential Name List- LIC 811 dated on June 21, 2021).


summary: Facility Evaluation

raw_content:
Narrative:
On October 21, 2021 at 10: AM, Licensing Program Analysts (LPA) Marisol Lopez conducted an unannounced inspection at the above facility. During the inspection, LPA met with Program Representative (P1) Robert Brevick. LPA conducted telephone call with Program Administrator Yoshita Conrad who designated P1 to facilitate inspection and sign document (LIC-809 dated 10/21/21). LPA conducted a safety inspection of the facility, and no safety hazards were observed. The purpose of the case management inspection is to conduct a record review. Community Care Licensing (CCL) has requested the following documents to be submitted to LPA within 48 hours. LIC LIC Control of Property An exit interview was conducted and this report was reviewed with Program Representative Robert Brevick and a copy of this report was provided.

met_with: Robert Brevick


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager Angela King and Licensing Program Analyst Sethany Yem conducted a case management inspection on 7/26/22 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 4 out of Direct Care Staff and 3 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811, dated July 26th, 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. LPM King and LPA Yem 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 Administrator Yoshita Conrad.

met_with: Administrator Yoshita Conrad


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker conducted a case management inspection on 4/4/23 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, 6 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 2 out of Direct Care Staff and 1 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, dated 04/04/2023. 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 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 Whitaker 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 Yoshita Conrad, Administrator and Tammy Hughes, Facility Manager

met_with: Yoshita Conrad, Administrator, Tammy Hughes, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 5,2023 at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the above facility for the purpose of conducting an unannounced required annual Inspection. LPA met with Freddy Macias, Facility Manager and inspected the facility inside and out. The facility consists of a one story, four-bedroom, two bathroom with a staff office at the entrance, laundry room, kitchen, with pantry, living room, family room and dining area. There is a current census of five clients. Bedroom #1 is occupied by one client; it contains one twin bed, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #2 is occupied by one client; it contains one twin bed, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #3 is occupied by two clients; it contains two twin beds, all required linen, mattress, closet space and dresser with enough space for clients belongings. Bedroom #4 is occupied by one client; it contains two twin beds, all required linen, mattress, closet space and dresser with enough space for clients belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The laundry room contains a washer and dryer. The living room contains a large screen TV, two couches, kitchen bar seating with two bar chairs and a dining area with six chairs. The family room contains a couch, television, game system, board games, as well as books for the client's entertainment. LPA observed the bathrooms were clean and in good repair. Continued.... A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/books/games were observed for client's recreation time. LPA observed sufficient perishable food for five clients for two days and seven days of non-perishable foods and appears to be following the posted menu. LPA tested the water temperature which measured 112.7 degrees Fahrenheit(F) which is within the acceptable range of 105 degrees and 120 degrees. The hallway closet contains extra linen, wash cloths, towels and bed sheets. The closet contains mop, brooms and a vacuum. The staff office contains two desks, office supplies, file cabinet with office supplies, a large locked file cabinet that contains medications triple locked, sharps and first aid kit double locked. In the garage LPA observed a second refrigerator, an extra freezer filled with food, locked medications refrigerator, locked cabinets with tools, chemicals and poisons in a locked cabinet, office equipment, and extra storage. All hazardous items were made inaccessible to clients. The facility's smoke detectors located in each of the bedrooms and the living room and office were checked and were operable. The carbon monoxide detector located in the hallway area was tested and is in operable condition. The single fire extinguisher has a current inspection tag. The following required posted items were observed and accessible to children: Ombudsman Poster, Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, current menu and activity schedule. Per facility staff, no firearms or weapons are allowed in the facility. Personnel Files are maintained off-site and transported to LPA within reasonable time. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA reviewed five staff files and five client files. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted and a copy of this report was provided to Yoshita Conrad, Administrator.

met_with: Freddy Macias, Facility Manager


facility_name: CLAIRE'S HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced annual inspection to this facility. LPA met with Christopher Martinez Chief Program Officer (CPO) and Mary Kuhn Deputy Chief of Communication (DCOC) The facility is licensed for 12 residents (all can be ambulatory) ages 12-17 and currently 0 clients reside in facility. The facility consists of 8 bedrooms (8 double occupancy rooms for clients) and 7 bathrooms (5 for clients and 2 for staff). The facility also has 5 additional rooms which are Director office, Meditation room, Classroom, Staff break room and staff work room. No more than two clients to a room. At 03: PM, LPA Rollins, CPO and DCOC toured the facility inside and out. The kitchen is clean. The hot water in the bathroom and kitchen measured at 114 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication, cleaning supplies and knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. There are no bodies of water on the property. LPA observed first aid kit to be fully stocked. The home is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted and in clear view. LPA Rollins did not review any staff or client files because currently the facility does not have any working staff or clients in the facility. During inspection, A review of Licensing Information System on September 14, 2021 indicates that all facility staff associated to the program has DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Christopher Martinez-Chief Program Officer and Mary Kuhn- Deputy Chief of Communication


