facility_name: COMMUNITY ACCESS NETWORK, STEPS 2

summary: Facility Evaluation

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

met_with: Executive Director, (D) Rafik Philobos


state: CA

facility_name: CORINTHIANS HELPING HAND GROUP HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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

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

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

report_type: Complaint Investigation

met_with: Desia Dunn, Administrator

complaint_status: unsubstantiated


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

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

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


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

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

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

met_with: Reginald Brown Jr. Facility Manager


summary: Complaint Investigation - Unsubstantiated

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

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

met_with: Reginald Brown Jr, Facility manager


raw_content:
Narrative:
Continue from page 1 . . . The staff denied the allegations and stated that the staff has not denied picking up the youth from school and picked up the youth from the school. The staff stated that the staff only asks the school personnel if the youth is alright and could go back to class but if not would pick the youth up. The staff stated that the youth would go to the school nurse and started to says things to go to the facility. The staff stated that the youth is given his medication as prescribed and the staff takes the youth to get medical attention when needed or noticed. The staff stated that the youth is encouraged to shower daily at night or in the morning when needed but the youth sometimes refuses to shower. The staff stated that the youth clothes are washed weekly by the staff and the youth always has clean things to wear but sometimes refuses to do it. The staff stated that the youth does not dry himself properly after showering sometimes and the staff redirects the youth to dry properly and put dry clothes, the staff stated that the youth sometimes urines on himself at night and does not gets up to change but is encouraged to shower and change in the morning by the staff. The staff stated that the youth has a few pairs of different types of shoes but sometimes wants to wear a certain pair of shoes. The staff stated that the youth gets new clothing and other items monthly or as needed. The confidential interviews revealed the staff would give the youth the medication to take or apply and the youth sometimes would not apply the medication on the area. The information indicated that the staff would give the medication cream to the youth and the youth would go to the restroom to apply it in private. The information indicated that the youth was taken to the doctor when needed. The statements indicated that the youth is able to shower daily but sometimes does not want to but is told by the staff to shower daily. The information indicated that the youth has several different types of shoes but the youth has a favorite pair of shoes that the youth wears. The information indicated that the youth has been picked up from the school by the staff all the time. The County Social Worker stated having no concerns with the care and supervision in the home. Based on the interviews and records reviewed, the allegations is found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On January 31, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Sonia Segovia-Hernandez-Childcare Worker II. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one youth, one staff and other adult on 09/26/23, LPA interviewed County Social Worker (CSW) via telephone on 01/11/24, LPA interviewed two staff via telephone on 01/17/24 and LPA interviewed one staff via telephone on 01/22/24 (see Confidential Names Form LIC 811 dated January 31, 2024). LPA also reviewed documents including but not limited to Client's Need and Service Plans, Special Incident Reports (SIR), medication logs and other documents. It was alleged Staff did not pick up youth from school when called, Staff did not ensure that youth is applying prescribed medication and Staff did not seek youth medical attention. It was also alleged Staff did not ensure that youth's hygiene needs are being met and Staff did not ensure that youth wears proper fitting shoes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/31/2024


raw_content:
Narrative:
On 1/29/24 the Department received a complaint alleging the facility is not properly addressing rodents in the facility. It was further alleged that there are rodents present through out the facility. Based on the information gathered during confidential interviews, relevant parties denied the allegation's indicating staff has placed traps through out the home, cleans the facility daily and has Orkin Pest Control come out and treat the facility monthly. Confidential interviews indicated the staff cleans the facility daily and clients have not observed any rodents in the home. Clients indicated they have no concerns with the facility. LPA reviewed the pest control company reports which indicated they came out to the home once a month since August 2023 and twice a month in January and February 2024. The reports indicated the technician inspected the interior and exterior for rodent activity. The facility has closed entry points for rodents in the garage, kitchen, living room, hallway closet and roof. No rodents were observed. LPA during the initial inspection of the facility observed traps through out the facility and did not observe any rodents in the facility. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On May 1, 2024, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility administrator Desia Dunn. During the investigation, LPA Cabral interviewed three facility staff (AD, S2, S3) and one client (C1) on 2/7/24. LPA interviewed one client (C2) and attempted to interview another client (C3) on 3/13/24. LPA interview three clients (C4, C5, C6) on 4/24/24 (see Confidential Names Form LIC 811 dated May 1, 2024). LPA reviewed pest control company's service reports on 4/26/24. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 05/01/2024

