raw_content:
Narrative:
Interview with ADM denied allegation that S2 would talk with staff or clients about others. Confidential interviews disclosed that STRTP staff have been heard talking with other staff about client's behaviors. Interview with S1, S3 denied allegation of talking about clients to other clients. Other confidential interviews revealed that S3 has been heard telling different clients their behavior is crazy. Based on confidential interviews the allegations that the STRTP Therapist (S2) was talking about Client #1 (C1) to other clients and that the STRTP staff are talking about client's behaviors to others may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report, LIC811 and Appeals Rights were provided and explained to Senida Zamora.

Investigation Findings:
13On December 15, 2021 at 1: PM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential Treatment Raja (STRTP) Administrator, Senida Zamora at the New Beginnings Residential Treatment Facilityi n regard to the above allegations. On August 12, 2021 at 1: PM, LPA conducted a safety inspection of the facility and no immediate hazards were noted. Copies of STRTP client roster and STRTP staff roster were obtained. LPA conducted interviews with Client #1, #2, #3 (C1, C2, C3), STRTP Administrator (ADM) and staff #1, #3 (S1, S3). On August 6, 2021 this agency received allegations that the STRTP Therapist (S2) was talking about Client #1 (C1) to other clients and that the STRTP staff are talking about client's behaviors to others. Confidential interviews disclosed that C1 was told by other clients that S2 was talking to others about their personal life, saying things such as, "pimp daddy." Other confidential interviews revealed that S2 has never talked to others about C1 or any other clients in the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/16/2021

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


state: CA

facility_name: NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.- RAJA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews disclosed that clients get out of school at 3: PM and staff did not arrive until 4: PM for pick up. Other confidential interview disclosed that one client needed pick up from work at 10: PM, but due to staff leaving early, client had to wait for the STRTP, Administrator to get out of church for pick up. Interviews with staff and ADM denied clients being picked up late. Confidential interviews disclosed that staff are normally on time or earlier than when school gets out to pick up the clients. Confidential interviews disclosed that C1 wanted to attend distance learning for school. Other confidential interviews disclosed that distance learning was offered during COVID but now all clients attend school. Interview with ADM revealed that distance learning is offered if it is part of the clients' needs and service plan. Based on confidential interviews and documents reviewed the allegations that staff eat resident's food, staff do not pick residents up from school/work in a timely manner and that staff does not allow resident to participate in distance learning, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview is conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22, 2021 at 09:07AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Residential RAJA (STRTP) Administrator, Senida Zamora to deliver the findings of the above allegations. On September 22, 2021 at 1: PM, LPA conducted a safety inspection of the facility and no immediate safety hazards were observed. Copies of STRTP menu, school pickups/drops off, client roster, staff roster and photos of STRTP food were obtained. Interviews were conducted with clients #1, #2, #3, #4, #5 (C1, C2, C3, C4, C5), one staff (S1) and STRTP Administrator (ADM). On September 21, 2021 this agency received allegations that staff eat resident's food, staff do not pick residents up from school/work in a timely manner and that staff does not allow resident to participate in distance learning. Confidential interviews disclosed that staff are eating the resident's food and serve themselves food prior to feeding the clients meals. Other confidential interviews disclosed the staff will eat the client's personal snacks. Interview with staff deny eating clients personal snacks. Interview with ADM revealed the staff do eat the meals/snacks the STRTP provide for the facility. Confidential interviews disclosed that the staff do eat the snacks the STRTP buy but deny seeing the staff eat the clients' snacks. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/22/2021

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

report_type: Complaint Investigation

met_with: Sednida Zamora

complaint_status: unsubstantiated


raw_content:
Narrative:
Interview with S1 indicated that C1 gave instructions to feed B1 every three hours four to six ounces. S1 said that B1 ate 2 ½ ounces each time and did not seem to want anymore. Confidential record review disclosed that S1 attempted to feed B1 six ounces at 10: AM, 11: AM and at 12: PM. Based on interviews and record review the allegation that S1 did not feed B1 as needed may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were given and explained to facility representative.

Investigation Findings:
13On December 22 , 2021 at 09: AM, Licensing Program Analyst (LPA) Anastasia Flores met with New Beginnings Raja (STRTP) Administrator, Senida Zamora, to deliver the findings on the above allegation. On 11/19/21 at 4: PM, LPA Flores attempted to conduct a safety inspection of the facility, the facility was closed. LPA obtained copies of client placement records, STRTP client roster, staff roster and feeding schedule for B1 dated 11/08/21 (RAJA STRTP), 11/16/21 through 11/19/21 (New Beginnings Residential STRTP). Interviews were conducted with four of four clients, (C1,C2, C3, C4), STRTP staff (S1, S2, S4). LPA's attempts to interview Staff #3 was unsuccessful. On November 12, 2021, this agency received an allegation that S1 did not feed C1's infant (B1) as needed. Confidential interviews disclosed that S1 fed B1 two ounces or less and that S1 allowed B1 to cry. Other confidential interviews revealed that S3 and S4 were going to feed B1, but S1 told them not to feed the baby, B1 was fine. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Senida Zamora


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent and did not provide any specific details regarding any lack of supervision by staff. Based on interviews and record reviews the allegations that staff did not adequately supervise C1 and C2, and the facility did not provide a safe environment for C3, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview conducted, appeal rights explained, and a copy of this report was provided to Senida Zamora.

Investigation Findings:
13On March 4, 2022 at 9:00am , Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Senida Zamora. LPA Anatasia Flores conducted a tele- inspection of the facility on June 04, 2021 at 10:40 am and no immediate deficiencies were observed. Five of five clients (C1, C2, C3, C4, C5), four staff, county social worker and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not adequately supervise C1 and C2, and the facility did not provide a safe environment for C3. Confidential staff interviews reported that C1 and C2 had engaged in inappropriate behaviors by "flirting" with each other and making inappropriate comments to each other. Confidential interviews reported that that behavior made C3 and other clients feel uncomfortable. Confidential staff interviews reported that when staff became aware of the behaviors between C1 and C2, C1 was separated from C2 and C2 was removed from this placement the following day. C1 was only in this placement for three days and neither of the clients had any history of inappropriate behaviors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz 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 Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 03/04/2022

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
confirmed S4 did not conduct room checks between 1530 hours and 1630 hours at which time C1 was found unconscious. When S4 was interviewed by SI, S4 admitted she had not conducted the room checks. Confidential interviews and medical records note overdose as cause of C1 being found unconscious. Confidential interviews and record review reported after C1 was observed to be unconscious S4 called S2 who was not at the facility at the time of the incident for assistance. Confidential interviews and record review further confirmed S2 arrived at the facility and began cardiopulmonary resuscitation (CPR) as well as instructed S4 to call 9-1-1. Confidential interviews reported S4 did not attempt or assist with any CPR or any life-saving measures until directed by S2 to call 9-1-1. Based on confidential interviews and record review the allegations alleging due to a lack of care and supervision minor (Child #1 [C1]) overdosed while in care and Minor (C1) did not receive medical treatment in a timely manner are substantiated. The complaint allegations are valid because the preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards(ILS) v.4 standard 87078(a) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION (a) In addition to California Code of Regulations, Title 22, Section 80078, the following shall apply, and ILS v.4 standard 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. The facilities violation of ILS v.4 standard PERSONAL RIGHTS (c) which resulted in C1 not receiving prompt medical assistance when C1 overdosed 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 New Beginnings Residential Treatment Facility - Raja Program Director, Michelle Hicks.

