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Investigation Findings:
13On January 12, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Tykesha Neal to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Tykesha Neal, Staff


state: CA

facility_name: SCOTT'S YOUTH FACILITY III

summary: Complaint Investigation - Unsubstantiated

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Investigation Findings:
13On February 5, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver the findings for the above complaint allegation. LPA conducted an indoor and outdoor inspection of the facility. Based on confidential interviews and observation, it was determined that Staff speaks to minors inappropriately. Based on confidential interviews and observation which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: SCOTT'S YOUTH FACILITY IIIFACILITY NUMBER: 547207231

report_type: Complaint Investigation

met_with: Nikkia Moten, Staff

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On Februray 5, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to deliver the findings for the above complaint allegations. LPA conducted an indoor and outdoor inspection of the facility. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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


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Investigation Findings:
13On February 11, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver findings. LPA conducted one client interview and an indoor and outdoor physical plant inspection. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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


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Investigation Findings:
13On March 2, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver findings. LPA attempted to interview one client but they had to leave for a doctor's appointment. LPA conducted and an indoor and outdoor physical plant inspection. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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


raw_content:
Investigation Findings:
13On April 14, 2026, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Visalia, Ca and met with Nikkia Moten to deliver the findings for the above complaint allegations. LPA conducted an indoor and outdoor inspection of the facility. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Angelica Borja 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


facility_name: SEARCH LIGHT CENTER FOR HEALING (SLC4H)

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
OCI stated that he received conflicting information during his investigation and could not prove that the allegations occurred. Other confidential witnesses stated that one evening while in the common area of the facility S1 became upset with C1 for turning off the lights. The confidential witnesses added that C1 was pushed and called a name by S1 during the confrontation. Based on confidential interviews and record reviews, the allegations that staff #1 (S1) pushed client #1 (C1) and S1 called C1 names may have occurred, however, they are not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Colette Miller.

Investigation Findings:
13On April 28, 2022, at 1: PM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility administrator, Colette Miller, to issue the finding for the above stated allegations. On January 26, 2022, at 9: AM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed two facility staff and reviewed six client records. Additionally, LPA conducted interviews with six of six clients (C1, C2, C3, C4, C5 and C6) listed on the confidential names list (LIC 811) dated April 28, 2022, two staff and San Bernardino County Investigator (OCI). 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: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 04/28/2022

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

met_with: Colette Miller


raw_content:
Narrative:
During the investigation, confidential witnesses stated that they had not witnessed staff at the facility hit any clients. Confidential witnesses stated that they did not see C1 with any injuries. CSW stated that she received information that S1 slapped something out of C1's hand. PO stated that he was not informed that C1 suffered any injuries while placed at the facility. Regarding the allegation that S1 antagonized C1, confidential witnesses stated that they had not witnessed S1 or any staff antagonize C1. CSW stated that she was not informed that C1 was antagonized by S1. A confidential interview denied that C1 was being hostile and LPA received conflicting information regarding this allegation. In regard to the allegation that S1 and C1 engaged in a physical altercation, confidential witnesses stated that C1 attacked S1 and S1 attempted to evade C1. CSW added that C1 had a history of making allegations to be moved to a different facility. Other confidential witnesses stated S1 slapped C1 on the face after finding C1 engaging in inappropriate activity in the backyard. Furthermore, confidential witnesses revealed that C1 was antagonized by S1 which resulted into a physical altercation between C1 and S1. Based on confidential interviews and record reviews, the allegations that S1 hit C1, S1 antagonized C1 and S1 engaged in a physical altercation with C1 may have occurred, however, they are not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Kanayo Aikpaojie.

Investigation Findings:
13On November 4, 2022, at 11: AM Licensing Program Analyst (LPA), Michael Almaraz, arrived at the facility and met with facility staff, Kanayo Aikpaojie, to issue the finding for the above stated allegations. On April 13, 2022, at 12: PM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed three facility staff and reviewed three client records. Additionally, LPA conducted interviews with three of three clients (C1, C2, and C3) listed on the confidential names list (LIC 811), one staff, a San Bernardino County Social Worker (CSW) and a San Bernardino County Probation Officer (PO). 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: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 11/04/2022

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

met_with: Kanayo Aikpaojie


raw_content:
Narrative:
During the course of the investigation confidential witnesses stated that S2 did not tackle C1. LPA was informed that C1 was not following house rules and when S2 attempted to redirect C1, S2 was assaulted by C1 and C4. Regarding the allegation that S1 pepper sprayed a client, confidential witnesses stated that they did not see or smell any signs of pepper spray being used on a client. Furthermore, a confidential witness stated that S1 did have pepper spray and threatened C1 and C4 with it when they would not stop assaulting S2 but at no time was the pepper spray used. In regard to the allegation that S1 had a gun on facility grounds, confidential witnesses denied seeing S1 in possession of a gun while at the facility. Other confidential witness disclosed to LPA that S2 tackled C1, S1 pepper sprayed a client, and S1 was in possession of a gun while at the facility. LPA received inconsistent information. Based on confidential interviews and record reviews, the allegations that S2 tackled C1, S1 pepper sprayed a client, and S1 had a gun in S1's possession while at the facility may have occurred, however, they are 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 Kanayo Aikpaojie.

Investigation Findings:
13On May 12, 2023, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility staff, Kanayo Aikpaojie, to issue the finding for the above stated allegations. On December 22, 2022, at 9: AM, LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection LPA interviewed one facility staff and one client, and reviewed five client records (C1, C2, C3, C4 and C5) see confidential names list LIC 811 dated May 12, 2023. Additionally, LPA conducted interviews with two of five clients, four additional staff and one County Social Worker (CSW). One of five clients could not be located by LPA due to the client being on absent without leave (AWOL) and one of five clients refused to speak to LPA. On December 19, 2022, the Department received a complaint that alleged staff handled minor in an inappropriate manner, staff maced minor while in care, and staff had possession of a firearm while on facility grounds. More specifically, it was alleged that staff # 2 (S2) tackled C1, staff #1 (S1) pepper sprayed a client, and S1 had a gun in S1's possession while at the facility. (continued on page 2...) 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: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 05/12/2023

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


raw_content:
Narrative:
During the course of the investigation, confidential witnesses stated that on the night of the allegation facility staff was checking on the clients periodically, but the clients did not throw items in the presence of staff. Furthermore, it was revealed that when clients walked out of the facility to throw things at the neighbor's home, staff was present and redirected the clients to return to the facility. LPA was provided a video in which staff can be seen and heard asking the clients to return to the facility, but the clients ignored the staff's redirection. Other confidential witness stated that facility staff did not check on the clients in the middle of the night which allowed clients to throw items at the neighbor's home. Based on confidential interviews and record reviews, the allegation that due to lack of supervision facility clients began throwing items at a neighbor's home in the middle of the night may have occurred, however, it 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 Kanayo Aikpaojie.

