investigation_findings: 13On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives-Mereced office due to Harmony House being closed and met with Program Director, Brandi Boehme to deliver the findings on this complaint. During the course of investigating the allegations, LPA conducted file reviews and interviews. The interviews revealed inconsistencies in explanations of the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations occurred as reported, therefore the above allegations are unsubstantiated at this time. No deficiencies were cited. A copy of the report was left with Brandi Boehme. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


state: CA

facility_name: HARMONY HOUSE

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives-Mereced office due to Harmony House being closed and met with Program Director, Brandi Boehme to deliver the findings on this complaint. During the course of investigating the allegations, LPA conducted file reviews and interviews. The interviews revealed inconsistencies in explanations of the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations occurred as reported, therefore the above allegations are unsubstantiated at this time. No deficiencies were cited. A copy of the report was left with Brandi Boehme. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

report_type: Complaint Investigation

met_with: Brandi Boehme

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives Main Office in Merced and conducted an unannounced Case Management for the Harmony House and met with Director Brandi Boehme. The purpose of the inspection is to discuss multiple incident reports regarding medication errors by Staff. LPA Tinoco reviewed incident reports from the Harmony House facility. It was discovered that there have been 4 medication errors due to staff for this facility (See LIC812 for details) in 2021. LPA Tinoco discussed with Director Brandi the concerns with the amount of incident reports regarding medication errors being received, LPA also addressed what the licensee has been done at the agency level to prevent this from happening, and what the ongoing plans are moving forward to minimize these incidents. Director Brandi stated that a company wide training on administration of medication. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility.

report_type: Facility Evaluation

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Corina Carrillo, conducted a Case Management Inspection on September 22, 2021 at 9:35am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 11 of Staff files and 5 of 5 youth files as identified on the LIC Confidential Names dated September 22, 2021 were reviewed, 4 direct care Staff and 5 youth were also interviewed. The Plan of Operation including policies and procedures were reviewed. A copy of this report was discussed and provided to Aaron Holloway, Facility Supervisor.

met_with: Aaron Holloway


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by Licensing Program Analyst (LPA) Cynthia Galindo traveled to the Harmony House STRTP in Merced, California. LPA met with Administrator Aaron Holloway and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted. No client requires medications currently, facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: Mental Health Program Approval valid through September 24, 2021, a review was conducted on August 16-23, 2021 and have not been issued. Licensee has obtained National Accreditation through CARF valid through September 30, 2023. The facility has a county contract valid through June 30, 2022. Medical Certification valid through April 26, 2022. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. LPA reviewed three client files and conducted two staff and one client interviews. No Deficiencies were cited on today's visit. A copy of this report was left with Aaron Holloway.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Cynthia Galindo traveled to the Creative Alternatives main office in order to continue conducting the Annual Inspection for Harmony STRTP and met with Program Director, Brandi Boehme. LPA was advised the Harmony home closed on 11/19/2021. LPA conducted 10 staff file reviews. Two technical violations were issued. No other deficiencies were cited. A copy of this report was left with Brandi Boehme at the conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Harmony House STRTP in Merced, California for the purpose of conducting an unannounced Annual Inspection. LPA met with Administrator Aaron Holloway and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility keeps some canned foods and non-perishables in the home, there is no perishable food in the house at this time but has access to a full pantry located at Merced Ranch where they can stock the facility should they chose to open the house again. All required forms are posted. Facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: The Facility is currently under a Corrective Action Plan which was accepted by DHCS on February 14, 2022, the facility expects a review with DHCS in May 2022. Licensee has obtained National Accreditation through CARF valid through September 30, 2023. The facility has a county contract valid through June 30, 2022. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Currently the facility is inactive, therefore no children or staff are in placement therefore no files were reviewed. No Deficiencies were cited on today's visit. A copy of this report was left with Aaron Holloway.


facility_name: HART COMMUNITY HOMES

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
regarding the allegation. LPA was unable to make a determination regarding the allegation. Based on confidential interviews and record review, the allegation that Staff did not prevent minor from AWOLing may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Celia Vasquez, Facility Administrator.

Investigation Findings:
13On March 01, 2022 at 11:40 a.m., Licensing Program Analyst (LPA) Sarah Smith met with Hart Community Homes Short Term Residential Therapeutic Program (STRTP) Celia Vasquez, Facility Administrator to deliver the finding of the complaint investigation for the above allegation. LPA Cervantes conducted a health and safety inspection of the facility on July 07, 2021 at 2:30 p.m. and no immediate deficiencies were observed. During the course of investigating the allegation, LPA Cervantes and LPA Smith conducted confidential interviews with three staff (S1, S2, S3) and one witness. LPA reviewed reports and the records for the facility and clients (C1 and C2). On July 06, 2021, a complaint was received that staff did not prevent C1 and C2 from (absent without leave) AWOLing while in care. Information obtained from confidential interviews disclosed that proper AWOL procedures were followed while other information received reported that the allegation was true. C1 is deceased and unable to be interviewed. C2 was uncooperative and refused to provide information UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith 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 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/01/2022

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

met_with: Celia Vasquez, Facility Administrator


raw_content:
Narrative:
This is an amended LIC9099 to the original dated 05/02/2022. All confidential interviews disclosed that the clients cell phones are taken from them as a form of discipline when they lose their privileges. Confidential interviews revealed that the clients are asked to turn their cell phones in and if they do not then the staff will confiscate the charging cord to the cell phone. Based on confidential interviews Personal belongings are taken away from residents is substantiated which poses a potential health, safety, and personal rights risk to clients in care. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standard (ILS) version 3.1 section 87072(d) PERSONAL RIGHTS. Exit interview was conducted. A copy of this report and appeal rights were given and explained to Celia Vasquez, Facility Administrator. With regard to the allegation that Facility manager does not work a sufficient number of hours, during confidential interviews it was revealed that there were times the facility manager was not working the correct number of hours due to a serious medical condition. LPA Smith was unable to interview the facility manager because they passed away. With regard to the allegation that Reporting procedures are fraudulent, during confidential interviews it was revealed that the procedures to submit a Serious Incident Report (SIR) is that the staff write the report and submit it to the facility administrator or clinician for review. Once the SIR is reviewed it is then submitted to the appropriate parties. All confidential interviews denied fraudulent reporting procedures and stated that the correct procedures are followed. Due to the lack of contact information being submitted, LPA was unable to obtain any clarifying information about this allegation. Regarding the allegation that Resident medicines are not locked, LPA Smith observed the resident medications were contained in a digital-lock safe. Confidential interviews revealed that prior to the facility keeping the resident medicines in the safe, the medications were contained in a locked file cabinet. Other confidential interviews stated that the medicine cabinet has been observed not being locked. Regarding the allegation that Residents are not treated with dignity, confidential interviews revealed that the clients are treated with respect and dignity. Additional confidential interviews revealed that clients have not witnessed staff being rude or disrespectful. Confidential interviews revealed that none of the staff members have ever cursed at the clients in care. During other confidential interviews it was revealed that the clients are being cursed at and not treated with dignity and respect. Based on confidential interviews, record review, and LPA observations, the allegations that Facility is out of ratio, Facility manager does not work a sufficient number of hours, Reporting procedures are fraudulent, Resident medicines are not locked, and Residents are not treated with dignity may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Facility Administrator, Celia Vasquez.