facility_name: COMMUNITY ACCESS NETWORK STEPS 2

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Regarding the allegation that facility staff did not follow the Emergency Intervention Plan to prevent minors from AWOLing, information gathered from interviews stated that facility staff are trained and go over the emergency intervention procedures in accordance with their plan of operation. Confidential interviews disclosed that facility staff attempts to redirect clients and engage in other activities when they express that they want to AWOL. In addition, confidential interviews stated that staff will follow clients in care until they lose sight of clients. Other interviews revealed that staff will go over the emergency plan with resident clients in care. Other information received stated that staff were not always following their emergency intervention plans resulting in client's chronic AWOL. Regarding the allegation that the facility is allowing minor unapproved visits in care, confidential interviews stated that clients at times would not follow program rules and would invite unauthorized visitors to the facility. Information obtained from confidential interviews stated that the facility staff would contact law enforcement to report when unauthorized visitors were at the facility while other confidential interviews stated staff would allow unauthorized visitors to come to the facility. Regarding the allegation that group home minors are intoxicated while in care, confidential interviews confirmed that minors are intoxicated while in care however it is upon returning from AWOL's. Additional information gathered stated that when clients are absent from care they may sometimes return to the facility under the influence. Staff will offer clients medical attention and will contact law enforcement if staff cannot talk clients down from intoxication. Additional information gathered from interviews denied the allegation that clients get intoxicated in the facility or under the supervision of staff. Based on interviews and confidential information obtained during the course of this investigation, LPA received inconsistent information regarding the allegations. The allegations that facility staff did not follow the Emergency Intervention Plan to prevent minors from AWOLing, facility is allowing minor unapproved visits in care, and group home minors are intoxicated while in care, may have occurred, however is not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report along with appeal rights were provided to Administrator Assistant, Guadalupe Arellano.

Investigation Findings:
13On March 21, 2023 at 9:40 am Licensing Program Manager (LPM), Natasha Dunlap, and Licensing Program Analyst (LPA), Emina Preciado, met with Community Access Network Steps 2, Short Term Residential Therapeutic Program (STRTP), Administrator Assistant, Guadalupe Arellano, to deliver the findings for the above stated allegations. LPA Lisi Leon conducted an inspection of the facility on March 30, 2022 at approximately 10:15 am and no immediate deficiencies were observed. The investigation included interviews with three staff (S1, S2, and S3), two foster youth (C1 and C2). Four confidential witnesses did not respond to LPA's request for an interview, after multiple attempts, and therefore were not interviewed. In addition, county records and facility records were reviewed. On March 28, 2022, Community Care Licensing (CCL) received an allegation alleging that facility staff did not follow the Emergency Intervention plan to prevent minors from AWOLing, facility is allowing minor unapproved visits in care, and group home minors are intoxicated while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: COMMUNITY ACCESS NETWORK STEPS 2FACILITY NUMBER: VISIT DATE: 03/21/2023

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

met_with: Guadalupe Arellano, Administrator Assistant


summary: Facility Evaluation

raw_content:
Narrative:
On August 31, 2020, at 11: AM, Licensing Program Analyst (LPA) Belinda Torres conducted a Short Term Residential Therapeutic Program (STRTP) pre-licensing inspection. The LPA met with Rafik Philobos, Executive Director. The licensee is temporarily relocating from the Community Access Network (CAN) facility number 336426251, Steps STRTP located at Tava Lane Riverside, CA 92505 to this facility. The CAN Steps STRTP has a septic system failure. The clients can no longer be present due to health and safety issues. The licensee expects to complete the relocation move within the next two weeks. Let it be noted the street name for this facility is spelled incorrectly and was corrected yesterday to Briarwood Dr. The correction takes up to 48 hours to update in the CCL database. The facility is a two story residential building with four bedrooms and three bathrooms. The facility is currently unfurnished. On the first floor, there is one bedroom, one staff office with a staff restroom, kitchen, dining area, great room, and laundry room. There is a two car attached garage. In addition, there is a separate casita with one bedroom and one bath. The casita is used for the corporation's foster family agency storage. The clients will not have access to the casita. A physical plant inspection was completed with Rafik. The LPA observed the following: Facility grounds are clean and free of debris, observable hazards, and insects. The LPA observed an approximately 4" x 5" hole in the wall and the window blinds were missing a slat in bedroom #6 (second floor). The hole was patched during this inspection. There was no screen on the staff office window (first floor) There is adequate indoor and outdoor activity space. All facility smoke detectors and the one carbon monoxide detector downstairs were tested and observed to be in working order. A fire clearance is still needed. Per Rafik, the facility has an operating telephone line but there was no phone equipment to test the line. The LPA called the number, (951) 277-0016, and it appeared to be operating. The hot water was tested and measured to be 115 degrees Fahrenheit downstairs and Fahrenheit upstairs. The downstairs water temperature is in the required range of 105-120 degrees Fahrenheit, however the upstairs was not. The water heater temperature was adjusted during the inspection from the "very hot" setting to the "hot" setting. Per Rafik, no firearms or dangerous weapons will be kept or allowed in the facility. Smoking is prohibited. *** *** The LPA informed Rafik of the Interim Licensing Standards, Articles 1-10, 87088(e)(2) and (f) Fixtures, Furniture, Equipment, and Supplies which states the following facilities shall maintain a signal system which meets the requirements specified in (e) and (f) below. Such system shall be used by children to summon staff during an emergency: (2) All facilities having separate floors and not providing full-time staff on each floor whenever children are present. (f) The signal system shall have the ability to meet the following requirements: (1) Operation from each children's living unit. (2) Transmission of a visual and/or auditory signal to a central location, or production of an auditory signal at the specific children's living unit which is loud enough to summon staff. (3) Identification of the specific children's living unit from which the signal originates. Rafik stated the facility will have a full-time staff on each floor whenever children are present. Once the facility has relocated, the licensee will ensure that photos will be sent to LPA Torres including but not limited to: Furniture, fixtures and equipment. Locked storage for personnel files, client files, medications, sharps and client funds. The following required forms posted in the facility: Weekly Menu, Personal Rights form, and Foster Care Ombudsman poster. Each of the four client bedrooms having proper lighting, adequate drawer space, beds with appropriate clean linens, pillows, blankets, comforters, mattress pads, and mattresses in good repair. A fully equipped first aid kit and a current first aid manual approved by the American Red Cross. Hot water reading for the second floor bathroom. The following documents will be sent to LPA Torres: Updated LIC Facility Sketch reflecting the usage for each room, dimensions and exits. Updated LIC Application For A Community Care Facility with the current facility telephone number and the correct facility number and licensing agency for question #14. Control of property. LIC 610C Emergency Disaster Plan For Residential Facilities. After final review of the application, the program will be submitted for licensure. An exit interview was conducted and a copy of this report was provided.