Investigation Findings:
13On May 12, 2023, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility staff, Kanayo Aikpaojie, to issue the finding for the above stated allegation. On January 26, 2023, at 8: AM, LPA Almaraz arrived at the facility to initiate the investigation and conduct a safety inspection. During the safety inspection, LPA interviewed a facility staff and reviewed six client records. Additionally, LPA conducted interviews of one staff, a County Social Worker (CSW2), and two of six clients (C1, and C3) listed on the confidential names list (LIC 811) dated on 05/12/2023. Two of six clients were not present at the time of the allegation. One of six clients refused to speak to LPA, and one of six clients could not be located by LPA due to the client being on absent without leave (AWOL) status. On January 17, 2023, the Department received a complaint that alleged licensee is not providing care and supervision as necessary to meet the needs of youths in care. More specifically, it was alleged that due to lack of supervision on January 15, 2023, and January 16, 2023, facility clients began throwing items at a neighbor's home in the middle of the night. (continued on page 2...) 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: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 05/12/2023

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


raw_content:
Narrative:
Additionally, during LPA inspection of the facility LPA observed a broken mini fridge and cardboard boxes on the side of the facility. Furthermore, confidential witnesses informed LPA that the mini fridge and cardboard boxes had been on the side of the facility for several weeks. Based on confidential interviews and inspection observations, the preponderance of evidence standard has been met and the Department has determined that the facility did not replace minor's bed frame in a timely manner and the facility was unkept. Therefore, the allegations are substantiated. The facility is being cited for violation of Interim Licensing Standards version 5, 87088(c)(1) Fixtures, Furniture, Equipment, and Supplies and Title 22. Division 6, 80087(c) Building and Grounds. An exit interview was conducted, appeal rights explained, and a copy of this report and LIC 9099d was provided to Jeanette Hefner. During the investigation, there was no corroborating evidence to support the above allegations. Confidential interviews revealed conflicting statements. Confidential witnesses informed LPA that facility staff provided all the clients backpacks and all the necessary school supplies. Additionally, LPA was informed that two clients C1 and C3 sold the backpacks that they were provided online and when the facility offered to replace the backpack, C1 declined the offer. Other confidential witnesses stated that the facility provided the clients with some of the necessary school supplies but no all the school supplies. Regarding the allegation that the facility did not prevent mold from growing in the refrigerator confidential witnesses informed LPA that the facility kitchen and refrigerator were always clean, and mold had not been observed in the refrigerator. Additionally, LPA was informed that clients were asked to clean up after themselves but if they failed to do so staff would clean. Other confidential witnesses informed LPA that they had observed mold in the refrigerator. LPA observed the kitchen and refrigerator to be free from mold. In regard to the allegation that the facility was not providing mental health care to the clients, confidential witnesses informed LPA that the facility had mental health care staff available to the clients. Additionally, LPA was informed by confidential witnesses that mental health services were offered to the clients but many of the clients refused the services. Another confidential witness informed LPA that some clients were offered mental health care services and other clients were not. LPA received conflicting information regarding this allegation. In relation to the allegation that facility staff did not cook dinner for the clients. Confidential witnesses informed LPA that facility staff always cooked for the clients and staff attempted to follow the menu as closely as possible. Other confidential witnesses informed LPA that the facility staff would not always cook and would encourage clients to cook dinner but some of the clients did not like when their peers cooked the meals. Based on confidential interviews and record review, the allegations that the facility did not supply a client with school supplies (backpack), there was mold in the kitchen refrigerator, the facility was not providing mental health care to the clients, and facility staff did not cook dinner for the clients may have occurred, however, they are 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 Jeanette Hefner.

Investigation Findings:
13On June 21, 2024, at 11: AM, Licensing Program Analyst (LPA) Michael Almaraz met with Senior Facility Manager, Jeanette Hefner, to issue the finding for the above stated allegations. On August 18, 2023, at 2: PM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the investigation LPA conducted interviews with two facility staff, one county social worker and interviewed four of five clients (C1, C2, C3, NMD), see confidential names list (LIC 811) dated June 21, 2024. C4 was not interviewed due to LPA not being unable to locate the client. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 06/21/2024

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: Jeanette Hefner


raw_content:
Narrative:
and that would prevent the clients from going on outings. Furthermore, LPA was informed that the facility did not have adequate staff on the weekends. Confidential interviews revealed conflicting statements. Based on confidential interviews and record review, the allegation that the facility did not always have the appropriate staff to client ratio and during the weekends the facility staff was out of ratio the entire weekend may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Jeanette Hefner.

Investigation Findings:
13On June 21, 2024, at 12: PM Licensing Program Analyst (LPA) Michael Almaraz met with Senior Facility Manager, Jeanette Hefner, to issue the finding for the above stated allegation. On August 18, 2023, at 12: PM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the investigation LPA conducted interviews with two facility staff, one county social worker and four of five clients (C1, C2, C3, NMD), see confidential names list (LIC 811) dated June 21, 2024. C4 was not interviewed due to LPA not being unable to locate the client. On August 14, 2023, the Department received a complaint that the facility was operating out of ratio. It was specified that the facility did not always have the appropriate staff to client ratio and during the weekends the facility staff was out of ratio the entire weekend. Confidential witnesses stated that facility staffing was appropriate, and the facility staff did not work out of ratio. Additionally, LPA was informed that the facility had two on call staff in case of a staffing shortage. Other confidential witnesses stated that the facility did not always have the appropriate staff to client ratio... (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 06/21/2024

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


raw_content:
Narrative:
Confidential witnesses informed LPA that the facility kitchen and bathrooms were usually clean. LPA was informed that clients were encouraged to clean up after themselves but if they did not staff would clean. Confidential witness denied that they observed dirt in the bathtub or that it was common to find the restroom toilet dirty. Additionally, it was revealed to LPA that clients would punch or kick holes in the walls of the facility and staff would patch them quickly. Furthermore, LPA was notified that as quickly as staff could patch the holes in the walls clients would create new holes. During LPA inspection LPA did not observe the restroom toilet or bathtub to be unsanitary. Additionally, LPA did observe holes in the walls, but facility staff was working on patching them during LPA's inspection. LPA received other information that the bathroom tub and toilet were unsanitary and there were several holes in the facility walls. Regarding the allegation that the facility had gnats in the kitchen and a client had frogs in the facility. Confidential witnesses informed LPA that the kitchen did not have an infestation of gnats but may have few occasionally. Additionally, LPA was informed that a client snuck frogs into the facility, but staff was unaware. During LPA inspection of the facility LPA did not see any gnats or any frogs in the facility. LPA received other information that they observed gnats flying around food in the kitchen and they were informed that a client had brought frogs into the facility. Confidential interviews revealed conflicting statements. Based on confidential interviews and record review, the allegations that the facility bathtub had dirt in it; the toilet bowl had feces, there were several holes in the walls, the kitchen had gnats and a client had brought frogs into the facility may have occurred, however, they are 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 Jeanette Hefner.

