raw_content:
Narrative:
...CONTINUED Confidential interviews reveal that CSW contacted the facility on 12/20/2023 to confirm C1's unauthorized absence and spoke with S2. A record review of police reports indicated that S5 filed a missing person's report with CVPD approximately thirty minutes after C1 left the NA facility. A confidential interview suggests that S5 did not disclose C1's serious mental health concerns when making a missing person's report with CVPD. A conflicting record review of the police report reveals that S5 informed CVPD of C1 having challenging, unstable behaviors. Confidential interviews indicate that through NA staff coordinating with PO and CSW, C1 was brought back to NA on 12/20/2023. A record review of an incident report suggests that after C1 absconded from the facility again on 01/04/2024, NA staff promptly notified CSW. Based on confidential interviews, the allegation that staff did not meet reporting requirements is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Program Director.

Investigation Findings:
13On May 2, 2024 at 1: PM, Licensing Program Analyst (LPA) Jacob Salem met with New Alternatives #16 (NA) Michelle Jenks, Program Director to deliver the findings for the above-stated allegation. During the investigation, LPA Salem interviewed Staff (S1-S4), a county social worker, a Psychiatric Emergency Response Team officer, and a placement worker. LPA Salem obtained and reviewed NA staff's call for service to the Chula Vista Police Department (CVPD) and C1's missing person's report, C1's Needs and Services Plan, special incident reports (SIRs), and emails received from NA. On December 21, 2023, Community Care Licensing (CCL) received an allegation that staff did not meet reporting requirements. Confidential interviews and a record review of an incident report revealed that C1 absconded from placement on the evening of 12/18/2023. Confidential interviews indicate that a city officer (PO) observed C1 in Escondido, CA, on 12/20/2023 and contacted the County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 05/02/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews reveal that CSW contacted the facility on 12/20/2023 to confirm C1's unauthorized absence and spoke with S2. A record review of police reports indicated that S5 filed a missing person's report with CVPD approximately thirty minutes after C1 left the NA facility. A confidential interview suggests that S5 did not disclose C1's serious mental health concerns when making a missing person's report with CVPD. A conflicting record review of the police report reveals that S5 informed CVPD of C1 having challenging, unstable behaviors. Confidential interviews indicate that through NA staff coordinating with PO and CSW, C1 was brought back to NA on 12/20/2023. A record review of an incident report suggests that after C1 absconded from the facility again on 01/04/2024, NA staff promptly notified CSW. Based on confidential interviews, the allegation that staff did not meet reporting requirements is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Program Director. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


state: CA

facility_name: NEW ALTERNATIVES, INC. #16

summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED A record review of the SW letter indicates that NA kept C1 home from school past the period of suspension due to behavioral and safety concerns. A confidential interview indicates that NA staff regularly sent C1 back to their residential unit, costing C1 educational progress. Conflicting confidential interviews indicate that NA and the school Administrator created a plan for C1 to complete schoolwork with teachers in an alternative area (residential unit) during C1's behavioral escalations. Confidential interviews indicate that C1 was regularly disruptive and threatening towards school staff and peers. A confidential interview also indicates that NA does not keep students' home from school for more than a day unless the student requires one-on-one supervision and is being assessed for a psychiatric hold (5150). Although a confidential interview with C1 disclosed that C1 wanted to be in class and was kept from attending, a conflicting confidential interview indicates that C1 would frequently walk out of class and refuse school in the morning. The Department also received the allegation that staff inappropriately acted as the youth's (C1) Education Rights Holder. A confidential interview and record review of the SW letter indicates that NA initiated an independent study for C1 without the approval of C1's Educational Rights Holder (EHR). A conflicting confidential interview indicates that EHR was informed and discussed the independent study with C1's school. Confidential interviews indicate that although C1 was often directed to leave class and complete schoolwork in their (C1) residential unit, C1 was never placed on an independent study. Based on inconsistent confidential interviews, the allegations that staff did not allow youth (C1) to attend school on-site as a form of discipline and that staff inappropriately acted as the youth's (C1) education rights holder are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Due to printer malfunction, an exit interview was conducted and a signed copy of this report and appeal rights were emailed to Dave Smith, Residential Manager.

Investigation Findings:
13On May 24, 2024, at 10: AM, Licensing Program Analysts (LPAs) Jacob Salem Abby Saeteurn met with New Alternatives #16 (NA) Dave Smith, Residential Manager, to deliver the findings for the above-stated allegations. During the investigation, LPA Salem interviewed the client (C1), Staff (S1 and S2), former staff (S3), two County Social Workers, a Parole Officer, an Educational Rights Attorney, a School Counselor, and a School Psychologist. LPA Salem obtained and reviewed pertinent records. On August 15, 2023, Community Care Licensing (CCL) received the allegation that staff did not allow youth (C1) to attend school on-site as a form of discipline. Confidential interviews and a record review of a letter from the School District Counsel (SW letter) indicate that C1 was suspended for four school days in May 2023 for fighting. Conflicting confidential interviews indicate that C1's suspension lasted significantly longer than the dates noted in the SW letter. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 05/24/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A record review of the SW letter indicates that NA kept C1 home from school past the period of suspension due to behavioral and safety concerns. A confidential interview indicates that NA staff regularly sent C1 back to their residential unit, costing C1 educational progress. Conflicting confidential interviews indicate that NA and the school Administrator created a plan for C1 to complete schoolwork with teachers in an alternative area (residential unit) during C1's behavioral escalations. Confidential interviews indicate that C1 was regularly disruptive and threatening towards school staff and peers. A confidential interview also indicates that NA does not keep students' home from school for more than a day unless the student requires one-on-one supervision and is being assessed for a psychiatric hold (5150). Although a confidential interview with C1 disclosed that C1 wanted to be in class and was kept from attending, a conflicting confidential interview indicates that C1 would frequently walk out of class and refuse school in the morning. The Department also received the allegation that staff inappropriately acted as the youth's (C1) Education Rights Holder. A confidential interview and record review of the SW letter indicates that NA initiated an independent study for C1 without the approval of C1's Educational Rights Holder (EHR). A conflicting confidential interview indicates that EHR was informed and discussed the independent study with C1's school. Confidential interviews indicate that although C1 was often directed to leave class and complete schoolwork in their (C1) residential unit, C1 was never placed on an independent study. Based on inconsistent confidential interviews, the allegations that staff did not allow youth (C1) to attend school on-site as a form of discipline and that staff inappropriately acted as the youth's (C1) education rights holder are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Due to printer malfunction, an exit interview was conducted and a signed copy of this report and appeal rights were emailed to Dave Smith, Residential Manager. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