Investigation Findings:
13On November 9, 2023 at 12:54 pm Licensing Program Analyst (LPA), Nicole Strickland, met with New Beginnings Residential Treatment Facilities - Raja Program Director, Michelle Hicks to deliver the findings for the above stated allegations. The investigation was conducted by Special Investigator (SI) Philippe Miles and included interviews with six staff (Staff #1-#6) and two former residents (Child #2 [C2] and Child #3[C3]). In addition, county records, facility records, and medical records were reviewed. On May 22, 2023, Community Care Licensing (CCL) received two allegations alleging due to a lack of care and supervision minor (Child #1 [C1]) overdosed while in care and Minor (C1) did not receive medical treatment in a timely manner. Specifically, it was reported on 5/21/2023, at around 1630 hours C1 was found unconscious, it is unknown how long C1 had been unconscious. Records review revealed Staff #4 (S4) did not provide the care and supervision of Child #1 (C1) necessary to meet C1's needs, when S4 did not conduct room checks on 5/21/2023. Confidential interviews, and video footage obtained by CCL's SI 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 Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.- RAJAFACILITY NUMBER: VISIT DATE: 11/09/2023

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

met_with: Michelle Hicks

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2021 at 9: AM, Licensing Program Analysts (LPA) Anastasia Flores, arrived at New Beginnings Residential RAJA Facility (STRTP). LPA was greeted and granted access by direct care staff, Julie Chester. The purpose of the visit is to conduct an annual inspection of the facility. There was one staff, one administrator and five clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. At 9: AM, Administrator, Stacy Rougely led the tour of the facility. The facility consists of four bedrooms and two bathrooms. The facility includes a dining area, kitchen area, living room and laundry room/garage utilized for storage. The facility has a staff office and one room utilized by therapists. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. During inspection, bedroom #2 did not have linens due to client recently discharged and linens are being sanitized. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Gym equipment/toddler play area and other activities were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order with exception of room #4, however the smoke detector was replaced during the inspection. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. At 9: AM, the hot water in the kitchen was measured to be 120 degrees, master bathroom #1 was measured to be 109.5 degrees. At 3: PM the hot water temperature in client bathroom #2 was measured to be 117.6 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. () Administrator Stacy Rougely, is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one mental health rehabilitation specialist, one facility administrator, nine direct care staff, one head of service and one Program Director. Facility has obtained Mental Health Certification effective 04/09/2019. Licensee has obtained National Accreditation through CARF effective through 11/30/2022. Licensing fee payments have been paid and there is currently a balance of zero. At 10: AM, six of six client files were reviewed during time of inspection. There were required documents not up to date in the client files, but due to time constraints, deficiencies and/or advisory notes will be issued on a separate date. Personnel Files are maintained off site at the corporate office in Riverside, Ca. However, during inspection staff files were brought to the facility for review. At 1: PM, personnel files were reviewed to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). LPA reviewed five staff files. Staff files were complete with First Aid/CPR certificates, certificates for training hours, and all required documents were signed and present. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. One staff and one administrator present during inspection were interviewed in regard to their job duties, training, and services provided at the facility. All staff were able to provide sufficient information in relation to the facility's program. Four of five clients present during inspection volunteered to be interviewed. All four clients indicate that their basic needs are being met at the facility and core services being provided as well. An exit interview was conducted, and a copy of this report and appeal rights were provided to Program Director, Michelle Hicks

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On June 24, 2021 at 2: PM, Licensing Program Analyst (LPA), Anastasia Flores, arrived at the New Beginnings Residential Treatment (STRTP) and met with Program Director, Michelle Hicks. The purpose of this inspection was to deliver technical violations as part of the annual inspection conducted on June 17, 2021. During inspection on 06/17/21, there were required documents not found in the client files a technical violation is being issued today 06/24/21. Based on inspection dated 06/17/21, the facility is not in compliance. Facility is being issued a technical violation for Interim Licensing Standards 87068. Modifications to the Needs and Services Plan. LPA observed the needs and services plan was not updated in the clients file in five out of six client's files. An exit interview was conducted, a copy of this report, LIC 859 client Records Review, LIC TV, and appeal rights were reviewed and given to facility representative.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker and Licensing Program Manager Angela King conducted a case management inspection on October 27, 2022 at 11:04 am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 3 out of 4 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, dated October 27,2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, and client de-escalation worksheet, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPM Angela King and LPA Veronica Whitaker observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Senida Zamora, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2023 at 2: PM, Associate Governmental Program Analyst (AGPA) Kim Robinson met with the short-term residential therapeutic program (STRTP) director, Michelle Hicks and administrator, Senida Zamora, in order to assess an Enhanced Civil Penalty (ECP). On November 9, 2023, the Department concluded a complaint investigation alleging the direct care facility manager (S4) neglected to properly supervise and provide timely medical attention for a 16-year-old client #1 (C1). As a result, C1 was found unconscious from an overdose and later passed away. The allegation was determined substantiated, and the STRTP was cited from Interim Licensing Standards Section 87072 (c), Personal Rights and Section 87078(a) Responsibility for Providing Care and Supervision. An immediate civil penalty of $500.00 was assessed. See the Confidential Names List, LIC 811, dated November 9, 2023. Based on the findings from the medical report, consistent interviews and findings from the Riverside County Sheriff report the Department has determined that an enhanced civil penalty is warranted for S4's lack of supervision and prompt medical attention for C1. As a result, C1 suffered an overdose and loss of life while under the direct care of STRTP S4. Pursuant to the Enhanced Civil Penalty law, the Health and Safety Code 1548 (e)(3) states a violation the Department determines "resulted in the death of a person receiving care through a short term residential therapeutic program" the Department will issue an immediate civil penalty of $7,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the administrator. The signed copy will be retained in the facility file.

met_with: Program Director and Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2024 at 9:45am, Licensing Program Analyst's (LPA's) Cynthia Robinson and Cynthia Velasquez, conducted an unannounced inspection at New Beginnings Residential Treatment- Raja STRTP for the purpose of conducting a required two-year inspection. LPA's met with Senida Zamora, Assistant Program Director. A physical plant inspection was completed. The facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in operating order. All required forms are posted including the complaint procedures, personal rights, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. The hot water was measured to be at 109 degrees and read at 10:40am. There are currently no clients in care. There are four bedrooms, each room has two twin beds. Each bedroom has a dresser for each client that provides drawers for storage and a closet for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. There are 2 and a half bathrooms in the home. LPA's reviewed one staff file (S1). LPA's reviewed Operations Plan, Emergency Intervention and Disaster Plan, all documents were sufficient. LPA's conducted one staff interview. A copy of this report was provided to Senida Zamora, Assistant Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
amending citation due to a resolved appeal. The citation has been dismissed. On November 19, 2021 at 5: PM, Licensing Program Analyst (LPA) Anastasia Flores arrived at the New Beginnings Residential Treatment (STRTP) and met with Facility Manager Jalisa Brown. LPA informed Ms. Brown, Community Care Licensing (CCL) was unaware of the changes in their plan of operation, transferring clients from New Beginnings Raja (STRTP facility to the New Beginnings Residential Treatment and New Beginnings Shalom facilities. LPA communicated with Program Director, Michelle Hicks via telephone at 4: PM, informed of the situation and that a plan of correction will need to be supplied to LPA Flores. The facility is being cited for Title 22, Division 6, chapter 1, article 6, section; 80061(e ) (4) Reporting Requirements, the department was not informed of clients being transferred to another facility due to lack of staffing, resulting in New Beginnings Raja Facility being temporarily closed down. A copy of this report, LIC809D and appeal rights were explained and handed to Jalisa Brown.