Investigation Findings:
13This is an amended LIC9099 to the original dated 05/02/2022. On May 01, 2022 at 1:30 p.m., Licensing Program Analyst (LPA) Sarah Smith met with Hart Community Homes Short Term Residential Therapeutic Program (STRTP) Facility Administrator, Celia Vasquez to deliver the findings of the complaint investigation for the above allegations involving the Client1 (C1). LPA Cervantes conducted a health and safety inspection of the STRTP on June 28, 2021 and no immediate deficiencies were observed. During the course of investigating the allegations, LPA Smith conducted confidential interviews with one of two clients, the County Social Worker (CSW), and three staff (S1, S2, and S3). One client refused to be interviewed. LPA reviewed reports and the records for the STRTP, staff, and clients. On June 23, 2021, a complaint was received that alleged Personal belongings are taken away from residents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith 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 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 05/02/2022

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

met_with: Celia Vasquez, Faclility Administrator


raw_content:
Narrative:
did not make inappropriate comments towards the minors, more specifically "that the clients are trouble and annoying." Confidential interviews reported mental health staff tell the program administrator the clients medical diagnosis and discuss their diagnosis in front of the clients. Conflicting interviews reported that the clients diagnosis is discussed in weekly staff meetings with the purpose of discussing goals, interventions, and how to support the clients. Confidential interviews reported that the weekly staff meetings are held in the facility's garage while clients are in school. Confidential interviews revealed when confidential discussions are needed between staff in the facility, staff go into the staff office and close the door. Confidential interviews and records reviewed did not provide a preponderance of evidence to prove or disprove the allegations that staff made inappropriate comments towards minors and staff did not keep minors personal information confidential Therefore, the allegations are unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Celia Vasquez. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 21, 2023, at 2:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Celia Vasquez, Facility Administrator, of Hart Community Homes to discuss the investigative findings for the allegations noted above. LPA Charmaine Linley conducted an inspection of the facility on 12/06/2022 at 11:50 am and no deficiencies were found. LPA Linley interviewed four staff (S1-4), and interviewed two clients (C1-2). LPA reviewed the following documents during the investigation: Administrator's Certificate, Mental Health Staff resumes and degrees, staff schedule, and staff contact list. On 11/28/22, Community Care Licensing received allegations that staff made inappropriate comments towards minors and staff did not keep minors personal information confidential. It was reported that staff members say mean comments about the clients like they are "trouble and annoying." Confidential interviews reported staff gossip and say mean things about the clients. Conflicting interviews revealed staff UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/21/2023

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

met_with: Celia Vasquez


raw_content:
Narrative:
provide adequate supervision to minors in care. It was reported that S1 took two clients to the park and S1 lost track of the clients, the clients were involved in a verbal altercation with individuals at the park, which resulted in Law Enforcement involvement. Due to not being able to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff is unable to provide adequate supervision to minors in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Jasmin Mejia, Facility Administrator. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On June 19, 2024, at 10:10 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jasmin Mejia, Facility Administrator, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on October 20, 2023, at 11:25 am and no deficiencies were observed. LPA Linley interviewed five staff (S1-4, S6), and was unable to interview two staff (S5, S7), despite multiple attempts to contact them, LPA attempted to interview four clients (C1-4), however, was unable to interview them despite multiple attempts to contact them, LPA interviewed one County Social Worker (CSW2), and LPA was unable to interview three County Social Workers (CSW1, CSW3-4), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Client Roster, Personnel Report, Staff Schedule, Special Incident Reports, Staff Log, Law Enforcement Incident Report, and S Training Records. On October 20, 2023, Community Care Licensing (CCL) received an allegation that staff is unable to UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 06/19/2024

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

met_with: Jasmin Mejia


raw_content:
Narrative:
Due to being unable to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff spoke to minor in an inappropriate manner, staff does not keep minor's personal information confidential, and staff confiscates minor's personal items for an extended period of time, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Celia Vasquez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On July 9, 2024, at 11:20 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Celia Vasquez, Residential Director, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on December 21, 2023, at 2:45 pm and no deficiencies were observed. LPA Linley interviewed four clients (C2-5), eight staff (S1-7, S10) and LPA was unable to interview one client (C1) and two staff (S8-9), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster, Staff Schedule, Client Roster, House Rules, Special Incident Report and Law Enforcement Incident Report. On December 18, 2023, Community Care Licensing (CCL) received allegations that staff spoke to minor in an inappropriate manner, staff does not keep minor's personal information confidential, and staff confiscates minor's personal items for an extended period of time. Confidential interviews revealed conflicting statements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 07/09/2024

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


raw_content:
Narrative:
Based on confidential interviews and records reviewed the allegations that staff yelled at minor in care and staff handled minor in an inappropriate manner, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Celia Vasquez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On July 9, 2024, at 11:00 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Celia Vasquez, Residential Director, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on December 21, 2023, at 2:20 pm and no deficiencies were observed. LPA Linley interviewed four clients (C2-5), eight staff (S1-7, S10) and LPA was unable to interview one client (C1) and two staff (S8-9), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster and Client Roster. On December 21, 2023, Community Care Licensing (CCL) received allegations that staff yelled at minor in care and staff handled minor in an inappropriate manner. Confidential interviews revealed conflicting statements. Due to being unable to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegations with a preponderance of evidence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 07/09/2024

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


raw_content:
Narrative:
Description for Care Coordinator which indicates the position shall meet the following requirement, "At least a baccalaureate degree and four years of experience as a specialist in the fields of physical restoration, social adjustment or vocational adjustment." Confidential interviews and records reviewed indicated S5 only had six months as a substitute Teacher, prior to being employed as a Direct Care staff with the facility and thus does not have four years of experience as a specialist in the fields of physical restoration, social adjustment or vocational adjustment. Based on confidential interviews and record review the allegation that unqualified staff providing care to minors is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the STRTP Interim Licensing Standards 87022(c)(3)(A) Plan of Operation. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Jasmin Mejia. A copy of this report will be placed in the facility file. Based on confidential interviews and records reviewed the allegation that the facility staff are not providing nutritious meals to minors in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Jasmin Mejia. A copy of this report will be placed in the facility file.