report_type: Complaint Investigation

met_with: Dave Smith, Residential Manager

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
In regard to the allegation that staff misuse non-minor dependents' cash resources, confidential interviewed reported that staff used C1's Electronic Benefit Transfer (EBT) card to purchase food for clients at the facility. However, confidential interviews denied the allegation and indicated that food is provided for clients at the facility, and clients do not purchase food to provide for clients. Regarding the allegation that staff open non-minor dependent's personal mail, confidential interviews revealed that C2 was given opened mails several times. However, confidential interviews revealed that staff deliver unopened envelopes and packages to the staff supervisor on the unit to give to clients. LPA received a conflicting information. Concerning the allegation that staff confiscated non-minor dependent's personal property without cause, confidential interviews reported that staff searched C2's room for no reason. However, confidential interviews stated that if staff have a reasonable suspicion that a client is under the influence, staff will ask the client if they can search their room for safety concerns. Confidential witnesses didn't disclose specific information regarding the allegation. Regarding the allegation that staff withhold non-minor dependents' personal records from them, confidential interviews indicated that C1 was a non- minor dependent and must ask staff for C1's identification card and birth certification when seeking employment. However, confidential interviews stated that non-minor dependents are allowed to keep their identification cards and birth certificates in their possession. Other confidential interviews reported that the facility can store clients' birth certificates and identification and clients can request the items as needed. Regarding the allegation that staff do not allow non-minor dependents to keep their personal passwords private, confidential interviews revealed that staff told C1, C2, C3 provide passwords to all social media accounts or clients will be given a consequence. However, confidential interviews denied asking clients for personal passwords to cell phones and social media accounts. LPA received inconsistent information. Based on confidential interviews and information gathered during the investigation the allegation that staff misuse C1's cash resources; staff open C2's personal mail; staff confiscated C2 personal property without cause; staff withhold C1 personal records and staff do not allow C1, C2, C3 to keep their personal passwords private, may or may have occurred, however, it is not supported for proven by the evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Administrator Program Director (APA) Jenks.

Investigation Findings:
13On May 29,2024 at 1:40PM, Licensing Program Analyst (LPA) Carol Anderson met with Administrator Program Director (APA) Michelle Jenks to deliver finding of the above allegations. During the investigation, Licensing Program Analyst (LPA) Lucero Jauregui conducted a complaint inspection to the facility on 9/29/23. LPA Jauregui interviewed one staff during the inspection. LPA Anderson interviewed three of six clients. LPA Anderson interviewed three of five staff. LPA Anderson attempted to interview staff and clients, however, was unable to contact them, despite multiple attempts. LPA Anderson reviewed C1 and C2's Appraisal Needs and Services Plan, C2's Child and Family Team Meeting. (CFT).The Department received a complaint on September 21, 2023, alleging that staff misuse non-minor dependents' cash resources; staff open non-minor dependent's personal mail; staff confiscated non-minor dependent's personal property without cause; staff withhold non-minor dependents' personal records from them; and staff do not allow non-minor dependents to keep their personal passwords private. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/29/2024

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

met_with: Michelle Jenks


raw_content:
Narrative:
In regard to the allegation that staff punish children for not taking their medication. Confidential interviews revealed that staff gave C1 consequences for refusing medication. However, confidential interviews reported that if a client refused to take medication staff document on the medication log and make a special incident report and submitted to their supervisor. LPA wasn't to gather additional information. Other witnesses didn't disclose any information regarding the allegation. Regarding the allegation that staff do not provide adequate supervision to prevent self-harm behavior. Confidential interviews revealed that C1 engaged in self injured behavior and staff did not check on C1 during the incidents. However, confidential interviews stated that when staff are aware of client having a history self injurious behavior, the client is closely monitored, and staff conduct random room checks. LPA wasn't to gather additional information. Concerning the allegation that staff were not following the facility's plan of operation to prevent children from bringing drugs and alcohol into the facility, confidential interviews revealed that C1 returned from the doctor's office and C1 was able to sneak hand sanitizer for self-harm and staff did not check C1's bag. However, confidential interviews reported that when clients return to the facility clients were asked to empty their pockets and bags. There were no additional witnesses to the incident. Regarding the allegation staff making inappropriate comments to minor in care and staff hitting children with an object allegation, confidential interviews indicated that staff made inappropriate comments about C1. However, confidential interview denied that no staff witnesses staff calling C1 an inappropriate name. Other confidential reported not witnessing staff hitting minor with objects. Additional interview didn't provide any relevant information regarding these allegations. Regarding the allegation Staff did not safeguard minors' personal items. Confidential interviews revealed that C1 picture drawings were not returned to C1. There were no additional witnesses to the incident. Regarding the allegation Staff forced the children to move furniture. Confidential interviews revealed staff force clients to move furniture. However, confidential interviews disclosed that staff move the furniture and if a client can help move furniture, they will earn extra points. The additional interviews denied forcing the children to move anything. There were no additional witnesses to the incident. Based on confidential interviews and information gathered during the investigation, the allegations that staff punish children for not taking their medication; staff do not provide adequate supervision to prevent self-harm behavior; staff denied minor mental health activity; staff are not following their plan of operation to prevent children from bringing drugs/alcohol into the facility; staff made inappropriate comments to C1; staff hit children with an object; staff did not safeguard minors' personal items; staff forced the children to move furniture, may or may have occurred, however, it is not supported for proven by the evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Administrator Program Director (APA) Jenks.

