summary: Facility Evaluation

raw_content:
Narrative:
On March 9, 2023, at 1:00 pm, a virtual informal conference was held with Pennacle Foundation Inc. Short-Term Residential Program (STRTP) via the Microsoft Teams platform to discuss current licensing concerns. Licensing Program Analyst (LPA) Erika Lopez, Licensing Program Manager (LPM) Jennifer Smith and Regional Manager (RM) LaCresha Cook met with Facility CEO Lawrence Thomas and Administrator Carolyn Ruffin. The following individuals were additional participants in the virtually informal conference: Melissa Graham, San Bernardino Department of Behavioral Health (DBH) Program Specialist II, Angela Sellitti, Associate Governmental Program Analyst, California Department of Social Services (CDSS) Systems of Care Branch, Hong Luu, CDSS System of Care Branch, Health Program Specialist I, Alicia Bernstein, Provider Policy Implementation Unit Manager, System of Care Branch, Amy Mierzwik from San Bernardino Children and Family Services (CFS), Jenell Ross, Riverside County - Administrative Analyst, Timothy Nugent, Social Worker Supervisor, Humboldt County, Karin Atkins Riverside County Children's Out of Home Investigations/Placement, Dr. Kelsie Tatum Martinez, Senior Clinical Advisor at the CA Alliance/Catalyst Center, David Gutierrez Staff Service Manager I, Department of Health Care Services, Nancy Satterwhite, Deputy Director San Bernardino County CFS, Tracy Raymond, CFS Manager. The following information was discussed: Waiver of Time ordered by Governor Executive Order N-04-22 issued 06/14/2022. Expiration of Waiver of Time 06/30/ Lack of a County Mental Health (MH) Contract. Lack of Medi- Cal certification. Lack of Mental Health Program Approval through the Department of Health Care Services (DHCS) (Continued on page 2...) Licensee's plan to complete the Mental Health Program Approval (MHPA) process. During the meeting, LPM Smith stated the meeting was to follow up on the facility status in obtaining Mental Health Program Approval through the Department of Health Care Services. LPM Smith reminded the STRTP CEO Mr. Thomas that the STRTP provisional expiration date and expiration of Waiver of Time is June 30, 2023. RM Cook inquired about the facility's plan in case the STRTP is not able to have a mental health contract with a county prior to the license expiration date. RM Cook inquired as to whether the facility had a plan to operate a different facility type. RM Cook stated that in addition to obtaining the mental health county contract, the facility would also have to get Medi-Cal certification, which is part of the Mental Health Program Approval process. RM Cook stated the process can take several months to complete. CEO Mr. Thomas explained that Pennacle Foundation Inc. has not yet received a Mental Health contract with Fresno or through San Bernardino County and missed the deadline to apply which was on 03/06/2023. Mr. Thomas stated that Pennacle Foundation Inc. is currently considering an option of merging with another STRTP in Riverside County. Mr. Thomas stated that there are not enough details available on specific information regarding how the merger will occur due to the different questions involved but is looking into developing a plan that can be executed within the amount of time available (prior to 6/30/2023). Mr. Thomas mentioned that it is not yet clear if Pennacle Foundation Inc. will remain a facility running under another facility or if it will cease to exist. Mr. Thomas stated that Pennacle Foundation Inc. will not be able to obtain MHPA approval within the restraints available (by 6/30/2023). Administrator Ms. Ruffin stated another option would be for Pennacle Foundation Inc. to provide vendorized services to clients through Inland Regional Center and change the facility type to a group home. Ms. Ruffin mentioned that there has not yet been any formal discussion regarding this option, but it is being considered as a possible alternative as well. RM Cook requested that Pennacle Foundation Inc. submit a closure plan by 03/20/2023 clearly indicating the next steps that will be taken to implement the facilities plan for merger or closure. Catalyst Center Clinical Advisor Tatum will connect with Pennacle Foundation Inc. via email. CEO Mr. Thomas requested Ms. Tatum's email which is located below. (Continued on page 3...) RM Cook informed the CEO and Facility Administrator that the Department will be in close contact with them during the remainder of the Waiver of Time. The following contact information is being provided: 1. The Catalyst Center: Kelsie Tatum Martinez kmartinez@catalyst-center.org A copy of this report was emailed to CEO Lawrence Thomas for electronical signature. The signed report will be placed in facility file.

