summary: Facility Evaluation

raw_content:
Narrative:
On February 22, 2023, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by Administrator, Evonda Hull. The purpose of the visit is to conduct an annual inspection of the facility. Administrator led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, living room, kitchen area, dinning area, office, therapist office area, refrigerator/freezers, food storage areas, 3 client bedrooms, front and backyard areas, and 3 bathroom/showers. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are to be locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a visitor's room, living room, kitchen area, dinning area, office, therapist office area, laundry room, food storage areas, 3 client bedrooms, and 3 bathroom/showers. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. CONTINUES on LIC 809C Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children, each in their own bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. There are currently no children taking prescribed medications. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.


state: CA

facility_name: ALPHA CONNECTION-ANOKA RANCH, THE

summary: Facility Evaluation

raw_content:
Narrative:
On September 27, 2023, at 06: PM Licensing Program Analyst (LPA) Joon Choi arrived at the facility to issue an immediate exclusion order for staff (S1) for an incident unrelated to this facility. LPA advised the facility to adhere immediately to the exclusion order. Copies of the exclusion order were provided to Administrator for Alpha Connection Youth and Family Services Facilities: Alpha Connection-Shoshonee Place #366402331, Alpha Connection-Nisqually Nest #366403207, Alpha Connection-Anoka ranch #366401649, and Alpha Connection Group Home for Children #366412000 due to S1 being associated to all four facilities. A copy of the exclusion order was also provided to S1. An exit interview was conducted. A copy of this report, LIC 811 and the appeal rights with the exclusion order was provided to Administrator Evonda Hull. Due to LPA's printer malfunctioning, all the above stated forms were emailed to administrator.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Evonda Hull, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
LPA Mena conducted an unannounced Case Management visit on this date. LPA Mena met with Program Administrator, Evonnda Hull. While at the facility, LPA Mena discussed and reviewed Client Records (C1, C2, C3, C4 & C5) and will obtain copies of pertinent documentation to ensure the facility is meeting the needs of clients in care. In addition, LPA Mena conducted interviews with staff (S1 & S2) and two Clients (C1 & C2) who were present on facility grounds during visit. An exit interview was conducted and a copy of this report was provide.

met_with: Evonnda Hull


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 11/20/2023 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the visit, LPA Choi met with Adminstrator Evonnda Hull and conducted a health and safety inspection of the facility. No immediate health or safety risks were observed. LPA reviewed 2 of child's records and 3 of staff personnel files on site at the facility. LPA reviewed 2 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. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator Evonnda Hull and provided a copy of this licensing report.

met_with: Evonnda Hull, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2024, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by Administrator, Evonda Hull. The purpose of the visit is to conduct an annual inspection of the facility. Administrator led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, living room, kitchen area, dinning area, office, therapist office area, refrigerator/freezers, food storage areas, 3 client bedrooms, front and backyard areas, and 3 bathroom/showers. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are to be locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a visitor's room, living room, kitchen area, dinning area, office, therapist office area, laundry room, food storage areas, 3 client bedrooms, and 3 bathroom/showers. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. CONTINUES on LIC 809C Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children, each in their own bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. There are currently several children taking prescribed medications. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 09/12/2024 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the visit, LPA Choi met with Administrator Evonnda Hull and conducted a health and safety inspection of the facility. No immediate health or safety risks were observed. 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 child currently prescribed psychotropic medication. No deficiencies are being cited at this time but a Technical Assistance was provided for CCR 84070(b)(13)(A-H) (quantity of medication). LPA conducted exit interview with Administrator Evonnda Hull and provided a copy of this licensing report and the Technical Assistance.


summary: Facility Evaluation

raw_content:
Narrative:
On October 04, 2024, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by Administrator, Evonda Hull. The purpose of the visit is to conduct an annual inspection of the facility. Administrator led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, living room, kitchen area, dinning area, office, therapist office area, refrigerator/freezers, food storage areas, 3 client bedrooms, front and backyard areas, and 3 bathroom/showers. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are to be locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Per the Administrator, no firearms or weapons are allowed in the facility. CONTINUES on LIC 809C The facility has a visitor's room, living room, kitchen area, dinning area, office, therapist office area, laundry room, food storage areas, 3 client bedrooms, and 3 bathroom/showers. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children, each in their own bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. There are currently several children taking prescribed medications. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On April 02, 2025, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by Facility Manager, Shamar Whestone. The purpose of the visit is to conduct an annual required inspection of the facility. Program Director, Amy Osborn led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, living room, kitchen area, dinning area, office, therapist office area, refrigerator/freezers, food storage areas, 3 client bedrooms, front and backyard areas, and 3 bathroom/showers. Facility grounds are clean and free of debris and observable hazards. Temperature was observed to be 6 degrees above Fahrenheit on this date. Water heater temperature was lowered during visit. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are to be locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Per the Administrator, no firearms or weapons are allowed in the facility. Continues on next page The facility has a visitor's room, living room, kitchen area, dinning area, office, therapist office area, laundry room, food storage areas, 3 client bedrooms, and 3 bathroom/showers. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has four children in care. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. There are currently two children taking prescribed medications. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Ms. Osborn.

met_with: Amy Osborn


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's) Jacqueline Garcia, Rachel Vanegas, and Emina Preciado on November 17, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's met with Evonnda Hull, Administrator and inspected the facility inside and out. LPA's reviewed 1 child records and 5 staff personnel files on site at the facility. LPA's reviewed 1 of 1 child's psychotropic medications and medication records. LPA's interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA's will return to continue child interview at a later time due to client not being present at this time. During the inspection no deficiencies were cited. LPA's conducted an exit interview with Administrator, Evonnda Hull and a copy of this report, LIC 811 dated 11/17/25 were reviewed and provided to Administrator, Evonnda Hull.