Investigation Findings:
13On May 29,2024 at 2:09PM, Licensing Program Analyst (LPA) Carol Anderson met with Administrator Program Director (APA) Michelle Jenks to deliver finding of the above allegations. During the investigation, Licensing Program Analyst (LPA) Lucero Jauregui conducted a complaint inspection to the facility on 9/29/23. LPA Jauregui interviewed one staff during the inspection. LPA Anderson interviewed two of six clients. Additionally, LPA Anderson interviewed three of six staff. However, LPA Anderson was unable to interview additional staff and three clients despite multiple attempts. LPA Anderson reviewed C1's Appraisal Needs and Services Plan, and C1's Child and Family Team Meeting (CFT). The Department received a complaint on September 25, 2023, alleging staff punish children for not taking their medication; staff do not provide adequate supervision to prevent self-harm behavior; staff denied minor mental health activity; staff are not following their plan of operation to prevent children from bringing drugs/alcohol into the facility; staff made inappropriate comments to minor in care; staff hit children with an object; staff did not safeguard minors' personal items; and staff forced the children to move furniture. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/29/2024

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


raw_content:
Narrative:
...CONTINUED Confidential interviews suggest that maintenance quotes to replace the walk-in refrigerator were rejected due to cost. Conflicting confidential interviews indicate that mold has not been observed in the walk-in freezer or adjacent walls and that the quality of the food is not affected by the condensation. During the inspection, LPA observed pooling of water and ice build-up in the walk-in refrigerator, and no mold was observed. A record review of an invoice reveals that insulation in the walk-in refrigerator was replaced on 04/11/2024. Confidential interviews and a review of a maintenance invoice reveal that the kitchen stovetop was leaking gas. Confidential interviews suggest that the gas leak occurred for multiple months before being fixed. A conflicting confidential interview and review of the work order indicate that the issue with the stove only persisted for approximately two weeks and was addressed after it was brought to management's attention. Based on confidential interviews, the allegation that the facility equipment is in disrepair is unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Carlos Perez, Administrator.

Investigation Findings:
13On June 14, 2024 at 9: AM, Licensing Program Analysts (LPAs) Jacob Salem and Abby Saeteurn met with New Alternatives #16 (NA) Carlos Perez, Administrator to deliver the findings for the above-stated allegation. During the investigation, LPA Salem interviewed the Staff (S1-S8), former staff (S9-S11), and the Property Manager. LPA Salem obtained and reviewed pertinent records. On March 4, 2024, Community Care Licensing (CCL) received an allegation that the facility equipment was in disrepair. Confidential interviews and observations indicate that the walk-in refrigerator in the facility kitchen struggles to maintain a constant temperature, leading to condensation and leaking. Confidential interviews and a record review of photographs indicate that staff regularly disinfect the walk-in refrigerator with bleach to prevent mold growth and maintain a safe environment for the food. Other confidential interviews and a record review of an invoice dated 09/08/2023 indicated that management was notified of these concerns and did not order repairs promptly. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 06/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews suggest that maintenance quotes to replace the walk-in refrigerator were rejected due to cost. Conflicting confidential interviews indicate that mold has not been observed in the walk-in freezer or adjacent walls and that the quality of the food is not affected by the condensation. During the inspection, LPA observed pooling of water and ice build-up in the walk-in refrigerator, and no mold was observed. A record review of an invoice reveals that insulation in the walk-in refrigerator was replaced on 04/11/2024. Confidential interviews and a review of a maintenance invoice reveal that the kitchen stovetop was leaking gas. Confidential interviews suggest that the gas leak occurred for multiple months before being fixed. A conflicting confidential interview and review of the work order indicate that the issue with the stove only persisted for approximately two weeks and was addressed after it was brought to management's attention. Based on confidential interviews, the allegation that the facility equipment is in disrepair is unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Carlos Perez, Administrator. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Carlos Perez, Administrator


raw_content:
Narrative:
...CONTINUED Conflicting confidential interviews indicate that, due to C1 being private with their self-care and recovery, staff who supervised C1 were unaware of C1's ankle infection until the day before a scheduled check-up on 12/13/2023. Confidential interviews indicate that although C1 frequently reported being in pain since their surgery on 10/09/2023, staff provided the medication that was approved by the parole officer and asked C1 if they wanted to go to the hospital for their ankle. Confidential interviews suggest that staff proactively asked C1 to go to the hospital due to C1 being in pain and that C1 refused. A conflicting record review of C1's file revealed no documentation of medical refusals. A confidential interview disclosed that after C1 told staff they were in pain, staff did not relay this information to the staff members who scheduled medical appointments. The confidential interview disclosed that C1 did not request to go to the hospital for their pain. A record review of an incident report indicates that C1 asked to go to the hospital on 12/17/2023 for abdominal pain and was taken on the same day. Confidential interviews suggest that the facility utilizes on-call staff, alternative shifts, and case-management staff to facilitate transportation to the hospital in an emergency. Observations and a confidential interview revealed that the facility is located directly next to a Medical Center, making emergency room visits feasible even when minimal staff are present. Based on confidential interviews and records reviewed, the allegation that staff (unnamed) did not seek timely medical care for a minor (C1) in care is unsubstantiated. The allegations may have happened or isvalid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Carlos Perez, Administrator.

Investigation Findings:
13On June 14, 2024 at 8: AM, Licensing Program Analysts (LPAs) Jacob Salem and Abby Saeteurn met with New Alternatives #16 (NA) Carlos Perez, Administrator to deliver the findings for the above-stated allegation. During the investigation, LPA Salem interviewed the Client (C1), Staff (S1-S10), and a hospital Social Worker. LPA Salem obtained and reviewed pertinent records. On December 20, 2023, Community Care Licensing (CCL) received an allegation that staff (unnamed) did not seek timely medical care for a minor (C1) in care. A confidential interview suggests that staff did not take C1 to the hospital after C1 complained of pain and showed signs of infection in their ankle, which was recently fractured and operated on. A confidential interview disclosed that C1 asked to go to the hospital twice but was not taken due to the facility being understaffed and was instead provided Tylenol for the pain. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 06/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Conflicting confidential interviews indicate that, due to C1 being private with their self-care and recovery, staff who supervised C1 were unaware of C1's ankle infection until the day before a scheduled check-up on 12/13/2023. Confidential interviews indicate that although C1 frequently reported being in pain since their surgery on 10/09/2023, staff provided the medication that was approved by the parole officer and asked C1 if they wanted to go to the hospital for their ankle. Confidential interviews suggest that staff proactively asked C1 to go to the hospital due to C1 being in pain and that C1 refused. A conflicting record review of C1's file revealed no documentation of medical refusals. A confidential interview disclosed that after C1 told staff they were in pain, staff did not relay this information to the staff members who scheduled medical appointments. The confidential interview disclosed that C1 did not request to go to the hospital for their pain. A record review of an incident report indicates that C1 asked to go to the hospital on 12/17/2023 for abdominal pain and was taken on the same day. Confidential interviews suggest that the facility utilizes on-call staff, alternative shifts, and case-management staff to facilitate transportation to the hospital in an emergency. Observations and a confidential interview revealed that the facility is located directly next to a Medical Center, making emergency room visits feasible even when minimal staff are present. Based on confidential interviews and records reviewed, the allegation that staff (unnamed) did not seek timely medical care for a minor (C1) in care is unsubstantiated. The allegations may have happened or isvalid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Carlos Perez, Administrator. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
...CONTINUED A confidential interview and review of child and family team meeting notes indicated that during this check-in process, S1 touched C1's thigh, close to C1's private part. Conflicting confidential interviews indicated that S1 did not make physical contact with C1 but motioned closely for C1 to move their sweatshirt as part of the check-in, and that C1 responded by saying "don't touch me." Confidential interviews indicated that C1 has previously become irritated by the check-in procedure. Confidential interviews did not reveal any incidents of S1 touching clients inappropriately while working at the facility. Based on inconsistent confidential interviews and records reviewed, the allegations that Staff inappropriately touched a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator.