Investigation Findings:
13On March 26, 2025, at 12:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Jasmin Mejia, Facility Administrator, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on January 13, 2025, at 9:57 am and no deficiencies were observed. LPA interviewed three Clients (C1-3) and five Staff (S1-5). LPA reviewed the facility documents during the investigation. On January 3, 2025, Community Care Licensing (CCL) received an allegation that unqualified staff is providing care to minors. It was reported that S1 and S5 are not qualified for their positions. Confidential interviews and records reviewed that on 10/26/2023, S1 was approved by Community Care Licensing as the Facility Administrator. Confidential interviews and records indicated S5 has worked at the facility as a Direct Care staff member since July 2022 and as of October 2023 has moved into the position of Mental Health Rehabilitation Specialist and Care Coordinator. LPA reviewed the Program Statement with the Job SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/26/2025

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


raw_content:
Narrative:
Based on confidential interviews and records reviewed the allegations that staff is utilizing a vape pen in the presence of minors, staff spoke to minor in an inappropriate manner, and staff are not following the facility's runaway plan, which may have occurred, however, they are not supported or proven by the evidence. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights was provided to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On March 26, 2025, at 12:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jasmin Mejia, Facility Administrator, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on January 29, 2025, at 3:40 pm, and no deficiencies were observed. LPA interviewed three Clients (C1-3) and three Staff (S1-3). LPA reviewed the facility documents during the investigation. On January 24, 2025, Community Care Licensing (CCL) received allegations that staff is utilizing a vape pen in the presence of minors, staff spoke to minor in an inappropriate manner, and staff are not following the facility's runaway plan. It was reported that S1 has vaped around the clients, S1 has referenced C1 "jacking off" after the clients were calling each other gay, and S1 allows the clients to run away as long as they return to the facility by the next shift change. Confidential interviews revealed conflicting statements. Thus, confidential interviews could not confirm or deny the allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMESFACILITY NUMBER: VISIT DATE: 03/26/2025

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

met_with: Jasmin Meiji


facility_name: HART COMMUNITY HOMES - BRADY HOUSE

raw_content:
Narrative:
Confidential interviews revealed that C1 and C2 were "horse playing" with each other and facility staff told stop. Confidential interviews revealed that C2 entered C2's room after being told to stop. C1 entered C2's room when facility staff was occupied and not looking. Confidential interviews revealed C2 then slapped C1 near C1's groin. However, confidential interviews revealed C2 did not slap C1 near C1's groin. Confidential interviews revealed that the incident was reported to staff by five days later. LPA received inconsistent information regarding the allegation. Based on confidential interviews and record review, the allegations that staff failed to supervise C1 and C2 resulting in C1 inappropriately touching C2 while in care may have occurred; however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Esmerelda Rodriguez.

Investigation Findings:
13On July 23, 2021, at 3: PM, Licensing Program Analyst (LPA) Jesus Cervantes made an unannounced visit at the facility. LPA met with Esmerelda Rodriguez, to issue the investigative findings of the allegation listed above. On January 19, 2021, Licensing Program Analyst (LPA), Jesus Cervantes, due to COVID-19, conducted a tele-inspection of the facility, and no deficiencies were noted. LPA Cervantes conducted interviews with one of two Foster Children (C1) and three of four staff (S1, S3, and S4). Foster Child #2 (C2) and Staff #2 (S2) did not respond to LPAs multiple request to interview. During the investigation, LPA reviewed facility records and obtained copies of the following documents: client needs and service plans, facility notes, and special incident report 01/05/2021. On January 07, 2021, Community Care Licensing received the allegation that staff failed to supervise C1 and C2 resulting in C1 inappropriately touching C2 while in care. SEE PAGE TWO UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jesus Cervantes 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 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 07/23/2021

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

met_with: Esmerelda Rodriguez


raw_content:
Narrative:
concerned of what the packages contained. However, S1 opened a letter that was addressed to C1. The CSW stated that they were not aware of a letter being opened, but they were aware of the issue with the client receiving a high volume of packages that were not addressed to C1. Regarding the allegation that Personal belongings are taken away from residents, all confidential interviews disclosed that the clients cell phones are taken from them as a form of discipline when they lose their privileges. Confidential interviews revealed that the clients are asked to turn their cell phones in and if they do not then the staff will confiscate the charging cord to the cell phone. Based on confidential interviews Staff open resident mail, and Personal belongings are taken away from residents are substantiated which pose a potential health, safety, and personal rights risk to clients in care. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standard (ILS) version 3.1 section 87072(d) PERSONAL RIGHTS. Exit interview was conducted. A copy of this report and appeal rights were given and explained to Esmeralda Rodriguez, Facility Administrator. With regard to the allegation that Facility manager does not work a sufficient number of hours, during confidential interviews it was revealed that there were times the facility manager was not working the correct number of hours due to a serious medical condition. LPA Smith was unable to interview the facility manager because they passed away. With regard to the allegation that Reporting procedures are fraudulent, during confidential interviews it was revealed that the procedures to submit a Serious Incident Report (SIR) is that the staff write the report and submit it to the facility administrator or clinician for review. Once the SIR is reviewed it is then submitted to the appropriate parties. All confidential interviews denied fraudulent reporting procedures and stated that the correct procedures are followed. Due to the lack of contact information being submitted, LPA was unable to obtain any clarifying information about this allegation. Regarding the allegation that Resident medicines are not locked, LPA Smith observed the resident medications were contained in a digital-lock safe. Confidential interviews revealed that prior to the facility keeping the resident medicines in the safe, the medications were contained in a locked file cabinet. Other confidential interviews stated that the medicine cabinet has been observed not being locked. Regarding the allegation that Residents are not treated with dignity, confidential interviews revealed that the clients are treated with respect and dignity. Additional confidential interviews revealed that clients have not witnessed staff being rude or disrespectful. Confidential interviews revealed that none of the staff members have ever cursed at the clients in care. During other confidential interviews it was revealed that the clients are being cursed at and not treated with dignity and respect. Based on confidential interviews, record review, and LPA observations, the allegations that Facility is out of ratio, Facility manager does not work a sufficient number of hours, Reporting procedures are fraudulent, Resident medicines are not locked, and Residents are not treated with dignity may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Facility Administrator, Esmeralda Rodriguez.