met_with: Jalisa Brown


summary: Facility Evaluation

raw_content:
Narrative:
On November 9, 2023 at 2:08 pm Licensing Program Analyst (LPA), Nicole Strickland, met with New Beginnings Residential Treatment Facilities - Raja Program Director, Michelle Hicks, to deliver a case management deficiencies report. On September 27, 2023, LPA Strickland conducted a records review of six facility staff (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], Staff #5 [S5] and Staff #6 [S6]). Information obtained by Community Care Licensing (CCL) revealed five out of six staff members S1, S3, S4, S5, and S6 do not hold a valid First aid/CPR certificate as required by Short-Term Residential Therapeutic Program Interim Licensing Standards (ILS) v.4. Record review revealed S1, S3, S4, S5, and S6 had certificates for CPR issued by the NationalCPRFoundation.org. LPA confirmed with the organization that the certificates held by the staff members did not include a first aid component to the training. LPA gathered further information about the training program issuing the certificates for first aid which revealed the training provided to the staff does not meet the requirements as set forth in ILS v.4 standard 87065.1(b)(8)(A) SUPERVISION, EVALUATION AND TRAINING REQUIREMENTS (A) completion of cardiopulmonary resuscitation (CPR) and first aid training shall be demonstrated by current and valid CPR and first aid cards issued by the American Red Cross, the American Heart Association, a training program approved by the State Emergency Medical Services Authority pursuant to Health and Safety Code Section 1797.191, or from an accredited college or university. Record review revealed New Beginnings Residential Treatment Facilities Program Statement/ Plan of Operation dated 4/09/2019 page 4 states, The Human Resource Department is responsible for maintaining comprehensive documentation of training education received for staff, peer partners and volunteers. Proof of successful completion of the training is verified by certificates, timesheets, and participants sign-in logs. Record review revealed the facility failed to verify S1, S3, S4, S5 and S6's training certificates were valid and met the requirements set forth in ILS v.4 standard 87065(b)(8)(A). This is a violation of ILS v.4 87022(f) ****** PLAN OF OPERATION The facility shall operate in accordance with the terms specified in the plan of operation and may be cited for not doing so. The facility is being cited for violation of Interim ILS v.4 standard 87065.1(b)(8)(A) SUPERVISION, EVALUATION AND TRAINING REQUIREMENTS and violation of ILS v.4 standard 87022(f) PLAN OF OPERATION. A copy of the report was discussed and provided along with appeal rights to New Beginnings Residential Treatment Facilities - Raja Program Director, Michelle Hicks


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2026, at 11: AM, Licensing Program Analyst (LPA) Cynthia Robinson arrived at New Beginnings Residential Treatment Facility Short Term Residential Therapeutic Program (STRTP). LPAs were greeted and granted access by Facility Manager, Monique Powell and joined by Administrator Senida Zamora. The purpose of the visit is to conduct an annual/random inspection of the facility. There are currently three clients in care. LPA Robinson completed the physical plant inspection and was assisted by Administrator touring the facility's interior and exterior grounds. During the facility inspection, LPA observed cameras in the common areas. The cameras are not pointed toward client bedrooms or bathrooms. According to Administrator Zamora's statement, the video cameras do not capture audio and do not replace staff supervision. The facility consists of three client bedrooms and two bathrooms, one of which is a staff bathroom, that clients still have access to and are able to use. All toilets, sinks, and showers are maintained in safe, sanitary, and operating condition. Additionally, the water in each bathroom measured between 105°F and 120°F. The facility features a dining area, kitchen, living room, laundry room, garage with a visitor area, and Administrator office. All client bedrooms have individual beds with adequate drawers and closet space for each client. In addition, LPA observed that each client's bedroom was equipped with a small combination safe to store personal items or contraceptives. The clients' bedrooms are arranged so there are no more than two clients per room. LPA observed that all client beds had the appropriate clean linens, pillows, comforters, and mattresses in good repair. Extra linens and toiletry items are stored in the garage and hall closet accessible to clients as needed. (Continued on LIC 809C....) Facility grounds are clean and free of debris and observable hazards.There is adequate indoor and outdoor activity space, and all exits and entrances are unobstructed. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The fire extinguishers are properly charged and placed throughout the facility. The facility maintains an adequate supply of perishable and non-perishable foods. The facility maintains an adequate supply of food and a variety of snacks for clients. LPA observed a minimum of seven days of non-perishable food and a two-day perishable supply, and the facility appears to be following the posted menu. Cleansers, chemicals, and cooking knives are inaccessible to clients. Cleaners and chemicals are stored separately from all food items in a locked cabinet located in the linen closet. The cooking knives and all other sharp items are stored in the linen closet. All required forms are posted, including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. No observable safety or health hazards were observed during the physical plant inspection, and no deficiencies were cited. LPA Peete reviewed the facility's operations, disaster preparedness, emergency interventions, and core therapeutic services. The core therapeutic services demonstrated that the appropriate services and supports for clients are trauma-informed, culturally relevant, and age- and developmentally appropriate. All required documentation was observed, and no deficiencies were found in the above-mentioned areas. LPA Robinson completed a review of three client files (C1 through C3). All required documentation was found in the client's files and no deficiencies were found. Due to time constraint, LPA will complete the annual at a later date. Based on observations made during the inspection, no deficiencies are being cited. An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to the facility Administrator, Senida Zamora.

met_with: Senida Zamora, Adminsitrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2026, at 12:20pm, Licensing Program Analyst (LPA) Cynthia Robinson arrived unannounced to New Beginnings - Raja to continue the Annual that was initially conducted on March 4, 2026. LPA was granted access by Administrator Senida Zamora. LPA arrived at the facility to conduct annual interviews for staff and clients. There were two clients and one staff present during LPA's visit. LPA interviewed one staff and one client. The second client was not interviewed due to client not being available. LPA could not review staff files due to staff files being held at headquarters. LPA will review staff files and complete the annual at a later date. This report was provided to Jacque Jackson, Administrator.

met_with: Senida Zamora, Administrator


facility_name: NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.-SHALOM

raw_content:
Narrative:
Interview with S3 revealed that C1 seemed stable on the phone during a health check until later in the telephone call and she instructed S1 to call 911. Confidential interviews disclosed that the staff supervision in the STRTP is sufficient and the clients feel safe in the STRTP. Confidential records revealed no record of C1 being unstable until on the telephone call with S3. Based on confidential interviews and record review, the allegation that due to lack of supervision C1 was able to self-harm may have occurred, however it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. No deficiencies were cited. An exit interview was completed and a copy of this report, LIC811 and appeal rights were emailed to Stacy Rougely, for signature. A signed copy report will be placed in the facility file.