Investigation Findings:
13On December 19, 2024, at 2: PM, Licensing Program Analyst (LPA) Jacob Salem met with Michelle Jenks, Administrator of New Alternatives #16 to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 9/19/24 at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C9) and Staff (S1-S5). LPA Salem obtained and reviewed pertinent records. On September 12, 2024, Community Care Licensing (CCL) received an allegation that Staff (S1) inappropriately touched a minor (C1) in care. It was reported that the staff touched C1 near their private area. Confidential interviews and a review of the program statement revealed that clients are regularly checked for contraband upon returning to the facility, but that this search does not involve the staff making physical contact with the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 12/19/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview and review of child and family team meeting notes indicated that during this check-in process, S1 touched C1's thigh, close to C1's private part. Conflicting confidential interviews indicated that S1 did not make physical contact with C1 but motioned closely for C1 to move their sweatshirt as part of the check-in, and that C1 responded by saying "don't touch me." Confidential interviews indicated that C1 has previously become irritated by the check-in procedure. Confidential interviews did not reveal any incidents of S1 touching clients inappropriately while working at the facility. Based on inconsistent confidential interviews and records reviewed, the allegations that Staff inappropriately touched a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Michelle Jenks, Administrator


raw_content:
Narrative:
...CONTINUED A confidential interview indicated that the inappropriate behavior by staff, which included S1, involved handling clients roughly during restraints and speaking inappropriately to clients; however, no other witnesses or clients with similar experiences were named. A review of incident reports indicates that while C1 lived at NA in 2021- C1 was restrained by staff, including S1, for self-harming behaviors. A review of incident reports and CCL case history indicated that there were no injuries or mishandling of C1 reported during that time. A review of information provided by NA indicates that some of the staff named as perpetrators in the above-mentioned interview are not current or former staff of the facility. Based on confidential interviews and records reviewed, the allegation that staff engaged in inappropriate behavior while minors are in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator.

Investigation Findings:
13On January 14, 2025, Licensing Program Analyst (LPA) Jacob Salem met with New Alternatives #16 (NA) Michelle Jenks, Administrator to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 7/19/24 at 11: AM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed a former client (C1) and a County Social Worker (CSW). LPA attempted to interview staff (S1) and former staff (S2), but was unable to despite multiple attempts and due to S1 being out of the country. LPA Salem obtained and reviewed pertinent records. On July 11, 2024, Community Care Licensing (CCL) received an allegation that the staff (unnamed) engaged in inappropriate behavior while minors (C1) are in care. No additional details were reported, except that other former clients have had similar experiences. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 01/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A confidential interview indicated that the inappropriate behavior by staff, which included S1, involved handling clients roughly during restraints and speaking inappropriately to clients; however, no other witnesses or clients with similar experiences were named. A review of incident reports indicates that while C1 lived at NA in 2021- C1 was restrained by staff, including S1, for self-harming behaviors. A review of incident reports and CCL case history indicated that there were no injuries or mishandling of C1 reported during that time. A review of information provided by NA indicates that some of the staff named as perpetrators in the above-mentioned interview are not current or former staff of the facility. Based on confidential interviews and records reviewed, the allegation that staff engaged in inappropriate behavior while minors are in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
...CONTINUED A record review of C1's child and family team meeting notes during the time of the alleged touching indicated that during the meeting C1 did not voice any inappropriate touching. A confidential interview indicated that staff are not consistently supervising or checking on clients in the residential units. Conflicting confidential interviews indicated that staff are consistently supervising and checking on clients. Confidential interviews indicated that staff enforce the facility's policy of clients not touching each other by placing clients on a "10-foot" rule where clients must remain separated for a certain period to ensure safety. The investigation did not yield consistent information to conclude that staff did not provide a safe environment for C1. Based on confidential interviews and records reviewed, the allegation that staff did not provide a safe environment for a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Anthony Lopez, Assistant Director.

Investigation Findings:
13On January 28, 2025, at 2: PM, Licensing Program Analyst (LPA) Jacob Salem met with New Alternatives #16 (NA) Anthony Lopez, Assistant Director to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 7/29/24 at 2: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed clients (C1-C6) and staff (S1-S4). LPA Salem obtained and reviewed pertinent records. On July 23, 2024, Community Care Licensing (CCL) received an allegation that staff (unnamed) did not provide a safe environment for a minor (C1) in care. It was reported that C1 disclosed they were sexually assaulted for about a month by C2 touching C1 in a private area and making C1 feel unsafe. A review of C2's needs and services plan indicated that C2 does exhibit sexualized behaviors and horseplaying with other youths in care. Confidential interviews and records reviewed yielded conflicting information as to whether any inappropriate touching of C1 by C2 occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 01/28/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED A record review of C1's child and family team meeting notes during the time of the alleged touching indicated that during the meeting C1 did not voice any inappropriate touching. A confidential interview indicated that staff are not consistently supervising or checking on clients in the residential units. Conflicting confidential interviews indicated that staff are consistently supervising and checking on clients. Confidential interviews indicated that staff enforce the facility's policy of clients not touching each other by placing clients on a "10-foot" rule where clients must remain separated for a certain period to ensure safety. The investigation did not yield consistent information to conclude that staff did not provide a safe environment for C1. Based on confidential interviews and records reviewed, the allegation that staff did not provide a safe environment for a minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Anthony Lopez, Assistant Director. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Anthony Lopez, Assistant Director


raw_content:
Narrative:
...CONTINUED Confidential interviews and a review of a special incident report indicated that, during the alleged incident, C1 was in an escalated state and attempting to AWOL. A confidential interview indicated that S1 threatened to call the police due to C1's behavior; however, the interview did not provide further details, and no third-party witnesses were named. Conflicting confidential interviews indicated that, while in an escalated state, C1 asked S1 what would happen if C AWOL'd, and S1 appropriately explained that the police would be called for assistance. Confidential interviews indicated that when C1 became escalated or attempted to AWOL, S1 spoke calmly to C1 and reminded them of the consequences. The complaint received by CCL also reported that C2 was threatened by an unnamed staff member, which caused C2 to feel unsafe. One confidential interview indicated that C2 felt threatened by S3 during a brief interaction after C2 requested one of their toiletries; however, the only third-party witness named in this incident declined to be interviewed. Confidential interviews indicated that while S3 could be impolite when redirecting clients, those clients did not feel threatened by S3. Conflicting confidential interviews also indicated that both S3 and S1 were kind to clients, even when clients were acting out or misbehaving. Based on confidential interviews and records reviewed, the allegation that staff threatened minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator.