met_with: CEO - Lawrence Thomas


state: CA

facility_name: PENNACLE FOUNDATION INC

summary: Facility Evaluation

raw_content:
Narrative:
An informal meeting was held with Pennacle Foundation Inc. Short-Term Residential Therapeutic Program (STRTP) via the teams platform to discuss current Community Care Licensing (CCL) concerns. Present at the meeting was Lawrence Thomas - Cheif Executive Offer (CEO) of Pennacle Foundation Inc., Tracy Raymond - Manager for San Bernardino County Children and Family Services, Amy Mierzwik - San Bernardino County STRTP Coordinator, Derek Burns - County Social Worker (CSW) for Humboldt County, Michael Werder - CSW for Siskiyou County, Timothy Nugent - CSW Supervisor for Humboldt County, Nyron McLean - Cheif Financial Officer (CFO) for Plan-It Life, Sheila McLean - Director for Plan-It Life, Jennifer Smith - Licensing Program Manager and Erika Lopez - Licensing Program Analyst. The following information was discussed: Pennacle's closing date - 06/30/23. Sheila McLean will be submitting an application to CCL for Plan-It Life today to apply for an STRTP license for a facility at the address currently licensed as Pennacle. Discussion about how to transition clients and communication to Plan-It Life once the facility location is formally licensed under Plan-It Life. CEO, Lawrence Thomas, was advised the report (LIC809) will be provided via email for signature. Conference was concluded. A copy of this report will be placed in the facility file.

report_type: Facility Evaluation

met_with: CEO Lawrence Thomas


summary: Facility Evaluation

raw_content:
Narrative:
On February 17, 2022, at 1: PM, Licensing Program Analyst (LPA) Carmen Escobar arrived at Pennacle Foundation Short Term Residential Therapeutic Program (STRTP) to conduct a Case Management inspection to determine compliance with the Plan of Action created during the informal conference that occurred with Pennacle Foundation on December 9, 2021. This Plan of Action had an original due date of January 07, 2022, however, Pennacle Foundation CEO, Lawrence Thomas, requested an extension. The extension was granted and extended with a new due date of January 21, 2022. The Plan of Action for Pennacle Foundation was received on January 25, 2022. Upon review of the Plan of Action, several items that should have been addressed and completed by the deadline of January 21, 2022, were not. The Plan of Action stated these items were being reviewed and worked on and would be submitted by February 04, 2022. As of the date of this facility inspection, February 17, 2022, the remaining Plan of Action items have not been completed and will be addressed by LPA Escobar during this case management inspection. During the physical inspection of the facility, LPA Escobar observed no health and safety concerns. During the facility inspection, LPA Escobar requested to see facility's Activities Calendar along with accompanying receipts/logs to support scheduled activities. While staff was able to provide some receipts to LPA, activities scheduled on calendar (such as groups) do not have sign-in sheets/information of who led group, what was covered on each date for each group meeting. Additionally, there are no activities being led or conducted by community groups/resources. Confidential statements also corroborate that the facility continues to lack planned activities/outings. Administrator was unaware all clients in the facility are off from school the following day, Friday, February 18, 2022, and Monday, February 21, 2022, therefore, no special outings have been planned. Facility is being cited under Interim Licensing Standards (ILS) section 87078.1(a)(3) Core Services and Supports. The facility is being assessed a civil penalty due to repeating the same violation within twelve months. LPA Escobar requested the updated Staff Training Plan with updated training hours for staff, however, Administrator states she is still working on this and was unaware a date of February 4, 2022, had been given to LPA as the expected submission date. The Staff Training Plan was discussed during the informal conference and was expected to be submitted, along with current training hours for each staff member, by January 21, 2022. Nothing has been submitted in regards to training from facility. The facility is being cited under section 87065.1(a)(7) Supervision, Evaluation, and Training Requirements as well as Title 22 section 80066(C) Personnel Records for not having personnel training records available for review. The facility is being assessed a civil penalty for each of these citations due to repeating the same violations within twelve months. Additionally, LPA requested the visitor sign-in log to verify actual dates and times that Facility Administrator, Carolyn Ruffin, has been at the facility as discussed in the Informal Conference. Administrator was able to provide both the time clock record of hours worked along with dated sign in sheets for the facility. Upon review of client files, it was observed that three of three client files did not have current, updated, signed Needs and Service Plans. LPA requested the most current plans be reviewed by clients, signed, and provided to LPA within seven days. The facility is being cited under ILS section 87070(c)(1) Children's Records. The facility is being assessed a civil penalty for each of these citations due to repeating the same violations within twelve months. LPA requested for Administrator to submit a revised LIC500, Personnel Report, to LPA with updated staff work schedules/titles/etc. by Friday, February 18, 2022. The Facility Manager scheduled for day shift for tomorrow, February 18, 2022, does not meet qualifications and does not have an approved exception from Community Care Licensing. Administrator was advised that a qualified facility manager needs to be present whenever clients are at the facility. Administrator agreed and stated will be making modifications to the staff schedule. LPA provided Administrator a copy of this report, along with accompanying LIC421FCs, a copy of the Children's Residential PIN 17-02-CCLD: AB Care Facilities: Civil Penalties, and also appeal rights print out. An exit interview was conducted and all documents were discussed with Facility Administrator, Carolyn Ruffin.