Investigation Findings:
13On May 14, 2021 at 11: AM/ Licensing Program Analyst (LPA) Anastasia Flores met with STRTP New Beginnings Shalom Facility Administrator via tele-visit to deliver the findings of the above allegation. On March 29,. 2021 at 1: PM, LPA conducted a health and safety inspection of the facility and no safety concerns were noted. Copies of STRTP Community logbook for 3/23/21, Special Incident Report (SIR) for Client #1 (C1), STRTP client roster and medical records for C1 were obtained. LPA conducted interviews with five out of five clients, STRTP Administrator (ADM), two staff (S1, S2) and Orange County Social Worker for C1. On March 24, 2021 this agency received allegation that due to lack of supervision client #1 (C1) was able to self-harm. Confidential interviews disclosed that C1 used shoelaces to attempt self-harm while in the shower. Interview with S1 revealed that C1 seemed stable after showering, ate a yogurt and went to C1's bedroom. Interview with S2 disclosed finding one lose shoelace in the top drawer of C1's bedroom dresser when maintaining a safety check to remove any and all self-harming objects. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 05/14/2021

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

met_with: Stacy Rougely


raw_content:
Narrative:
Other confidential interviews revealed that C1 jumped out of the van while Staff #2 (S2) was trying to pull over to the side of the road for safety. Confidential interviews disclosed that S2 was backing up slowly when C1 jumped out of the van. Record review reveal the van was stopped when C1 jumped out of the van and that S1 was helping another client when C1 jumped out the back doors to the van. Interview with S1 and S2 revealed that the van was moving slowly in reverse to park when C1 jumped out. LPA attempted to obtain video footage from STRTP, however was informed by ADM that the cameras on the van were not in working. Based on confidential interviews the preponderance of evidence standard has been met and the department has determined the allegation that the staff did not prevent client #1 (C1) from jumping out of the facility van while in motion is substantiated. The facility is being cited for violation of the STRTP Interim Licensing Standards (ILS), article 6, section 87065.2 (b) (1) Personnel Duties; staff did not ensure proper supervision, protection and of children on at least one occasion. This poses an immediate health, safety, or personal rights risk to the youth in care. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely. Interview with S1 denied saying anything to C1 that would make C1 feel uncomfortable. Interview with S2 denied hearing S1 say anything to C1, stating the music was turned up in the van by another client. Other confidential interview disclosed this was not the first time that C1 has caused the staff to try to calm C1 down while in transport, causing other clients to be late to court or family visits. LPA attempted to obtain video footage from STRTP, however was informed by ADM that the cameras on the van were not working. Based on confidential interviews and confidential record review the allegation that staff made clients feel uncomfortable while in transport in the facility van on at least one occasion may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely.

Investigation Findings:
13On August 12, 2021 at 3: PM, Licensing Program Analyst (LPA) Anastasia Flores met with (STRTP) New Beginnings Shalom Administrator, Stacy Rougely to deliver the findings on the above allegation. On May 26, 2021 at 12: PM, LPA conducted a safety inspection and no health or safety hazard were observed. Copies of client roster, staff roster, Needs and Service Plan for Client #1 (C1), special incident report (SIR) dated 05/08/21, safety plan for C1 and Child and Family Team meeting notes for C1 were obtained. LPA conducted interviews with four out of five clients, three staff and STRTP Administrator (ADM). On May 21, 2021 this agency received allegation that staff did not prevent client #1 (C1) from jumping out of the facility van while in motion. Confidential interviews disclosed that C1 became agitated prior to arriving at the mini mall. Record review disclose that C1 agreed to go into the mall but was moving from staff to staff as if anxious. Confidential interviews disclosed that after the mini mall the staff drove to another stop at a grocery store. Confidential interviews disclosed that the clients made a second stop after the mini mall and C1 was stable but S1 stayed in the van with C1. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
Based on confidential interviews the allegation that S1 has made inappropriate comments in the past toward clients in care on at least one occasion may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. No deficiencies were cited. An exit interview was completed and a copy of this report, LIC811 and appeal rights were explained and handed to Stacy Rougely.

Investigation Findings:
13On August 12, 2021 at 3: PM, Licensing Program Analyst (LPA) Anastasia Flores met with (STRTP) New Beginnings Shalom Administrator, Stacy Rougely to deliver the findings on the above allegation. On May 3, 2021 at 2: PM, LPA conducted a safety inspection via tele-visit due to COVID-19 and no immediate concerns were noted. Copies of client roster and staff roster were obtained. LPA conducted interviews with four out of six clients, five staff and San Bernardino County Child Protective Services Investigator (CPS). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
During investigation, confidential interviews stated that staff members cannot restraint a client from leaving the facility, but that staff do implement the facility's Absent Without Leave (AWOL) protocol each time a client leaves or attempts to leave out of the care and supervision of staff. Confidential interviews further stated that C1 was absconding from the facility on a continuous basis and was engaging in Commercial Sexual Exploitation of Children (CSEC) activity while in care. Confidential interviews stated that C1 was provided with resources while in care, and meetings with CSW were conducted to further address C1's behaviors. Other confidential interviews stated liking the placement and added that clients can walk out of the front door at any time despite staff efforts. Another confidential interview confirmed that C1 was engaging in CSEC activity in the past but denied that C1 had engaged in CSEC activity at the time of this allegation. A CSW was unable to comment on the allegation. LPA received inconsistent information about whether C1's CSEC activity out of care was a result of staff not preventing C1 from leaving the facility. Based on confidential interviews, and record review the allegation that staff did not prevent C1 from AWOLing resulting in C1 engaging in CSEC activity, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and due to technical difficulties a copy of this report along with the appeal rights will be emailed to Facility Administrator, Senida Zamora.

Investigation Findings:
13On May 31, 2023, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at New Beginnings Residential Treatment Facilities-Shalom Short Term Residential Therapeutic Program (STRTP) to deliver the investigative finding of the above stated allegation. LPA was met by Facility Manager, Senida Zamora. On June 22, 2022, at 2: PM LPA Val Wilson conducted an inspection of the facility, and no immediate deficiencies were observed. Additionally, LPA Wilson interviewed Administrator (ADM) and two clients (C1, C2). LPA Urena Interviewed two staff members (S1, S2), a County Social Worker (CSW) could not be reached for comment after multiple attempts made by LPA Urena for an interview. On July 14, 2022, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent minor from AWOLing resulting in minor engaging in CSEC activity. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 05/31/2023

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

met_with: Facility Administrator, Senida Zamora.