visit_type: Prelicensing

met_with: Rafik Philobos


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2022, Licensing Program Analyst (LPA) Michael Almaraz arrived at Community Access Network Short Term Residential Therapeutic Program (STRTP) and met with facility manager Breana Areyan. The purpose of the inspection was to interview client #1 (C1) see confidential names list (LIC 811) dated March 10, 2022, in regard to a previous placement. A copy of the LIC 811 and LIC 809 was provided and explained to Breana Areyan.

met_with: Breana Areyan


summary: Facility Evaluation

raw_content:
Narrative:
On July 27, 2022, Licensing Program Analyst (LPA), Lisi Leon, met with Community Access Network Steps 2, CEO, Rafik Philobos, to provide a copy of the technical violation issued on 07/20/2022. LPA met with CEO at Community Access Network FFA/STRTP Headquarters located at: S Main St, Suite 201, Corona, CA 92882.

met_with: CEO, Rafik Philobos


summary: Facility Evaluation

raw_content:
Narrative:
On 10/17/2023, at 10:00 am, Licensing Program Analyst (LPA), Sarah Lo, arrived at Community Access Network Steps Short Term Residential Therapeutic Program (STRTP) located at Briarwood Dr, Corona, Ca 92883. LPA was met at the facility by Rafik Philobos, Executive Director and Margeaux Wilkins, Executive Assistant at 10:51 am whom allowed access into the facility for an inspection. The purpose of the visit is to conduct an unannounced required annual inspection of the facility. Per Margeaux Wilkins, there are no clients placed at the facility and the facility has been vacant since April 2021 and there are no staff working for this location. A physical plant inspection was completed and included the facility's kitchen area, refrigerator/freezer, food storage areas, three client rooms, three bathroom/showers, and community gathering area and dining area. LPA began a physical plant inspection at 11:05 am and the tour of the physical plant inspection was completed with Rafik Philobos, Executive Director and Margeaux Wilkins and included the following checks: Facility grounds are clean and free of debris and hazards free. There is adequate indoor and outdoor activity space, including a basketball court. Puzzles, books, board games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of non-perishable foods and there were no perishable food because there is no client residing at the facility at the moment. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Medications are locked and centrally stored in the facility staff's office inside a locked file cabinet. Chemicals/poisons are locked outside in the casita. Sharp objects and knifes are stored in the staff office inside a locked file cabinet. The facility staff's office always remains locked. First Aid Kits are also stored in the staff office and are complete. Licensee has provisions for contraceptives to be held in individually locked containers by clients. *continued on LIC 9099-c* Licensee has obtained National Accreditation through COA. The Accreditation is valid through February 08, 2026. Licensee has obtained Mental Health Approval valid through December 11, 2023. There is currently a Licensing fee balance of zero. There are three bedrooms with two twin beds in each room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Each bedroom has a dresser for each client that provides more than three drawers of storage and a closet for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. There are three full bathrooms in the home. The hot water in the client's bathroom was deemed to be safe and measured to be 110.6- and 115.6-degrees Fahrenheit in bathroom #1 and 115.4- and 112.4-degrees Fahrenheit in bathroom #2 and 113.6- and 115.2-degrees. Per Rafik Philobos, Executive Director, no firearms, or weapons are allowed in the facility. There are no staff on-site due to no clients at the facility. Executive Director verified the Board of Directors are meeting quarterly and provided board meeting minutes. During the inspection, LPA reviewed one staff file and the file met the minimum requirement per Title Regulations. Personnel files are maintained off-site in a locked cabinet in the corporate office located in Corona and Esmeralda Rivera, HR Representative was able to bring over the requested file for review. All personnel records reviewed have the verification of Department of Justice, Federal Bureau of Investigations, and Child Abuse Index Check clearances. All staff have proof in file of acknowledging confidentiality and mandated child abuse reporting requirements. All personnel records reviewed met the required education and experience requirement. All personnel records reviewed had a completed physical exam on file. CPR/First Aid Certificates were observed and were valid. Per Rafik Philobos, Executive Director, due to no clients are residing at the facility, there is no other staff assigned to this facility and will remove the staffs that are currently associated with this facility off Guardian. During the inspection, LPA did not review any client files due to no clients at the facility. No deficiencies were found during this inspection. An exit interview was conducted and a copy of this report was provided to Margeaux Wilkins, Executive Assistant.

met_with: Rafik Philobos, Executive Director Margeaux Wilkins, Executive Assistant


facility_name: COMMUNITY ACCESS NETWORK YOUTH DEV CTR S.T.E.P.S.

raw_content:
Narrative:
On April 4, 2023, Community Care Licensing (CCL) received a complaint alleging that the Staff allow minors in care to engage in inappropriate activities, and Staff did not intervene on minor's substance consumption. Specifically, It was reported that Staff would give the children boxing gloves, while staff would watch and laugh ,while they fought. A Client also reportedly used some sort of substance, and staff knew about it and did not report it. Regarding the allegation that Staff allow minors in care to engage in inappropriate activities. Confidential interviews stated that an approved boxing activity did occur under staff supervised conditions. When clients began to misuse the boxing activity by engaging one another unsupervised, staff terminated the activity permanently for all clients. Other information stated the allegation occurred. Regarding the allegation that the Staff did not intervene in minor's substance consumption. Confidential interviews stated that there was substance consumption witnessed by Staff. However, Staff acted to intervene and positively support the client involved. Other information stated the allegation occurred. Based on confidential interviews the preponderance of evidence standard has not been met and the allegations that the Staff allow minors in care to engage in inappropriate activities, and Staff did not intervene on minor C3's substance consumption, may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted. A copy of this report, along with Appeals Rights were explained and provided to the STRTP Administrator.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days