visit_type: Case Management

met_with: Administrator-Carolyn Ruffin


summary: Facility Evaluation

raw_content:
Narrative:
On February 28, 2022, at 12: PM, Licensing Program Analysts (LPAs) Carmen Escobar and Lisi Leon arrived at Pennacle Foundation Short Term Residential Therapeutic Program (STRTP) to conduct a Case Management inspection to address the facility's compliance with the Plan of Action created during the informal conference that occurred with Pennacle Foundation on December 9, 2021, and the plan of correction documents received by LPA Escobar on February 24, 2022. LPA Escobar conducted a physical inspection of the facility at this time and did not observe any immediate health or safety concerns. Upon review of the Plan of Correction documents, it was observed that the Training Plan and training records from February 2021 through February 2022 did not show a comprehensive total hours trained for each staff member. Staff names were used on some records while staff phone numbers were used in other training records. Five of the six staff employed by the facility for over one year, have accrued less than the required 40 hours of annual training in this past year, per the records provided. Also, the records indicated 1.5 hours of training completed by an outside entity, in this case, one training was completed by the San Bernardino County Department of Public Health. Per Interim Licensing Standards (ILS), a minimum of 20 hours of annual training should be conducted by an entity other than the STRTP. The facility is being cited under ILS section 87065.1, Supervision, Evaluation, and Training Requirements. Also, the remaining Plan of Action item in reference to the Activities, deficiency 87078.1(a)(3) Core Services and Supports was not submitted to LPA Escobar by the due date of February 24, 2022. The facility is being assessed a civil penalty for failing to correct the deficiency due February 24, 2022. Additionally, because the facility has not provided sufficient evidence in this area, though it was indicated during the annual inspection that S3 is in charge of activities, the facility is being cited under ILS section Personnel Requirements. Due to the facility's continued lack of oversight of the program as seen in the failure to correct the plans of corrections or inadequately correcting the previously cited issues and the repeated lack of communication amongst STRTP administration, the facility is being cited under ILS section Accountability. LPA provided Facility Manager, Mr. Zachary Williams, a copy of this report, along with accompanying LIC421FCs, and appeal rights print out, and an exit interview was conducted.

met_with: Facility Manager-Zachary Williams


summary: Facility Evaluation

raw_content:
Narrative:
On April 20, 2022, LPA Escobar conducted an inspection of the facility and proceeded to advise FM of reason for inspection. Information obtained during confidential interviews revealed that around 02/28/22, Staff 1 (S1) yelled at Client 1 (C1) during a physical altercation. While a witness maintains S1 raised S1's voice to be heard over C1, who was yelling, several confidential statements corroborate S1 yelled at C1 several times during the incident. Based on confidential interviews and information obtained, the Department has determined a preponderance of evidence that S1 yelled at C1. The facility is cited for violation of the STRTP Interim Licensing Standards (ILS), section 84072(c)(10) Personal Rights. A copy of this report, LIC 809-D, LIC 811, and appeal rights were provided to FM, Ayla Losoya. An exit interview was conducted and a plan of correction was discussed facility manager.