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


raw_content:
Narrative:
Continue from page 1 . . . . The staff denied the allegation and stated that the youth is encouraged to get up and go to school. The staff stated that the staff attempts several times in the morning to have the youth get up and get ready for school but the youth refuses. The staff stated that when the youth refuses to go to school a special incident report is written, send to the youth's social worker and other agencies while the youth is counsel. The staff stated that Emergency Placement Child and Family Team Meetings (CFTM) are held with the youth, social worker and staff to help the youth with issues with school and provide additional support. The confidential interviews revealed that the staff tries to get the youths in the GH to get up and go to school. The confidential interviews revealed that the staff attempts to get the youths up several times in the morning but youth sometimes refuse to go to school. The information revealed that the outings or electronics are taken away as a consequence for not going to school. The confidential interviews revealed that a special incident report is written when a youth misses school and that it goes to the social worker. The confidential interviews indicated that meeting are held with the staff, social worker and the youths to talk about the school issues. The County Social Worker (CSW) stated that there was no concerns with the care and supervision and that the GH constantly communicates with her about the youth behavioral issues. The CSW stated that the staff encourage the youth to go to school but the youth refuses and the youth knows that the staff can not make him go to school. Based on the interviews and records reviewed, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On June 04, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Reginald Brown Jr, Facility manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed two youths and one staff on 04/16/24, LPA interviewed two minors on 05/23/24 and LPA interviewed County Social Worker (CSW) and two staff via telephone on 05/24/24 (see Confidential Names Form LIC 811 dated June 04, 2024). LPA also reviewed documents including but not limited to Client's Need and Service Plans, Special Incident Reports (SIR) and other documents. It was alleged Facility staff did not ensure that youth is attending school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 06/04/2024


raw_content:
Narrative:
Information from staff revealed that the facility has a staff office that can be available to provide privacy to the client when talking about personal issues. The staff indicated that clients can be taken out to the back yard or walk if the clients want to talk about personal issues. The staff stated that staff have not heard the clients talking about private issues in open areas. The staff revealed that the staff is held over when staff call in until a replacement is found or the working staff have to stay and work the following shift. The staff indicated that they are instructed to call ahead of time to give management time to find staff and that the staff was made aware of the hold over policy when being hired. The staff revealed that there have been times when staff have to stay over and work an extra shift but has not been a lot of times. There were staff indicated that there is enough supervision to supervise the clients and other that more staff is needed. The staff stated that staff know that the Mental Health Resource Specialist (MHRS) is a dual position and can supervise the clients if needed. The confidential interviews revealed that there is a staff office where the clients can talk in private and that clients have not hear talk other clients about private things in private. The confidential interviews indicated that the staff have stayed over to work an extra shift but that is not a lot of times. The confidential interviews revealed that the MHRS works with the clients and is there supervising. The confidential revealed that the clients did not have any concerns with the care and supervision in the facility. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On October 17, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Desia Dunn, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one staff on 08/13/24, LPA interviewed three minors on 08/23/24, LPA interviewed two staff via telephone on 09/17/24, LPA interviewed one staff via telephone on 09/24/24, LPA interviewed one staff via telephone on 09/25/24, LPA interviewed one staff via telephone on 09/26/24 and LPA interviewed one staff via telephone on 10/0324 (see Confidential Names Form LIC 811 dated October 17, 2024). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, staff schedules, Special Incident Reports (SIR), Mandatory Holdover Policy, Staff Job Description, Team meeting agenda and other documents. It was alleged Staff do not provide resident with privacy and Facility does not employ adequate staffing to meet the needs of the residents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/17/2024


summary: Facility Evaluation

raw_content:
Narrative:
On May 20, 2026, at 9:18 a.m., Licensing Program Analyst (LPA), Christopher J. Williams made an unannounced visit to the above facility for the purpose of a case management inspection. LPA met with Reginald Brown Jr., STRTP's Facility Manager The purpose of the inspection is to follow up on an incident involving C1 that was reported to the Department on 5/15/2026, (see LIC811, Confidential Names List dated: 5/20/2026). The incident report indicated that C1 had been experiencing significant behavioral issues that resulted in an unauthorized absence (awol), theft, law enforcement involvement and previously reported suicidal statements expressing a desire to jump out of his bedroom window located on the second floor of the facility. The incident report further referenced that C1's bedroom window was "locked and bolted," which prompted concerns regarding potential emergency exit accessibility and compliance with applicable Title 22 regulations. LPA interviewed the Facility Administrator (FA) regarding the condition and operation of the bedroom window in question. The FA clarified that C1's bedroom window is not locked or bolted in a manner that prevents operation or emergency access. During the visit, LPA personally observed and verified that the bedroom window was operational and capable of opening. However, the window opening has been intentionally adjusted to limit the extent to which it can fully open. Per the FA, the opening limitation was implemented as a safety intervention due to C1's documented history of suicidal ideations, suicidal statements, and behaviors involving threats to jump from the bedroom window. The modification was implemented to reduce the likelihood of self-harm while still maintaining window operability. Continue on LIC809c. Continue... Additionally, the FA advised that all client bedrooms within the STRTP facility are located on the second floor and that bedroom windows are not designated emergency evacuation exits within the facility's approved emergency evacuation procedures. The FA provided LPA with the facility's Emergency Evacuation Plan and facility sketch identifying all designated emergency exits and approved evacuation routes utilized during emergencies. LPA observed the Emergency Evacuation Plan posted throughout the facility, including within client bedrooms. Based on observations made during the visit, interview conducted, and documentation reviewed, LPA determined that C1's bedroom window is not locked or bolted in a manner that prevents operation. Furthermore, the bedroom window is not identified or utilized as a designated emergency exit point within the facility's evacuation procedures due to the second-floor location of the client's bedrooms. At this time, no violations of California Code of Regulations, Title 22, were identified nor cited. No further follow-up is needed.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Reginald Brown Jr., Facility Manager