Investigation Findings:
13On June 21, 2024, at 1: PM Licensing Program Analyst (LPA) Michael Almaraz met with Senior Facility Manager, Jeanette Hefner, to issue the finding for the above stated allegation. On September 14, 2023, at 9: AM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the investigation LPA conducted interviews with one facility staff, one county social worker and two of four clients (C1 and NMD), see confidential names list (LIC 811) dated June 21, 2024. C2 refused to participate in LPA interview and C3 was not interviewed due to LPA not being unable to locate the client. On September 6, 2023, the Department received a complaint that the facility is unsanitary, and staff did not keep facility free of pests. It was specified that the facility bathtub had dirt in it, the toilet bowl had feces, and there were several holes in the walls. Additionally, it was specified that the kitchen had gnats and a client had brought frogs into the facility. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 06/21/2024

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


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Michael Almaraz, and Licensing Program Manager (LPM) Abdoulaye Traore conducted an annual inspection. The facility converted from a Group Home to STRTP (Short Term Residential Therapeutic Program) on June 22, 2020. LPA and LPM met with the facility administrator Colette Miller and the executive director Keyneica Jones. The facility was toured inside and out with facility administrator, Colette Miller. The home is a two-story residence with three bedrooms, two and half bathrooms and facility staff office with additional storage. Two clients, the administrator and the executive director were present at the facility during the inspection. The home was approved for six non-ambulatory clients age 13-17. The bedrooms were arranged so that there was one client to a room, and there was one client per bed. Client 1 and 2 were in room #1, client # 3 was in room #2 and client #4 was in the room #3. There were two vacant beds. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattress in good repair. Clients had adequate hygiene supplies stocked in the closet in the staff office. Facility grounds were clean and free of debris and observable hazards. There were adequate indoor and outdoor activity space. Sports equipment/games/ books were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors were in appropriate working order, fire extinguishers were properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. The hot water was measured to be F degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The kitchen had adequate cooking supplies and utensils. All required forms were posted including the Grievance Procedure, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored and locked and centrally stored in a lockbox located in the staff office. Licensee did not have provisions for contraceptives to be held in individually locked containers by clients. Facility had cameras in common areas of the facility. Per facility administrator, there were no firearms or weapons in the facility. (...) ***This is an amended report from June, 23, 2021*** Administrator Colette Miller 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 four Social Workers, two facility managers and 11 direct care staff. Licensee is in the process of obtaining Mental Health Certification and has been in communication with San Bernardino County regarding the time frame. Licensee anticipates receiving the mental health certification by June 30, 2021. Licensee has not obtained National Accreditation through CARF. The CARF Accreditation survey has been scheduled from January 5, 2022 through January 7, 2022. LPA discussed the following with Administrator: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings including an overview of the required core services and supports. Based upon the facility records and interviews with staff and clients, Licensee appears to be meeting CFT and core services/supports requirements. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel files were maintained on-site in a locked cabinet in staff office. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index checks clearances and exemptions. A review of client records was also completed on this date. Client and staff interviews were conducted and there were no health and safety concerns. The facility was issued a technical violation due to LPA and LPM observing that the facility did not provide locked containers for client's contraceptives. No deficiencies were noted in the areas during time of inspection. Facility appeared to be meeting the terms and conditions of the license.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On July 3, 2023 at 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted an annual inspection of the facility. The facility was toured inside and out with facility administrator, Keynieca Jones. The home is a two-story residence with 4 bedrooms and 3 bathrooms. Four clients were present at time of inspection. At the time of inspection LPA Beal reviewed four client files and nine staff files. The annual inspection is incomplete and will resume on a later date.The following documents were collected at the time of inspection: personnel report, client report, designation of facility responsibility, emergency disaster plan facility diagram. A copy of this report was provided to Keynieca Jones, Administrator.

met_with: Keynieca Jones, Director


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2023, Licensing Program Analyst (LPA) Karen Beal conducted an annual inspection of the facility. The facility was toured inside and out with facility administrator Keynecia Jones. The home is a residence with 4 bedrooms and 3 bathrooms. 3 clients were present at time of inspection. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the kitchen was measured to be 117 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in the closet in the staff office. Cleansers/chemicals are locked and stored in the staff office in a closet.Sharp knives are inaccessible and stored in a locked in the staff office. The First Aid Kit is located in the staff office and contained all required supplies. The facility's smoke detectors were checked and were operable. The carbon monoxide detector was operable. There are no guns or weapons in the facility as stated by Keyneica Jones. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, Visitation policies, and current menu. Client's medications were observed to be inaccessible and stored in the staff office closet in a locked cabinet. The medication logs are kept updated and the dispensing records had no discrepancies. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Two clients were interviewed and indicated that they feel safe in the home and accorded their personal rights. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The side gates were closed and had a latch on them. Client and staff files were reviewed during the inspection. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances. A review of administrative records indicate that the facility has paid their current licensing fees. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. A copy of this report was reviewed and given to facility representative, Keyneica Jones, along with a Confidential Names List (LIC Client and staff files were reviewed during the inspection. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances. A review of administrative records indicate that the facility has paid their current licensing fees. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. A copy of this report was reviewed and given to facility representative, Keyneica Jones, along with a Confidential Names List (LIC

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2024 at 2: PM, Licensing Program Analyst (LPA) Jason Dalton arrived unannounced at Search Light Center for Healing, Short Term Residential Therapeutic Program (STRTP), and met with Administrator, Melissa Dalziel, Administrator . The purpose of this visit was to conduct a collateral inspection to interview client #1, C1 (see Confidential Names List Form 811), regarding an open investigation on the client's previous placement. LPA conducted a confidential interview with one client. A copy of this report was given to Administrator, Melissa Dalziel.

met_with: Melissa Dalziel


summary: Facility Evaluation

raw_content:
Narrative:
On July 9, 2024 at 11: PM, Licensing Program Analyst (LPA) Jason Dalton arrived unannounced at Search Light Center for Healing, Short Term Residential Therapeutic Program (STRTP), and met with Jeanette Hefner, Senior Facility Manager. The purpose of this visit was to conduct a collateral inspection to interview client #1, C1 (see Confidential Names List Form 811), regarding an open investigation on the client's previous placement. LPA conducted a confidential interview with one client. A copy of this report was given to Senior Facility Manager, Jeanette Hefner.


summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2025, Licensing Program Analysts (LPAs) Maya Chavez and Joon Choi conducted an annual inspection of the facility. The facility was toured inside and out with facility administrator Melissa Dalziel. The home is a residence with 4 bedrooms and 3 bathrooms. 3 clients were present at time of inspection. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the kitchen was measured to be 113.3 degrees. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in the closet in the staff office. Cleansers/chemicals are locked and stored in the staff office in a closet. Sharp knives are inaccessible and stored in a locked in the staff office. The First Aid Kit is located in the staff office and contained all required supplies. The facility's smoke detectors were checked and were operable. The carbon monoxide detector was operable. There are no guns or weapons in the facility as stated by the administrator Melissa Dalziel. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, Visitation policies, and current menu. Client's medications were observed to be inaccessible and stored in the staff office closet in a locked cabinet. The medication logs are kept updated and the dispensing records had no discrepancies. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Three staff and one client were interviewed. Client indicated that they feel safe in the home and accorded their personal rights. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. At 10:40AM administrator led LPA Chavez on a walk through inspection of the facility. At 11:20AM LPA and administrator reviewed the facility's operational requirements. At 11:10AM LPA and administrator reviewed the facility's disaster preparedness. At 11:20AM LPA and administrator reviewed the facility's emergency intervention plan. At 11:30AM LPA and administrator reviewed the facility's core therapeutic services At 11:40AM LPA and administrator reviewed the facility's special health care needs protocol. During inspection LPA Choi interviewed three staff and one client, two clients denied to be interviewed. Client and staff files will be reviewed during the follow up inspection. Based on the facility inspection and review of program statement, there are no deficiencies found at this time. A copy of this report and a technical assistance was reviewed and given to facility representative, Melissa Dalziel.