met_with: Evonnda Hull-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 21, 2025, at 11:30AM, Licensing Program Analyst (LPA) Daniel Mena met with Alpha Connections Group Home for Children (GH) Facility Director, Ajee-aonna Glover and Program Administrator, Evonnda Hull regarding a case management inspection. The purpose of the inspection is to review facility compliance with the probationary conditions set forth by the Settlement Agreement and Mutual General Release that went into effect on January 1, 2023. While at the facility LPA conducted a records review and conducted staff and client interviews. An annual/required facility inspection was conducted by LPA Mena on April 02, 2025, during which the facility was found to be in compliance with California Code of Regulations, Title 22, Division 6, Chapter 5. A copy of this report was provided to Administrator.

met_with: Evonda Hull


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
showing that GH had been providing consistent medical and dental care services to C1 since their arrival to the facility. While other confidential Information received by Licensing Office stated that this allegation had occurred, and that staff failed to provided follow-up medical care for one of C1's injuries in a timely manner. According to confidential interviews, C1 had expressed pain/discomfort to staff and requested follow-up medical attention on more than one occasion, before C1 was taken to be seen by a medical doctor. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Facility is not meeting the medical needs of client in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Facility Director, Ajee-aonna Glover to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on November 16, 2025. No immediate hazards were observed. LPA Mena interviewed one of one foster child involved (C1), Facility Administrator (AD), Facility Manager (S1), Program Director (PD), as well as reviewed facility and client information. Community Care Licensing received information on November 14, 2025, alleging that Facility is not meeting the medical needs of client in care. Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. Confidential interviews provided conflicting statements regarding the allegation of staff not meeting the medical needs of C1. Confidential interviews denied allegation that GH is not meeting C1's medical needs. Facility provided documentation Continues on next page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Daniel Mena 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 12/11/2025

report_type: Complaint Investigation

met_with: Ajee-aonna Glover

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheraki Davis on 10/29/2021 at 1: PM. During the inspection, LPA met with Evonnda Hull, Administrator and inspected the facility. LPA reviewed three out of three child's psychotropic records on site at the facility at 2: PM. During the review of children's records, LPA observed one out of three children (C2) did not have a current JV 220 and JV 223. LPA observed three out of three children (C1-C3) Needs and Services Plan were not signed by the children authorized representatives prior to implementing. LPA reviewed two staff personnel files on site at the facility at 3: PM. LPA began two staff interviews at 3: PM. LPA interviewed one out of three children currently taking psychotropic medication at 3: PM. Two children refuse to interview. LPA conducted exit interview with Evonnda Hull at 5: PM. LPA provided the Summary Report, LIC 809D, LIC 9102, Appeal Rights to Evonnda Hull, Administrator upon completion. One deficiency was observed (refer to LIC 809D) and cited from the Interim Licensing Standards during the inspection. One Advisory Notes- Technical Violation was issued (refer to LIC 9102) during the inspection.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 16, 2021 at 6:50pm Licensing Program Analyst (LPA), Nicole Strickland, met with Alpha Connection - Anoka Ranch, Administrator Evonnda Hull to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL) the facility submitted a Serious Incident Report (SIR) to CCL regarding an incident occurring at the facility on June 13, 2021. CCL has received information the SIR submitted does not accurately reflect the incident. The SIR notes C1 was escalated with both S1 and Staff #3 (S3). Confidential interviews reported this SIR was not accurate as Child #1 (C1) became escalated only with Staff #1 (S1) while inside the facility and then followed S1 outside to the dumpster. The report noted S3, S2, and S1 counseled C1, however confidential interviews confirmed S2 and S3 were attempting to de-escalte C1 but S1 was yelling and arguing back with C1 which continued to escalate C1. The report also notes that S3 was acting as lead during the restraint. Confidential interviews noted that in S3's attempts to de-escalte C1, C1 was informed if C1 did not de-escalte a restraint would be needed however this was done as part of the de-escalation process not as S3 taking lead on a possible imminent restraint. The SIR notes that due to C1's continued assault on staff, S3 and S1 placed C1 in an authorized ProAct laying down restraint. Confidential interviews reported this did not accurately reflect the situation. Confidential interviews reported as S2 and S3 were attempting to de-escalate C1, S1 came from the back/side knocking C1 and S2 to the ground, at which time S1 jumped on top of C1. Confidential interviews reported that once S1 was on top of C1 with his torso on C1's back S3 provided assistance by holding C1's legs to assist S1. Confidential interview reported S1 did not communicate that he was taking C1 to the ground and the way in which S1 took C1 to the ground are not are not consistent with how an approved Pro-Act restraint is initiated. The report notes that S4 was monitoring C1's breathing during the restraint. Confidential interviews reported that S4 was in the area and witnessed the incident, however, was not providing any assistance. ****** The SIR submitted to CCL notes that an approved Pro-Act restraint was used on C1. However, record review could not provide current Pro-Act training for S1. S1 initiating and/or participating in any restraint while S1's Pro-Act training is not up-to-date is a violation of Interim Licensing Standards (ILS) standard 87095.65(e). Also noted on the SIR was prior to the incident between C1 and S1, C1 had injured C1's hand by punching a metal door, to which S2 was going to take C1 to the hospital to be evaluated. S1's approach to handling the situation coming from behind/side of C1 knocking C1 to the ground is a violation of ILS 87095.00(c)(5). Additionally, Program Director (PDir) who reviewed the SIR and submitted it to CCL along with Pro-Act training certifications failed to notice the date of S1's Pro-Act training. This failure to notice S1's Pro-Act training had not been maintained resulted in the facility being in violation of ILS 87095.65(f), as a corrective action plan was not initiated. Confidential interviews and photographs obtained noted the way in which C1 was knocked to the ground by S1 caused C1 to sustain a bloody nose, scratches to the arms, and a busted lip. These injuries were not noted on the SIR submitted to CCL as required by Interim Licensing Standards (ILS) 87061(j)(6)(E). The SIR provided past types of behavior issues C1 had since arriving at the facility, however the history provided does not include all of the required information that is to be reported to CCL, including dates of previous incidents. This is a violation of ILS 87061(j)(3)(B)(1). Also noted missing from the SIR was information regarding actions taken by facility personnel in response to previous incidents as required by ILS 87061(j)(3)(B)(3). The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87095.65(e). EMERGENCY INTERVENTION STAFF TRAINING (e) Staff must receive on-going training to maintain certification. The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87095.00(c)(5). GENERAL PROVISIONS: (c)Short-term residential therapeutic program staff may be justified in using ****** restraints as an emergency intervention if all of the following conditions are met: (5) The child receiving the restraint has no known medical or physical condition due to which there is reason to believe that the use of restraint would endanger the child's health and safety or exacerbate the medical condition; The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87095.65(f) EMERGENCY INTERVENTION STAFF TRAINING (f) When an inappropriate manual restraint technique is used during an emergency intervention, the licensee must develop a corrective action plan, and as part of the plan may require staff to repeat the appropriate emergency intervention training. The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87061(j)(6)(E). REPORTING REQUIREMENTS: Incident Reports (6) Incident Reports documenting the use of manual restraints must include the following: (E) Description of any injuries sustained by the child or facility personnel. What type of medical treatment was sought and where was child taken. Provide an explanation if medical treatment was not sought for injuries. The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87061(j)(3)(B)(1) REPORTING REQUIREMENTS (j) Incident Reports must include the following: (3) Analysis of the incident: (B) Description of other previous incidents. (1) Dates of previous incidents. The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87061(j)(3)(B)(3). REPORTING REQUIREMENTS: (j) Incident Reports must include the following: (3) Analysis of the incident: (B) Description of other previous incidents. (3) Action taken by facility personnel in response to previous incidents. A copy of the report was discussed and provided along with appeal rights to Alpha Connection - Anoka Ranch, Administrator Evonnda Hull.