facility_name: CORINTHIANS HELPING HAND GROUP HOME II

raw_content:
Narrative:
Staff denied being made aware by any client of the allegation. The facility became aware of the allegation after a county placement agency staff informed the facility. Staff provide supervision as needed to meet the needs of clients in placement. Other minors in care further supported the information obtained. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On September 25, 2024 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation received by the Department on June 25, 2024. This LPA conducted the investigation and it consisted of confidential interviews with the Administrator and four clients on 6/27/24 and one additional staff on 7/2/24. Records were reviewed on 7/1/24, 7/3/24 and 8/9/24. These include, but were not limited to, one incident report and client needs and services plan. There was no county placement agency finding found. It was alleged that staff did not prevent a client from touching a younger client in an inappropriate sexual manner while in care. Confidential interviews reveal the alleged victim/client denied the allegation. Client expressed frustration after being removed from a previous placement but denied making any accusation against the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 09/25/2024

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

met_with: John Morris, Mental Health Resource Specialist


raw_content:
Narrative:
Pathology and diagnostic radiology results did not reveal any cardiac issues, infections, fractures or a collapsed lung; result was noted as clear lungs. Client was advised to take over the counter medication for any pain, with a recommendation to stay hydrated. Confidential interviews reveal that an incident resulting in an emergency room visit may have been due to stress and anxiety the client was experiencing at the time. Client communicated to staff his symptoms and needs, and staff took immediate action by seeking medical care for client. Client met with and processed the incident with mental health staff after being discharged from the hospital. There was no evidence found to support what was alleged. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On September 25, 2024 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation received by the Department on July 1, 2024. This LPA conducted the investigation and it consisted of confidential interviews with the Head of Service on 7/2/24 and identified client on 9/13/24. Records were obtained and reviewed on 7/2/24 which include, but were not limited to, the incident report and addendum, medical reports and client needs and services plan. There was no county placement agency finding found. It was alleged that minor sustained an unexplained internal injury and staff did not ensure that the minor was hydrated. Records show that client was not diagnosed with an unexplained internal injury and dehydration. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 09/25/2024

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


raw_content:
Narrative:
On November 04, 2024, the Department received a complaint alleging that the STRTP did not prevent a physical altercation between clients, allowing a verbal argument to escalate. It was further alleged that a client sustained injuries during the altercation and that the STRTP did not provide medical care for an injured client. Furthermore, It is alleged that facility staff allow clients to smoke marijuana in the home. LPA's investigation revealed that on November 1, 2024, there was an argument between clients C1 and C2 of the STRTP. C1 and C2 were engaged in a verbal argument in the living room downstairs, with S4 attempting to de-escalate. C1 had a home-made weapon, C2 picked up a chair to shield himself. C3 and C4 were upstairs outside their bedrooms, C3 tossed a desk fan towards C1. Law enforcement was called. A second flare-up between same participants occurred the following day, again staff de-escalated and averted physical altercations between C1 and C2. Staff denied that they allowed a physical altercation between clients, stating they were present and were de-escalating both clients verbally, and that a physical altercation was averted by S4 by walking C1 away from the danger zone and confiscating the weapon. Staff denied client was not provided medical attention. Staff disclosed that contraband is not allowed in the facility and that they confiscate the items when discovered during room searches. Staff stated that when they see a client smoking, they ask them to stop, remind them of the facility policy, and ask them to hand over the contraband. Confidential interviews returned statements that did not corroborate the allegations, stating that staff was present and verbally de-escalating before calling law enforcement, that they provided medical aid, and denying that staff allow clients to smoke marijuana in the home. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Desia Dunn, Administrator. Appeal rights explained and provided.