raw_content:
Narrative:
(Continued) Regarding the allegation staff did not prevent an altercation between C1 and C2, confidential interviews revealed staff separated C1 and C2 immediately. Confidential interviews denied that the altercation was a result of lack of supervision by staff and added that both C1 and C2 were friends prior to the altercation. Confidential interviews also stated that a staff was in front of C1 deflecting C2's swings and redirecting C2's threats when C2 kicked around the staff to make contact with C1. Staff immediately reported the information that resulted in law enforcement involvement and moving to different bedrooms. Other information states the allegation occurred. Regarding the allegation staff did not safeguard C1's personal items, confidential interviews noted staff are present and provide supervision according to the program statement or enhanced when it is needed or required in the needs and service plan. Staff deny not safeguarding C1's belongings and immediately intervened on attempts made to destroy C1's items. Other information states the allegation occurred. Based on confidential interviews, and record review the allegations that alleged staff did not prevent an altercation between C1 and C2, and staff did not safeguard C1's personal items may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and appeal rights were explained. LIC 811, a copy of this report, and the appeal rights were provided to Facility Administrator, Senida Zamora

Investigation Findings:
13On August 1, 2023, Licensing Program Analyst (LPA), Val Wilson, met with New Beginnings Residential Therapeutic Facilities (NBRTF) - Shalom, Short Term Residential Therapeutic Program (STRTP) Facility Administrator, Senida Zamora, at 11:50am to issue the findings for the above stated allegations. Please see the Confidential Names List, LIC 811, dated August 1, 2023. On August 4, 2022, at 11:34AM, a safety inspection was conducted at NBRTF- Shalom, and there were no noted concerns. LPA reviewed facility files and two client files [client 1 (C1) and client 2 (C2)]. LPA also obtained and reviewed copies of the LIC Register of Facility Clients, Policy and Procedure, Needs and Services plan, weekly treatment notes, county reports, and Special Incident Reports (SIRs). During the investigation, interviews were conducted with C1, C2, administrator (ADM), facility therapist (S1), staff 2 (S2), and staff 3 (S3). On August 1, 2022, the Department received a complaint that alleged staff did not prevent an altercation between youth and staff did not safeguard child's personal items. Specifically, it was reported C1 was assaulted by C2, C2 damaged C1's belongings, and C2 continued to make threats to C1. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Valerie Wilson 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 Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 08/01/2023

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


raw_content:
Narrative:
*****Continued**** minor in an inappropriate manner and staff do not treat minor with dignity and respect. Specifically, it was alleged that S1 goads C1 in hopes C1 will be sent to juvenile hall and facility staff do not take C1's suicidal ideations seriously. Regarding the allegation that S1 speaks to C1 in an inappropriate manner, confidential interviews revealed conflicting reports. Confidential interviews deny S1 calling C1 names. Confidential interviews deny facility staff provoke C1. Other information states the allegation occurred. Regarding the allegation that staff do not treat minor with dignity and respect, confidential interviews and record review reveal facility staff recognize and appropriately respond with the necessary supports and services to meet C1's individualized needs. Other information states the allegation occurred. Based on confidential interviews, the allegations that S1 speaks to C1 in an inappropriate manner and staff do not treat C1 with dignity and respect, may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, a copy of this report, and LIC 811 was provided to the Administrator.

Investigation Findings:
13On April 4, 2024, at 3: PM, Licensing Program Analyst (LPA), Val Wilson, met with Administrator, Nanette Lewis, at New Beginnings Residential Treatment Facilities (NBRTF)- Shalom, Short Term Residential Therapeutic Program (STRTP), to issue the findings for the above stated allegations involving the STRTP and youth listed on the confidential Names List, LIC 811, dated April 4, 2024. On April 13, 2023, at 10: AM, LPA Wilson arrived at the STRTP and a safety inspection was completed without any health and safety concerns observed. LPA Wilson reviewed client files, facility documents, and obtained copies of the client roster, LIC 500, admission agreement, appraisal/needs and services plan (N&SP), child and family team meeting (CFTM) plan, county reports, and Special Incident Reports (SIRs). During the investigation, interviews were conducted with the administrator (ADM), therapist (THR), staff 1 (S1), staff 2 (S2), staff 3 (S3), staff 4 (S4), staff 5 (S5), county social worker (CSW), client 1 (C1), client 2 (C2), client 3 (C3), client 4 (C4), client 5 (C5), and client 6 (C6). On April 4, 2023, the Department received a complaint that alleged staff speak to *R- 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 Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 04/04/2024

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

met_with: Nanette Lewis


raw_content:
Narrative:
Confidential interviews reported that staff did safety checks every 15-30 minutes while clients were awake and every 30-60 minutes when clients fell asleep on the night of 04/02/2024. Based on inconsistent confidential interviews, the allegation that due to lack of supervision, a minor (C1) sustained unexplained bruising while in care is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Nannette Lewis, Administrator.

Investigation Findings:
13On July 25, 2024, at 9: AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to the New Beginnings Residential Treatment Facilities - Shalom STRTP to deliver the investigative findings for the allegation listed above. On 04/09/2024, LPA Robinson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA interviewed Clients (C1, C2, C3, and C5), and Staff (S1, S2, S3 and S4). On 04/04/2024, Community Care Licensing received an allegation that due to lack of supervision, a minor (C1) sustained unexplained bruising while in care. It was alleged that C1 received a bruise on the right eye and cheek between 04/02/2024 and 04/03/2024. Confidential interviews and documentation reported that C1 asked C2 to punch them (C1) in the face voluntarily; the reason C1 asked C2 to punch them (C1) in the face was not disclosed. Confidential interviews reported that C2 punched C1 in the face by request around 10:30pm on 04/02/2024 while staff thought C1 and C2 were sleeping. (Continued on LIC 9099C...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 07/25/2024

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

met_with: Nannette Lewis, Administrator


raw_content:
Narrative:
It was alleged that C1 was requesting an appropriate braiding hairstyle of their (C1) choice and was not receiving the services from the facility. Confidential interviews reported that C1 had requested a braiding hairstyle option and was told by staff that they (staff) were not able to accommodate the cost of the braiding hairstyle choice. Confidential interviews reported that clients receive a hair allowance of $150, and C1's requested hairstyle was estimated to cost $300. Confidential interviews reported that staff did not reach out to the County Social Worker for additional funding assistance. Confidential interviews reported that C1 did not receive the braiding hairstyle they (C1) wanted, and their (C1) hair was done by a staff member after C1 waited about two months to get the braiding hairstyle done. Based on inconsistent confidential interviews, the allegation that staff not adhering to personal rights of client (C1) is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred.