Investigation Findings:
13This is an amended LIC9099 to the original dated 05/02/2022. On May 01, 2022 at 1:30 p.m., Licensing Program Analyst (LPA) Sarah Smith met with Hart Community Homes Short Term Residential Therapeutic Program (STRTP) Facility Administrator, Esmeralda Rodrigures to deliver the findings of the complaint investigation for the above allegations involving the Client1 (C1). LPA Cervantes conducted a health and safety inspection of the STRTP on June 28, 2021 and no immediate deficiencies were observed. During the course of investigating the allegations, LPA Smith conducted confidential interviews with one of two Clients, the County Social Worker (CSW), and three staff (S1, S2, and S3). One client refused to be interviewed. LPA reviewed reports and the records for the STRTP, staff, and clients. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith 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 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 05/02/2022

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


raw_content:
Narrative:
Confidential records reviewed the facility staff was out of ratio on three shifts in November. Confidential interviews reported the facility menu is posted on the front of the refrigerator. LPA observed the facility menu posted on the front of the refrigerator in December and the menu was dated May 2022. Based on observation and reviewed, the allegations that the facility is operating out of ratio and the facility doesn't post a food menu is Substantiated. The preponderance of evidence has been met. The facility is being cited under the following Interim Licensing Standards STRTP Direct Care Staff/Child Ratios 87065.5(a)(1) (refer to LIC 809D). A Technical Advisory is being given for the following: Title Division Food Services 80076(a)(5). An exit interview was conducted with Esmeralda Rodriguez, Facility Administrator. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file. have been left out in the open in the garage. Conflicting interviews indicated paint and spray cans are locked in the office and chemicals, detergent, and bleach are locked in the cleaning closet, which is locked and accessible only by keys assigned to staff members. Confidential interviews did not provide a preponderance of evidence to prove or disprove the allegation that staff did not provide a safe environment. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Esmeralda Rodriguez, Facility Administrator. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 21, 2023, at 2:45 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Esmeralda Rodriguez, Facility Administrator, of Hart Community Homes to discuss the investigative findings for the allegations noted above. LPA Charmaine Linley conducted an inspection of the facility on 12/06/2022 at 11:15 am and no deficiencies were found. LPA Linley interviewed five staff (S1-5), interviewed two clients (C1-2), and attempted to interview two staff (S6, S7), however was unable to interview them, despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: November 2022 staff schedule, November 2022 employee timecards, and facility menu. On 11/28/22, Community Care Licensing received allegations that the facility is operating out of ratio and the facility doesn't post a food menu. It was reported that sometimes there is one staff member with five clients. Confidential interviews reported that at times the facility staff have not been in ratio and attempts were made to bring in an additional staff member to help with ratio, which took approximately one to two hours. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
Confidential interviews reported all clients who run away from the facility are given consequences when they return to the facility, such as a level drop and they are not eligible to go on outings or purchase fast food. Conflicting interviews reported C1 did not receive the same consequences for running away as C2 received for running away. Conflicting interviews reported C2 did not run away from the facility, rather was not always at the school pick up location, which was considered to be "run away." Confidential interviews did not provide a preponderance of evidence to prove or disprove the allegation that staff do not treat minors equally. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Esmeralda Rodriguez, Facility Administrator. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 21, 2023, at 3:46 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Esmeralda Rodriguez, Facility Administrator of Hart Community Homes to discuss the investigative finding for the allegation noted above. LPA Charmaine Linley conducted an inspection of the facility on 12/06/2022 at 10:30 am and no deficiencies were found. LPA Linley interviewed five staff (S1-5), and interviewed two clients (C1-2), and was unable to interview two staff (S6-7), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Staff Schedule, Staff Contact list, and Client Roster. On 11/28/22, Community Care Licensing received allegations that staff do not treat minors equally. It was reported that staff play favorites with the clients when they run away from the facility and one client will get in trouble and another client will not get in trouble. Confidential interviews revealed conflicting information. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-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, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
It was reported C1 spoke to their mother over the phone and disclosed to their mother that S9 said "why doesn't your mother want you?" however, confidential interviews revealed that was not said during a phone call. Other confidential interviews entailed that no staff has made any negative comments to C1, while other confidential interviews indicated that S9 made derogatory comments regarding C1's mother to C1. There were no witnesses to the alleged incident. Based on confidential interviews and records reviewed staff (S9) spoke inappropriately to minor (C1), which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Administrator-Jasmin Mejia.

Investigation Findings:
13On May 15, 2024 at 09: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Administrator-Jasmin Mejia, to discuss the investigative finding for the allegation noted above. On 11/28/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA interviewed one client (C1), eight staff (S1-S8), and C1's Mother. During the investigation, LPA reviewed the following documents: C1's photo, C1s Needs and services plan, C1s Special Incident Report, C1s Intensive care coordinator progress note, C1's contact information, Facility Personnel Report and Facility weekly staff schedule. On 11/21/23, Community Care Licensing (CCL) received allegation that staff spoke inappropriately to minor. Confidential interviews revealed conflicting statements regarding staff speaking to C1 in an inappropriate manner. ***Continued on to 9099-C page. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 05/15/2024

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

met_with: Jasmin Mejia-Administrator


raw_content:
Narrative:
and staff did not ensure minor is provided a safe and comfortable environment. Confidential interviews revealed conflicting statements. In addition, due to being unable to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed, the allegations that staff pushed minor in care, staff spoke to minors in an inappropriate manner, staff did not prevent minors from engaging in physical altercations with another minor in care, staff speak inappropriately in the presence of minors, staff do not ensure minor's mental health is being addressed, staff did not allow minor to attend outside activities, and staff did not ensure minor is provided a safe and comfortable environment which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Mya Vasquez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On July 23, 2024, at 1:20 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Mya Vasquez, Facility Manager, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on December 21, 2023, and no deficiencies were observed. LPA Linley interviewed one client (C4), LPA was unable to interview four clients (C1-3, C5) despite multiple attempts to contact them, LPA interviewed nine staff (S1-3, S5-10), and was unable to interview one staff (S4) despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster, Client Roster, and a copy of the house rules. On December 21, 2023, Community Care Licensing (CCL) received allegations that staff pushed minor in care, staff spoke to minors in an inappropriate manner, staff did not prevent minors from engaging in physical altercations with another minor in care, staff speak inappropriately in the presence of minors, staff do not ensure minor's mental health is being addressed, staff did not allow minor to attend outside activities, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 07/23/2024