Allegations:
- UnsubstantiatedEstimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days

met_with: Doris Casas, Associate Clinical Social Worker


raw_content:
Narrative:
On December 26, 2023, Community Care Licensing (CCL) received a complaint alleging that the facility sink is in disrepair. Specifically, it was reported that the facility sink is clogged and causing a fall risk due to water everywhere. Further reported information stated that the kitchen sink has been clogged and overflowing throughout the entire kitchen since 12/23/2023. Regarding the allegation that the facility sink is in disrepair. Confidential interviews stated that the facility kitchen sink was clogged and drained at a slow rate but did not overflow onto the floor. Staff acted to repair the sink and the sink was repaired on the next available business day on December 26, 2023, due to the Christmas Holiday. Other information stated the allegation occurred. Based on confidential interviews the preponderance of evidence standard has not been met and the allegation that the facility sink is in disrepair, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted. A copy of this report, along with Appeals Rights were explained and provided to the STRTP Residential Youth Counselor, Jennifer Salanic.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days

Allegations:
- UnsubstantiatedEstimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days


summary: Complaint Investigation - Unsubstantiated - 2 allegations

raw_content:
Narrative:
On January 2, 2024, Community Care Licensing (CCL) received a complaint alleging that Staff are serving food at the facility that a youth in care is allergic to. Specifically, it was reported that this is highly unsafe the for the health of this dependent as it is completely disregarding this dependents health condition. It is also highly inconsiderate to make a dish or meal that a resident is unable to consume. Regarding the allegation that Staff are serving food at the facility that a youth in care is allergic to. Confidential interviews stated that the Staff do prepare meals containing shellfish for the other clients at the facility. However, full alternative meals are available for the client with the allergy and safeguards, such as cleaning procedures are taken by staff to ensure the client's personal rights are not violated. Further investigation revealed that the allergy is a safety concern only if ingestion of shellfish occurs. Other information stated the allegation occurred. Based on confidential interviews the preponderance of evidence standard has not been met and the allegation that Staff are serving food at the facility that a youth in care is allergic to, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted. A copy of this report, along with Appeals Rights were explained and provided to the STRTP Residential Youth Counselor.

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

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

met_with: Residential Youth Counselor, Jennifer Salanic


raw_content:
Narrative:
(Continued from LIC9099) Confidential interviews indicated that staff provided mental health and therapist counseling to C1 and attempted to stop C1 from absconding from the facility. Confidential interview indicated staff provided transportation to and from the school of C1's choice to assist in their placement at the facility. A confidential interview also indicated staff provided adequate care to youth, even though the care could improve. Based on a lack of evidence to corroborate the allegation, the allegation that the staff does not ensure adequate care is being provided to minor is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were discussed and provided to Mayra Rosas, Lead Facility Manager (LFM).

Investigation Findings:
13On January 9, 2025, at 1: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Community Access Network Youth Dev. Ctr. S.T.E.P.S. Mayra Rosas, Lead Facility Manager (LFM) to deliver the finding for the above complaint allegation. On 09/03/24 at 1: PM LPA Cynthia Velasquez inspected the physical plant; deficiencies observed were mitigated during the visit and subsequently cited. The investigation included interviews with Children (C1 and C2), Staff (S1-S3), and County Social Worker (CSW). Pertinent records were obtained. On August 29, 2024, the Department received an allegation that the staff does not ensure adequate care is being provided to minor. It was reported that C1 was placed in the facility in April 2024, but C1 is no longer in the facility. It was reported that C1 was absent without leave (AWOL) from the facility in April 2024. It was reported that C1 has untreated mental illness and does not want therapy services or medication. It was also reported that whenever C1's caseworker tries to get services for C1, C1 will go AWOL. (Continued on LIC9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Community Access Network Youth Dev Ctr S.T.E.P.S.FACILITY NUMBER: VISIT DATE: 01/09/2025

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

met_with: Mayra Rosas, Lead Facility Manager


raw_content:
Narrative:
This is an amended version of the original report created on 09/26/ Another confidential interview revealed that C2 provoked a verbal altercation between C1 and C4 regarding dishes left in the sink. Confidential interview disclosed that S2 allowed the altercation to occur. Confidential interview revealed that C1 called C2 a racial slur and C2 slapped C1 in the face. Confidential interview disclosed that C1 kicked C2 in the leg and they both fell near the stairs in the living room. Confidential interview revealed that Staff assisted when the two were both on the ground; as they told C2 to go to their room and asked C1 to accompany them outdoors. Confidential interview disclosed that after going outside with staff, C1 refused to return inside. Other confidential interview disclosed that S2 allowed C2 to initiate a discussion with C4 and C1 regarding tasks not being performed in the kitchen. Confidential interview revealed that the discussion became heated between C2 and C1, and the two went different ways. Confidential interview disclosed that afterward, C1 and C2 met in the hallway, and C2 was the first youth to become physically assaultive. Confidential interview revealed that staff were available after the incident occurred. A confidential interview indicated staff separated the youth once the altercation became physical. A conflicting confidential interview indicated that staff assisted once C1 and C2 were already involved in the altercation and on the ground. Another confidential interview indicated that staff came to assist when staff became aware the altercation occurred. Based on conflicting interviews, the allegation that staff did not prevent a minor from being physically assaulted while in care is unsubstantiated. The allegation may have occurred or is valid, however there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were discussed and provided to STRTP Mayra Rosas, Lead Facility Manager.