met_with: Melissa Dalziel- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 27, 2025 at 9:30AM LPAs Maya Chavez and Joon Choi arrived unannounced at Search Light Center for Healing (SLC4H) Short Term Therapeutic Residential Program (STRP) to conduct a continuation of the facility's annual inspection. At 10:00AM LPAs and Facility Manager reviewed five client files. At 11:20AM LPAs and Facility Manager revived staff files. Based on the file reviews two deficiencies are being being cited at this time (See LIC809-D). A copy of this report was reviewed and given to Facility Manager, Jeanette Hefner.


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2025, Licensing Program Analyst (LPA) Adaleyci Caballero arrived at the facility to conduct an interview regarding an incident unrelated to this facility. LPA met with Facility Manager Jermaine Jordan who granted LPA access to the facility. A copy of this report was provided to Jermaine Jordan.

met_with: Senior Facility Manager-Jermaine Jordan


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on July 23, 2025 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Administrator Melissa Dalziel and Senior Facility Manager Jermaine Jordan. LPA was then assisted with a facility inspection where no immediate safety hazards were observed. LPA reviewed two of child's records and two of staff personnel files on site at the facility. LPA reviewed two of child's psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPAs provided a copy of this licensing report to Administrator Melissa Dalziel and Senior Facility Manager Jermaine Jordan. No deficiencies are being cited at this time. The facility was provided with two Technical Advisories (please see LIC 9102s).

met_with: Jermaine Jordan, Senior Facility Manager


raw_content:
Narrative:
Regarding the allegation of lack of supervision resulting in a minor engaging in inappropriate sexual activity, it was initially reported that C1 raped C2. During a confidential interview, C2 stated that the alleged rape occurred in the middle of the night while staff were downstairs cleaning. C2 further reported that staff conducted bedroom checks every hour and that the incident occurred between checks. C2 stated that staff were not informed of the alleged incident until the following morning. Confidential interviews further disclosed that upon arrival of S1's shift at the STRTP, S1 was informed that C2 reported being raped by C1. S1 immediately took action by speaking with C1, C2, and staff who were present, reporting the incident, and transporting C2 to a medical provider. Additional interviews confirmed that C1 was removed from the facility the same day S1 became aware of the allegation. However, additional confidential interviews disclosed conflicting information, indicating that C1 did not rape C2 and that the allegation was fabricated by C2. Multiple confidential interviews further stated that staff conducted bedroom checks consistently, with reports indicating checks occurred every 30 minutes, every hour, or every time staff passed the rooms. The LPA received bedroom check logs documenting that bedroom checks were conducted every 30 minutes, including on the night of the alleged incident. LPA received conflicting statements regarding whether the incident occurred and the frequency of bedroom checks conducted at the time of the allegation. Based on interview and record review, the allegation that due to lack of supervision resulting in C1 and C2 engaging in inappropriate sexual activity may have occurred, however, there was not a preponderance of evidence to support the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Eric Russell, Clinician.

Investigation Findings:
13On 12/18/2025, at 1:50PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit Search Light Center for Healing (SLC4H) Short Term Residential Therapeutic Program (STRTP) and met with Eric Russell, Clinician to deliver the investigative finding for the allegation listed above involving staff and Clients (C1 and C2) listed on the Confidential Names List (LIC 811) dated 12/18/2025. On 05/14/2025, Community Care Licensing (CCL) received a complaint that due to lack of supervision minors engaged in inappropriate sexual activity. On 05/23/2025, LPA B. Aborchie conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA M. Chavez obtained pertinent documents for the investigation and conducted confidential interviews. Lpa M. Chavez interviewed Staff (S1 and S2), and Clients (C1, C2, C4, and C5). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 12/18/2025

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

met_with: Eric Russell, Clinician


raw_content:
Narrative:
Regarding the allegation that staff did not safeguard a minor's possessions while in care, it was specifically reported that C1's belongings, particularly shoes, were being stolen. During the investigation, confidential interviews disclosed that at no point did other clients steal C1's shoes. Multiple confidential interviews further disclosed that another client had left shoes behind at STRTP in C1's bedroom, and C1 assumed the shoes belonged to C1. When C1 later returned to the STRTP and was informed the shoes could not be taken, C1 became upset and caused a disturbance at the facility. Multiple confidential interviews disclosed that clients' belongings are appropriately safeguarded at STRTP and that clients are offered the option to store personal items in staff-locked offices if requested. LPA did not receive additional details to substantiate the allegation. Regarding the allegation that staff did not prevent minors in care from engaging in an altercation, it was specifically reported that another client swung at C1 and that C1 punched the client. During the investigation, multiple confidential interviews disclosed that C1 did not engage in a physical altercation with another minor while at the STRTP. A confidential interview further disclosed that staff actively attempt to prevent fights between clients and de-escalate situations to avoid physical conflict. LPA received conflicting information regarding this allegation. Regarding the allegation that staff did not prevent a minor from being harassed by another minor while in care, it was specifically reported that clients were making comments toward C1 and attempting to provoke a fight when C1 returned to the STRTP to retrieve belongings. During the investigation, multiple confidential interviews disclosed that no clients were present at the STRTP at the time C1 returned to retrieve belongings. Additionally, multiple confidential interviews disclosed that C3 was present during the incident involving the shoes; however, staff (S2) removed C3 from the facility grounds to prevent the situation from escalating. LPA received conflicting information. Regarding the allegation that staff discriminated against a minor in care, it was specifically reported that C1 was left alone at the STRTP and not taken on an outing due to allegedly getting into a fight with another client. During the investigation, multiple confidential interviews disclosed that staff treat clients fairly and equally. Additionally, multiple confidential interviews disclosed that C1 did not engage in a fight with another client while at the STRTP. Further interviews disclosed that staff consistently supervise clients and that clients are not left alone at the STRTP at any time. Based on interview and record review, the allegations that staff did not safeguard C1's possessions while in care; staff did not prevent clients in care from engaging in an altercation while in care; staff did not prevent C1 from being harassed by other clients while in care; staff discriminated against C1 in care may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Eric Russell, Clinician.