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

met_with: Mya Vasquez


raw_content:
Narrative:
revealed conflicting statements. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews the allegation that the facility did not ensure the facility was clean, safe, sanitary and in good repair, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Mya Vasquez and Jasmin Mejia. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights was emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On August 21, 2024, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Mya Vasquez, Facility Manager, and Jasmin Mejia, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on February 20, 2024, at 9:45 am and no deficiencies were observed. LPA Linley interviewed five staff (S1-5) and was unable to interview one staff (S6), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Report and Pest Control Invoices. On February 16, 2024, Community Care Licensing (CCL) received an allegation that the facility did not ensure the facility was clean, safe, sanitary and in good repair. It was reported that there were cats and rodents that burrowed underneath the facility and the smells of the animals resulted in the air passing through the air vents to be unhealthy for individuals and it was recommended the facility replace the air vents. LPA did not observe any unusual smells or odors in the facility. Confidential interviews UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 08/21/2024

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
interviews indicated that on 07/27/2024, the seat belts in the back of the facility car were not working properly while staff transported the residents, thus residents were not able to wear a seat belt while being driven to an outing. Based on confidential interviews and record review the allegations that S2 spoke inappropriately to a minor and staff did not provide safe transportation is substantiated. The preponderance of evidence standard has been met. The facility is cited for violations of the STRTP Interim Licensing Standards regulation 87072(c)(15) Personal Rights and California Code of Regulations, Title Division Six, regulation 80074(c) Transportation. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Celia Vasquez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On November 6, 2024, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Celia Vasquez, Facility Administrator, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on August 21, 2024, at 10:19 am and no deficiencies were observed. LPA interviewed four residents (R1-4), one resident declined to be interviewed (R5), and LPA interviewed six staff (S1-6). The following documents were reviewed during the investigation: Personnel Report, Staff Schedules, C Needs and Services Plan, and S2's Counseling Notice. On August 12, 2024, Community Care Licensing (CCL) received allegations that staff spoke inappropriately to a minor and staff did not provide safe transportation. It was reported that S2 called R1 a "bitch" and the facility vehicle did not have seat belts that fastened properly, and the back seat was not secured. Confidential interviews indicated that on 07/27/2024, S2 spoke inappropriately to the residents when S2 called them "bitches," and S2 told the residents, "what the fuck do you want me to do." Confidential SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: HART COMMUNITY HOMES - BRADY HOUSEFACILITY NUMBER: VISIT DATE: 11/06/2024

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

complaint_status: SUBSTANTIATED


facility_name: HARVARD HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On September 8, Licensing Program Analyst Wayne Aoki conducted a required annual inspection at the Harvard House. LPA was met at the facility by facility Administrator Vernell Watts. LPA conducted entrance interview and completed a tour of the facility. Staff and children's files were reviewed. LPA reviewed the facility's disaster plan. LPAs requested the following updated documents by September 1, 2021. LIC LIC LIC LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection.

met_with: Vernell Watts


summary: Facility Evaluation

raw_content:
Narrative:
On this date, May 4, 2022, an unannounced required annual inspection was conducted by Licensing Program Analyst (LPA) Wayne Aoki. LPA were met by facility Administrator, Vernell Watts. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in a locked closet. LPA inspected the medications for the minors in care. The facility has a written emergency disaster plan. All facility smoke and carbon monoxide detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced August 23, 2021. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one week supply of nonperishable and a two day supply of perishable foods. The facility is maintained at 72 degrees. Hot water temperature measured 115 degrees. Facility cameras are allowed in the facility and there are no pets. There were 2 staff and 4 minors present during this inspection. All staff and minor's files reviewed. LPA interviewed 2 of the 4 minors (2 minors did not want to speak with the LPA) and 2 staff interviewed. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. LPA requested the following updated documents be sent to LPA by May 31, 2022: LIC 308, LIC 309, LIC 400, LIC 500 and LIC 610C There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection


summary: Facility Evaluation

raw_content:
Narrative:
On May 9, Licensing Program Analyst (LPA) met with Mr. Fletcher to conduct a Case Management regarding the incident of May 5, 2022 where M1 and M2 absconded from the facility and attempted to car jack and individual. M1 assaulted a female driver in attempt to car jack her car. That individual left the scene and returned with her boyfriend who assaulted M2 as M1 ran back to the facility. M1 returned back to the facility and reported that M2 was shot. Upon this disclosure, staff contacted the House Manager (HM) and the HM informed Mr. Fletcher. Upon hearing of the incident Mr. Fletcher went to scene to find out what had happened. Mr. Fletcher was told by Fresno Police Department that M1 assaulted a female driver in hopes of car jacking that individual. The driver left the scene and returned back with her boyfriend who then assaulted M2 as he was still at the scene. M2 was not shot but sustained multiple contusions and was taken to the hospital where he was released the next morning. Mr. Fletcher contacted M1's probation officer and informed him of M1's actions. M1 was taken into custody upon the request of Mr. Fletcher and M1's bed closed. An incident report was sent to Community Care Licensing.

met_with: Clinard Fletcher


summary: Facility Evaluation

raw_content:
Narrative:
On 05/18/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a follow up SB Psychotropic Medication inspection at the above facility office to review staff files and training. Met at the facility office by Administrator Clinard Fletcher and Program Director Vernell Watts. Files reviewed at 1:20PM. There were no deficiencies cited on this date. A copy of this report was left with Program Director Vernell Watts upon completion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by LPA (Licensing Program Analyst's) Reyna Martinez. LPA met with Joe Vargas, House Manager and inspected the facility, inside and out. Centrally stored medications are maintained in a locked closet in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. All facility smoke detectors and carbon monoxide were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced August 2022. Individual beds were observed with appropriate clean linens and are in good repair. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 69 degrees. Hot water temperature measures 112.6 degrees. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 facility manager and 8 direct care staff, 2 behavior specialist's, 1 clinician and 1 clinical supervisor. Personnel Files are maintained at the main office, but were brought to the facility for review. 3 staff was available to be interviewed. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. 6 records of clients were reviewed. LPA interviewed 1 of the 6 minors (5 minors did not want to speak with the LPA). There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection

met_with: Joe Vargas


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by LPA (Licensing Program Analyst's) Reyna Martinez. LPA met with Joe Vargas, House Manager and inspected the facility, inside and out. Centrally stored medications are maintained in a locked closet in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. All facility smoke detectors and carbon monoxide were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced August 2023. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 09/30/2025, and Mental Health Program Approval through 07/31/2024. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 70 degrees. Hot water temperature measures 118.5 degrees. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. No pools. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 house manager and 10 direct care staff, 2 behavior specialist's, 2 clinician and 2 clinical supervisor. Staff files were reviewed and meet all regulatory requirements. 1 staff was available to be interviewed. LPA reviewed the facility's disaster plan, sampled medication and reviewed facility logs. 4 records of clients were reviewed. 1 client was available for interview. There were no deficiencies cited during this inspection. A copy of this report was left at the facility at the conclusion of the inspection