Investigation Findings:
13On March 21, 2025, at 8:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted a follow-up complaint investigation at Corinthians Helping Hand Group Home II, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegations. LPA met with Desia Dunn, Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 03/21/2025

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


raw_content:
Narrative:
Additional confidential interviews with C1 and C2 revealed that both clients did like living at the facility and felt safe. Further that when clients get into altercations, staff are there to break clients up and provide adequate supervision. C2 states clients do not take Uber home and that clients have the opportunity to walk home or the staff come pick them up. LPA Palmer was unable to continue the interview with C1; as C1 no longer wanted to communicate. Confidential interviews with the complainant revealed that when students are disciplined at school, they are supposed to be picked up by a parent or guardian; but there were several times that the kids were taken home by an Uber, which was concerning because the client may have behaviors while in the Uber; further that they would be unsupervised. . There is not enough evidence to prove that there is a lack of supervision and that students are being transported inappropriately; as the information provided during the investigation is conflicting. Based on information obtained by LPA Palmer, there is not a preponderance of evidence to support the allegation therefore, the allegation is unsubstantiated. No deficiency cited. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099 and LIC 9099-C..

Investigation Findings:
13On May 20, 2025 at 3:30pm, Licensing Program Analyst (LPA), Carrie Palmer conducted a follow-up complaint inspection with the above named facility and spoke to the Facility Manager. The purpose of the visit is to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Palmer reviewed facility records and conducted investigative interviews with S1, S2, C1 and C2 on 1/23/25. LPA Palmer interviewed the complainant on 5/20/25. During the investigation, S1 and S2 state the facility is always staffed based on the compliance ratios and denies their lack of care and supervision and that the facility was built based on safety, supervision and security. S1 and S2 also state that clients do not take Uber and there are two vehicles for staff to drive to transport clients and that staff are always available to pick up the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Carrie Palmer LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CORINTHIANS HELPING HAND GROUP HOME IIFACILITY NUMBER: VISIT DATE: 05/20/2025

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

met_with: Reginald Brown Jr., Facility Manager 2


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Nicolette David conducted an unannounced visit to the above facility on 6/10/2021 at 11: AM for the purpose of conducting an required annual inspection. LPA met with Residence Administrator Desia Dunn. LPA along with the facility staff conducted a tour of the facility inside and outside. There are 0 clients currently residing in the home. The following was observed during the inspection: The facility is a 2- story residence located in a residential neighborhood. It consists of 3 bedrooms and 21/2 bathrooms that were clean and in good repair, living room, dining room, kitchen, TV room, and staff office. The following sleeping arrangements were noted: The Facility has no placement's at the time of the inspection Bedroom # 1 sleeps two with two queen size beds, three dressers and closet Bedroom # 2 sleeps two with two twin beds, two dressers and closet Bedroom # 3 sleeps two with two win beds, two dressers and closet. All beds are clean and in good repair. Bedding and sheets were sufficient. There is adequate supply of nonperishable foods . There is 2 refrigerators being used and two freezers and a laundry room. The kitchen utensils, glasses and dishes were found to be in good condition. Medications are stored and locked in a cabinet in a locked box in the staff office The medication logs are kept updated and the dispensing records had no discrepancies. All hazardous items have been properly made inaccessible to areas where clients will have access, Cleansers/ chemicals are locked and stored in the laundry room. Sharp knives are inaccessible and stored in a locked cabinet in the staff office. The first aid kit is located in the staff office and contained all required supplies. The facility's smoke detectors in the bedrooms and hallway' was checked and operable. The carbon monoxide detector located in the upstairs hallway and family room area were operable. There are no guns or weapons in the facility as stated by the facility staff. The facility license, emergency disaster plan, activity calendar, ombudsman complaint procedure and personal rights were observed to be posted on the wall. The facility outside grounds was observed to be clean and well maintained. Emergency exits were free from obstruction. There were no swimming pool located on the premises of the facility. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Interviews: LPA interviewed 0 staff. There are currently 0 clients. File Review: A review of 0 client flies and 2 staff files was conducted. Staff files contained criminal record clearances or exemptions and child abuse index check, job descriptions (except for the Administrator's file), required training and work evaluations. All documents were complete and signed by employee. All staff requiring training, including Mandated Reporter, Emergency Intervention, initial and annual training, was current. All adult individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemption. In accordance with California Code of Regulation, Title 22, Division 6. No deficiencies was cited and a exit interview was conducted. A copy of the LIC 809, 809C, was provided to the facility representative.

visit_type: Annual

met_with: Administrator Desia Dunn


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Claudia Portillo Corinthians Helping Hand Short Term Residential Therapeutic Program (STRTP) on 9/3//21 at 10: AM. During the inspection, LPA Portillo met with Desia Dunn, Administrator. The facility is temporarily closed due to personal reasons. Therefore, there are no staff and clients at the facility. LPA Portillo conducted a tour of the facility at 10: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. A review of the program statement was conducted at 10: AM. LPA Portillo reviewed one (1) staff files on site and interviewed the Administrator. The Administrator has received training on psychotropic medications as specified in Section 16501.4(d) of the Welfare and Institutions Code (WIC). A copy of this report, and LIC811 was provided to the STRTP representative upon completion. No deficiency was found. LPA conducted exit interview with STRTP representative.