met_with: Facility Manager (FM)-Ayla Losoya


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on March 13, 2023 at AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Barragan met with Watishi Turner, House Manager and inspected the facility inside and out. LPA reviewed 3 of child's records and 2 of staff personnel files on site at the facility. LPA reviewed 3 of child's psychotropic medications and medication records. LPA interviewed 2 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of children currently prescribed psychotropic medication. There are 7 cameras inside the house, 2 cameras inside the garage, and 6 cameras on the outside. During the inspection the LPA observed two deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Watishi Turner, House Manager

met_with: Watishi Turner, House Manager


facility_name: PENNY LANE - SATELLITE I

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Title Regulation Standards Division 6 & Chapter 1 80078(a) Responsibility For Providing Care and Supervision Regulations on the attached LIC 9099D. A Type "A" citation for Immediate Health & Safety Hazard has been issued. Exit interview conducted. Copy of this Report and Appeal Rights emailed to Facility Representative.

Investigation Findings:
13On Tuesday October 19, 2021 @ 3:30PM Licensing Program Analyst (LPA) Kathy Landry conducted a Tele-Inspection regarding complaint allegation listed above. LPA Landry spoke with Facility Representative listed above. This investigation initially began 09/07/2021, since then more information has been received. On or around May 30, 2020, child #1 was outside of the facility while two other clients (child 2 and 3) were inside of facility with staff #2. While staff #3 prepared medication in the detached garage/office area staff #2 was designated to supervise these three clients. Staff #2 was inside the facility maintaining visual supervision of clients 2 and 3 while sitting near the front door looking/ listening for child #1, who was outside in the adjacent frontyard driveway playing basketball. It is unclear how much time passed when staff #2 conducted a routine head check and child #1 was not located. Runaway Procedures were executed. A Missing Persons Report was filed and pertinent parties notified. Child #1 never returned to the facility. Based on LPA Landry's observation and interviews which were conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated per -----> SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kathy Landry 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: PENNY LANE - SATELLITE IFACILITY NUMBER: VISIT DATE: 10/19/2021

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

report_type: Complaint Investigation

met_with: Kristn Malka

complaint_status: SUBSTANTIATED


facility_name: PERSISTENT YOUTH PATHWAYS

summary: Facility Evaluation

raw_content:
Narrative:
On 10/21/2025 at approximately 10: AM, Licensing Program Analyst (LPA) Joon Choi met with applicant Marquita Berry, for a Component II (Program Statement / Plan of Operations Review). LPA Choi and Marquita Berry reviewed revisions for the application prior to licensure. LPA provided additional information to assist with the revisions needed to complete the application process prior to the Pre-Licensing Visit. A copy of this report (LIC 809) was provided to applicant.

met_with: Marquita Berry, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On April 20, 2026, Licensing Program Analyst (LPA) Joon Choi conducted a pre-licensing inspection for Persistent Youth Pathways Short Term Residential Therapeutic Program's (STRTP) license. LPA met with owner/applicant Marquita Berry. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the facility. The facility is applying to serve six minor clients. The residence was originally a four bedroom, two-story house with two full bathrooms(upstairs) and a half-bathroom downstairs. The upstairs master bedroom was modified to now serve as a staff office and will also serve as an alternate room. The facility consists of a living room (common area), a kitchen, dining area, a downstairs staff office/den, the garage, and the backyard. The backyard has a sitting area with portable large umbrella and turf lawn. There is a trampoline in the side area of the backyard. The garage currently is inaccessible to clients. There are solar panels on the roof. The facility has 3 bedrooms and one full bathroom designated for clients. There is a half-bathroom downstairs for staff and client use. There is one bathroom designated for staff, that is in the upstairs master bedroom/alternate room. The bedrooms were arranged so that no more than two clients share a room, and there will be one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate dresser drawer space and closet space for children's belongings. Towels, linens and extra hygiene were stored in a storage closet in the upstairs hallway. There are six smoke detectors / carbon monoxide detectors (1 downstairs and 5 upstairs) and all were checked and observed to be working properly. The home also has a fire sprinkler system: both floors. Continued on the Next Page There is no fireplace in the living room area. Telephone service (land line) and appliances were in a working order. All hazardous items and cleaning materials have been properly made inaccessible to areas where clients would have access by themselves ( located in the upstairs laundry room, locked with staff keys only). The client medications are located in the staff/den area and sharp objects/knives will be locked in a lockbox in of the lower kitchen cupboards. There is a first aid kit in the staff den office and facility vehicle. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be holding at 117.1 degrees fahrenheit. Facility was advised that upon being notified of their provisional license being issued, then adequate food storage supply of two days of perishable foods and a week of non-perishable food will be required as soon as possible. Proper storage of all food was discussed. One trash can is located in the kitchen for storage of solid waste has a tight fitting lid. There is also a covered waist basket in the client's upstairs bathroom and downstairs bathroom. The Facility Sketch, Emergency Disaster Plan, visitation policy, client Personal Rights and the contact numbers for the Foster Care Ombudsperson and Community Care Licensing Hot-line were posted. (Foster Youth Bill of Rights Poster is needed) There was no pool or other body of water, and the backyard where clients will have access to play; was completely fenced and free of hazards. With the assistance of the owner/applicant. LPA inspected the facility's physical plant and reviewed the facility's operational requirements, disaster preparedness and emergency interventions. No interviews or file reviews were conducted during this visit. Currently, the facility is appropriate for a capacity of six ambulatory clients, ages nine to seventeen. This facility will not house Non-Minor Dependents. Technical advisories (TAs) were provided at this time regarding: client lock boxes and clearing of debris in the backyard. Licensing Program Manager will complete a final review prior to issuing a provisional license. Exit interview was conducted and a copy of this report and TAs were provided owner/applicant Marquita Berry.