Investigation Findings:
13On April 15, 2025, at 10:00AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to the New Beginnings Residential Treatment Facilities - Shalom Short-Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. On 03/10/2025, LPA Robinson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA interviewed clients (C1, C2, C4, C5, and C6) and staff (S1, S2, S3, S4, and S5). LPA attempted to interview client (C3) but was unsuccessful due to refusal to be interviewed. On 03/07/2025, Community Care Licensing received an allegation that staff were not adhering to the personal rights of a client (C1). (Continued on LIC 9099C...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: New Beginnings Residential Treatment Fac.-SHALOMFACILITY NUMBER: VISIT DATE: 04/15/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021 at 10: AM, Licensing Program Analysts (LPA's) Anastasia Flores and LPA Valerie Wilson, arrived at New Beginnings Residential Shalom Facility (STRTP). LPA was greeted and granted access by Facility Manager, Ajah Jelks. The purpose of the visit is to conduct an annual inspection of the facility. There was one facility manager and one therapist present at the time of the inspection. Two clients were in school and one client was on home pass. Appropriate staff/client ratios were verified during the inspection. At 10: AM, Ajah Jelks led the tour of the facility. The facility consists of four bedrooms and two bathrooms. The facility includes a dining area, kitchen area, living room and laundry room/garage utilized for storage. The facility has a staff office and bedroom #4 is utilized by therapists. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. During inspection, bedroom #2 did not have an operable fire alarm, however it was fixed and working prior to leaving the facility. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. The screen by the kitchen table, sliding screen door to backyard and two screens on the master bedroom need to be replaced and there was no screen on the master bathroom window. Program Director called maintenance and is having them fixed and replaced on 06/26/21. Gym equipment and other activities were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the staff office. At 10: AM, the hot water in the kitchen was measured to be 110.4 degrees, master bathroom #1 was measured at 11: AM to be 113 degrees and at 11: AM bathroom #2 measured at 113.4 degrees. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. () Administrator Stacy Rougely, is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one therapist, one facility administrator, one facility manager, nine direct care staff, one head of service and one Program Director. Facility has obtained Mental Health Certification effective 04/09/2019. Licensee has obtained National Accreditation through CARF effective through 11/30/2022. Licensing fee payments have been paid and there is currently a balance of zero. At 11: AM, six of six client files were reviewed during time of inspection. There were required documents not up to date in the client files, but due to time constraints, deficiencies and/or advisory notes will be issued on a separate date. Personnel Files are maintained off site at the corporate office in Riverside, Ca. However, during inspection staff files were brought to the facility for review. At 12: PM, personnel files were reviewed to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). At 12: PM, LPA's reviewed 10 staff files. Staff files were complete with First Aid/CPR certificates, certificates for training hours, and all required documents were signed and present. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. There were six staff files that needed updated medical records. At 2: PM, LPA's interviewed three direct care staff and one facility manager that were present, in regard to their job duties, training, and services provided at the facility. All staff were able to provide sufficient information in relation to the facility's program. Four of five clients present during inspection volunteered to be interviewed, one client refused. All four clients indicate that their basic needs are being met at the facility and core services being provided as well. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator, Stacy Rougely.


summary: Facility Evaluation

raw_content:
Narrative:
On June 24, 2021 at 2: PM, Licensing Program Analyst (LPA), Anastasia Flores, arrived at the New Beginnings Residential Treatment (STRTP) and met with Program Director, Michelle Hicks. The purpose of this inspection was to deliver technical violations as part of the annual inspection conducted on June 23, 2021. During inspection on 06/23/21, there were required documents not found in the client files a technical violation is being issued today 06/24/21. LPA;s observed the screen sliding door off the tracks that needs to be fixed, two screens on the master bedroom window that need to be replaced, one screen on the dining room window with a hole. And no screen on the master bathroom window. Program Director called to have the screens replaced and showed LPA Flores a work order for the corrections to be made on 06/26/21, however on 06/24/21, Program Director showed proof with photos and receipt for work completed.. Based on inspection dated 06/17/21, the facility is not in compliance. Facility is being issued a technical violation for Interim Licensing Standards 87068. Modifications to the Needs and Services Plan. LPA observed the needs and services plan was not updated in the clients file in five out of six client's files. The facility is being issued a technical violation LIC TV, 80087 (a) Buildings and grounds for the window screens not being in good repair, during the inspection on 06/23/21, the facility had screens that needed to be replaced and/or fixed. An exit interview was conducted, a copy of this report, LIC 859 client Records Review, LIC TV, and appeal rights were reviewed and given to facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On December 2, 2021 at 2: PM, Licensing Program Analyst (LPA), Anastasia Flores, conducted a collateral interview at this facility. During the time at the facility LPA conducted a safety inspection of the facility and no immediate concerns were observed. LPA interviewed three clients #1, #2. #3 (C1, C2, C3), as identified on the Confidential Names form LIC 811, dated 12/02/21, regarding allegations from another facility. The allegations are not related to this facility. No other information is needed at this time. Exit interview conducted and a copy of this report was provided to the facility representative.

met_with: Felicia Ware


summary: Facility Evaluation

raw_content:
Narrative:
On October 24, 2023 at 12: PM, Licensing Program Analyst (LPA), Val Wilson, arrived at the New Beginnings Residential Treatment Facility (NBRTF), Short Term Residential Therapeutic Program (STRTP) and was greeted and granted access by LaShanique Youngblood, Direct Care Staff/Facility Manager. LPA identified the purpose of the visit is to conduct an annual inspection of the facility and provided the Entrance Checklist. LPA then met with Nannette Lewis, Administrator and Quality Assurance. Upon arrival, there was one facility manager, one administrator, and two clients at NBRTF. Two clients were in school and one client is on an unauthorized absence. Appropriate staff/client ratios were verified during the inspection. LPA was provided a work area in the main office area and then the LPA and Administrator began the inspection tour at 12: PM. Three out of three staff interviews and three out of three client interviews were completed during the inspection. The facility consists of four bedrooms and two bathrooms. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility also includes a dining area, kitchen area, living room, laundry room/garage, garage storage room, a staff office/medication room and bedroom #4 is utilized by the therapist. All fire extinguishers, facility smoke detectors, and carbon monoxide detectors are in appropriate working order. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, Foster Care Ombudsman poster, and activity schedule. Medications are locked and centrally stored in the staff office. The hot water in the kitchen was measured to be 111 degrees, master bathroom #1 was measured to be 112.2 degrees, and bathroom #2 measured at 110.6 degrees. Per facility staff, no firearms or weapons are allowed in the facility. A current maintenance log is kept with the van along with a current vehicle registration and insurance card. (Continued) (Continued) LPA observed and took pictures of the following during the inspection: Bedroom #3 missing the screen in the bedroom window; removed for repair and will be picked up today. The doorjambs of two doors (bedroom #3 and garage storage room) are split. There are multiple areas in the garage and the house that have been repaired that need paint touch ups. The upper half of the staff office/medication room door is cracked and separated on the bottom right corner. The facility does not have a current plan for provision of emergency power that identifies a suppliers of backup generators, a permanently installed generator, or a portable generator. Based on observation, the facility is being cited on the following areas: Type B- Disaster Preparedness 1565(a)(7)(A), Type B- Buildings and Grounds 80087(a) and Technical Violation- Physical Plant 80088(b). Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, LIC 809D,LIC 9102, and appeal rights were provided and explained to the Administrator.