summary: Facility Evaluation

raw_content:
Narrative:
On November 20, 2023, at 12:00 p.m., Licensing Program Analyst (LPA) John Bonilla arrived at Corinthians Helping Hand Group Home, a Short-Term Residential Therapeutic Program (STRTP) for the purpose of conducting an unannounced Case Management inspection regarding a Special Incident Report (SIR) received by the Department on October 18, 2023. LPA met with Reginald Brown Jr., Facility Manager. On October 18, 2023, the Department received an SIR stating that a facility client (C1) (see Confidential Names list dated 11/20/23) had gone on an unauthorized absence (Absent Without Leave - AWOL) on October 13, 2023 and returned the same day. During today's inspection, LPA discussed and reviewed the special incident report (SIR) that was reported late to the department with Desia Dunn, STRTP Administrator, over the telephone. The incident was documented, but not submitted to the Department within the required time frame. The STRTP was issued an Advisory Note - Technical Violation for Interim Licensing Standards, Article 6, Section 87061(j)(1) Reporting Requirements. See LIC9102TV. A signed copy of this report, LIC811 (Confidential Names list dated 11/20/23), and LIC9102TV was provided to Reginald Brown Jr. Exit interview conducted. Appeal rights were given and explained.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Pamela Silva on 01/25/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Desia Dunn, Administrator and inspected the facility inside and out. LPAs reviewed one (1) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of children's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed 0 of child currently prescribed psychotropic medication. Child was unavailable and LPAs will conduct interview at a later date. LPAs provided a copy of this licensing report to Administrator, Desia Dunn. No deficiencies are being cited at this time. LPAs conducted exit interview with Administrator, Desia Dunn.

met_with: Desia Dunn


facility_name: COURAGE TO CHANGE

raw_content:
Investigation Findings:
13On January 11, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted a follow up complaint inspection at Courage to Change Short-Term Residential Therapeutic Program and met with Aaron Bustos; the purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted interviews as well as conducted a review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report was with Aaron Bustos. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Aaron Bustos


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On May 13, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted a complaint inspection at Courage to Change and met with Joseph Lovett, Assistant Program. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff, client, and other parties; as well as reviewed documents that revealed that Courage to Change did not attempt to preserve placement prior to termination. In addition, information gathered verifies that Courage to Change did not follow appropriate procedures to try to mitigate permanent removal from the facility following temporary removal by law enforcement. Based on LPA's observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations is being cited on this date for section 87068.4(c). An exit interview was conducted, and a copy of the report and appeal rights were provided to Joseph Lovett. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Joseph Lovett

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Lidia Tinoco and Reyna Martinez conducted an unannounced visit to the Courage to Change STRTP in Exeter in order to deliver the findings of the above allegations and met with Administrator Susan Gambini. On 12/30/21 the above allegation was referred to Community Care Licensing for investigation. The investigation conducted by C.S Charles Kinney included an inspection of the facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Susan Gambini


raw_content:
Investigation Findings:
13On November 10, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini and Program Director Gary Bonds. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Susan Gambini & Gary Bonds


raw_content:
Investigation Findings:
13On December 16, 2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained and conflicting interviews, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provided to Susan Gambini at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/15/2022 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:COURAGE TO CHANGEFACILITY NUMBER: ADMINISTRATOR:GAMBINI, SUSANFACILITY TYPE: ADDRESS: ANDERSON ROADTELEPHONE: (559) 594- CITY:EXETERSTATE: CAZIP CODE: CAPACITY:16CENSUS: 9DATE: 12/16/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Susan GambiniTIME COMPLETED:01: PM 9Staff discarded incident reports involving minors while in care. INVESTIGATION FINDINGS: 13On 12/16/2022, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Administrator Susan Gambini. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA conducted confidential interviews as well as obtained relevant documents. Confidential interviews and documents revealed that staff discarded incident reports involving a minor while in care without authorization from management. As a result, the facility is in violation of The California Code of Regulations, section 80070(c)(1). Based on LPA's observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on this date for Division 6, Chapter 1, Section 80070(c)(1). See attached LIC 9099-D. An exit interview was conducted, a copy of this report and appeal rights were provided to Susan Gambini at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700


raw_content:
Investigation Findings:
13On November 22, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Olivia Medrano conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Gary Bonds


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On April 16, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPAs conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(1). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Gary Bond at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Gary Bonds and Alex Gonzales