Investigation Findings:
13This is an amended version of the original report created on 09/26/ On September 26, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez met with Jacqueline Gonzalez, Lead Facility Manager, to deliver the finding for the above-stated allegation. On June 27, 2025, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with clients in care (C1, C2, C3) and Staff (S1, S2) with an attempt to interview S3, C4, and C5, which were either refused or non-responsive. Pertinent records were obtained. On June 24, 2025, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent a minor from being physically assaulted while in care. Specifically, it was reported that C1 no longer felt safe at the facility due to being beaten by an unidentified male in the facility. Confidential interview reported that staff were present during a verbal confrontation between C1 and C2 and separated the two once the altercation became physical. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Community Access Network Youth Dev Ctr S.T.E.P.S.FACILITY NUMBER: VISIT DATE: 09/26/2025


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2022 at 1:30pm, Licensing Program Analysts (LPAs) Shanae Pharaoh and Rafael Enriquez made a collateral visit to the STRTP to interview FC1 regarding a previous placement.

met_with: Head of Service -Aaliyah Wilburn


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Annual/Required inspection was conducted by Licensing Program Analysts (LPAs) Jose Gonzalez and Michael Almaraz on December 2, 2022, at 8: AM. LPAs were greeted at the door by Head of Service (HS), Aaliyah Wilburn. At the time of arrival there was two residents, two facility staff, Administrator (AD), and HS on site. Aaliyah Wilburn contacted Division Head of Residential Care Programs to request four staff members records be brought to the facility. The facility converted from a Group Home to STRTP (Short Term ResidentialTherapeutic Program) on March 5, 2019. At 9: AM, LPAs began the facility tour inside and out with the staff Wilburn. Facility grounds were clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. The interior check of the facility noted the following. Bedroom #1 is occupied by two client and had two twin beds. Bedroom #2 is occupied by two clients and had two twin beds. Bedroom #3 is occupied by two clients and had two twin beds. Bedroom #4 has been converted to a staff office. There was adequate shelf and closet space for client's belongings. The residents have access to two restrooms. Restroom #1 is located outside the staff office. This restroom was in good repair and the temperature of the water was measured at 111 degrees which is in regulation of (105-120 degrees). Sports equipment/toys/books/games were observed for children's recreation time. The facility smoke detectors located in bedrooms 1,2, and 3, outside and inside the staff office, living room, kitchen and hallway were operable; fire extinguisher is properly charged and serviced. There is a three-car garage that is locked and used for storage of maintenance items (ie. wood, doors, screening, etc.). The facility has no bodies water. *****CONTINUED on LIC 809C****** All hazardous items were made inaccessible, ensuring clients do not have access. Cleansers/chemicals were stored in a locked closet inside the facility staff office. Sharp knives were inaccessible and stored in a locked box in the closet in the staff office. The First Aid Kit is also located in staff office closet. It contained all required supplies. Facility had a one-week supply of non-perishable foods and two days of perishable foods, including nutritious snacks and had items available as to follow the posted menu. All required forms are posted including the Complaint/Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored in the locked staff office and are stored in a locked container located in the locked closet making them triple locked and unavailable to clients. Administrator, Christopher Fowler is present at the facility a minimum of 20 hours a week, as verified by staff schedules. Staff/client ratios were verified during this inspection, and they were in accordance with the regulations. Licensee had obtained their Mental Health (MH) Certification in December 12, 2021. Facility obtained National Accreditation through Counsel on Accreditation (COA). Three clients (C1, C2, and C3) and four staff records (S1, S2, S3, and S4) were reviewed on this date to ensure they contained all required documentation per Interim Licensing Standards. Three out of the six clients were in school at the time of the inspection. Facility appears to be meeting the terms and conditions of their license. Licensing fees have been paid and there is currently a balance of zero. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, Version Building and Grounds 87087(e). LPA provided a copy of these reports, along with appeal rights, to Administrator, Christopher Fowler.

met_with: Christopher Fowler


summary: Facility Evaluation

raw_content:
Narrative:
On February 23, 2024, Licensing Program Analyst (LPA), Jason Dalton met with Residential Youth Counselor, Jennifer Salanic for the purpose of obtaining a signature. A copy of this report was provided to Residential Youth Counselor, Jennifer Salanic.


summary: Facility Evaluation

raw_content:
Narrative:
On July 9, 2024 at 12: PM, Licensing Program Analyst (LPA) Cynthia Robinson arrived at Community Access Network Youth Dev CTR S.T.E.P.S (Strtp). LPA was greeted and granted access by Lead Facility Manager, Mayra Rosas. The purpose of the visit is to conduct an unannounced annual inspection of the facility. LPA was allowed use of the Facility's Therapy room to conduct the annual review. The facility currently has six clients. The facility consists of five bedrooms and three bathrooms. One bedroom is used as therapy and the primary bedroom is used as staff office. The facility has a dining area, a kitchen area, a living room, and laundry room. The residents have access to two restrooms. Restroom #1 is located outside the staff office and restroom #2 is located nearby the resident's bedrooms, both were in good condition. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All the bedroom windows have the screens. Facility grounds are clean and free of debris and observable hazards. There were no bodies of water. There is adequate indoor and outdoor activity space. Televisions, a computer, board games, video gaming console, workout equipment, and books, were observed for client's recreation time. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. There is an extra refrigerator in the garage and a deep freezer in the staff office. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. (Continued on LIC 809C...) Facility Administrator, Chris Fowler provided LPA with client files and Mayra Rosas, Lead Facility Manager and Laura Gutierrez, Social Worker assisted LPA with reviewing client files. LPA reviewed five client files. Client files are kept in a locked file closet located within the staff office and available on online staff system. All five of the client files reviews had required documents in the filed based on Interim Licensing Standards (ILS). Based on the facility inspection and client file reviews this date, there are no deficiencies found at this time. Due to time constraints, LPA will return to the facility at a later date to resume and complete the annual. Exit interview conducted and a copy of this report was reviewed and handed over to Administrator, Chris Fowler.