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs), Olivia Medrano and Briana Placencia arrived at Harvard House STRTP for the purpose of conducting an unannounced Case Management inspection and met with House Manager Joe Vargas. The purpose of the inspection was to discuss an incident report received late on December 31, 2024. A Technical Advisory CCR 80061(b) is being cited. An exit interview was conducted, and a copy of this report and the Technical Advisory was provided at the conclusion of the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On the above listed date, an unannounced annual inspection was conducted by Licensing Program Analysts (LPAs) Olivia Medrano and Reyna Martinez. LPAs met with Joe Vargas, House Manager and inspected the facility, inside and out. Centrally stored medications are maintained in a locked closet in a locked cabinet. Sharps and Toxic chemicals are kept locked. The facility has a written emergency disaster plan. All facility smoke detectors and carbon monoxide were tested and appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced August 2024. Individual beds were observed with appropriate clean linens and are in good repair. The facility is CARF Accredited through 09/30/2025, and Mental Health Program Approval through 07/31/2025. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. The facility is maintained at 73 degrees. Hot water temperature measures 107.7 degrees. Facility has cameras in common areas of the facility. No firearms or weapons are allowed in the facility. No pools. Appropriate staff/client ratios were verified during this inspection. The facility employs 1 house manager and 8 direct care staff, MHRS staff, 2 clinician and 2 clinical supervisors. Staff files were reviewed and 2 staff was available to be interviewed. LPAs reviewed the facility's disaster plan, sampled medication and reviewed facility logs. 5 records of clients were reviewed. There were no clients available for interviews LPAs will interview at a later time. A review of the Licensing Information System on 2/11/2025 indicated that all facility staff are associated to the STRTP had DOJ, FBI, and child abuse index check clearances. Two deficiencies are being cited at todays visit on the attached LIC809-D page. A copy of this report and appeal rights was left at the facility at the conclusion of the inspection.


summary: Facility Evaluation

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Narrative:
On April 30, 2026, Licensing Program Analyst (LPA) Olivia Medrano traveled to Harvard House STRTP located in Fresno CA, to conduct an unannounced Case Management inspection at the facility and met with Joe Vargas, House Manager. The purpose of the inspection was to discuss an Incident Report (SIR) submitted to the department on April 10, 2026. The incident report indicated that a client was on a visit with family and got into a fight and ran away. The STRTP indicated that the client was located and in contact with their County Social Worker while at the visit. There are no deficiencies to be cited on this date. An exit interview was conducted and a copy of this report was provided to the STRTP at the conclusion of the inspection.


facility_name: HARVEST SAFE HAVEN FOR BOYS

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Narrative:
Regarding the allegation that a minor is being hit while in care, it was specifically alleged that C1 stated that C1 was hit and beaten at the facility. During the investigation, confidential interviews denied that C1 was hit or beaten at the facility. It was added that C1 got along with staff and other clients. LPA attempted to interview C1, C2 and C3, however they refused to be interviewed. LPA attempted to interview C4 and C6 on multiple occasions. LPA was unable to gather additional information. In regard to the allegation that staff threatened a minor, it was specifically alleged that staff stated they were going to whoop C1 later. During the investigation, confidential interviews denied that staff threatened C1 or any other client. It was added that C1 never reported being threatened to staff. LPA attempted to interview C1, C2 and C3 however they refused to be interviewed. LPA attempted to interview C4 and C6 on multiple occasions. LPA was unable to gather additional information. Based on confidential interviews, the allegations that C1 was being hit while in care and that staff threatened C1 may have occurred, however, there was not a preponderance of evidence to support or deny the allegations. Therefore, the above allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On June 27, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Harvest Safe Haven Short Term Residential Therapeutic Program (STRTP) and met with Administrator Lachelle Fenison to deliver the finding for the allegations stated above involving the STRTP staff and clients (C1, C2, C3, C C5 and C6) as listed on the Confidential Names List (LIC 811) dated June 27, 2024. On November 21, 2023, LPA Enriquez initiated the investigation at the STRTP and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the STRTP, no immediate health and safety hazards were observed. During the inspection, LPA interviewed staff S1, S2, S3, S4, and C5. LPA attempted to interview C1, C2 and C3, however they refused to be interviewed. LPA attempted to interview C4 and C6 on multiple occasions. On November 15, 2023, Community Care Licensing (CCL) received a complaint alleging that a minor is being hit while in care and staff threatened a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 06/27/2024

met_with: Administrator Lachelle Fenison


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Narrative:
Regarding the allegation that that staff did not prevent minor from sending inappropriate pictures while in care, it was specifically alleged that C1 sent one of the group home staff pictures of private parts that appear generated online. During the investigation, confidential interview stated that staff received pictures of a man in underwear and a picture of a sexual related toy to staff's personal cellphone. It was added that staff did not have a company phone and that staff's phone number was written on the board in the office. Other confidential interviews stated that inappropriate pictures were sent to the printer in the staff office. The confidential interviews continued stating that the clients had lost the Wi-Fi privilege, and the printer was taken off the Wi-Fi. LPA attempted to interview C1, C2 and C3 however they refused to be interviewed. LPA attempted to interview C4 and C6 on multiple occasions. An additional witness interview did not reveal any information the allegation. Based on confidential interviews, the allegation that staff did not prevent C1 from sending inappropriate pictures while in care may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On June 27, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Harvest Safe Haven Short Term Residential Therapeutic Program (STRTP) and met with Administrator Lachelle Fenison to deliver the finding for the allegation stated above involving the STRTP staff and clients (C1, C2, C3, C C5 and C6) as listed on the Confidential Names List (LIC 811) dated June 27, 2024. On December 07, 2023, LPA Enriquez initiated the investigation at the STRTP and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the STRTP, no immediate health and safety hazards were observed. During the inspection, LPA interviewed staff S1, S2, S3, S4 and C5. LPA attempted to interview C1, C2 and C3 however they refused to be interviewed. LPA attempted to interview C4 and C6 on multiple occasions. On December 07, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent minor from sending inappropriate pictures while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 06/27/2024