visit_type: Prelicensing

met_with: Marquita Berry, Owner / Applicant


facility_name: PINTA HOME

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on witness interviews and records review, the preponderance of evidence standard has been met, and the allegation facility Staff #1 (S1) pushed Client #1 (C1) is substantiated. The facility is being cited for violation of STRTP Interim Licensing Standards (ILS) Version 3.1, Section 84072 (d)(11) Personal Rights. The facility did not ensure that C1 was free from physical, emotional, or other abuse, which poses a potential Personal Rights risk to clients in care. An exit interview was conducted. A copy of this report, LIC 811, LIC 9099-D, and Appeals Rights were provided to Sterling Kirk.

Investigation Findings:
13On April 19, 2022, Licensing Program Analyst (LPA) Lorena Valenzuela met with Pinta Short Term Residential Therapeutic Program (STRTP) Administrator Sterling Kirk to deliver the finding for the above-stated allegation. The investigation included an inspection of the STRTP, a review of records on 08/03/2021, and a San Bernardino Investigation Narrative review. In addition, LPA interviewed four clients (C1, C2, C3, & C4), three facility staff (S1, S2, & S3), and an Administrator. See the Confidential Names List, LIC 811, dated April 19, 2022. On July 30, 2021, Community Care Licensing (CCL) received information that alleged facility staff pushed a child while in care. Confidential interviews revealed, on 06/30/2021, Client #1 (C1) and Staff #1 (S1), where in the facility's kitchen area and C1 and S1 had a verbal confrontation. Confidential witnesses' statements indicated C1 made derogatory remarks toward S1, and C1 pushed C1's body against S1. Additional confidential interviews revealed that Staff #1 raised S1's arms toward C1 and placed S1's palms on C1 shoulders three times. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Lorena Valenzuela 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: PINTA HOMEFACILITY NUMBER: VISIT DATE: 04/19/2022

met_with: Sterling Kirk, Administrator


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On 6/8/2022, Community Care Licensing received an allegation that clients are not receiving their allowances. Confidential interviews reported that clients had stolen other clients' allowances. Confidential interviews reported that a client reported a staff member stealing their allowance. In addition, confidential interviews reported that an unknown client stole the allowance from C6. Other confidential interviews reported that staff had not stolen clients' allowances. Confidential interviews reported that staff always provide the clients with the allowances that they are required to have. Community Care Licensing also received an allegation that staff allows inappropriate touching between clients. Confidential interviews reported that staff does not allow hitting and inappropriate touching. Some confidential interviews reported that inappropriate touching was allowed by certain staff members and that this type of behavior was not corrected in a timely manner. Other confidential interviews reported that staff always redirected inappropriate physical behavior in a timely manner. Based on inconsistent confidential interviews during this investigation, the allegations that staff are allowing inappropriate touching between clients and clients are not receiving their allowances may have occurred, however, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time.