met_with: Nannette Lewis


summary: Facility Evaluation

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Narrative:
On October 27, 2023 at 10: AM, Licensing Program Analyst (LPA), Val Wilson, arrived at the New Beginnings Residential Treatment Facility (NBRTF), Short Term Residential Therapeutic Program (STRTP) and was greeted and granted access by Senida Zamora, Administrator. LPA identified the purpose of the visit is to complete the annual inspection of the facility initiated on October 24, 2023. Upon arrival, there was one supervising facility manager, one administrator, one client at NBRTF, two clients were in school, and one client is on unauthorized absence. Appropriate staff/client ratios were verified during the inspection. LPA was provided a work area in the main office. LPA requested five client files and five staff files for inspection that were provided by the Administrator at 10:38AM. Five out of five staff files and five out of five client files were completed during the inspection. LPA observed the following: There is no document that the bedroom sharing arrangement ensures the health and safety of each child and that the children are compatible for five out of five client filess. Client 1 (C1) and client 2's (C2) current prescriptions use AM and PM instead of a time for each dose taken by the client. Staff 1 (S1) does not have a valid first aid card or certificate. Based on observation, the facility is being cited on the following areas: Type B- Client Records 87087(e), Type B- Staffing Records 87065.1(d)(6)(A), and Technical Violation- Client Records 87070(b)(13)(F). An exit interview was conducted, and a copy of this report, LIC 809Ds, LIC 9102, and appeal rights were provided and explained to the Administrator.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 09/04/2024 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Michelle Hicks, Administrator. LPA reviewed 1 of child's records and 2 of staff personnel files on site at the facility. LPA reviewed 1 of child's psychotropic medications and medication records. LPA interviewed 2 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 of children currently prescribed psychotropic medication. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator Michelle Hicks, and provided a copy of this licensing report.

met_with: Michelle Hicks, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on 09/24/24 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 6 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, 09/24/24). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, and youth safety plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator, Michelle Hicks.

met_with: Administrator, Michelle Hicks


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Latricia Rogers conducted a case management inspection Wednesday, July 30, 2025 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 6 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated July 30, 2025). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Latricia Rogers observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Nannette Lewis- Administrator.

met_with: Nannette Lewis- Administrator


summary: Facility Evaluation

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Narrative:
On August 26, 2025, at 12: PM, Licensing Program Analyst (LPA) Jessica Peete arrived at New Beginnings Residential Shalom Treatment Facility Short Term Residential Therapeutic Program (STRTP). LPA was greeted and granted access by Administrator Nannette Lewis.The purpose of the visit is to conduct an annual/random inspection of the facility. At 12: PM, LPA Peete began the physical plant inspection; Administrator Lewis assisted LPA in touring the facility's interior and exterior grounds. During the facility inspection, LPA observed cameras in the common areas, the therapist office, hallways, and the outside perimeter, both front and back of the home. The cameras are not pointed toward client bedrooms or bathrooms. According to the Administrator's statement, the video cameras do not capture audio and do not replace staff supervision. The monitors in the staff office display live feed from the facility's cameras. The facility consists of four bedrooms, three of which are client bedrooms; bedroom four is utilized as the therapist's office. There are two bathrooms, one of which is a staff bathroom, that clients still have access to and can use. All client bedrooms have individual beds with adequate drawers and closet space for each client. The client bedrooms are equipped with a small combination safe for storing personal items or contraceptives and are arranged so that there are no more than two clients per room. LPA observed that all client beds had the appropriate clean linens, pillows, comforters, and mattresses in good repair. Extra linens and toiletry items are stored in the garage and entryway closet, accessible to clients as needed. All toilets, sinks, and showers are maintained in safe, sanitary, and operating condition. Additionally, the water in each bathroom and in the kitchen measured between 105°F and 120°F. The facility also features a dining area, kitchen, living room, garage with a washer and dryer, and a designated central storage area with extra household supplies and hygiene products. The storage is accessible to staff as needed to ensure the STRTP is maintained with sufficient supplies. The Facility grounds are clean and free of debris and observable hazards. The facility maintains its fire clearance, and all exits and entrances are unobstructed. LPA observed adequate indoor and outdoor activity space. The facility's outside grounds were observed to be well maintained, free of debris, and in good condition, with patio furniture that appeared suitable for client use. Additionally, LPA observed age-appropriate games and activities for the client's recreational time. The facility smoke detector and carbon monoxide detector are in appropriate working order. The fire extinguishers are properly charged and placed throughout the facility. The facility maintains an adequate supply of perishable and non-perishable foods, including a variety of snacks for clients. LPA observed a minimum of seven days of non-perishable food and a two-day perishable supply, and the facility appears to be following the posted menu. Cleansers, chemicals, and cooking knives are inaccessible to clients. Cleaners and chemicals are stored separately from all food items in a locked cabinet located in the garage. The cooking knives and all other sharp items are stored in the entryway closet. The Medications are locked and centrally stored in the staff office. All required forms are posted, including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Additionally, the facility maintains two vehicles for client transportation. Both vehicles are in good working condition and have current registration and valid insurance. No observable safety or health hazards were noted during the physical plant inspection, and no deficiencies were cited. LPA Peete also reviewed the facility's operational requirements and no deficiencies were noted for this area of the inspection. Based on observations made during the inspection, no deficiencies are being cited. Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to the facility Administrator, Nannette Lewis.


summary: Facility Evaluation

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Narrative:
On September 4, 2025, at 9: AM, Licensing Program Analysts Jessica Peete and Cynthia Robinson visited the New Beginnings Residential Short Term Residential Therapeutic Program (STRTP) corporate office to continue the annual inspection of five staff files (S1-S5). LPA's were greeted and granted access by Human Resource Director Jaque Jackson. On August 26, 2025, LPA Peete inspected the STRTP's physical plant and reviewed the operational requirements. At 9: AM, LPA's Peete and Robinson, assisted by the Human Resource Director, began the review of six staff files (S1-S6). LPA's verified that staff had the applicable clearances including valid and current CPR certification. All required documentation was observed, and no deficiencies were cited in this area of the inspection. However, LPAs provided technical assistance regarding the hiring and qualifications of direct care staff. LPA's advised that direct care staff must meet the education or experience requirements outlined in the Interim Licensing Regulations (ILS) Personnel Requirements 87065(g). Based on observations made during this area of the inspection, no deficiencies are being cited. An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to the the Human Resource Director, Jacque Jackson.

met_with: Human Resource Director Jacque Jackson


summary: Facility Evaluation

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Narrative:
On September 5, 2025, at 11: AM, Licensing Program Analysts (LPA') Jessica Peete and Cynthia Robinson (LPM) arrived at New Beginnings Residential Treatment Facility Short Term Residential Therapeutic Program (STRTP) to continue with the annual inspection. LPA's were greeted and granted access by Facility Manager Angellic Nolasco, later joined by the Assistant Program Director Senida Zamora. LPA Peete previously visited the STRTP on August 26,2025 to complete the physical plant inspection and review the facilities operational requirements. LPA's Peete and Robinson visited the STRTP's corporate office September 4,2025 to complete the review of five staff files. At 11: AM, LPA Robinson, assisted by the Assistant Program Director, began reviewing the facility's disaster preparedness, emergency interventions, and core therapeutic services. All required documentation was observed, and no deficiencies were cited in this area. LPA Robinson also reviewed four client files (C1-C4). Two of the four clients did not have the required tuberculosis screenings. The licensee was cited with a type B violation of Title California Code of Regulations (CCR) 80069(c)(1) Client Medical Assessment, which was cleared at the time of inspection. The licensee provided documentation explaining the missing record and verification that an appointment was rescheduled. Upon further review, it was noted that one of four clients did not complete the required medical assessment within thirty days of placement. The licensee was provided with technical assistance and advised to schedule the initial medical appointment promptly to ensure compliance with Title CCR 80069(a) Regarding Medical Assessments. Continued on LIC 809C LPA Peete completed two staff interviews to review the facility's policies and procedures. All staff were able to identify the required elements. LPA Peete also interviewed one client, as another client refused, and no concerns were noted. Based on observations made during this area of the inspection, a deficiency is being cited. See the LIC D. An exit interview was conducted, and a copy of this report, along with appeal rights, the Confidential Names List LIC 811, was provided to the Assistant Program Director.