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Narrative:
In regard to the allegation that staff do not properly safeguard the minors' personal belongings, it was specifically reported that when items get stolen staff do not assist and have even said on occasions it's not staffs fault client's get stolen from even when staff are asked to monitor client's belongings, therefore, clients are not reimbursed for stole items. During investigation, multiple interviews disclosed that each client is given a lock box to keep their smaller belongings and client's may store belongings in the office as well. In addition, a confidential interview disclosed that clients are aware from the beginning that if they do not store their belongings in their lock box nor the office, then staff will not be responsible for stolen belongings but if they are stolen from either of the two options then staff will replace and take full responsibility. In addition, multiple confidential interviews disclosed that when a client gets something stolen, staff do not do anything about it nor reimburse clients. Another confidential interview disclosed that when stuff gets stolen staff do a great job reimbursing clients. LPA received conflicting information. In regard to the allegation that staff do not prevent the minors from attacking other minors, it was specially disclosed that a staff member was jumped and attacked by three clients and the facility has done nothing. During investigation, multiple confidential interviews disclosed that fights are not a common occurrence at the facility. In addition, a confidential interview disclosed that all staff have TCI (trauma informed care) training including de-escalation techniques and intervene properly. Multiple confidential interviews disclosed that when a fight occurs staff will break it up. In regard to the allegation that staff do not provide adequate care and supervision to the minors and that staff do not ensure the minors attend school consistently, it was specifically reported that clients continuously AWOL (absent without leave) and don't attend school. During investigation, multiple interviews disclosed that certain clients refuse to attend school, staff work with them by looking into independent school programs where clients only need to attend class a few days a week and that has worked well for clients. In addition, a confidential interview disclosed that when a client AWOLs staff will take away home passes and that all clients attend school unless they are sick. Additionally, another confidential interview disclosed that staff watch clients AWOL and if they don't come back staff will call the police, and that staff do not make sure clients attend school. Furthermore, multiple confidential interviews disclosed that staff use incentives to get clients to attend school and to prevent client's AWOLs. Another confidential interview disclosed that staff do not make sure clients attend school. LPA received conflicting information. In regard to the allegation that staff threaten the minors with eviction, it was specifically reported that staff threaten to kick out clients. During investigation, multiple confidential interviews disclosed that staff have never threatened to evict a client. In addition, a confidential interview disclosed that staff will have conversations with clients to remind them they are to abide their contracts otherwise they will be removed. Another confidential interview disclosed that the administrator will have conversations at Child, Family and Team (CFT) meetings if a client needs to be removed for their own safety but not threatened with eviction. Another confidential interview disclosed that staff will threaten to kick clients out whenever staff get annoyed. LPA received conflicting information. In regard to the allegation that staff do not provide the minors with water, it was specifically reported that clients can go days without water because staff forget. During investigation, multiple confidential interviews disclosed that there is always water available at the facility. In addition, a confidential interview disclosed that one time the clients went three days without water. Multiple confidential interviews disclosed that there is a water dispenser that always has water, and clients are all given a reusable water bottle that they may refill whenever they want. Additionally, a confidential interview disclosed that when the water jug runs out clients may replace it themselves and do not need to wait on staff. LPA received conflicting information. In regard to the allegation that staff do not provide comfortable accommodations for the minors, it was specifically reported that clients can't even comfortably sleep without the worry of something happening. During investigation, multiple confidential interviews disclosed that a client may request a bedroom change and staff will accommodate clients as long as it's appropriate. In addition, multiple confidential interviews disclosed that they feel safe living at the facility. Another confidential interview disclosed that staff provide comfortable accommodations for clients. Other confidential interviews disclosed that clients feel safe at the facility. Based on interviews, the allegations that staff do not properly safeguard the minors personal belongings; staff do not prevent the minors from attacking other minors; staff do not provide adequate care and supervision to the minors; staff do not ensure the minors attend school consistently; staff threaten the minors with eviction; staff do not provide the minors with water; staff do not provide comfortable accommodations for the minors may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, this allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Administrator Trainee, Christie Anderson.

Investigation Findings:
13On 04/25/2025, at 11: AM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Harvest Safe Haven for Boys and met with Administrator Trainee, Christie Anderson to deliver the investigative finding for the allegations listed above. This complaint concerns staff at the facility and clients 1-6 (C1, C2, C3, C4, C5, and C6) as listed on the Confidential Names List (LIC 811). On 11/05/2024, Community Care Licensing (CCL) received a complaint that staff do not properly safeguard the minors personal belongings; staff do not prevent the minors from attacking other minors; staff do not provide adequate care and supervision to the minors; staff do not ensure the minors attend school consistently; staff threaten the minors with eviction; staff do not provide the minors with water; staff do not provide comfortable accommodations for the minors. On 11/15/2024, LPA MaryJane Perez conducted a health and safety inspection at the facility and no immediate health and safety hazards were observed. In addition, LPAs obtained documents pertinent to the investigation and interviewed staff 1-4 (S1, S2, S3, and S4), and clients 1, 2, 4, and 6 (C1, C2, C4, and C6), C4's county social worker (CSW), and client 3 and 5 (C3 and C5) refused to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 04/25/2025

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

met_with: Administrator Trainee- Christie Anderson


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Narrative:
the neighbors have been calling and reporting that some clients have been disturbing them. Another confidential interview stated that the clients do not disturb the neighbors. Additional confidential interviews stated that they believe staff does as much as they could when it comes to doing a good job supervising the clients. On the other hand, confidential interview stated they believe the staff needs to have more supervision on the clients when they are outside or when they leave facility. Based on confidential interviews and a review of pertinent documents, the allegation that staff did not adequately supervise minors may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted a copy of this report, LIC 811 and appeal rights were explained and given to facility manager Jeamah Johnson.