Investigation Findings:
13On 8/5/2022 at 9: AM, Licensing Program Analyst (LPA) Joon Choi met with Pinta Home Short Term Residential Therapeutic Program (STRTP) Program Administrator Denise Samano, to deliver the findings for the above allegations. The investigation included interviews with County Social Worker (CSW), clients (C1, C2, C3, and C6), staff (S1, S2, S3, S4, S5, and S6), and obtained documents pertinent to this investigation. Clients C4 and C5 declined a request for an interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 08/05/2022

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

met_with: Denise Samano, Program Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
consumed marijuana at school or on route to school. Confidential interviews stated that facility staff does not allow clients to possess or consume contraband, and that it is confiscated and disposed of by staff whenever found. While other confidential Information Received by Licensing Office stated that these allegations had occurred. There were no other known witnessed to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegations that Child # 1 (C1) has access to marijuana, as well as attended school while under the influence of marijuana, as a result of a lack of care and supervision, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Direct Care Staff, Sandra Alonzo to issue the findings for the above stated allegation. An investigation was conducted by LPAs Lorena Valenzuela and Daniel Mena regarding allegations. LPAs Valenzuela and Mena conducted an investigation to the Short-Term Residential Therapeutic Program (STRTP) on January 13, 2022 at 2:45pm and on October 07, 2022 at 1:53pm. No immediate hazards observed. LPAs Valenzuela and Mena interviewed four foster children (C1, C2, C3 & C4), three staff (S1, S2 & S3), as well as reviewed client and facility records. Community Care Licensing received information alleging that Child # 1 (C1) has access to marijuana, as well as attended school while under the influence of marijuana, as a result of a lack of care and supervision. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPA's obtained conflicting information in confidential interviews. Confidential interviews denied that C1 had ever consumed drugs at the facility prior to attending school or while under the care and supervision of staff. According to confidential interviews, C1 most likely obtained and UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 10/14/2022

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

met_with: Sandra Alonzo


raw_content:
Narrative:
The Department received another allegation that a minor (FC1) is being bullied by other minors in care. It was reported that their roommate OC3 was bullying a minor (FC1) in care. Confidential interviews reported that a minor in care (OC3) tried to pressure another minor in care (FC1) for their allowance. Confidential interviews reported this incident was reported to staff, and staff intervened to protect the client and stopped OC3 from pressuring FC1 for their allowance. Confidential interviews reported that this "bully" minor (OC3) is no longer in the facility. Confidential interviews reported that when bullying behavior by minors occurred, staff would intervene and redirect this behavior. Other confidential interviews reported that some minors in the facility never experienced bullying. Based on inconsistent confidential interviews, the allegations that staff is verbally abusing a minor while in care and that a minor is being bullied by other minors in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, and appeal rights were explained and given to Direct Care Staff, Latonya Brown.

Investigation Findings:
13On 10/25/2022, at 11: AM Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Pinta Home Short Term Residential Treatment Program (STRTP) to deliver the investigative findings for the allegations listed above. LPA Choi conducted a health and safety inspection of the facility on 10/4/2022. No immediate health and safety issues were observed. The investigation included interviews with clients (FC1, FC2, FC3, and FC4), other clients (OC1, OC2, and OC3), and staff (TH, CW, S1, S2, S3, and S4). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 10/25/2022

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

met_with: Latonya Brown, Direct Care Staff


raw_content:
Narrative:
Confidential interviews reported that S1 told C1 to "shut the f up," but that S1 did not call C1 the "b" word. Other confidential interviews reported that S1 did admit to telling C1 to "shut the f up." Confidential interviews reported that S1 admitted to calling C1 the "b" word and telling C1 to "shut the f up." Confidential interviews reported that C1 admitted to verbally disrespecting S1. Confidential interviews reported that S1 admitted they did not respond in a professional manner. There are corroborated statements that S1 did not communicate in a dignified way toward C1. Based on confidential interviews and S1's own admission to the allegations, the preponderance of evidence standard has been met, and the allegations that staff (S1) spoke inappropriately to a foster child (C1) and staff (S1) do not accorded dignity in their personal relationship with a foster child (C1) in care are substantiated at this time. The facility is being cited for violation of Interim Licensing Standards Short-Term Residential Treatment Programs, Version 4, Personal Rights 87072(c)(10)(11). The facility did not ensure C1 was free from emotional abuse, humiliation, and intimidation. This poses an immediate health, safety, or personal rights risk to the children in care. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Direct Care Staff LaTonya Brown. This report serves as an amendment to the LIC9099 report created on 03/21/2023.