Deficiencies:
87095.65(f): Incident Reports (6) Incident Reports documenting the use of manual restraints must include the following: (E) Description of any injuries sustained by the child or facility personnel. What type of medical treatment was sought and where was child taken. Provide an explanation if medical treatment was not sought for injuries.

met_with: Administrator Evonnda Hull


facility_name: ALPHA CONNECTION-NISQUALLY NEST, THE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Additional confidential interviews revealed that C2 did choke and suffocate C1. Confidential witness statements indicate that staff did not observe C2 choke and suffocate C1 because the incident occurred in C1 and C2 bedroom. CSW stated that C1 has a history of aggression. CSW also stated that C1 has a history of being hospitalized and placed on 5150 holds. Based on confidential interviews, the allegation that alleged facility staff did not provide a safe environment for client 1 (C1)., may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Facility Director (FD), Lourdes Galeana.

Investigation Findings:
13On September 2, Licensing Program Analyst (LPA) Jose Gonzalez met with Facility Director (FD), Lourdes Galeana to issue the findings for the above stated allegations. LPA inspected the facility at 10:53am on April 22, 2021, reviewed facility file and six of six clients' files. During the investigation, interviews were conducted with three out of six clients, three of the six clients refused to be interviewed, STRTP facility staff, Facility Director (FD), and County Social Worker. On April 19, 2021 the department received a complaint that alleged facility staff did not provide a safe environment for client 1 (C1). Confidential witness statements indicate that staff were supervising the clients. Additional confidential interviews revealed that C2 did not choke nor suffocated C1. Confidential witness statements indicate that facility staff did not observe the alleged incident that C2 had suffocated C1. Additional confidential interviews revealed that facility staff verbally redirected C1 and C2 to stop horse playing and that horse playing was not allowed. Confidential witness statements indicate C1 and C2 began to fight and that facility staff immediately intervened and separated C1 and C2.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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/02/2021

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

met_with: Facility Director Lourdes Galeana


raw_content:
Narrative:
corroborate these allegations with a preponderance of evidence. Confidential interviews denied a lack of supervision resulting in C1 being injured while in care. According to confidential information, C1 and C4 got into an altercation in which staff immediately intervened. According to confidential interviews, C1 was asked if they were fine and offered medical attention to which C1 declined. It was not until the following day that C1 began to complain of pain in their arm and was taken by staff to receive medical care and was diagnosed with a "sprained shoulder." Confidential interviews also denied that C1 ever tested positive for COVID 19. According to confidential information, although other clients in the home were COVID positive during the time that C1 resided in the home, C1 was tested for COVID on at least two occasions to which C1 tested negative. Confidential interviews also denied allegation that C1 had missed school due to short staffing. According to confidential interviews, if there is insufficient staff for transportation, they will obtain additional help from one of their other facilities. Regarding allegation that C1 was not receiving the required products for their hair care, confidential interviews denied that this was true and stated that whenever the facility does not have a product for a specific type of hair, clients can request it from the staff and they will purchase it. While other confidential information received by Licensing Office stated that these allegations had occurred. Based on confidential information obtained during the course of this investigation, the allegations that Child # 1 (C1) was injured while in care due to lack of supervision, that staff did not report that C1 was COVID positive, that C1 did not attend school on one occasion due to a staffing shortage, and that staff is not assisting C1 with hygiene, more specifically that staff was not providing the required products for C1's hair care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Psami Savea to discuss the investigative findings for the above stated allegations. Licensing Program Analysts (LPAs), Jose Gonzalez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on February 11, 2022 at 9:01am and on May 27, 2022 at 11:00am. No immediate hazards observed. LPAs Gonzalez and Mena interviewed five staff (S1, S2, S3, S4 & S5), four foster children (C1, C2, C3 & C4), as well as reviewed client and facility records. LPA Mena was unable to interview Child # 5 (C5), due to their current whereabouts being currently unknown. Community Care Licensing received information on February 4, 2022 alleging that Child # 1 (C1) was injured while in care due to lack of supervision, that staff did not report that C1 was COVID positive, and that C1 did not attend school on one occasion due to a staffing shortage. Allegation also claimed that staff is not assisting C1 with hygiene needs, more specifically that staff was not providing the required products for C1's hair care. LPAs obtained conflicting information in confidential interviews and did not UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 06/16/2022