Investigation Findings:
13On February 6, 2025, at 2: PM, Licensing Program Analyst (LPA) Jacob Salem met with New Alternatives #16 (NA) Michelle Jenks, Administrator to deliver the findings for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 8/8/24 at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed clients (C1-C6) and staff (S1 and S2). LPA attempted to interview former staff (S3) but was unable to despite multiple attempts. LPA Salem obtained and reviewed pertinent records. On July 29, 2024, Community Care Licensing (CCL) received an allegation that staff (including S1) threatened minors (C1 and C2) in care. It was reported that S1 threatened to call the police if C1 expressed a desire to AWOL, which made C1 feel afraid. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 02/06/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews and a review of a special incident report indicated that, during the alleged incident, C1 was in an escalated state and attempting to AWOL. A confidential interview indicated that S1 threatened to call the police due to C1's behavior; however, the interview did not provide further details, and no third-party witnesses were named. Conflicting confidential interviews indicated that, while in an escalated state, C1 asked S1 what would happen if C AWOL'd, and S1 appropriately explained that the police would be called for assistance. Confidential interviews indicated that when C1 became escalated or attempted to AWOL, S1 spoke calmly to C1 and reminded them of the consequences. The complaint received by CCL also reported that C2 was threatened by an unnamed staff member, which caused C2 to feel unsafe. One confidential interview indicated that C2 felt threatened by S3 during a brief interaction after C2 requested one of their toiletries; however, the only third-party witness named in this incident declined to be interviewed. Confidential interviews indicated that while S3 could be impolite when redirecting clients, those clients did not feel threatened by S3. Conflicting confidential interviews also indicated that both S3 and S1 were kind to clients, even when clients were acting out or misbehaving. Based on confidential interviews and records reviewed, the allegation that staff threatened minor in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a signed copy of this report and appeal rights were provided to Michelle Jenks, Administrator. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
...CONTINUED Confidential interviews indicated that the assigned therapist did not communicate ongoing concerns about C2's mental state or C2's safety plan to the unit staff upon C2's return. However, a confidential interview indicated that C2 was not making threatening statements prior to returning, so C2 was not placed on enhanced supervision. A confidential interview indicated that C2 was talking aggressively about "socking somebody" after returning to the cottage. Conflicting confidential interviews indicated that C2 only seemed irritated, but was quiet and compliant with staff after returning to the unit. Confidential interviews indicated that staff were on their phones when the incident began, and that C2 punched C1 several times before staff intervened. However, confidential interviews indicated that the punching was sudden and unprovoked, and that C2's back was facing staff, so it took staff a moment to realize what was happening before intervening. Confidential interviews and records reviewed also indicated that C2 did not have a history of physical violence with peers. Confidential interviews indicated staff were present and at their assigned stations to maintain supervision of the unit during the incident. Based on conflicting confidential interviews and records reviewed, the allegation that lack of supervision resulted in minor engaging in a physical altercation with another minor is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Carlos Perez, Manager and a copy of this report and appeal rights were provided.

Investigation Findings:
13On March 12, 2025, at 11: AM, Licensing Program Analyst (LPA) Jacob Salem met with Carlos Perez, Manager of New Alternatives #16 to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 8/21/2024 at 3: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Staff (S1-S4) and Clients (C1 and C3-C5). LPA attempted to interview C2 but was unable despite multiple attempts. Pertinent records were obtained and reviewed. On August 15, 2024, Community Care Licensing (CCL) received an allegation that lack of supervision resulted in minor (unnamed) engaging in a physical altercation with another minor (C1). It was reported that C1 was attacked by a peer that was passing by, after the peer had talked with a therapist for an hour for attempting to run away. Confidential interviews and records reviewed indicated that prior to the incident occurring, C2 became upset and pushed through staff to leave the living unit, and that C2 spoke with their assigned therapist outside for over an hour before being dropped off back to the cottage. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 03/12/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews indicated that the assigned therapist did not communicate ongoing concerns about C2's mental state or C2's safety plan to the unit staff upon C2's return. However, a confidential interview indicated that C2 was not making threatening statements prior to returning, so C2 was not placed on enhanced supervision. A confidential interview indicated that C2 was talking aggressively about "socking somebody" after returning to the cottage. Conflicting confidential interviews indicated that C2 only seemed irritated, but was quiet and compliant with staff after returning to the unit. Confidential interviews indicated that staff were on their phones when the incident began, and that C2 punched C1 several times before staff intervened. However, confidential interviews indicated that the punching was sudden and unprovoked, and that C2's back was facing staff, so it took staff a moment to realize what was happening before intervening. Confidential interviews and records reviewed also indicated that C2 did not have a history of physical violence with peers. Confidential interviews indicated staff were present and at their assigned stations to maintain supervision of the unit during the incident. Based on conflicting confidential interviews and records reviewed, the allegation that lack of supervision resulted in minor engaging in a physical altercation with another minor is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Carlos Perez, Manager and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Carlos Perez, Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 09/08/2021 at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez and Licensing Program Manager (LPM) Ann Valenzuela conducted an unannounced inspection at the facility above. LPA Meza-Gonzalez and LPM Valenzuela met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection is to conduct a required annual inspection. LPA Meza-Gonzalez and LPM Valenzuela reviewed ten client files (see confidential name list, LIC811, dated 09/08/2021). All client files had the required forms per regulations requirements. The client files are stored and locked in a cabinet in the office area within the units. Medication is kept in a locked cabinet behind a closed door. Due to time constraints, the annual inspection is being extended for staff files review, staff interviews, clients interviews and physical plant. Based on record review, the licensee did not comply as 1 out of 10 children's psychotropic medication administration records (MARs) which did not have staff initials on two days (08/24/2021 and 08/25/2021) for C5 which poses a potential health, safety or personal rights risk to persons in care. The facility is being issued a citation in accordance with the Title 22, ILS version 3.1 section 87070(b)(12)(H). See LIC809D for the cited deficiency. An exit interview was conducted, and this report, appeal rights and LIC 811 was reviewed with APD Bond and a copy of this report was provided.