Investigation Findings:
13On 03/21/2023 at 02: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Pinta Home Short Term Residential Treatment Facility (STRTP) and met with Direct Care Staff LaTonya Brown, to deliver the investigative findings for the allegations listed above with. On 02/27/2023, LPA Joon Choi visited the facility, obtained pertinent documents, and conducted an initial health and safety inspection. No immediate health and safety hazards were observed. LPA interviewed clients (C1-C4) and staff (S1-S4). On 02/22/2023, Community Care Licensing received allegations that staff (S1) spoke inappropriately to a foster child (C1) and staff (S1) did not accord dignity in their personal relationship with a foster child (C1) in care. Confidential interviews reported that after a minor in care (C1) called a staff member (S1) a derogatory name, S1 responded by calling, telling C1 to "shut the f up" and to stop acting like a "b" which means a female dog. Confidential interviews reported that S1 did not react professionally and calmly after being verbally disrespected by C1. CONTINUED ON THE NEXT PAGE SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 03/21/2023

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

met_with: LaTonya Brown, Direct Care Staff


raw_content:
Narrative:
Based on interviews and record reviews that C1 was hit and choked by other clients (names unknown) resulting in a bruise on C1's back, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Leonard Haynes.

Investigation Findings:
13On June 28, 2023 at 10:30am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with facility manager, Leonard Haynes. LPA Lisi Leon conducted an inspection of the facility on August 11, 2022, at 11:20 am and no immediate deficiencies were observed. Four of four clients (C1, C2, C3, C4), three staff and Facility Administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was hit and choked by other clients (names unknown) resulting in a bruise on C1's back. Confidential staff interviews reported that C1 is the aggressor and attempts to start physical altercations with all of the clients in the facility. Confidential interviews reported that staff will verbally give C1 directives, in which C1 complies. Confidential interviews reported that C1 has hit C2, but staff immediately intervenes. Other confidential interviews stated that C1 had a bruise on the back, however the bruise was never observed by any staff or anyone else. The interviews that were provided to the LPA were not consistent regarding the allegations and did not provide any further specific details regarding staff supervision. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 06/28/2023

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

met_with: Leonard Haynes


raw_content:
Narrative:
ever happened. Confidential interviews reported that C2 admitted to another client that C2 had oral copulation with C3. Confidential interviews reported that C2 denied pressuring any other client into touching their genitals and having oral copulation with any other client in the facility. Confidential interviews reported that facility staff supervised all the clients and denied ever witnessing any client touching another client's genital area or having oral copulation with each other. Confidential interviews reported that prior to receiving this complaint, the facility submitted a Special Incident Report (SIR) describing the same incidents detailed in the complaint. Confidential interviews reported that after the SIR was submitted, the facility developed and implemented a safety plan that reminded all facility staff to supervise all clients and watch out for peer pressure and inappropriate behaviors between clients. Based on inconsistent confidential interviews, the allegation that the facility did not provide adequate supervision resulting in inappropriate interactions between minors (C1, C2, and C3), may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Leonard Haynes.

Investigation Findings:
13On 06/30/2023 at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Pinta Home Short Term Residential Treatment Facility (STRTP) and met with Facility Manager Leonard Haynes to deliver the investigative findings for the allegation listed above. On 05/16/2023, LPA Joon Choi visited the facility, obtained pertinent paperwork, and conducted an initial health and safety inspection. No immediate health and safety hazards were observed. LPA interviewed clients (C1, C2, C4, and C5), County Social Worker (CSW), and staff (S1-S6). LPA attempted to interview C3, but C3 refused to be interviewed. On 05/11/2023, Community Care Licensing received an allegation that the facility did not provide adequate supervision resulting in inappropriate interactions between minors (C1, C2, and C3). Confidential interviews reported that C1 disclosed that C2 made C1 touch C2's genital area. Other confidential interviews reported that C2 and C3 had oral copulatioith each other. Confidential interviews reported that C1 initially admitted to touching C2's genital area to a facility staff member but later recanted the statement and denied this ever CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 06/30/2023