Investigation Findings:
13On June 27, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Harvest Safe Haven for Boys STRTP and met with facility manager Jeamah Johnson to deliver the finding for the above stated allegation. On May 06, 2025, Community Care Licensing received complaint allegation that staff did not adequately supervise minors. On May 08, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez interviewed staff 1 (S1), staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5), staff 6 (S6), client 1 (C1), client 2 (2), client 3 (C3), client 4 (C4), client 5 (C5) and client 6 (C6). During investigations, confidential interviews reported that clients are always supervised by staff while in care, but clients have unauthorized absences frequently. Other confidential interviews stated that staff keep in contact with the clients when they have an unauthorized absence. Other confidential interviews stated that when a client has an unauthorized absence, they will come back around 11PM or even as early as 4AM but once they are back, they regain staff supervision. Another confidential interview stated that UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 06/27/2025

met_with: Facility Manager- Jeamah Johnson


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Narrative:
S4 became upset by this and retaliated by pepper spraying C2 and C3. Furthermore, it was reported that S4 also physically struck C1, C2 and C3 during this incident. A review of the facility's video surveillance footage showed that S4 was sprayed with "silly string" by C2 and C3. The video footage revealed that S4 appeared to have pepper sprayed C2 and C3 (this was later admitted by S4). In addition, the video showed that C1, C2 and C3 physically reacted by attacking S4 after S4 pepper sprayed C1 and C2, therefore, S4 hit C1, C2 and C3. The video clearly shows S4 throwing closed fist punches on the minors' head and body areas. Confidential interviews with staff and clients corroborated the allegations. Confidential interviews also reported that S4 admitted to brining in an unauthorized chemical agent (pepper spray) into the facility. Further confidential interviews also confirmed that S4 admitted to physically striking clients in care. Confidential interviews and document review confirmed that Law Enforcement responded to the facility and arrested. S4 was charged with child abuse according to the report. Based on confidential interviews, a review of pertinent documentation and a review of the facility's video surveillance footage, the preponderance of evidence standard has been met, and the allegations that that staff hit C2 in care and staff pepper sprayed C1 and C2 in care are substantiated. The facility is being cited for violation of Interim Licensing Standards (ILS) section 87072(c)(11) Personal Rights, (c) The licensee shall ensure that each child...is accorded the personal rights.... (11) To be free of physical...emotional, or other abuse, ... humiliation, intimidation, ridicule,...mental abuse, or other actions ... interference with the daily living functions... (see LIC 9099D). An exit interview was conducted. A copy of this report (LIC 9099), deficiencies page (LIC 9099D) and appeal rights were explained and given to Lachelle Fenison, Administrator.

Investigation Findings:
13On 07/17/2025, at 08: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Harvest Safe Haven for Boys (STRTP) and met with Administrator Lachelle Fenison to deliver the investigative findings for the allegation listed above. On 11/06/2024, Community Care Licensing received allegations that staff hit minor in care and staff pepper sprayed minors in care. On 11/15/2024, LPA Maryjane Perez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. During the investigation, LPA Perez obtained documents pertinent to the investigation and interviewed C1, C2, C3, C4 and C6 (C1-C4, C6) and staff 1, 2, 3, 6 and 7 (S1-S3, S6, S7). C5 declined LPA's request for an interview and staff 4 and 5 were interviewed by Riverside County Open Case Investigations (OHI). In regard to the allegations that staff (S4) hit minor (C1) in care and staff (S4) pepper sprayed minors (C2, C3) in care; it was reported that C2 and C3 sprayed S4 with "silly string." It was further reported that CONTINIUED ON THE NEXT PAGE SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 07/17/2025

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

met_with: Lachelle Fenison, Administrator


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Narrative:
Another interview indicated that there were two staff present that day, which limited their ability to intervene effectively. Other confidential interviews reported that staff remained calm and used verbal de-escalation techniques when they became aware of the argument between C1 and C2. One interviewee stated that they were not present during the incident and did not inflict or observe any bite mark on C1. Based on confidential interviews and a review of pertinent documents, the allegation that staff do not prevent C2 from causing harm to C1 may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, a copy of this report, LIC 811 and appeal rights were explained and given to administrator trainee Shameka Garner.

Investigation Findings:
13On October 10, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Harvest Safe Haven for Boys STRTP and met with Administrator Trainee Shameka Garner to deliver the finding for the above stated allegation. On August 11, 2025, Community Care Licensing received complaint allegation that staff do not prevent the minors from causing harm to another minor. On August 20, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. In addition, LPA M. Perez interviewed staff 1-7 (S1-S7), and clients 1-4 (C1-C4). During investigations, multiple confidential interviews provided varying accounts of the incident involving C1 and C2. One interview reported that C1 was bitten in the stomach by C2, and that no other clients were involved. Several interviews confirmed that C1 and C2 were arguing inside the home, and the two staff on duty attempted to separate them to prevent further escalation. Another interview stated that C1 and C2 were successfully separated, with C1 placed in their bedroom and C2 outside. However, C1 reportedly jumped out the bedroom window to reach C2, after which a physical altercation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: HARVEST SAFE HAVEN FOR BOYSFACILITY NUMBER: VISIT DATE: 10/10/2025

met_with: Admistrator Trainee- Shameka Garner


summary: Facility Evaluation

raw_content:
Narrative:
An informal conference was held with Harvest Safe Haven For Boys to discuss current Community Care Licensing (CCL) concerns. Present at the meeting was LaCresha Cook, Regional Manager, Abdoulaye Traore, Licensing Program Manager, Adaleyci Caballero, Licensing Program Analyst, Shanae Pharaoh, Licensing Program Analyst, Lachelle Fenison, Harvest Safe Haven For Boys Administrator, Daniel Park, Harvest Safe Haven For Boys Chief Executive Officer, Susan Pennington, Harvest Safe Haven For Boys Licensed Clinical Social Worker Supervisor, Jason Brunt, Harvest Safe Haven For Boys Board President, Diana Wagner, System of Care Branch, Janelle Ross, Riverside County Placement Liaison, Karen Atkins, Riverside County, David Guitierez, Sandi Snelgrove, Alexandria, Andrews, Department of Health Care Services, Juan Bretado, Riverside County Probation, and Rose Collins, San Bernardino County Placement Liaison. The following information was discussed: SIR's are required to have additional information to indicate precursor to incidents, interventions used according to EIP, and staff follow up. Level system needs to be trauma informed. AWOL policy needs to be trauma informed. EIP needs to be more trauma informed. Program must ensure staff understand the EIP. Update to Program Statement. The facility has agreed to the following: The Clinical Supervisor will review all incident reports before submitting to CCL to ensure clinical interventions, follow-up, and debriefing summary are included. Program Statement will include updated incentive system addendum. Facility has implemented training and coaching for staff with the Rehab Specialist. Facility will update their Program Statement to address areas mentioned above. Facility will update their Program Statement to include the Risking Connection Model and additional treatment for creating a trauma informed milieu. Facility will ensure staff are receiving training on implementing three trauma informed interventions for all incidents occurring at the facility. Facility will submit their corrective action plan including their addendum to their Program Statement by October 1, 2021. A copy of this report was given and explained to Lachelle Fenison.

met_with: Lachelle Fenison