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Investigation Findings:
13On June 19, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentations. The Department has investigated the above complaint allegation and based on information obtained, the above allegation could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted, copy of this report and appeal rights were provide to Gary Bonds at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/17/2025 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:COURAGE TO CHANGEFACILITY NUMBER: ADMINISTRATOR:GAMBINI, SUSANFACILITY TYPE: ADDRESS: ANDERSON ROADTELEPHONE: (559) 594- CITY:EXETERSTATE: CAZIP CODE: CAPACITY:16CENSUS: 12DATE: 06/19/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Alex GonzalesTIME COMPLETED:11: AM 9Staff inappropriately searched a minor while in care. INVESTIGATION FINDINGS: 13On June 19, 2025, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Courage to Change in Exeter, CA and met with Program Director Gary Bonds and Lead Intake Coordinator/Case Manager Alex Gonzales. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPAs conducted confidential interviews and file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(1). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Gary Bond at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: COURAGE TO CHANGEFACILITY NUMBER: 547200700

met_with: Alex Gonzales


facility_name: CREEKSIDE STRTP

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more. Confidential interviews stated FC1 has never gone a long period of time without eating or drinking. Confidential interviews stated staff provides breakfast, lunch, dinner and snack. Confidential interviews stated C1 has access to unlimited food and drinks. Confidential interviews stated C1 went to the doctor due to concerns regarding C1's eating habits. LPA received conflicting information regarding the allegations. Based on confidential interviews, although the allegations stated that staff did not ensure that C1 is eating meals and staff did not ensure that C1 is drinking fluids while in care may have occurred, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to facility representative.

Investigation Findings:
13On April 7, 2022, at 12: PM Licensing Program Analyst (LPA) Shanae Pharaoh conducted and unannounced inspection to Creekside Short Term Residential Treatment Program (STRTP) and met with Program Supervisor, Yonique Bonner to deliver the findings for the allegations stated above. During the investigation, LPA interviewed two of five clients and one staff. On 3/16/2022, a safety inspection was conducted and there were no hazards or deficiencies observed. In addition, client records were reviewed on 4/4/2022. On March 7, 2022, Community Care Licensing (CCL) received allegations alleging staff did not ensure that minor is eating meals and staff did not ensure that minor is drinking fluids. It was specifically alleged that client #1 (C1) was dehydrated and had not eaten for two weeks. Confidential interviews stated C1 had a history of not eating enough food and vomiting. A confidential interview stated staff did not observe C1 not eating for two weeks, but staff did notice C1's lack of energy and explained that C1 needed to eat UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Shanae K Pharaoh 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: CREEKSIDE STRTPFACILITY NUMBER: VISIT DATE: 04/07/2022

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

met_with: Program Supervisor, Yonique Bonner


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evidence of an approval for C1 to get tongue pierced. Confidential interviews reported C1 returned to the facility and showed Licensee C1's tongue. Licensee reported S5 was written up for this incident and other issues in preforming S5's position. Record review revealed S5 was written up on December 25, 2021 and placed as "on call" position with facility. Based on confidential interviews and record review the allegation staff member (Staff #5 [S5]) arranged for minor (Child #1 [C1]) to have their tongue pierced is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 87065.2(b)(8) Personal Duties (b)Direct care staff shall perform the following duties: (8) Any other duties that may be necessary to ensure the health and safety of children in the facility. A copy of the report was discussed and provided along with appeal rights to Creekside Short Term Residential Therapeutic Program (STRTP) Administrator,Daryl Monteilh. Based on record review and confidential interviews the allegations staff member (Staff #2 [S2]) is buying marijuana for minors in care, Staff member (S2) is buying inappropriate items for minors (Child #1 [C1] and Child #2 [C2]) in care, Staff member (S2) allows minors (C1 and C2) to have inappropriate sleeping arrangements, Staff (S2) allows minors (C1 and C2) to sleep at other locations, Staff member (licensee) made inappropriate comment to minors (unknown) and staff member (licensee) dropped minors (unknown) off at undisclosed locations may or may not have occurred, however they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Creekside Short Term Residential Therapeutic Program (STRTP) Administrator, Daryl Monteilh. Two additional allegations were received by CCL alleging Staff member (Staff #2 [S2]) is buying inappropriate items for minors (Child #1 [C1] and Child #2 [C2]) in care and Staff member (S2) allows minors (C1 and C2) to have inappropriate sleeping arrangements. Specifically, it was reported S2 bought C1 and C2 a tent and allowed C1 and C2 to use the tent to sleep with unknown individuals. Confidential interviews provided conflicting statements as to how C1 obtained the tent. Confidential interviews reported C1 returned from a family visit with a tent while other confidential interviews reported not knowing how C1 obtained the tent. Confidential interviews also provided conflicting statements of how and when C1 and C2 utilized the tent. Confidential interviews and record review reported C1 and C2 left the facility with the tent to meet with unknown individuals. Record review was unable to confirm or dispute confidential statements of C1 and C2 being AWOL at the time the tent was being used. CCL received an additional allegation alleging Staff (Staff #2 [S2]) allows minors (Child #1 [C1] and Child #2 [C2]) to sleep at other locations. Specifically it was reported C1 and C2 were at a motel with unknown individuals. Confidential interviews provided conflicting reports as to C1 and C2 being AWOL from the facility at the time they were at the motel. Record review of the facility's communication log notes that C1 and C2 returned to the facility on January 25, 2022 stating that their friends had gotten a room and they were leaving. Record review revealed staff reported they discussed leaving the facility with C1 and C2 however, facility records were unable to confirm C1 and C2 were considered AWOL at the time of their motel stay. Two additional allegations were made to CCL, alleging Staff member (licensee) made inappropriate comment to minors (unknown) and staff member (licensee) dropped minors (unknown) off at undisclosed locations. Specifically it was reported when licensee would become angry with the resident's licensee would tell residents to pack up their belongings. It was also reported licensee would take residents (unknown) and drop them off somewhere (unknown). Confidential interviews provided conflicting reports of licensee getting angry and telling residents to pack their stuff. Confidential interviews reported licensee uses a loud stern voice when speaking to residents which may seem threatening and/or inappropriate to some individuals. Confidential interviews reported the only transportation that is done by the facility is to drop off residents for approved family visits or court order appointments. Confidential interviews reported it is possible that licensee made the statement to pack a resident's stuff when licensee was preparing to take a resident for an approved visit or appointment. Other confidential interviews could not confirm or dispute that they had ever heard or seen licensee tell residents to pack their stuff and/or drop residents off at undisclosed locations. ******