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

met_with: Pasami Savea


raw_content:
Narrative:
evidence. Confidential interviews denied that any "grown men" deliver or drop off drugs and alcohol to any of the clients, and that facility is not only gated, but that there are also motion lights and alarms on the doors and windows of the facility which would have alerted staff if this had occurred. Confidential interviews stated that if drugs and alcohol is obtained by clients, it is usually done so while on AWOL (absence without official leave) status or on approved leave passes. According to confidential interviews, searches are conducted upon return to the facility, but that clients often hide contraband near their private areas which they know will not be searched by staff. LPAs also obtained conflicting information regarding allegation that C4 had access to a knife and had made threats against C1 and other clients. According to confidential information, C1 had never actually had possession of a knife, and that only verbal threats were made. Other confidential information received regarding knife, stated that C4 "might" have made the comment while cooking and holding knife under the supervision of staff but could not recall, while other confidential interviews stated that C4 possibly found a knife inside one of the vehicle's belonging to one of the boy's home. Confidential interviews also denied having any knowledge of C1 having any personal items stolen, while other confidential interviews stated that C1 never filled out a reimbursement request when told to report stolen items and even later told some staff that they had found the items that they thought were previously stolen. Based on confidential information obtained during the course of this investigation, the allegations that Child # 1's (C1) possessions are not being safe guarded, that minors have access to drugs and alcohol due to "grown men" dropping these items off at facility, as well as a lack of supervision by staff that led to Child # 4 (C4) gaining access to a knife and making threats to other minors in care; including C1, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Psami Savea to discuss the investigative findings for the above stated allegations. Licensing Program Analysts (LPAs), Jose Gonzalez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on February 18, 2022 at 10:45am and on May 27, 2022 at 9:08am. No immediate hazards observed. LPAs Gonzalez and Mena interviewed five staff (S1, S2, S3, S4 & S5), four foster children (C1, C2, C3 & C4), as well as reviewed client and facility records. LPA Mena was unable to interview Child # 5 (C5), due to their current whereabouts being currently unknown. Community Care Licensing received information on February 14, 2022 alleging that Child # 1's (C1) possessions are not being safe guarded, that minors have access to drugs and alcohol due to "grown men" dropping these items off at facility, as well as a lack of supervision by staff that led to Child # 4 (C4) gaining access to a knife and making threats to other minors in care; including C1. LPAs obtained conflicting information in confidential interviews and did not corroborate the allegations with a preponderance of UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 06/16/2022

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


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
reported C1 was rushed to the Emergency Department after consuming a whole bottle of alcohol. Confidential interviews reported the incident occurred in the late evening of February 10, 2022. Confidential interviews reported C1 and Child #2 (C2) entered the facility bathroom at approximately 11:30 pm were C1 consumed an entire bottle of alcohol, the amount of time C1 and C2 spent in the bathroom is uncertain as confidential interviews report it was a long time with statements noting anywhere from an hour to an hour and a half as time given. Confidential interviews reported staff did try to enter the bathroom and reported was blocked. However, facility communication log was unable to provide evidence of the timeline for the evening as the communication log for February 10, 2022 had no entries. A review of the Serious Incident Report (SIR) provided for the incident written by the facility, incident occurred on 2/11/2022 at 12:38 am and reported time in bathroom was fifteen minutes. Confidential interviews reported when C1 exited the bathroom staff observed C1 to stumble out of the bathroom stumbling words and shortly after C1 began vomiting. Confidential interviews reported feeling concerned as it was unknown if other substances were consumed or if C1's prescribed psychotropic medications may cause dangerous side effects. Confidential interviews reported that staff contacted Administrator (ADM) who was overheard to say let C1 sleep it off, not to call 9-1-1, and continue to assess. Confidential interviews reported when staff arrived for the overnight shift, the staff was made aware of the concerns for C1 and observed C1 to have labored breathing and reported C1's color to be changing prompting staff to call 9-1-1. Confidential interviews and record review revealed C1 was transported to the hospital on 2/11/2022 at 0233 hours and diagnosed with Acute Alcohol Intoxication and dehydration. Based on confidential interviews and record review the allegations Lack of supervision resulted in minor (Child #1 [C1]) consuming excessive amount of alcohol while in care, requiring hospitalization, Medical treatment for minor (C1) in care was not sought with reasonable promptness that met the needs of the child and Minor (C1) was not properly supervised while in care are substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 87065.2 (b)(1) PERSONNEL DUTIES (b) Direct care staff shall perform the following duties: (1) supervision, protection, and care of children at all times, individually and in groups, 87072(c) PERSONAL RIGHTS (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified n Welfare and Institutions Code Section 16001.9 as applicable, and 87065.2 (a)(2) PERSONNEL DUTIES (a)The Facility manager shall meet the requirements of Health and Safety code section 1522.4 and be responsible for: (2) Supervising the direct care staff, ensuring appropriate care and ****** supervision is provided to the children in accordance with applicable law, licensing regulations, and the facilities polices. An immediate civil penalty is being assessed to the facility for violation of 87065.2 (a)(2) PERSONNEL DUTIES (a)The Facility manager shall meet the requirements of Health and Safety code section 1522.4 and be responsible for: (2) Supervising the direct care staff, ensuring appropriate care and supervision is provided to the children in accordance with applicable law, licensing regulations, and the facilities polices. A civil penalty for repeat violation of 87065.2 (b)(1) PERSONNEL DUTIES (b) Direct care staff shall perform the following duties: (1) supervision, protection, and care of children at all times, individually and in groups is also being assessed to the facility. A copy of the report was discussed and provided along civil penalty assessments (LIC 421FC, and LIC 421IM) with appeal rights to Alpha Connections Nisqually Nest, Administrator (ADM), Evonda Hull