Investigation Findings:
13On 12/18/2025, at 1:50PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit Search Light Center for Healing (SLC4H) Short Term Residential Therapeutic Program (STRTP) and met with Eric Russell, Clinician to deliver the investigative finding for the allegations listed above involving staff and Client (C1) as listed on the Confidential Names List (LIC 811) dated 12/18/2025. On 10/17/2025, Community Care Licensing (CCL) received a complaint that staff did not safeguard minor's possessions while in care; staff did not prevent minors in care from engaging in an altercation while in care; staff did not prevent minor from being harassed by other minors while in care; staff discriminated against minor in care. On 10/21/2025, LPA M. Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA M. Chavez obtained pertinent documents for the investigation and conducted confidential interviews. LPA Chavez interviewed Staff (S1, S2, and S3), and Clients (C2, C3, C4, and C5). Lpa M. Chavez attempted to interview C1 but was unable to due to C1 being uncooperative. In addition, LPA conducted an interview with C1's County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SEARCH LIGHT CENTER FOR HEALING (SLC4H)FACILITY NUMBER: VISIT DATE: 12/18/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michael Almaraz conducted an unannounced case management inspection on April 13, 2022, at 3: PM. LPA met with facility staff, Colette Miller, to address information obtained during a review of an incident that occurred on or around April 6, 2022, involving Short Term Residential Therapeutic Program (STRTP) as identified on the Confidential Name List (LIC 811) dated April 13, 2022. LPA reviewed the staff and client files on April 13, 2022, at 2: PM. During LPA's inspection of the staff files on April 13, 2022, LPA noted that the facility had not obtained a criminal record clearance for staff #1 (S1). Facility staff confirmed that S1 had not obtained a criminal record clearance to work at the facility prior to working. Based on records review, confidential interviews, and observations, S1 did not have a fingerprint clearance. Therefore, the facility is being issued a citation for fingerprint/criminal record clearance violation of Title Regulations 80019(e)(1) Criminal Record Clearance. An exit interview was conducted, a copy of this report along with LIC 811, LIC 421BG and appeal rights were provided to Colette Miller.


summary: Facility Evaluation

raw_content:
Narrative:
On April 28, 2022, at 2: PM, Licensing Program Analyst (LPA), Michael Almaraz met with facility administrator, Colette Miller, to discuss an incident that occurred involving client #1 (C1) and staff #1 (S1) see LIC 811 confidential names list dated April 28, 2022. LPA obtained supplemental information regarding facility not reporting an incident that occurred on or around January 18, 2022. The incident involved an allegation of physical abuse of C1 by S1. This incident was not reported to the Department. During interviews with confidential witnesses, it was reported that S1 pushed C1 and C1 discloses this information to facility staff during a Child and Family Team Meeting. According to facility records, and confidential witness statement the serious incident report (SIR) was not reported to the Department. Based on facility records and confidential interviews, the facility is being issued a citation in accordance with the California Code of Regulations (CCR) section 80061(b)(1)(G) Reporting Requirements. Facility staff neglected to report an incident involving S1 possibly physically abusing C1. This poses a potential health, safety and personal rights risk to children placed in care. An exit interview was conducted, and appeals rights explained to Colette Miller. A copy of this report and the LIC D was provided to Colette Miller.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced case management inspection on June 21, 2023, at 4: PM. During the inspection, LPA met with facility administrator, Keyneica Jones. The purpose of the inspection was to address information obtained during LPA's visit to the facility. During LPA's visit to the facility LPA found that the facility did not have a facility manager on site when children were present. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short-Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 4 87065(f) Personnel Requirements. An exit interview was conducted, a copy of this report along with LIC 809D and appeal rights were provided to Keyneica Jones.

met_with: Keyneica Jones


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2023, at 11: AM Licensing Program Analyst (LPA), Michael Almaraz, met with Behavioral Specialist, Timika Alexander, to discuss information that arose while investigating an incident that occurred on June 11, 2023, involving client #1 (C1), as listed on the Confidential Names Form (LIC 811), dated July 12, 2023. Confidential interviews conducted revealed that on June 11, 2023, there was only one staff working at the facility during the hours of AM and PM while four clients were present. Based on interviews conducted and information obtained, LPA found the facility did not comply with the Direct Care Staff/Child Ratios regulation. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short-Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 4 87065(a)(1) Direct Care Staff/Child Ratios. A signed copy of this report, the LIC 809-D, and Appeal Rights were provided to Timika Alexander.

met_with: Timika Alexander


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced case management inspection on December 1, 2023, at 9: AM. During the inspection, LPA met with facility manager Jeanette Hefner. The purpose of the inspection was to address deficiency observed on facility grounds during a review of an incident that occurred on or around September 6, 2023. LPA inspected the facility on September 14, 2023, at 9: AM. During LPA's inspection LPA observed trash on both sides of the facility and LPA found the garage unclean and unsafe. Facility will be cited for violation of the Interim Licensing Standards, Chapter 7. Short-Term Residential Therapeutic Program, Articles 1 through 10, Version 4 87087(a) Building and Grounds. Based on LPA's inspection the preponderance of evidence standard has been met that the facility was not clean, safe, sanitary and in good repair at all times, for the safety and well-being of clients, employees and visitors. An exit interview was conducted, a copy of this report along with LIC 809D, and appeal rights were provided to Jeanette Hefner.


facility_name: SENECA ASPIRE OAKLAND

summary: Facility Evaluation

raw_content:
Narrative:
On March 22 at 8:45AM, Licensing Program Analyst (LPA) Monica Pavia conducted an announced pre-licensing inspection of the facility. LPA met and toured the facility with Lauren Crutsinger, Executive Director, Delaney Messner, Lead Health Information Specialist, Terah Menke, RN, Monique Yoo Gomes, Health Services Manager, and Miles Jordan, Administrator. This is a Short-Term Residential Therapeutic Program for a capacity of two. It is a two story home that consists of two client bedrooms, one client bathroom, living room, lounge, and kitchen. The facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed and all doors open freely. There are no bodies of water on the facility premises. Fire arms are not allowed on the facility premises. Medications will be centrally stored and locked in closet. Disinfectants, sharps, and other toxic materials will be locked. At the time of visit, the following was observed: Fire extinguisher located on both floors. Smoke detectors are throughout the house and operational. Carbon monoxide detector is combined with the smoke detectors. The bedrooms have a bed, clean linens, and adequate drawer/cabinet space. Facility has a fire clearance. First aid kit was observed. Hot water temperature measured at 120 degrees Fahrenheit. This facility is ready for licensure.

visit_type: Prelicensing

met_with: Lauren Crutsinger


summary: Facility Evaluation

raw_content:
Narrative:
On 2-29-24 11:02AM, Licensing Program Analysts George Karkazis conducted an unannounced Post Licensing inspection at listed facility. LPA met with Miles Jordan, Administrator and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve two clients. Present during the inspection were three staff and no clients. At this time the facility is not operating and there are no clients in care. At 11:10AM LPA Karkazis reviewed the Administrator staff file. There are no other current staff members. There are no clients in care and no client files to review. The Administrator file was complete and in good order. At 11:30AM, LPA Karkazis toured the facility. LPA Karkazis observed two bedrooms and one bathroom. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 110 degrees which is in range. The thermostat read 68 degrees which is within range. Sharps were locked and chemicals were safely stored. Currently there are no clients in care, and no food stored presently. The medication was also stored and locked in a closet, in a safe. The facility is in good repair and clean. LPA Karkazis interviewed three staff and no clients. .At 11:45AM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. There are no citations at this time. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Miles Jordan, Administrator.