Investigation Findings:
13On July 20, 2022 at 9:54 am Licensing Program Analyst (LPA), Nicole Strickland, met with Creekside Short Term Residential Therapeutic Program (STRTP) Administrator, Daryl Monteilh to deliver the finding for the above stated allegation. The investigation was conducted by Special Investigator (SI) Georgina Tallagua and LPA Strickland and included interviews with six foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], Child #5 [C5], and Child #6 [C6]) five staff members (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], and Staff #5 [S5]), four County Social Workers (CSW1, CSW2, CSW3, and CSW4) and licensee. In addition, county records and facility records were reviewed. On January 27, 2022, Community Care Licensing received an allegation alleging staff member (Staff #5 [S5]) arranged for minor (Child #1 [C1]) to have their tongue pierced. Confidential interviews reported Staff #5 (S5) took Child #1 (C1) to get C1's tongue pierced. Confidential interviews reported C1 had told S5 it was approved and therefore S5 arranged for C1 to have it done. Record review was unable to provide SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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: CREEKSIDE STRTPFACILITY NUMBER: 367900029

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

met_with: Daryl Monteilh


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and C6 began verbally threating to "jump" C5, resulting in C5 barricading self in C5's room by placing a dresser against the door. Confidential interviews reported staff attempted to de-escalate C2 and C6. Confidential interviews reported C2 and C6 continued to threaten C5 and attempted to push their way into C5's room causing the dresser to fall alerting staff to C2 and C6's continued attempts to assault C5. Confidential interviews reported when staff, C2 and C6 entered C5's room they found the window open leading all to believe C5 had AWOL'd. Confidential interviews reported C5 was heard later screaming from the shed/barn located on the property where C5 had been hiding. Confidential interviews and record review revealed C2 and C6 had located C5 in the facility's shed/barn and began to kick, punch, and bang C5's head on a propane tank. Confidential interviews reported 9-1-1 was called and C5 was transported to the hospital where C5 was treated for lacerations to the head, abrasions, contusion, bloody nose and rug burns. Record review revealed C2 and C6 were arrested for violation of Penal Code 243(D) - Battery with Serious Bodily Injury-Hands; Fist: Feet. Based on confidential interviews and record review the allegation of resident (Child #5 [C5]) was assaulted by other residents (Child #2 [C2] and Child #6 [C6]) resulting in injuries is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 87072(c) Personal Rights (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9 as applicable. In addition, the licensee shall ensure that each child is accorded the following personal rights. The facilities violation of ILS 87072(c) which resulted in injury to C5 requires the facility to be assessed an immediate civil penalty per Health and Safety Code 1548(c)(1). An Enhanced Civil Penalty (ECP) determination is pending. If an ECP is assessed a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of the report was discussed and provided along with Civil Penalty assessment and appeal rights to Creekside Short Term Residential Therapeutic Program (STRTP) Administrator,Daryl Monteilh. Confidential interviews were unable to confirm or dispute licensee's loud, stern tone when speaking to residents is used in a threatening manner. Confidential interviews were unable to confirm, or dispute licensee was speaking to C5 in a threatening manner when licensee told C5 "you're going to be okay." Based on record review and confidential interviews the allegation of staff (unknown) spoke to resident in an inappropriate way, may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Creekside Short Term Residential Therapeutic Program (STRTP) Administrator, Daryl Monteilh