Investigation Findings:
13On July 13, 2022 at 3:48pm Licensing Program Analyst (LPA), Nicole Strickland, arrived at Alpha Connections Nisqually Nest, and met with Administrator (ADM), Evonda Hull to deliver the findings for the above stated allegations. The investigation was conducted by Community Care Licensings Investigations Branch Special Investigator (SI) Brittney Hudec and LPA Strickland and included interviews with three staff (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3]) six foster youth (child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], Child #5 [C5] and Child #6 [C6]), two Kings County County Social Workers (CSW#1, CSW#2), Kings County Department of Children and Family Services Investigator, and ADM. In addition, county records and facility records were reviewed. On February 22, Community Care Licensing (CCL) received three allegations alleging lack of supervision resulted in minor (Child #1 [C1]) consuming excessive amount of alcohol while in care, requiring hospitalization, medical treatment for minor in care was not sought with reasonable promptness that met the needs of the child, and minor was not properly supervised while in care. Specifically it was SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 07/13/2022

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

Deficiencies:
87065.2: (2) Supervising the direct care staff, ensuring appropriate care and supervision is provided to the children in accordance with applicable law, licensing regulations, and the facilities polices.

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Additional confidential interviews revealed that the facility staff did not document on Medication Administration Record Sheet (MARS) logbook that the medications were administered to minors. Confidential interviews disclosed that facility staff had to contact the facility staff from the previous shift of 07/04/2022 to ensure the medications were administered per doctor orders. The Department also received an allegation that the facility was operating out of ratio. Confidential interviews revealed that on 07/05/2022, Staff #1 (S1) had transported Staff #2 (S2) home, which left the Facility Manager (FM) with six minors. Additional confidential interviews revealed that the FM was aware that the facility would be out of ratio and had instructed S1 to take three minors on the transport to S2's home. Confidential interviews disclosed that it was observed by a County Social Worker (CSW) that FM was out of ratio with six clients. FM admitted that the facility was out of ratio with six minors present with only one staff member on 07/05/22. Based on LPA confidential interviews and County Social Worker observations, the facility staff did not maintain accurate medical records for minor(s) in care, and the facility was operating out of ratio are substantiated as the preponderance of evidence standard has been met for the allegations. The facility will be cited for a violation of the Interim Licensing Standards (ILS) 87070(b)(13)(H) Children's Records and 87065.5 (a)(1) Direct Care Staff/Child Ratios. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Program Director (PD), Amy Osborn..

Investigation Findings:
13On July 21, 2022, at 9:16 am, Licensing Program Analysts (LPAs) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegations. LPAs conducted a safety inspection at the facility at 10:46 am on July 8, 2022, and no immediate health and safety hazards were observed. LPAs also reviewed Medication Administration Record Sheet (MARS) logbook and six out of six clients' records. During the investigation, interviews were conducted with one out of six clients (C1 was at school, C2, C3, C4, and C6 were asleep), Facility Manager (FM), Program Director (PD), Staff #1 (S1), Staff #3 (S3), and County Social Worker (CSW). On July 6, 2022, the Department received an allegation that the facility staff did not maintain accurate medical records for minor(s) in care. Confidential interviews revealed that the facility staff administered medications to minors on 07/04/2022, but on 07/05/2022 a County Social Worker had observed the MARS logbook did not contain documentation that the medications were administered. ******* CONTINUED on LIC 9099C****** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 07/21/2022

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

Deficiencies:
87065.5: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum.1
2
3
4
5
6
7Per Program Director Amy Osborn staff were retrained on appropriate staff to client ratio with all Nisqually staff on 07/07/2022. PD stated that staff was issued administrative warnings and reeducated on proper ratio. Proof of training module and staff sing in sheet documentation was faxed to LPA by 07/08/2022.
8
9
10
11
12
13
14Based on LPA confidential interviews: ,

met_with: Program Director (PD), Amy Osborn

title: (a)(1) Direct Care Staff/Child Ratios In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows


raw_content:
Narrative:
Confidential interviews indicate that the minors do not feel safe at the home because other minors are threatening them when the facility staff are not monitoring their interactions. The Department also received allegations that facility staff #1 (S1) are sleeping during work shifts. Confidential interviews indicate the facility staff are not sleeping during work their shifts. Additional confidential interviews revealed that male staff do not work nocturnal shifts at the Nisqually Nest home. Confidential interviews indicate that S1 has not worked a shift at this STRTP home. Confidential interviews revealed that they have not observed S1 working at the STRTP home. Additional interviews revealed that facility staff are sleeping at the STRTP home. Confidential interviews disclosed that it was observed that a facility staff was sleeping during their shift. Additional interviews revealed that facility staff are stressed out. Based on confidential interviews, the allegation that facility staff are not providing supervision to the minors in care and that facility staff #1 (S1) is sleeping during work shifts may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Amy Osborn.

Investigation Findings:
13On August 23, 2022, at 12:51 pm, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 2:48 pm on March 18, 2022, and no immediate health and safety hazards were observed. LPA also reviewed six of six clients' records. During the investigation, interviews were conducted with six of six clients (C1, C2, C3, C4, C5, and C6), Facility Manager (FM), and Staff #1 (S1). The Department received a complaint on March 18, 2022, that alleged facility staff are not providing supervision to the minors in care. Confidential interviews indicate that facility staff are providing supervision for the minors in care. Additional confidential interviews revealed that the facility staff intervened immediately when the residents argued or fought. Confidential interviews indicate that the facility staff are checking on the minors every 15 to 30 minutes. Additional confidential interviews revealed that minors are picking on other minors when the facility staff are not supervising the minors. **CONTINUED on LIC 9099** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 08/23/2022

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


raw_content:
Narrative:
***This is an amended report of a report that was originally issued on 9/8/2022*** On May 6, 2022, Community Care Licensing (CCL) received an allegation alleging Minors are smoking marijuana while in care. Specifically, it was reported during three out of four unannounced visits County Social Worker #1 (CSW1) observed residents inside their rooms smoking marijuana. Record review of the facilities communication log/running log revealed during the period for April 13, 2022 through May 1, 2022 staff noted 14 separate incidents were residents (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4] and/or Child #5 [C5]) were observed to be smoking alone or with other residents. Confidential interviews confirmed that residents smoke in the bedrooms/bathrooms or in the backyard of the facility. Based on confidential interviews and record review the allegation minors are smoking marijuana while in care is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 87087 (c) Buildings and Grounds. The licensee shall prohibit smoking in the facility and on the grounds of the facility. . A copy of the report was discussed and provided along appeal rights to Alpha Connections - Nisqually Program Director (PD) Elysia Moore.