met_with: Miles Jordan, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2-29-24 11:02AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random Licensing inspection at listed facility. LPA met with Miles Jordan, Administrator and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve two clients. Present during the inspection were the Administrator, Director, Manager of Operations, and no clients. At this time the facility is not operating and there are no clients in care. At 11:10AM, LPA Karkazis reviewed the Administrator staff file. There are no other current staff members. There are no clients in care and no client files to review. The Administrator file was complete and in good order. At 11:30AM, LPA Karkazis toured the facility. LPA Karkazis observed two bedrooms and one bathroom. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 110 degrees which is in range. The thermostat read 68 degrees which is within range. Sharps were locked and chemicals were safely stored. Currently there are no clients in care, and no food stored presently. The medication was also stored and locked in a closet, in a safe. The facility is in good repair and clean. .At 11:45AM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. LPA Karkazis interviewed three staff and no clients. There are no citations at this time. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Miles Jordan, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2025 at 3:25PM, Licensing Program Analysts George Karkazis and LPA Will Ea conducted an unannounced Annual/Random inspection at listed facility. LPA met with Shaniqua Anderson, Site Supervisor and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve two clients. Present during the inspection were zero staff and zero clients. Upon arrival, Shaniqua Anderson stated that the facility is not in use, with no future plans of use at this time. There are no staff or client files to review at this time. At 3:39PM, LPA's Karkazis and Ea toured the facility, no staff and no clients were observed. LPA's observed an empty facility, no extra linens, no food on site. The thermostat was off, water not tested. Sharps and chemicals were safely locked and stored. There were no medications on site. At 3:55PM, LPA"s Karkazis and Ea toured the perimeter of the facility. The backyard was clean and in good repair, no open bodies of water. No staff or clients are present, no interviews conducted. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Shaniqua Anderson, Site Supervisor.

met_with: Shaniqua Anderson, Site Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 11/05/25 at 11:35 am, Licensing Program Analyst (LPA) Simran Nayyar made a visit to the facility regarding the facility closure. LPA met with Emaline Lien, Health Information Specialist and informed them of the purpose of the visit. Emaline Lien is a staff from the Seneca Family of Agencies Foster Family Agency Program (#15390058), she assisted LPA Nayyar with the walk through of the Seneca Aspire Oakland Facility (#15650129), due to there being no other staff present in the Seneca Aspire Oakland Facility at the time. During the walk through, LPA observed there to be no clients in care and the building to be empty due to the facility's closure. Closure letter, closure plan, and forfeited license have been received by the Department. An exit interview was conducted, and a copy of this report was left with Emaline Lien, Health Information Specialist whose signature on this form confirms receipt.


facility_name: SENECA ASPIRE OAKLAND 2

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Investigation Findings:
13On 4-10-24 2:30PM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Seneca II, and met with David Jones, Director who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that staff are not providing a comfortable and safe environment for the minor, and staff are not providing adequate food service for the minor. LPA Karkazis conducted confidential interviews and conducted document research, in which inconsistent information was provided. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED. A copy of this report was given to David Jones, Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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:

met_with: David Jones, Director


summary: Facility Evaluation

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Narrative:
On March 22 at 8:45AM, Licensing Program Analyst (LPA) Monica Pavia conducted an announced pre-licensing inspection of the facility. LPA met and toured the facility with Lauren Crutsinger, Executive Director, Delaney Messner, Lead Health Information Specialist, Terah Menke, RN, Monique Yoo Gomes, Health Services Manager, and Miles Jordan, Administrator. This is a Short-Term Residential Therapeutic Program for a capacity of two. It is a two story home that consists of two client bedrooms, one client bathroom, living room, lounge, kitchen and staff office. The facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed and all doors open freely. There are no bodies of water on the facility premises. Fire arms are not allowed on the facility premises. Medications will be centrally stored and locked in closet. Disinfectants, sharps, and other toxic materials will be locked. At the time of visit, the following was observed: Fire extinguisher located on both floors. Smoke detectors are throughout the house and operational. Carbon monoxide detector is combined with the smoke detectors. The bedrooms have a bed, clean linens, and adequate drawer/cabinet space. Facility has a fire clearance. First aid kit was observed. Hot water temperature measured at 116 degrees Fahrenheit. This facility is ready for licensure.


summary: Facility Evaluation

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Narrative:
On 8-17-23 9:49AM, Licensing Program Analyst George Karkazis conducted an unannounced Post Licensing Inspection at listed facility. LPA met with Miles Jordan, Administrator, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Short Term Therapeutic Program is licensed to serve two clients. Present during the inspection were three staff and one client. At 10: AM, LPA Karkazis reviewed client and staff files. All staff and client files were complete and in good order. At 11:45AM, LPA Karkazis toured the facility. LPA Karkazis observed two bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 105.3 degrees which is in range. The thermostat read 69 degrees which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked closet, in a locked safe. LPA witnessed medication temperature log, required by San Francisco County. The facility is in good repair and clean. LPA Karkazis interviewed three staff and one client. At 12: PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Miles Jordan, Administrator.


summary: Facility Evaluation

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Narrative:
On 3-20-24 10:15AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Delaney Messner, Manager of Operations, and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 2 clients. Present during the inspection were 3 staff and 1 client. At 10:25AM LPA Karkazis reviewed client and staff files. All files reviewed were complete and in good order. At 11:47AM, LPA Karkazis toured the facility. LPA Karkazis observed two bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 119 degrees which is in range. The thermostat read 70 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a closet in a locked safe. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and 1 client. At 12:27PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. LIC 309, 610C, and 500 were emailed to LPA during inspections. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Delaney Messner, Manager of Operations.

met_with: Delaney Messner, Manager of Operations


summary: Facility Evaluation

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Narrative:
On 9-26-24 10:15AM, Licensing Program Analyst (LPA) George Karkazis made an unannounced inspection at Seneca Aspire Oakland 2, and met with Adeya Bird Program Supervisor, Justina Wu Program Supervisor, Maira Polanco Youth Stabilization Specialist, and David Jones Director via phone. The purpose of the inspection was to conduct interviews for incident reports 9-16-24 #0001026-FN, and 9-17-24 #0001025FN. An exit interview was conducted and a copy of this report was given to Adeya Byrd, Program Supervisor.