met_with: Facility Manager Angellic Nolasco, Assistant Program Director Senida Zamora


summary: Facility Evaluation

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Narrative:
On December 03, 2025, Licensing Program Analysts (LPAs) Sarah Lo and Gilbert Marquez arrived to the facility for the purpose to conduct interview with client regarding two complaints that is unrelated to this facility. LPAs were met with Michelle Lofton, Supervising Facility Manager, and was allowed access to the facility. LPAs conducted a safety inspection of the facility and no immediate health and safety hazards were observed. A copy of this report was given to Michelle Lofton, Supervising Facility Manager.


summary: Facility Evaluation

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Narrative:
On May 14, 2021 at 11: AM, Licensing Program Analyst conducted an unannounced follow up case management inspection with (STRTP) New Beginnings Residential Treatment Shalom Administrator, Stacy Rougely via tele inspection. LPA communicated with Ms Rougely regarding a special incident report (SIR) that was submitted to Community Care Licensing (CCL) on March 15, 2021. The SIR disclosed that on March 14, 2021, staff #1 (S1) knowingly transported four clients (C1, C2, C3, C4) from Yucca Valley to Perris out of ratio. Confidential interviews revealed that S1 stopped at Shoe City and left the four clients in the van unattended for an unknown amount of time. Interview with S1 disclosed that on 3/14/21, S1 transported four clients with the knowledge that regulations are three to one ratio in the vehicle but that facility manager (FM) had given S1 permission due to the STRTP being short staffed. S1 admitted to having C1, C2, C3, and C4 with her on the transport. Interview with ADM disclosed that S1 normally works Sunday through Wednesday and does not usually transport clients but that on 3/14/21 the STRTP was short staffed. The facility is being cited for violation of the STRTP Interim Licensing Standards (ILS),Section 87065.5 (a) (1) Direct Care Staff/ Child Ratios. This is based on confidential interviews and record review, staff#1 (S1) transported four clients (C1, C2, C3, C4) out of ratio due to STRTP being short staffed on 03/14/21. This poses a potential risk to chidren An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were provided via email to Stacy Rougely for signature. A signed copy of the report will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 08/08/2023 at 08: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Senida Zamora, Administrator. LPA reviewed 3 of child's records and 3 of staff personnel files on site at the facility. LPA reviewed 3 of child's psychotropic medications and medication records. LPA interviewed 2 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 2 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Senida Zamora, Administrator/Assistant Program Director. During the inspection the LPA observed deficiencies (see attached 809D), plan of correction was discussed and appeal rights were provided. LPA provided a copy of this licensing report to Senida Zamora, Administrator/Assistant Program Director. No deficiencies are being cited at this time. LPA conducted exit interview with Senida Zamora, Administrator/Assistant Program Director.

met_with: Senida Zamora, Administrator/Asst. Program Director


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 01/28/2026 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Nannette Lewis, Administrator. LPA reviewed 4 child's records and 2 of staff personnel files on site at the facility. LPA reviewed 4 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 child currently prescribed psychotropic medication. (one client will be interviewed at a later day/time) One deficiency is being cited at this time (see LIC 9099D) and one Technical Assistance (TA) is being provided. LPA conducted exit interview with Administrator Nannette Lewis, and provided a copy of this licensing report and appeals rights.


summary: Facility Evaluation - 1 deficiency

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Narrative:
On April 15, 2026, at 09: AM, Licensing Program Analyst (LPA) Cynthia Robinson arrived unannounced at New Beginnings Residential Treatment Facility - Shalom, Short Term Residential Therapeutic Program (STRTP). LPA was granted access by Nannette Lewis, Administrator. The purpose of the visit is to conduct a 2 year Required Annual inspection of the facility. At 10: AM, LPA Robinson began the client file review in the staff office. LPA Robinson was assisted by Administrator, Nannette Lewis during the time of file review. LPA Robinson reviewed five client files (C1-C5). During LPA's file review, it was observed that two out of the five clients are missing an updated Needs and Services Plan (NSP) that is required every thirty days. As a result, the facility was cited with a Type B Deficiency due to a violation of Interim Licensing Standards (ILS) Article 06. Continuing Requirements 87068.3(a) Modifications to The Needs and Services Plan. Please see LIC809-D for deficiency details. LPA did not observe any other deficiencies during the client file review. Due to time constraints, LPA will return to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, LIC 809D, along with appeal rights, was provided to the facility Administrator, Nannette Lewis.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On April 23, 2026, at 9:40am, Licensing Program Analyst (LPA) Cynthia Robinson arrived unannounced to New Beginnings- Shalom STRTP and met with Nannette Lewis, Administrator. The purpose of this visit was to deliver an amended LIC 9099C report originally issued on 04/16/2026. During the meeting, the document was amended and signed. An exit interview was conducted and a copy of the amended LIC 9099C and the report was provided to Nannette Lewis, Administrator.

met_with: Administrator, Nannette Lewis


facility_name: NEW CONCEPT

raw_content:
Narrative:
Based on the interviews conducted and documentary evidence obtained the information did not produce corroborating evidence to support the above said allegations. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations are found to be Unsubstantiated meaning that although the allegations may have happened or is valid there is not a preponderance of evidence to prove that the alleged incidents occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report was left with facility administrator.

Investigation Findings:
13On December 8, 2021 at 2: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to New Concept and met with Kevon Branch, Facility Manager. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations: Minor was sexually abused while in care. Minor was physically abused while in care. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Confidential interviews reveal that minor did not interact with other residents in care and staff stood outside restroom during minor's time in bathroom. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 34-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, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 12/08/2021

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

met_with: Kevon Branch/Facility Manager


raw_content:
Narrative:
Based on the interviews conducted, administrator's admission,records reviewed, and LPA observation, the preponderance of standard has been met, therefore the above allegations are found to be substantiated. Facility cited on the attached LIC 9099D for violation of California Code of Regulations, Title 22, Division 6, regulation 87072 (a) Except for children's residential facilities, each client shall have personal rights which include, but are not limited to, the following 1)To be accorded dignity in his/her personal relationships with staff and other persons.. Exit interview was conducted, and a copy of this report will be emailed to Sueretta Small Administrator.

Investigation Findings:
On May 10, 2022 at 1: PM, Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to New Concept and spoke with Jenaya Norfleet/ Head of Service . The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation, a total of three (3) clients and seven (7) staff were interviewed. Confidential interviews reveal a camera was operating in the therapy room used by residents of the facility. Staff and clients admit there was a camera operating during therapy sessions. LPA Phillips observed camera operating from main office computer monitor. There was no audio output from the camera in therapy room. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 34-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, N. Continental Blvd. #290B FACILITY NAME: NEW CONCEPTFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Jenaya Norfleet/ Head of Service