Investigation Findings:
13***This is an amended report of a report that was originally issued on 9/8/2022*** On 9/8/2022, 2022 at 11: AM Licensing Program Analysts (LPA) Joon Choi and Jessica Peete, met with Alpha Connections - Nisqually Nest Program Director (PD), Elysia Moore to deliver the finding for the above stated allegation. The investigation was conducted by Special Investigator (SI) Britany Hudec and LPA Strickland and included interviews with seven foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], Child #5 [C5], Child #6 [C6] and Child #7 [C7]), seven staff members (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], Staff #5 [S5], Staff #6 [S6] and Staff #7 [S7]), ADM, two San Diego Department of Children and Family Services (DCFS) County Social Workers (CSW [CSW1] and [CSW2]) two Kings County DCFS CSWs (CSW3 and CSW4), and Kings County DCFS Investigator. In addition, county records and facility records were reviewed. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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

Deficiencies:
87087: 1
2
3
4
5
6
7

title:
(c) Buildings and Grounds. The licensee shall prohibit smoking in the facility and on the grounds of the facility.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


raw_content:
Narrative:
***This is an amended report*** On May 6, 2022, Community Care Licensing (CCL) received an allegation alleging Minors are using illegal drugs (methamphetamine) while in care. Specifically, it was reported minors are engaging in methamphetamine use at the facility. Record review and confidential interviews could not confirm or dispute the use of methamphetamine at the facility. Confidential interviews confirmed some residents do use methamphetamine however, where and when the use of the illegal drug occurs could not be confirmed. Based on record review and confidential interviews the allegation of Minors are using illegal drugs (methamphetamine) while in care, may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Alpha Connections - Nisqually Nest Program Director Elysia Moore

Investigation Findings:
13***This is an amended report of a report that was originally issued on 9/8/2022*** On 9/8/2022, 2022 at 11: AM Licensing Program Analysts (LPA) Joon Choi and Jessica Peete, met with Alpha Connections - Nisqually Nest Program Director, Elysia Moore to deliver the finding for the above stated allegation. The investigation was conducted by Special Investigator (SI) Britany Hudec and LPA Strickland and included interviews with seven foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], Child #5 [C5], Child #6 [C6] and Child #7 [C7]), seven staff members (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], Staff #5 [S5], Staff #6 [S6] and Staff #7 [S7]), ADM, two San Diego Department of Children and Family Services (DCFS) County Social Workers (CSW [CSW1] and [CSW2]) two Kings County DCFS CSWs (CSW3 and CSW4), and Kings County DCFS Investigator. In addition, county records and facility records were reviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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


raw_content:
Narrative:
Administrator denied that the facility had bed bugs, however, Administrator added that due to the location of the facility some insects would enter the facility, so pest control began to service the facility twice a month. County social workers stated that when they visited the facility, it was always clean, and they did not see any cockroaches or other insects. Furthermore, county social workers added that they had not seen any bite marks on the clients to suggest the facility had a beg bug problem. County social worker #2 (CSW2) added that he had not been told by his client that the facility had beg bugs or an insect problem. During inspection, LPA didn't observe insects. LPA was provided with receipts of new mattresses purchased, and invoices from pest control services. Other confidential witnesses stated that they had seen bugs on client's beds and had not seen the facility receive pest control services or do anything to prevent or stop the insect problem. Based on confidential interviews and record review, the allegation that the facility had bed bugs may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report was explained and provided to Pasami Savea.

Investigation Findings:
13On September 8, 2022, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility manager, Pasami Savea, to issue the finding for the above stated allegation. The complaint investigation was conducted by LPA Almaraz. On July 7, 2022, at 8: AM LPA Almaraz arrived at the facility to initiate the investigation, conducted a safety inspection, and interviewed five staff and three clients. During the inspection, LPA reviewed facility records and six client records. Additionally, LPA Almaraz conducted an interview with two county social workers and one staff. Three of six clients refused to participate in LPA's interview. On June 27, 2022, the Department received a complaint alleging the facility had insects. More specifically, it was alleged that the facility had bed bugs and when informed of the bed bugs, the Administrator stated that they were cockroaches. Confidential witnesses stated that they had not seen or been told that the facility had insects while others stated that they were told of insects but never seen insects. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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


raw_content:
Narrative:
Based on interviews and record reviews the allegation that C1 was engaging in inappropriate behaviors due to lack of supervision, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pasami Savea.

Investigation Findings:
13On September 15, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Michael Almaraz conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Pasami Savea. LPA Jose Gonzalez conducted an inspection of the facility on January 05, 2022 at 12:14 pm and no immediate deficiencies were observed. Five of five children (C1, C2, C3, C4, C5), three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was engaging in inappropriate behaviors due to lack of supervision. Confidential staff interviews reported that C1 was leaving the facility absent without leave (awol) and engaging in inappropriate behaviors. Confidential interviews reported that when staff became aware of what C1 was doing while being awol, staff put in a 14-day notice on C1 and staff was attempting to ensure that none of the other clients in the home where engaging with C1. The interviews that were provided to the LPA were not consistent and did not provide any specific details regarding lack of supervision by staff. Confidential interviews disclosed that staff would verbally redirect C1 and encourage C1 not to AWOL while other information obtained from confidential interviews stated that staff did not intervene when C AWOL'd resulting in 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/15/2022

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


raw_content:
Narrative:
Information obtained from confidential interviews and record review C1 has threatened and physically assaulted other residents at the facility. LPA received inconsistent information regarding whether staff intervened by verbal redirection and calling law enforcement in order to ensure safety of the clients in care. Based on interviews and record reviews the allegations that C1 was left unsupervised while in care, C1 was assaulted by other residents in the facility, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Amy Osborn.

Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Amy Osborn. LPA Jose Gonzalez conducted an inspection of the facility on February 28, 2022 at 12:22 pm and no immediate deficiencies were observed. Four of six children (C1, C2, C3, C4, C5, C6), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was left unsupervised while in care, C1 was assaulted by other residents in the facility. Confidential interview reported that C1 had approved two hours day pass and staff dropped off C1 at a community park. Confidential interviews reported that C1 was picked up timely withing the approved two hours by staff. Additional confidential interviews reported that C1 was left at the park for over six hours. Confidential staff interviews reported that C1 was assaulted by several clients at the facility. Additional interviews reported that C1 assaulted C2 and C3 on several occasions. Confidential interviews reported that staff has called law enforcement for assistance when the clients are ignoring staff prompts and continue to physically assault each other. 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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


raw_content:
Narrative:
Information obtained from confidential interviews stated that the allegations were true and that C1 has threatened and physically assaulted other residents at the facility. Other confidential interviews and record review showed a history of physical altercations between clients at the facility and stated that staff does not provide a safe environment for clients in care while other confidential interviews denied the allegations. LPA received inconsistent information regarding the allegations. Based on interviews and record reviews the allegations that C1 was threatened and physically assaulted by C2 and C3 and staff did not provide a safe environment for C1, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Amy Osborn.

Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Amy Osborn. LPA Jose Gonzalez conducted an inspection of the facility on March 04, 2022 at 1:48 pm and no immediate deficiencies were observed. Four of six children (C1, C2, C3, C4, C5, C6), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was threatened and physically assaulted by C2 and C3 and staff did not provide a safe environment for C1. Confidential interviews reported that C1 and C2 had gotten into a verbal dispute over money. Confidential staff interviews reported that staff verbally redirected both of the residents. Confidential staff interviews reported that several days later C1, C2 and C3 got into a physical altercation and staff immediately intervened. Confidential interviews reported that staff has called law enforcement for assistance when the clients are ignoring staff prompts and continue to physically assault each other. 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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


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Narrative:
Confidential interviews reported conflicting statements on how staff handle residents AWOLing from the facility. Confidential interviews reported some staff will try to verbally intervene and discourage the resident(s) from leaving and will occasionally follow the residents down the street when they do leave. Additional confidential interviews reported staff do not make any attempts to stop the residents from leaving. Confidential interviews could not confirm or dispute the facility failed to follow the program statement resulting in CSEC behavior. Confidential interviews and record review revealed the facility had been working with the residents County Social Worker and conducted Child Family Team meetings to address the resident's behaviors. Additional confidential interviews could not confirm CSEC behavior was or was not discussed or addressed in the CFT meetings. Based on record review and confidential interviews the allegations of facility did not follow their emergency intervention plan and the facility failed to follow the program statement resulting in CSEC (Commercially Sexually Exploited Children) behavior, may or may not have occurred, however they are not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Alpha Connections - Nisqually Nest Administrator (ADM), Amy Osborn.

Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi, met with Alpha Connections - Nisqually Nest Administrator (ADM), Amy Osborn, to deliver the findings for the above stated allegations. LPA conducted an inspection of the facility on May 3, 2022 at approximately 12:30pm and no immediate deficiencies were observed. The investigation was conducted by LPA Strickland and included interviews with four foster youth (Child #1 [C1], Child #3 [C3], Child #5 [C5], and Child #7 [C7]), three staff (Staff #1 [S1], Staff #2 [S2] and Staff #3 [S3]), Open Case Investigator (OCI), and ADM. In addition, county records and facility records were reviewed. On April 28, 2022, Community Care Licensing (CCL) received two allegations alleging the facility did not follow their emergency intervention plan and the facility failed to follow the program statement resulting in CSEC (Commercially Sexually Exploited Children) behavior. Record review revealed on April 25, 2022 at approximately 6:45pm two residents AWOLed from the facility for two days. Record review and confidential interviews reported while the two residents were AWOL from the facility they participated in CSEC behaviors. Record review was unable to provide documentation of what if anything was done by the facility to discourage the residents from AWOLing prior to this incident. 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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


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Narrative:
Based on interviews and record reviews the allegation that staff are not properly trained to provide appropriate care and supervision to the minors in care, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Psami Savea. Based on interviews and record reviews the allegation that staff are not properly trained to provide appropriate care and supervision to the minors in care, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Psami Savea.

Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Psami Savea. LPA Jose Gonzalez conducted an inspection of the facility on June 03, 2022 at 2:25 pm and no immediate deficiencies were observed. Four of six children (C1, C2, C3, C4, C5, C6), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff are not properly trained to provide appropriate care and supervision to the minors in care. Confidential interviews staff interviews and record review disclosed that staff trained on a monthly basis and all staff have the minimum required hours of eight hours per year. Information obtained from confidential interviews stated that the staff training was not adequate enough in order to provide care and supervision for the clients placed at the facility. Additional confidential interviews disclosed that staff did not feel safe working at the facility due to the lack of training. LPA received inconsistent information regarding the allegation. 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 FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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

met_with: Psami Savea


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Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Psami Savea. LPA Jose Gonzalez conducted an inspection of the facility on July 21, 2022 at 9:17 am and no immediate deficiencies were observed. Four of six children (C1, C2, C3, C4, C5, C6), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff inappropriately touched C1. Confidential interviews reported that C1 and C2 had return from an awol (absent without leave) and staff (unknown name) physically conducted a search of C1 body, rather than a verbal search. Information obtained from confidential interviews and record review C1 and C2 had awol from the facility numerous times and there is no specific day that this alleged incident occurred. LPA was unable to interview C1 and C2 due to being unavailable and refusing to be interviewed at this time after several attempts. LPA received inconsistent information regarding the allegation. Based on interviews and record reviews the allegation that that staff inappropriately touched C1., however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Psami Savea. 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 1