Investigation Findings:
13On July 20, 2022 at 11:50 am Licensing Program Analyst (LPA), Nicole Strickland, met with Creekside Short Term Residential Therapeutic Program (STRTP) Administrator, Daryl Monteilh to deliver the finding for the above stated allegation. The investigation was conducted by Special Investigator (SI) Georgina Tallagua and LPA Strickland and included interviews with six foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], Child #5 [C5], and Child #6 [C6]) five staff members (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], and Staff #5 [S5]), four County Social Workers (CSW1, CSW2, CSW3, and CSW4) and licensee. In addition, county records and facility records were reviewed. On February 2 2022, Community Care Licensing (CCL) received an allegation alleging resident (Child #5 [C5]) was assaulted by other residents (Child #2 [C2] and Child #6 [C6]) resulting in injuries. Specifically, it was reported on January 31, 2022, C5 was found unconscious after being assaulted by C2 and C6 in a shed on the grounds of the facility. Confidential interviews and record review revealed on 1/31/ C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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: CREEKSIDE STRTPFACILITY NUMBER: VISIT DATE: 07/20/2022

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


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On July 20, 2022, at 10: AM, LPA Enriquez and LPA Strickland initiated the investigation at the STRTP and obtained documents from the files and conducted a safety inspection. There were no immediate hazards observed. LPA was unable to contact the County Social Worker. On August 04, 2022, LPA Enriquez conducted collateral interviews at the STRTP. LPA interviewed S1 and S2. On December 15, 2022, LPA conducted a collateral interview with FC1, FC2, FC3, FC4 and FC5. Regarding the allegation that facility staff made minor attend school when ill, it was specifically alleged that FC1 was sent to school sick on 07/15/22. Confidential interview stated that staff denied sending any child to school when sick. It was added that if staff is notified that a child is feeling sick and there are symptoms, they have them take a COVID-19 test. Staff added that they will ask child if they want to go to urgent care. Additionally, confidential interview denied that foster children are forced to go to school. It was added that staff let foster children stay home if the tell them they fell sick and will ask children if they want to go to urgent care. Other confidential interview didn't witness staff sending any minor to school when illness was disclosed. Based on confidential interviews, the allegation that facility staff made FC1 attend school when ill, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to facility representative.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Creekside Short Term Therapeutic Program (STRTP) and met with CEO- Darryl Monteilh to discuss the finding for the allegation stated above involving the STRTP staff and foster children (FC1, FC2, FC3, FC4 and FC5) as listed on the Confidential Names List (LIC 811) dated December 21, 2022. On July 18, 2022, Community Care Licensing (CCL) received a complaint alleging facility staff made minor attend school when ill. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CREEKSIDE STRTPFACILITY NUMBER: VISIT DATE: 12/21/2022

met_with: CEO- Darryl Monteilh


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On August 04, 2022, LPA Enriquez interviewed S1 and S2. On December 15, 2022, LPA conducted a collateral interview for FC1, FC2, FC3, FC4 and FC5. Regarding the allegation that staff were not providing a safe environment for children, it was specifically alleged that FC6 was threatening children and staff. Confidential interview stated that staff denied that the home is an unsafe living environment. Confidential interviews indicated that there was always a staff member with the children and that they were always asking the children how the foster children were feeling or what is going on with the foster children. It was added that if a child starts to get hostile staff intervene immediately and begin to redirect them. Confidential interviews stated that staff document every time a foster child tells them they feel unsafe and that they gave a daily check in where staff ask the foster children how they are doing. Additionally, other confidential interviews denied that staff were not providing a safe environment in the home. It was added that if someone is acting up the foster children tell staff and staff would try to resolve the matter immediately. Based on confidential interviews, the allegations that staff are not providing a safe environment for foster children, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to facility representative.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Creekside Short Term Therapeutic Program (STRTP) and met with CEO- Darryl Monteilh to discuss the findings for the allegation stated above involving the STRTP staff and foster children (FC1, FC2, FC3, FC4 and FC5) as listed on the Confidential Names List (LIC 811) dated December 21, 2022. On July 28, 2022, Community Care Licensing (CCL) received a complaint alleging that staff are not providing a safe environment for children. On August 04, 2022, at 12: PM, LPA Enriquez initiated the investigation at the STRTP and obtained documents from the files and conducted a safety inspection. There were no immediate hazards observed. LPA was unable to contact the County Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: CREEKSIDE STRTPFACILITY NUMBER: VISIT DATE: 12/21/2022

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