met_with: Adeya Bird, Program Supervisor


summary: Facility Evaluation

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Narrative:
On 3-11-25 10:16AM, Licensing Program Analysts George Karkazis Will Ea conducted an unannounced Annual/Random inspection at listed facility. LPA met with David Jones, Director and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 2 clients. Present during the inspection were 2 staff and 1 clients. At 10:45AM, LPA Karkazis and LPA Ea reviewed client and staff files. All staff and client files were complete and in good order. At 1:12PM, LPA's Ea and Karkazis toured the facility. LPA's Karkazis and Ea observed 2 bedrooms and 2 bathrooms. LPA's observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 119 degrees which is in range. The thermostat read 72 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the hallway closet, locked in a safe.. The facility is in good repair and clean. LPA Karkazis interviewed 2 staff and 1 clients. At 1:30PM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies An exit interview was conducted, appeal rights discussed and a copy of this report was given to David Jones, Director


summary: Facility Evaluation

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Narrative:
On 09/24/25 at 11:25am, Licensing Program Analyst (LPA) Simran Nayyar made an unannounced case management inspection at the above agency. LPA Nayyar met with Adeya Byrd, Assistant Director (AD) and David Jones, Program Director (PD). The purpose of the inspection was to conduct interviews for incident reports #2186-FN and #2193-FN. LPA Nayyar conducted a site inspection at the facility and conducted two (2) confidential interview with Adeya Byrd, Assistant Director (AD) (Please refer to LIC 812s dated 09/24/25). LPA Nayyar requested a safety plan for Client 1 (C1) and Client 2 (C2). Requested documentation will be sent to LPA Nayyar by 10/01/25 via email. Further investigation is needed regarding these incident reports. Exit interview was conducted and a copy of this report was printed and left with David Jones, Program Director (PD) whose signature on this form confirms receipt of these documents.

met_with: Adeya Byrd,Assistant Director & David Jones,Program Director


summary: Facility Evaluation

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Narrative:
On 10/29/25 at 10:30am, Licensing Program Analyst (LPA) Simran Nayyar made an unannounced case management inspection at the above agency. LPA Nayyar met with Shaniqua Anderson, Program Supervisor (PS). LPA Nayyar conducted a site inspection at the facility and found the facility to be in good repair. During LPA Nayyar's walk through they observed one (1) staff member to be sitting outside of Client 1 (C1)'s room to ensure extra supervision. The purpose of the inspection was to conduct interviews for incident report #2332-FN. LPA Nayyar conducted a confidential interview with Placement Supervisor, Client 1, and Client 2. (Please refer to LIC 812s dated 10/29/25). LPA Nayyar requested a safety plan for Client 1 (C1) and Client 2 (C2). Requested documentation will be sent to LPA Nayyar by 11/05/25 via email. Further investigation is needed regarding this incident report. Exit interview was conducted and a copy of this report was printed and left with Shaniqua Anderson, Program Supervisor (PS) whose signature on this form confirms receipt of these documents.

met_with: Shaniqua Anderson, Program Supervisor


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hanako Primer on February 3rd, 2026 at 10:50AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Adeya Byrd, Administrator and Catherine Lau, Registered Nurse and toured the facility inside and out. Two clients are currently at the facility. One client left for an outing during the inspection. LPA reviewed one child's records and five staff personnel files on site at the facility. LPA reviewed one of child's psychotropic medications and medication records (PMAR). Based on record review, LPA found PMAR included multiple medications on one form and did not list all required components. LPA issued one technical violation under 87070(b)(14) Children's Records. See attached LIC9102 form. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA was unable to interview client due to their leaving for an outing during the inspection. LPA provided a copy of this licensing report to Catherine Lau, Registered Nurse. No deficiencies are being cited at this time. LPA conducted exit interview with Catherine Lau, Registered Nurse.

met_with: Adeya Byrd - Administrator


summary: Facility Evaluation

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Narrative:
On 04/14/26 at 10:15am, Licensing Program Analyst (LPA) Simran Nayyar made an unannounced visit to the facility to conduct the annual inspection. LPA met Lauren Zeits, Clinician & Monico Jacobo, Program Assistant who assisted with the visit. LPA was informed that Program Director, David Jones was also on the way to the facility. There was five (5) staff and two (2) clients present in the facility. LPA toured the entire home, inside and out. The home is set up as follows: This is a one story home with two bedrooms, two bathrooms (one client bathroom and one staff bathroom), a living room, kitchen, garage (side tool/supply room not used by facility), and a basement being used for doing laundry. Bedroom # 1 - Occupied by one client (single full size bed, dresser, desk, and ceiling lighting). Bedroom # 2 - Occupied by one client (single full size bed, dresser, desk, and ceiling lighting). LPA observed the faucet in the client's shared bathroom delivered hot water at a temperature of 135. F, and the kitchen faucet temperature measured 132. F. LPA is issuing one Type B Violation under CCR 80088(e)(1).The facility has also been made aware of this issue and it is advised to put up warning signs advising clients of hot water temperatures. LPA found the facility to be clean and in good repair. All kitchen, food preparation, utensils, and storage areas were kept clean and free of litter. LPA observed food supply to be an ample amount. The food is made available so that each client has three meals per day with snacks in between. [Report continued on LIC809-C] At 11:20am Program Director, David Jones arrived and assisted with the visit. At 11:25am, LPA reviewed five (5) staff files which including a Program Director, Program Assistant, Clinician, Program Supervisor, and Youth Stabilization Specialist file. LPA reviewed documents including background clearances, staff training, health screenings, CPR certificates, education diplomas, and signed acknowledgment statements. LPA found that 3 out of 5 staff did not have up to date CPR certificates. LPA is issuing one Type A Violation under ILS 87065.1(d)(6)(A). LPA also found that staff training records did not have hours allocated to each training, LPA advises the facility to keep record of training hours. At 12:45 pm, LPA reviewed two (2) client files with documents including Needs and Services Plans, signed Consent and Agreement forms, Medical Assessments, and CFT management visits. All client files contained all the necessary forms and were up to date. At 1:30pm, LPA reviewed the following areas Disaster Preparedness, Emergency Intervention, and Core/therapeutic services and found them to be up to date and complete. At 2:20pm, LPA reviewed the Plan of Operation Section and found that facility did not keep record of Board Meeting Notes and Licensing Reports. LPA advises the facility to keep board meeting notes and licensing reports on record. At 3:30pm, LPA conducted two (2) confidential staff interviews and one (1) confidential client interview. One (1) client refused to be interviewed. The required Annual Inspection is complete. An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Program Director, David Jones whose signature on this form confirms receipt.

met_with: Lauren Zeits, Clinician & Monico Jacobo, Program Assistant & David Jones, Director