report_type: Facility Evaluation

visit_type: Annual

met_with: Shomari Bond


summary: Facility Evaluation

raw_content:
Narrative:
On 09/09/2021 at 10: AM, Licensing Program Analysts (LPAs) Gloria Meza-Gonzalez, LPA Danielle Garcia and Licensing Program Manager (LPM) Ann Valenzuela conducted unannounced inspection to the facility. The purpose of the inspection is to conducted an annual continuation. LPA Meza-Gonzalez and LPA Garcia met with Assistant Program Director (APD) Shomari Bond. The facility serves 81 ambulatory minors ages 11 to 17 and non-minor dependents. There is 29 clients in care. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks toured the facility inside and out. The facility is set up as follows. There are six units: Courage Cove, Destiny Way, Serenity Cove, Harmony Point, Hope Mountain and Inspiration Peak. Courage Cove and Destiny Cove units are no currently in use. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Courage Cove. The water temperature measured at 112 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Destiny Way. The water temperature measured at 110 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Serenity Cove. The water temperature measured at 114 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, beddings and storage space. Bathrooms are located inside bedrooms. LPA Meza-Gonzalez and LPA Garcia observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazard items are locked inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. See LIC 809C LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Harmony Point. The water temperature measured at 110 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, beddings and storage space. Bathrooms are located inside bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez and LPA Garcia observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazard items are locked inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Hope Mountain. The water temperature measured at 118 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, beddings and storage space. Bathrooms are located inside bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez and LPA Garcia observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazard items are locked inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. LPA Meza-Gonzalez, LPA Garcia, APD Bond and APD Michelle Jenks inspected Inspiration Peak. The water temperature measured at 118 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, beddings and storage space. Bathrooms are located inside bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez and LPA Garcia observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazard items are locked inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary and in good repair. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu. Cafeteria prepares all meals and menu posted. LPA Meza-Gonzalez observed sufficient perishable and non-perishable food. LPA Meza-Gonzalez observed all areas inspected in the cafeteria to be clean, sanitary and in good repair. Due to time constraints, the annual inspection is being extended for staff files review, staff interviews, and clients interviews. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, and this report was reviewed with APD Bond and a copy of this report was provided.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On 09/13/2021 at 9: AM, Licensing Program Analysts (LPA) Gloria Meza-Gonzalez conducted unannounced inspection to the facility. The purpose of the inspection is to conducted an annual continuation to interview clients, review staff files and interview staff. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The facility serves 81 ambulatory minors ages 11 to 17 and non-minor dependents. There is 29 clients in care. LPA Meza-Gonzalez interviewed 10 clients (See Confidential Name List, LIC 81, dated 09/13/2021) and 4 staff. LPA Meza-Gonzalez reviewed 10 staff files. Due to time constraints, the annual inspection is being extended for additional 6 staff interviews. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, and this report was reviewed with APD Bond and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/16/2021 at 1: PM, Licensing Program Analysts (LPA) Gloria Meza-Gonzalez conducted unannounced inspection to the facility. The purpose of the inspection is to conducted an annual continuation to interview staff. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The facility serves 81 ambulatory minors ages 11 to 17 and non-minor dependents. There is 29 clients in care. LPA Meza-Gonzalez interviewed five staff. The annual inspection is being extended for one staff interview. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, and this report was reviewed with APD Bond and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/21/2021 at 7: AM, Licensing Program Analysts (LPA) Gloria Meza-Gonzalez conducted unannounced inspection to the facility. The purpose of the inspection is to conducted an annual continuation to interview staff. LPA Meza-Gonzalez met with AM Shift Supervisor (SS) Darrell Williams. The facility serves 81 ambulatory minors ages 11 to 17 and non-minor dependents. There is 30 clients in care. LPA Meza-Gonzalez interviewed one staff. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, and this report was reviewed with SS Williams and a copy of this report was provided.

met_with: Darrell Williams


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2022 at 1:45 pm , Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting a collateral interview with a client that is currently residing at the facility. LPA met with Jared Farmer, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted one interview with one client. No safety issues were observed, therefore no deficiencies were cited.

met_with: Jared Farmer, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on February 7, 2023 at AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Barragan met with Hannah Montz, Team Lead and inspected the facility inside and out. LPA Barragan was unable to complete the psychotropic medication inspection on this date and will conduct another inspection. LPA reviewed 4 of child's records and 0 of staff personnel files on site at the facility. LPA reviewed 4 of child's psychotropic medications and medication records. LPA interviewed 0 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Hannah Montz, Team Lead. No deficiencies are being cited at this time. LPA conducted exit interview with Hannah Montz, Team Lead.