met_with: Chris Fowler, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jose Gonzalez on June 11,2025 at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Gonzalez met Administrator, Christopher Fowler and Lead Facility Manager, Mayra Rosas and conducted a tour of the facility. During the visit there were three staff present and five client's at the facility. LPAs reviewed one client record and two of staff personnel files on site at the facility. LPAs reviewed one client psychotropic medications and medication records. LPAs interviewed two staff on site to discuss the facilities policies and procedures of operation. During the inspection the LPAs observed no deficiencies. LPAs provided a copy of this licensing report to Administrator Christopher Fowler.

met_with: Administrator Christopher Fowler


summary: Facility Evaluation

raw_content:
Narrative:
Case Management: Medications On September 9, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced and met with Mayra Rosas, Lead Facility Manager, to discuss incident which occurred on August 2, 2025. Client had not received medication due to manager not on site to distribute or pull medication. Facility Manager's should be on site at all times, or other management can be contacted from another facility. On this occasion, when residential youth counselors noticed that no medication was pulled for client, they could have contacted other management. Clarification to matters concerning medications were brought to staff's attention. Protocols are in place for medications and will be reviewed by staff for further training updates as needed.


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced at facility and met with Mayra Rosas, Lead Facility Manager with the purpose of obtaining signatures and to amend findings delivered 9/26/25.

met_with: Mayra Rosas, Lead Faciity Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 6, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced and met with Mayra Rosas, Lead Facility Manager, to discuss the Technical Support Program (TSP). The purpose(s) of the TSP was explained and if agreed to, LPA will begin referral. Response should be received within 10 business days, or the referral will be closed. The facility will not be cited for any violations being worked on during the TSP process. This citation hold does not absolve the facility from being cited on separate issues or for Type A citations. A copy of LIC809 was reviewed and copies given to Mayra Rosas, Lead Facility Manager.


summary: Facility Evaluation

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Narrative:
On January 8, 2026, at 12: PM, Licensing Program Analyst (LPA), Cynthia Velasquez, arrived and met with Mayra Rosas, Lead Facility Manager, to deliver a case management deficiency report. Community Care Licensing (CCL) received a Special Incident Report on August 5, 2025, which revealed an incident that occurred on August 2, 2025, wherein a client did not receive their medication due to there not being a manager on site to distribute medications. It was reported that,on August 2, 2025, staff were unable to administer Client 1's (C1) 9: PM prescribed medication because the medications had not been pulled by a facility manager and there was no facility manager on site to access the medication at the time. Based on file review and interviews, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 1, Section 87075 (c) Health Related Services. An exit interview was conducted, and a plan of correction was developed with Mayra Rosas, Lead Facility Manager. A copy of this report, appeal rights, LIC809D, and LIC811 were discussed and provided to Mayra Rosas, Lead Facility Manager.


summary: Facility Evaluation

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An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Shanae Pharaoh and Licensing Program Manager Abdoulaye Traore on 02/10/2022 at 10: AM. During the inspection, LPA Pharaoh met with LaDonna Robinson, Administrator and inspected the facility inside and out. LPA reviewed 2 of 2 child's records on site at the facility at 11: AM . During the review of children's records, LPA Pharaoh observed 2 out of 2 children (C1 and C2) did not have the quantity, date of the prescription, and number of refills on the medication log. LPA reviewed 2 of 2 staff personnel files on site at the facility at 12: PM. LPA interviewed 2 of 2 staff on site at 12: PM. LPA interviewed 2 of 2 children currently taking psychotropic medication at 10:15 and 3: PM. LPA conducted exit interview with LaDonna Robinson, Administrator at 3: PM . LPA provided the Summary Report to LaDonna Robinson, Administrator upon completion. One deficiency was observed (refer to LIC 809D) and cited from the Interim Licensing Standards.

met_with: Administrator - LaDonna Robinson


summary: Facility Evaluation

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Narrative:
On September 4, 2024, Licensing Program Analyst (LPA) Cynthia Velasquez met with Mayra Rosas, Lead Facility Manager of Community Access Network Youth Dev Ctr S.T.E.P.S. to deliver a case management deficiency report. During a visit to the facility on September 3, 2024, LPA observed a double pane glass entrance door on the back of the home in which one of the panes of glass had been broken and the area was covered with plastic trash bags. LPA was able to see pieces of broken glass between the glass pane that was still present and the trash bag covering. Administrator provided LPA a maintenance request form, dated June 13, 2024, for replacement of the broken door; however, as of today's visit, the door has not been repaired or replaced. LPA also observed a cracked windowpane in a therapy room window. During the visit, LPA also observed a wooden door leading into the laundry room of the house which had an area approximately 1-1/2 ft. high x 1 ft wide that had been cut out of the bottom of the door and had a piece of wood placed on the inside against the area. LPA also noted that window screens covering office windows were cut or torn. LPA also observed that an area of lattice work approximately four feet wide on the rear of the house that previously covered underneath the house was lying on the ground leaving the area underneath the house exposed. LPA also noted that an old dining room table with a bench was present in the back yard. During a previous visit conducted by LPA Robinson, licensee advised that the table and bench were going to be removed; however, both were still present during today's visit. Based on observations, interviews, and record reviewed, the facility is being cited for violation of Title 22, Division 6, Chapter 1, Article 07 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee did not ensure that the facility was maintained in good repair for the safety and well-being of clients in care. A copy of this report and LIC 809-D were discussed and provided along with appeal rights to Mayra Rosas, Lead Facility Manager.