facility_name: SENECA COMPASS-VENTURA

summary: Facility Evaluation

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On 03/02/2023 at 10:00AM Licensing Program Analyst (LPA) Olivia made arrived at the above facility, for the purpose of conducting an Annual Required Inspection on the Seneca Compass-Ventura: Short Term Residential Therapeutic Program (STRTP) facility. LPA Rosas met with Staff#1(S1) who granted access to the Conference Room and an inspection was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 03/02/23. The annual fees are current. The Seneca Compass Ventura program is licensed to provide care and supervision for six (6) clients, ages 12-17, ambulatory only. The program provides intensive, individualized assessment and diagnostic treatment services for youth who do not meet the criteria for a psychiatric hospitalization but require treatment to stabilize their high-risk behaviors. Most youth placed into the Seneca Compass Program come directly from the 23-hour Crisis Stabilization Unit (CSU), where they have received immediate psychiatric assessment and stabilization services following an acute crisis. The residential program is one component of a larger continuum of care for youth in crisis, which include the 23-hour CSU, mobile crisis response services and community-based transition support services. There are currently 2 clients residing at the facility. Seneca Family of Agencies "The Seneca Compass Program", in partnership with Ventura County Behavioral Health Department (VCBHD), provide Short-term Assessment and Residential Treatment to six (6) children for thirty (30) days or less. This is a Commercial Building owned by the by the County of Ventura located in a residential area facing the main street. The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through November 20, 2024. The Mental Health Approval is affected date September 22, 2022 and expires September 22, 2023. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. Report continues on LIC809-C, page 1 out of Living Room/Lounge Activity Room: The living room, located in the corner of the hallway adjacent to Bedroom #3, is equipped with living room furniture and a powder room with toilet and sink only. The lounge activity room adjacent to the other side of Bedroom #3 is equipped with adequate living room furniture, desk/chair, books and activity games. Office: This is an office that is being used by the clerical staff. There are two (2) computers, health information and medical billing treatment information is kept in this office. Equipment Room: Only janitorial supplies will be stored in this room. LPA observed a fire extinguisher in this room and in the hallway as well. Staff Office: Is located by the alley main back entry and is equipped with four (4) computers, camera monitors, private bathroom with toilet and sink only. There is also a sitting lounge small area with a sofa and chair. Laundry Room: There is a washer and dryer located in the hallway near the showers. The doors were observed to be locked and made inaccessible to the youth unless supervised by staff. Cleaning solutions are observed to be locked in this room. Common Corridor: There are two sets of double doors, one set of double door lead to the Crisis Stabilization Unit and the other set of double doors lead to the Crisis Stabilization Unit area but both doors are locked always. The lobby area where the receptionist is located is used by Seneca as the main entrance. There is an entrance leading from the lobby area into the Dining Area/Training-Meeting Room that is used by the STRTP. There is no shared hallway area between the Community Treatment Team and the STRTP. Outside Patio Area: The patio is located out the exit doors from the Training/Meeting Room. There is sufficient space. There is no swimming pool or bodies of water on the premises. There are additional doors leading into the dining area. There are also two doors that lead to staff offices of the 23 hours Crisis Stabilization Unit; these doors will always remain locked and not used by the STRTP. The Backyard/Front yard is clean and free of all debris. Report continues on LIC809-C, page 3 out of LPA Rosas reviewed following during the inspection: LPA Rosas requested the following forms for review, Register of Youth (LIC 9020), Current Census, Personnel Report (LIC 500), Emergency Disaster Plan (LIC610C), Emergency Evacuation Plan and Emergency Disaster Plan including log that drills were conducted every six months. In addition, staff weekly schedule, Oxnard Fire Department Annual Licensed Care Inspection letter . Staff Records Review: LPA reviewed five (5) staff records stored in individual personnel file/binders provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e Program Administrator, Facility Manager, and three (3) Mental Health Counselors). LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the two (2) clients in placement. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Administrator provided evidence of staff training transcripts that are store on Seneca Institute for Advanced Practice portal. Staff files are kept digitally and hard file are kept in Head Quarters Offices in Northern California. Clients Records Review: LPA reviewed two (2) clients records which meet qualification. Staff Interviews: LPA conducted a confidential interview with one (1) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) clients present during the inspection. A review of Facility's Personnel Report Summary on 02/27/2022 indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA Rosas by email send the following PINS to S1 by email: PIN 22-06-CCLD Guardian Background Check Best Practices, PIN 22-07-CCLD Guardian Webinar For Licensees and Providers, PIN 21-20-CRP Statewide Launch Of New Inspection Tools For Children's Residential Licensees. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility. Page 5 out of Alarm/Carbon Monoxide/Fire Extinguishers: There are carbon monoxide alarms available on three different hallways (bedroom hallway, shower hallway and nurse medical hallway) and another alarm was also located in the dining/meeting room area. The facility is equipped with a pull-up alarm system throughout the facility. The system is checked by the County on monthly bases. LPA reviewed the monthly report which indicates that the alarm system is tested on June 30, 2022, and is in working order/PASS. There are four (4) operable Fire Extinguishers available in the facility. One is in the hallway near the bedrooms' area, two in the kitchen area, one in the reception area by the main entrance. Cameras and Delayed Egress Doors: There were a total of 11 cameras located in the entire facility. There were 10 cameras inside the facility (3 cameras by the bedroom hallway, 1 in the patio area, 2 in the dining/meeting room area, 1 in the tele-psych room, 1 in the reception area, 1 in the kitchen hallway, 1 in the hallway passing the kitchen area, 1 inside the back entrance and 1 outside the back entrance). The monitor is installed in the staff office, but staff has no access to view any videos. The Administrator, Program Director and the Head of Service are the only staff in charge who have access to the videos. The cameras are non-audio and LPA observed no monitors in the staff office during the inspection. Per the Administrator, the cameras record about two (2) weeks' worth of footage before rewriting over itself, onto a server, which is only accessible by password, by the Administrator, and the Executive Director. The back-up hard drive server is located in a locked IT room. There is a camera waiver on file. Clients in care are supervised and protected always. Facility is clean, safe, sanitary, and in good repair. Passage ways, stairways, inclines ramps, and open porches are unobstructed. Disinfectants/poisons are inaccessible. Facility posts child's rights if licensed to provide foster care for six or more children. Facility operates within license conditions and limitations including capacity limitations. Facility has a current, written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Clients can use the telephone unless restricted by court order and are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients can contact CCL or Foster Care Ombudsperson in confidence without threats or punishment. Report continues on LIC809-C, page 4 out of The facility was equipped as follow and the following was observed during the Inspection: Bedroom #1: Currently is not occupied. There are two (2) full size beds. The room has adequate drawer space, closet and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #2: Currently is occupied by client #1 (C1). There are two (2) full size beds. The bedroom has adequate drawer space, closet and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bedroom #3: Currently is occupied client #2 (C2). There is one (1) full-size bed and one (1) twin size bed; The room has an adequate drawer space, closet and lighting, comfortable mattresses, and clean lines, blankets, and pillows. Bathrooms/Showers: There is one bathroom with a toilet only and two bathrooms with showers only located in hallway outside of bedroom area. All bathrooms are clean, safe and operable. Storage Hallway Closets: There are four closets located in the hallways near the bedroom area and near the shower areas. Two closets were set to store linens, comforters, and pillow, two closets were set to store supplies. There are adequate linen supplies. Dining Area/Group Training-Meeting Room: There is adequate table and chairs for meals. Training-Meeting room is adjourned to the dining area. There is an accessible fireplace with a secured cover on in the dining area. Kitchen/Pantry Food/Storage: There is a commercial kitchen on the premise. There is a stove/oven with operable burners all working properly now. There is a microwave and commercials refrigerator/freezer. The food service in the facility is adequate with perishable/nonperishable food supplies. Sharp knives are kept lock on combination safe. Nurse/Medication Office/Meds Storage Room: There is an area for medication storage and medication will be administered by staff. There are locked cabinets, and a refrigerator for medication. Facility maintains medication logs and first aid kit in this room. The first aid kit is checked and is complete with scissors, tweezers, thermometer, and gauzes, antiseptic and 1st Aid Manual. The door to this room always remains locked. Report continues on LIC809-C, page 2 out of 5

met_with: Staff#1 (S1)