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


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Narrative:
provided minors with vape pens. An additional allegation alleging staff are allowing the minors to engage in physical altercations was received by CCL. Confidential interviews provided conflicting reports of how physical altercations are handled at the facility. Confidential interviews reported that some staff intervene when there is a physical altercation at the facility, while other staff are scared to intervene. CCL also received an allegation alleging staff do not properly maintain the facility. Specifically it was reported that the facility is often dirty. Confidential interviews provided conflicting reports of how the facility is maintained. Confidential interviews reported rooms not cleaned prior to residents being placed at the facility. Additional interviews reported when an issue is observed maintence is contacted and issue is addressed. Confidential interviews and record review could not confirm or dispute the allegation. An additional allegation alleging staff do not keep the facility free from pests. Specifically it was reported that the facility had bed bugs. Record review provided evidence that the facility did have an issue with bed bugs early in 2022 that had already been addressed. Confidential interviews, record review and LPA observation observed Child #5 (C5) to have bug bites at the time of the complaint. Confidential interviews reported after the facility was treated for bed bugs at least one resident was observed to have bug bites. Confidential interviews and record review could not confirm or dispute that the bites C5 had were received by bugs while at the facility. CCL received an additional allegation alleging Minor has access to drugs while in care. Confidential interviews provided consistent statements of residents use of drugs. Confidential interviews and record review could not confirm or dispute how and where the residents are accessing the drugs. An additional allegation alleging staff do not ensure facility has adequate amount of food was received by CCL. Confidential interviews provided conflicting statements of the residents only having noodles to eat by the end of the week as the facility runs out of food prior to the weekly shopping. Additional confidential interviews reported staff cook for the residents and residents choose not to eat what is prepared and therefore eat noodles or junk food. ****** Based on record review and confidential interviews the allegations Staff (unknown) are providing minors (unknown) with vape pens while in care, staff (unknown) are allowing the minors to engage into physical altercations, staff do not properly maintain the facility, staff do not keep the facility free from pests, minor has access to drugs while in care, and staff do not ensure facility has adequate amount of food, may or may not have occurred, however they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. A copy of the report and appeal rights were given to a facility representative. Original signature placed on file. always address clients who were smoking. Confidential interviews stated that when staff chose to address clients smoking on facility grounds, staff would direct clients to smoke outside or to open the window at the facility. The facility addressed the issue of clients smoking on grounds by providing additional staff trainings. Based on confidential interviews and record review the allegation minors are allowed to smoke marijuana while in care is substantiated. The preponderance of evidence standard has been met. This is a violation of Interim Licensing Standards (ILS) standard 87087(c) Buildings and Grounds. The licensee shall prohibit smoking in the facility and on the grounds of the facility. Resolved due to expiration of the STRTP license, as outlined in the September 2022 settlement agreement. A copy of the report and appeal rights were given to a facility representative. Original signature placed on file.

Investigation Findings:
13Community Care Licensing is delivering the finding(s) for the above stated allegation. LPA conducted an inspection of the facility on March 1, 2022 at approximately 1:00 pm and no immediate deficiencies were observed. The investigation was conducted by LPA Strickland and included interviews with ADM, Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3), four foster children Child #1 [C1], Child #3 [C3], Child #5 [C5], and Child #7 [C7]), Open Case Investigator (OCI) and ADM . In addition, county records and facility records were reviewed. On February 23, 2022, Community Care Licensing (CCL) received an allegation alleging minors are allowed to smoke marijuana while in care. Record review revealed between January 7, 2022 and February 15, 2022 there were five separate documented occasions were Child #2 (C2), Child #3 (C3), and Child #4 (C4) were caught smoking in the facility. Information obtained from confidential interviews disclosed that staff would not 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/23/2022 and conducted by Evaluator Nicole Strickland PUBLICCOMPLAINT CONTROL NUMBER: 19-CR- FACILITY NAME:ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: ADMINISTRATOR:AMY OSBORNFACILITY TYPE: ADDRESS: CHIEF JOSEPH RDTELEPHONE: (760) 247- CITY:APPLE VALLEYSTATE: CAZIP CODE: CAPACITY:6CENSUS: DATE: 11/08/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Facility Representative TIME COMPLETED:01: PM 9Staff are providing minors with vape pens while in care. Staff are allowing the minors to engage into physical altercations Staff do not properly maintain the facility Staff do not keep the facility free from pests Minor has access to drugs while in care Staff do not ensure facility has adequate amount of food. INVESTIGATION FINDINGS: 13Community Care Licensing is delivering the finding(s) for the above stated allegation(s). LPA conducted an inspection of the facility on March 1, 2022 at approximately 1:00pm and no immediate deficiencies were observed. The investigation was conducted by LPA Strickland and included interviews with ADM, Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3), four foster children Child #1 [C1], Child #3 [C3], Child #5 [C5], and Child #7 [C7]), Open Case Investigator (OCI) and ADM . In addition, county records and facility records were reviewed. On February 23, 2022, Community Care Licensing (CCL) received an allegation alleging Staff (unknown) are providing minors (unknown) with vape pens while in care. Confidential interviews provided consistent reports of "hearing" that staff are providing minors with vape pens, however specific details were unknown. Confidential interviews and record review was unable to provide evidence confirming or disputing staff UnsubstantiatedEstimated 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: 2 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-NISQUALLY NEST, THEFACILITY NUMBER: VISIT DATE: 11/08/2022

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

met_with: Facility Representative