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Confidential interview declared there is no access to food in the home. Another confidential interview reported that they ate eggs for a week due to the lack of food. Other confidential interview disclosed that groceries are purchased weekly. Confidential interview communicated that there are times when coverage is not met and staff need to wait to go shopping, and sometimes to retrieve youth from school. However, they do not experience this often. Confidential interview declared that there is a staff member who is a chef that cooks meals for the clients in care. Additional confidential interview reported that clients in care are hearty eaters. Confidential interview expressed that food choices could be a little bit better, and more options would be available to clients if clients voiced their likes and dislikes. Confidential interview disclosed that there is always food in the home and that they try to make meals a special time for youth, and on birthdays, special cakes are supplied. Confidential interview communicated that staff were late picking them up from school and for this reason they were late to visit with biological parent. Confidential interview proclaimed that staff have not been late picking them up from school. Confidential interview recited that there is not an overlapping of times when youth need to be picked up from school, and staff are on time to transport clients from school. Based on conflicting confidential interviews, the allegations that staff does not provide adequate food service to minors, staff does not ensure facility has adequate food supply, and staff does not provide transportation to minors may have occurred or are true, however there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated. A copy of this report and appeal rights were discussed and provided to Community Access Network Youth Development Center STEPS representative, Christopher Fowler, Administrator.

Investigation Findings:
13On February 5, 2026, at 12: PM, Licensing Program Analyst (LPA) Cynthia Velasquez met with Community Access Network Youth Development Center STEPS representative, Christopher Fowler, Administrator, to deliver the findings for the above complaint allegations. On 11/06/2025, an inspection of the facility was conducted; no immediate health and safety hazards were observed. The investigation included interviews with Staff 1, 2, and 3(S1-S3), Clients 1 and 3 (C1, C3). Clients 2, 4, and 5 (C2, C4-C5) refused to be interviewed. Pertinent documents and rosters were gathered. On October 28, 2025, Community Care Licensing (CCL) received allegations that staff does not provide adequate food service to minors, staff does not ensure facility has adequate food supply, and staff does not provide transportation to minors. Specifically, it was reported that the refrigerator hardly has any food and the youth have to make food themselves with snacks and chips, staff members rarely cook due to some youth not wanting to eat, and staff from group home did not pick youth up from school and they were waiting over one hour. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE S CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Community Access Network Youth Dev Ctr S.T.E.P.S.FACILITY NUMBER: VISIT DATE: 02/05/2026

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

met_with: Christopher Fowler, Administrator


facility_name: COMMUNITY ACCESS NETWORK, STEPS 2

summary: Facility Evaluation

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An announced annual/required inspection was conducted by Licensing Program Analyst (LPA) Jose Gonzalez on December 15, 2022, at 9: AM. LPA met with Executive Director, (D) Rafik Philobos. The STRTP home is under reconstruction and unoccupied. LPA began a physical plant inspection at approximately 9: AM which included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate outdoor activity space. The facility smoke detectors located in bedrooms 1,3,4,5, outside and inside the staff office, kitchen and hallway were operable. LPA observed that the clients' bedrooms, facility staff office, living room, therapy office, and dining room area are unfurnished due to the reconstruction. There is not water on at the home due to a septic tank leach line issue. There is a two-car garage that is locked and used for storage of maintenance items (ie. wood, doors, screening, etc.). A large deep freezer and a full-size refrigerator are also located in the garage and are used to store additional items. There is a swimming pool located in the backyard of the facility, which is surrounded by a wrought iron fence measured over 5 feet tall with a gate that self-latches and opens outward. The wrought iron fencing has vertical openings no more than 4 inches apart. LPA discussed with Executive Director, (D) Rafik Philobos: LPA informed Executive Director, (D) Rafik Philobos that the STRP home needs to be furnished and with all the required home furnishings prior to placing clients at the home. ***Continued Lic 809c**** LPA informed Rafik Philobos that water needs to be turned on and septic tank leach line issue needs to be fixed prior to clients being placed at the home. LPA also informed Rafik Philobos that all required postings need to be posted in the home prior to clients being placed at the home. A copy of this report was provided to Executive Director, (D) Rafik Philobos.

met_with: Executive Director, (D) Rafik Philobos


facility_name: CORINTHIANS HELPING HAND GROUP HOME

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Continue from page 1 . . . The information obtained from the facility staff indicated that a child was threaten by another as he was passing by the alleged victim. The information indicated that the staff were with the alleged victim and the alleged perpetrator did not touch or harm the alleged victim at any time. The staff indicated that it was a one time incident and that children were not let by themselves at anytime. The staff stated that supervision was present during the event and protocols are followed. The confidential interviews indicated that alleged perpetrator threaten the alleged victim by saying that he was going to beat him up but that supervision was there and nothing happened to the alleged victim. The confidential interviews revealed that the clients were not left alone or unsupervised during the incident. The alleged perpetrator was not available to be interview and the placement agency social workers was not available to give a statement. There was no corroborating information obtained through interviews and review of records to confirm the allegation. Based on the interviews and records reviewed the allegation is found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation (Neglect/Lack of Supervision) occurred, therefore, the above allegation is Unsubstantiated. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. An exit interview was conducted, and a signed copy of this report was left with above staff.

Investigation Findings:
13On August 17, 2021 at 10: AM, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and and met with Desia Dunn, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed two clients and one staff on 4/19/21, LPA interviewed two staff via telephone on 08/10/21, and LPA interviewed County Social Worker (CSW) via telephone on 08/13/21 (see Confidential Names Form LIC 811 dated August 17, 2021). LPA obtained and reviewed client's incident reports and other agency's investigative service logs. It was alleged Minor threatened another minor while in care Continue of page 2 . . . . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 08/17/2021