met_with: Hannah Montz, Team Lead


summary: Facility Evaluation

raw_content:
Narrative:
On May 10, 2023, at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez and Licensing Program Manager (LPM) Ann Valenzuela conducted an unannounced inspection of the facility. The purpose of the inspection is to conduct an annual random. LPA Meza-Gonzalez and LPM Valenzuela met with Co-Program Director (CPD) Shomari Bond. The facility serves 81 ambulatory minors ages 11 to 17 and non-minor dependents. There are 29 youths in care. LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond toured the facility inside and out. The facility is set up as follows. There are six units: Courage Cove, Destiny Way, Serenity Cove, Harmony Point, Hope Mountain, and Inspiration Peak. Courage Cove and Destiny Cove units are not currently in use. Each unit has a first-aid kit with all the required items LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Courage Cove. The water temperature was measured at 112 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside the bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication would be locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. See LIC 809C page LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Destiny Way. The water temperature was measured at 110 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside the bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication would be locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Serenity Cove. The water temperature was measured at 114 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Harmony Point. The water temperature was measured at 110 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside the bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. see LIC809c page LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Hope Mountain. The water temperature was measured at 105 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside the bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. LPA Meza-Gonzalez, LPM Valenzuela, and CPD Bond inspected Inspiration Peak. The water temperature was measured at 105 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. LPA Meza -Gonzalez observed the rooms to have sufficient beds, bedding, and storage space. Bathrooms are located inside the bedrooms and outside next to the bedrooms. LPA Meza-Gonzalez observed recreation and milieu areas for clients to use. The medication was locked up in the staff office in a locked cabinet in each unit. The cleaning solution, disinfectants other hazardous items are locked and inaccessible to clients in a closet in each unit. LPA Meza-Gonzalez observed the unit to be clean, sanitary, and in good repair. The last fire drill was conducted on April 12, 2023. Each unit has smoke and carbon monoxide detectors. The smoke and carbon monoxide detectors were checked and are operable. The facility is accredited through CARF International through September 20, 2023. The facility has an outdoor recreation area with a basketball and volleyball court, garden, exercise area, outdoor tables, and seating. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, house rules, and current menu. See 809C page The cafeteria prepares all meals and the menu is posted. LPA Meza-Gonzalez observed sufficient perishable and non-perishable food. LPA Meza-Gonzalez observed all areas inspected in the cafeteria to be clean, sanitary, and in good repair. LPA Meza-Gonzalez and LPM Valenzuela reviewed five youths' files (see confidential name list, LIC811, dated May 10, 2023). The files appeared complete and in order. LPM Meza-Gonzalez and LPM Valenzuela reviewed five staff files. The files appeared complete and in order. Due to time constraints, the annual inspection is being extended for staff interviews, client interviews, and Board minutes. Based on observations made during the inspection, no deficiencies were observed during today's visit. An exit interview was conducted, and this report was reviewed with CPD Bond and a copy of this report was provided.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On May 12, 2023, at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection of the facility. The purpose of the inspection is to conduct an annual continuation to interview staff and clients and review the Board of Directors' minutes. LPA Meza-Gonzalez met with Co-Program Director (CPD) Shomari Bond. The facilty serves 81 ambulatory youths ages 11 to 17 and non-minor dependents. There are 29 youths in care. LPA Meza-Gonzalez conducted two staff interviews and two client interviews (see confidential name list, LIC 811, dated May 12, 2023). LPA Meza-Gonzalez was unable to review the board meeting minutes as the facility could not provide the board meeting meets during the annual inspection. This is a violation of Interim Licensing Standards (ILS) version 4 - Accountability section 87063(a)(10) - Ensure that all minutes of the board of directors' or governing body meetings are kept electronically or on paper and made available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Minutes may be removed if necessary for copying. LPA Meza-Gonzalez was unable to verify sections 87063(a), 87063(a)(8), and 87063(a)(9) of the ILS for the annual inspection. Based on observations made during the inspection, the facility is being cited for ILS version 4 of Accountability sections 87063(a)(10), 87063(a), 87063(a)(8), and 87063(a)(9) observed during today's visit. An exit interview was conducted and a copy of this amended report was given to CDP Bond along with LIC811 and LIC809D. ***This is an amended document***

Deficiencies:
87063(a): Accountability

(a) The board of directors or other governing body including, but not limited to, an individual natural person who is a licensee, shall be active in ensuring oversight and accountability, and shall perform, at a minimum, the following duties


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2023 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection of the facility. LPA Meza-Gonzalez met with Co-Program Director (CPD) Shomari Bond. The facility serves 81 ambulatory youths ages 11 to 17 and non-minor dependents. There are 29 youths in care. The purpose of the inspection is to deliver an amended report for an annual continuation - case management that was originally delivered on May 12, 2023. A copy of this report along with the amended report was given to CPD Bond.


summary: Facility Evaluation

raw_content:
Narrative:
On March 3, 2025, at 9: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced inspection. Institutions Evaluations Unit monitor (IEU) Julie Martinez was present for the visit. LPA and IEU met with Michelle Jenks, Administrator. The purpose of the inspection was to conduct a case management on a Serious Incident Report (SIR) dated 2/19/2025. While at the facility, LPA and IEU conducted staff interviews and received copies of pertinent records. Further information is needed and the case management will be extended. An exit interview was conducted and a signed copy of this report was provided to Michelle Jenks, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2025, at 11: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced case management inspection at the facility. LPA Salem met with Carlos Perez, Manager. The purpose of the inspection was to follow up on a case management visit on 3/3/2025. Community Care Licensing (CCL) received information that S1 allegedly provided alcohol to C1 while on an outing together. Confidential interviews reported conflicting information. Thus, no deficiencies are being cited at this time. An exit interview was conducted and a signed copy of this report was provided to Carlos Perez, Manager.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on April 9, 2025 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Administrators Anthony Lopez and Michelle Jenks. LPA was then assisted with a facility inspection; no immediate safety hazards were observed. LPA reviewed five of child's records and three of staff personnel files on site at the facility. LPA reviewed five of child's psychotropic medications and medication records. LPA interviewed three staff on site to discuss the facilities policies and procedures of operation. LPA will interview three child currently prescribed psychotropic medication at a later time. (no clients were present in the facility at the time of this visit). LPA provided a copy of this licensing report to Administrator Anthony Lopez. No deficiencies are being cited at this time

met_with: Anthony Lopez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2025 at 11: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an unannounced visit to the above facility and met with Anthony Lopez, Assistant Director for the purpose of conducting an annual inspection. LPA reviewed five client files (C1-C5), which are kept locked in the staff office. The client files reviewed contained the required information and records, including pre-placement screenings, personal rights and facility policy acknowledgements, and medication logs. LPA conducted one staff and two client interviews. Due to time constraints, the annual is being extended to conduct a review of staff files and inspect the facility's physical plant. An exit interview was conducted and a signed copy of this report was provided to Anthony Lopez, Assistant Director.


summary: Facility Evaluation

raw_content:
Narrative:
On September 26, 2025 at 10: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to the above facility and met with Michelle Jenks, Administrator. The purpose of this Case Management inspection is to conduct an annual continuation from 9/25/2025. LPA conducted one staff interview. LPA reviewed five staff files (S1-S5), which contained the required clearances and health screenings, hiring paperwork and qualifications, and staff trainings. LPA inspected the facility's physical plant, including personal rights postings, health related services, buildings and grounds, food services, indoor and outdoor activity space, and furniture, fixtures, equipment and supplies. The facility is clean, in good repair, and free from observable risks to clients' health, safety, and personal rights. The facility is an open campus with separate living units, staff and therapy offices, locked medication room, cafe and kitchen, and recreational spaces. Both of the facility's living units contain open milieus, individual and double bedrooms and bathrooms, and provisions for laundry. Based on observations made during the inspection, there were no deficiencies cited at this time. An exit interview was conducted with Michelle Jenks, Administrator and a signed copy of this report was provided.


raw_content:
Narrative:
This agency received allegation that facility staff refused to transport youth back to the facility. Confidential interviews disclosed that while AWOL, C1 called S1 for a ride from AWOL status and S1 refused. Interview with S1 denied allegation, revealed S1 was the only staff on site and had to call for assistance. Interview with FM disclosed that clients were at a party while AWOL, requested a ride and did not want to wait for other staff to arrive. Other confidential interviews revealed that clients called law enforcement to pick them up. Based on confidential interviews and record review, the allegations that STRTP staff are not preventing clients from going AWOL and that staff refused to transport clients back to the facility may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, LIC811 and Appeals Rights were provided and explained to Senida Zamora.

Investigation Findings:
13On December 16, 2021 at 2: PM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On August 27, 2021 at 2: PM, LPA conducted a safety inspection of the facility and no deficiencies were noted. Copies of client roster, staff roster, STRTP legal communication log and special incident reports (SIR's) dated 08/09/21 and 08/11/21 were obtained. Interviews were conducted with client's #1, #3, STRTP Facility Manager (FM) and staff #1 (S1). LPA's attempts to interview client #2 (C2) was unsuccessful. On August 11, 2021 this agency received allegation that STRTP staff are not preventing clients from going AWOL. Confidential interviews disclosed that S1 does not turn on the STRTP alarm until the clients have went AWOL. Interview with S1 denied allegation, revealing she uses positive redirection with clients. Confidential records review disclosed that staff utilized positive redirection prior to clients going AWOL. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores 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: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/16/2021

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

met_with: Senida Zamora


raw_content:
Narrative:
On 08/24/21 this agency received allegation that staff instigates incidents involving minors. Confidential interviews disclosed that S1 removed the stove top pieces to keep the clients from cooking at night. Confidential interviews disclosed that C3 attempted to cook in the oven due to the stove top being missing and the door to the oven broke off. Confidential record review disclosed that a grievance was filed against S1. Interview with S1 revealed that she did take the stove top pieces apart to prevent the clients from cooking after 10pm. Based on interviews and record review, there is a preponderance of evidence to prove that S1 hit C3 with the door to staff office and that staff instigates incidents involving minors, therefore the allegations are substantiated. The facility is being cited for STRTP Interim Licensing Standards (ILS),Version 3.1, section 87072(d)(10) Personal Rights and 87072(d ) (11) Personal Rights, which poses a potential Health, Safety or Personal Rights risk to clients in care. A copy of this report, LIC811, 809D and appeal rights were explained and handed to Senida Zamora. Other allegation received that staff engage in verbal arguments with clients. Confidential interviews disclosed that most staff will argue with clients in the GH. Other confidential interviews revealed that staff are not rude to clients but try to help clients to do what is right. Interview with FM disclosed that she has not observed clients to be rude. On 08/24/21 this agency received allegation that staff took clothing away from C3. Confidential interviews disclosed that while C3 was on AWOL status, S1 packed up C3's personal belongings. Interview with S1 revealed that S1 followed GH protocol to pack up client's personal belongings when on AWOL status. Record review disclose that C3 refused to acknowledge the reason personal belongings were packed away, continued to argue with S1. Based on interviews and record review, the allegations that S1 did not seek medical attention for C3 , staff engage in verbal arguments with clients, and that staff took clothing away from C3 may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, LIC811 and Appeals Rights were provided and explained to Senida Zamora.

Investigation Findings:
13On December 16, 2021 2: PM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On 08/27/21 at 1: PM, LPA conducted a health and safety inspection of the STRTP and no immediate safety concerns were noted. Copies of STRTP staff roster, client roster, grievance dated 08/18/21 and legal communication logbook dated 08/14/21 were obtained. Interviews were conducted with client #1, #2, #3 (C1, C2, C3), STRTP facility manager (FM) and staff #1, #2 (S1, S2). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores 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: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/16/2021

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 disclosed that staff are putting clients on consequence for talking back to staff and for eating late at night. Other confidential interviews revealed that S1 threatened to call the police for the client's being in each other's rooms (room visiting). Interview with FM disclosed that clients were up late at night room visiting which is not allowed in the STRTP. Other confidential interviews revealed that clients were up late, being loud, keeping other clients awake at night. Interview with S1 denied threatening to call the police for room visiting but did call another staff to assist with the late-night problems with clients. Based on interviews the allegations that S1 engaged in a verbal altercation with clients and that staff are using inappropriate forms of punishment for minors, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. A safety inspection of the STRTP on 09/22/21 at 12: PM, no health or safety concerns were noted. Copies of STRTP staff roster, client roster and STRTP legal communication log dated 09/16/21 were obtained. Interviews were conducted with five of five clients (C1, C2, C3, C4, C5), two staff (S1, S2) and STRTP Facility Manager (FM). On September 16, 2021 this agency received allegations that S1 engaged in a verbal altercation with clients and that staff are using inappropriate forms of punishment for minors. Confidential interviews disclosed that S1 is rude and talks down to clients in the STRTP. Other confidential interviews revealed that S1 called C3 a "bitch." Interview with FM revealed that C1, C2, and C3 are verbally aggressive and behaviors have been erratic since in placement. Interview with S1 denied allegations of being verbally aggressive towards clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores 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: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/22/2021

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


raw_content:
Narrative:
Interview with FM disclosed that S1 called out for assistance, FM immediately intervened. Confidential interviews disclosed that staff allowed C2 to remain in the facility when hostile. Interview with FM revealed that she walked C2 from the GH to stabilize C2 before returning to the GH. LPA observation reviewed that FM safely intervened, S1 was sitting in the corner of the hallway. Based on interviews and LPA observation, the allegations that staff failed to protect a client in care resulting in injuries and staff making clients remain in a hostile environment may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On October 29,2021 a health and safety inspection was conducted and no immediate concerns were noted. Copies of Special Incident reports dated 10/22/21 was obtained. On 10/29/21, LPA Flores observed video footage from incident that occurred on 10/22/21. Interviews were conducted with Client #1, #2, #3 (C1, C2, C3), Staff #1 (S1) and STRTP Facility Manager (FM). On October 25, 2021 this agency received allegations that staff failed to protect a client in care resulting in injuries and staff is making clients remain in a hostile environment. Confidential interviews disclosed that C2 hit and injured C3 while in in the shower. Other confidential interviews revealed that C3 was not injured and that C2 hit C3 in the upper shoulder area. Interview with S1 revealed that she was sitting in the chair, however she attempted to intervene using positive redirection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores 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: NEW BEGINNINGS RESIDENTIAL TREATMENT FACILITIESFACILITY NUMBER: VISIT DATE: 12/22/2021

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