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

met_with: Desia Dunn, Administrator


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On 1/27/23 the Department received a complaint alleging client was sexually assaulted by another client in care. It was alleged that C1 was touched on his buttocks while sleeping by C2. It was alleged that facility staff was unaware of the alleged incident. The facility staff interviewed indicated C1 disclosed that C2 touched C1 on his buttocks, however C2 denied the allegation. The staff stated staff provides supervision to clients at all times. The staff stated as soon as C1 made the allegation, the staff wrote and sent an incident report to CCL and to the placement social workers. Staff indicated C1 recanted the allegation when staff asked C1 for details. C1 when interviewed indicated C2 touched C1 on his buttocks when C1 was sleeping. C1 told LPA that C1 lied to staff about saying the incident did not happened and stated the incident did happen. C2 when interviewed denied the allegation and stated C2 was getting his charger from the wall and C1 was trying to get C2 to touch C1, however C2 did not touch C1. C1 and C2 indicated having no concerns with supervision. CSW2 when interviewed indicated having no concerns with the facility. LPA reviewed an incident report dated 1/25/23 which indicated C1 disclosed the allegation to C1's psychiatrist and during a CFT meeting which resulted in a child abuse report being called in. LPA reviewed the other agency's delivered service log which indicted the incident was between two clients. Staff was aware of the incident and reported that C1 disclosed the new client that had come to placement on 1/23 touched C1 on his butt. The delivered service log indicated there was no sexual assault. The clients changed rooms and there is appropriate staff for supervision. The facility sent an incident reporst to CCL and SSP. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited

Investigation Findings:
13On May 16, 2023, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the STRTP Administrator Desia Dunn. During the course of the investigation, LPA Cabral interviewed one facility staff (AD) and two clients (C1 & C2) on 2/1/23. LPA attempted to interview an additional client (C3) on 2/3/23. LPA interview two facility staff (S1 & S2) on 2/6/23 (see Confidential Names Form LIC 811 dated May 16, 2023). LPA Cabral interviewed one county social worker (CSW2) on 5/9/23 and attempted to interview another county social worker (CSW1) on 2/6/23. LPA reviewed incident reports from the STRTP. LPA reviewed the other agencies delivered service logs on 5/11/23. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 05/16/2023

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


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On 7/17/23 the Department received a complaint alleging the facility's air conditioner is in disrepair and the facility has pest. It was alleged that the air conditioner has not been working for six months and there is a rodent infestation at the facility. The three facility staff interviewed indicated the air conditioner stopped working on 7/19/23. The staff stated staff called True Master Heating, Ventilation and Air Conditioning and scheduled an inspection to have the air conditioner repaired. The staff also purchased four portable air conditioner units that were placed in each of the clients' bedrooms. The staff stated fans were also placed throughout the facility. The facility staff stated there is no rodent infestation and a pest control company comes out each month to inspect and spray the facility for rodents and insects. The five clients interviewed indicated when the air conditioner stopped working, staff went and bought portable air conditioner units for each of the client's rooms. The clients stated they have not observed any rodents in the home. The clients indicated there were no issues with the heat and staff kept the home cool with the portable air conditioner units and fans. LPA reviewed incident reports which indicated staff reported when the air conditioner stopped working and an incident report stating the air conditioner was repaired on 8/3/23. LPA reviewed receipts for the four portable air conditioners purchased and an invoice for the air conditioner repair. LPA reviewed service reports from the pest control company. LPA did not observe any rodents during the initial visit to the facility. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On October 5, 2023, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the STRTP Facility Manager Reginald Brown Jr. During the investigation, LPA Cabral interviewed two facility staff (AD & S2) and five clients (C1, C2, C3, C4, C5) on 7/21/23. LPA interviewed another facility staff (S3) on 7/26/23 (see Confidential Names Form LIC 811 dated September 5, 2023). LPA Cabral interviewed one county social worker (CSW) on 7/31/23 and attempted to interview four additional county social workers (CSWs) on 7/26/23. LPA reviewed incident reports from the facility, facility invoices, receipts, and service reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/05/2023

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

met_with: Reginald Brown Jr. Facility Manager


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Narrative:
Investigation revealed the following: It was alleged staff do not ensure adequate care and supervision is provided to minors in care. Staff made similar statements and denied the allegation. Staff stated that there are two staff present at the facility and that usually there is 1 staff to 3 children at all times except for overnight supervision. Staff stated that children are monitored and checked on throughout the day and one staff is present upstairs and one downstairs to ensure adequate supervision of children is met. Additionally, LPA observed cameras in common areas that staff stated are monitored periodically as an additional method of monitoring children. Interviews conducted with three (3) children were similar and stated that the facility has adequate staffing to supervise the children in care. Children stated that staff are always available and aid when needed. It was also alleged staff did not prevent minors from engaging in inappropriate behavior with other minor in care. Staff made similar statements and denied the allegation. Staff stated that an incident occurred where a child disclosed being hit on their butt and touched inappropriately by another child residing in the home. Child told other children in the home, but staff stated that no one observed the interaction, nor did child come to staff to report incident occurring until after the child stated that the touching was occurring during the day. Staff stated they were present and observed no children visiting rooms or observe any children in proximity of each other. Children interviews varied in that two (2) children stated that they did not observe inappropriate touching or usual interactions. Children stated they only received information based on one (1) child disclosing they were touched by another child. However, one child stated they were touched on the butt by another child in the home, but that staff were not around and there was no one to witness incident occurring. Child stated that incident occurred in the early morning when roommate was sleeping, and staff had stepped away. Child stated they did not disclose what happened during this time but that incidents have occurred multiple times. However, child could not provide consistent time frames, dates, witnesses, or information regarding what was happening during the time of incidents occurring. Documents reviewed identified no concerns with staff or children being placed in the home. Documents reviewed identified disclosure of incident but no information to support whether incident happened or not. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 5/13/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Corinthians facility for the purpose of amending report issued on 1/5/2024 to concluded complaint investigation. LPA met with Administrator and discussed the complaint findings. Investigation revealed the following: On 12/1/ LPA met with and interviewed Administrator (see confidential names LIC811, dated 12/01/2023). LPA obtained the following documents via email: Staff/client roster, staff training, special incident report (SIR) spread sheet from September to present date, two (2) children's most current Needs and Service Plan and documented incidents of inappropriate behavior documented by one child. On 1/5/ LPA interviewed additional children and witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/05/2024

met_with: Reginald Brown Jr, Facility manager