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

met_with: Leonard Haynes, Facility Manager


raw_content:
Narrative:
**Continued from Previous Page*** (C1, C2, C4, C5 and C6). In addition, facility and county records were reviewed. LPAs attempts to interview S5 and C3 were unsuccessful. On April 16, 2024, Community Care Licensing (CCL) received an allegation alleging staff did not ensure that youth's (C1) medical needs were properly being met. Specifically, it was reported that on an unknown date in September or October of 2023, C1 was observed with a rash on C1's back and arms and when staff questioned about the follow-up visit to C1's primary care physician as instructed on the discharge papers C1 received from the Urgent Care visit on September 2, 2023, staff was informed that a second trip to urgent care would occur. Record review revealed C1 was taken to be seen for C1's rash a second time on September 4, 2023. Record review noted the follow-up comments from C1's second visit for C1's rash was to follow-up with C1's primary care physician. Record review could not confirm or dispute that the follow-up with C1's primary care physician occurred. A second allegation alleging staff (unknown) locked a youth (C6) outside of the facility, was also received by CCL. Specifically, it was alleged that an incident occurred on August 30, 2023, at the facility resulting in C6 being locked out of the facility by an unknown staff member. Confidential interviews reported inconsistent statements regarding C6's behavior and the events surrounding C6 coming and going from the facility. Confidential interviews and records review could not provide consistent accounts of the alleged incident occurring. Therefore, could not confirm or dispute the allegation staff locked a youth outside of the facility. Based on confidential interviews and record review the preponderance of evidence standard has not been met and the allegations that, staff did not ensure that youth's medical needs were properly being met and staff locked a youth outside of the facility, may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, a copy of this report, confidential names report (LIC 811) along with appeal rights were given to Pinta Home Tina Collins, Executive Director.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days Estimated Days of Completion: 90-Days

Allegations:
- UnsubstantiatedEstimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days

met_with: Tina Collins, Executive Director


raw_content:
Narrative:
**Continued from Previous Page** C1 was having a behavioral episode during which time FM1 allegedly pushed C1 causing C1 to fall onto a chair hitting the right side of C1's abdomen. Confidential interviews and documentation review provided conflicting accounts of the interaction between FM1 and C1. Confidential statements reported C1 attempted to punch FM1 during which time C1 overreached causing C1 to lose C1's balance and fall into the chair. Conflicting statements reported C1 was pushed into the chair. Confidential interviews and documentation review could not confirm or dispute the allegation Based on confidential interviews and documentation review, the preponderance of evidence standard has not been met and the allegation that Staff [Facility Manager (FM1)] handled minor [Client (C1)] in a rough manner may have occurred, however it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Pinta Home, Short Term Residential Therapeutic Program (STRTP), Courtney Brandon, Administrator.

Investigation Findings:
13On July 2, 2025 at 10: AM, Licensing Program Analyst (LPA), Jason Dalton met with Pinta Home, Short Term Residential Therapeutic Program (STRTP), Courtney Brandon, Administrator to deliver the investigation finding for the above stated allegation. On December 23rd and 26th, 2024, a health and safety inspection was conducted at the facility and no immediate health or safety concerns were observed. LPA interviewed three of three Clients: [Client #1(C1) - Client #3 (C3)], four of four Staff members, [Facility Managers (FM1 and FM2), Administrator (Admin) and one Direct Care Staff (S1)]. LPA also interviewed one of three County Social Workers (CSW1). LPA made several attempts to conduct interviews with County Social Workers (CSW2 and CSW3), and Reporting Party (RP). As of closure of this investigation all attempts have gone unanswered. In addition, facility and county records were reviewed. On December 23, 2024, Community Care Licensing (CCL) received a complaint alleging that Staff [Facility Manager (FM1)] handled minor [Client (C1)] in a rough manner. Specifically, it was reported that UnsubstantiatedEstimated Days of Completion: 90-Days SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Jason Dalton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 07/02/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days Unsubstantiated Estimated Days of Completion: 90-Days

met_with: Courtney Brandon, Administrator


raw_content:
Narrative:
Confidential interviews and record review could not confirm or dispute the allegation. Confidential interviews reported staff do not grab clients. Conflicting information reported that there was an incident where C1 was grabbed. Based on record review and confidential interviews the allegation alleging Staff handled minor in care in a rough manner 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, and a copy of the report was provided along with appeal rights to Facility Coordinator Lavonta King

Investigation Findings:
13On August 7, 2025 at am 8:45 am Licensing Program Analyst (LPA), Jacob Ortega met with Facility Coordinator Lavonta King Facility Name PINTA HOME to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on April 29, 2025, and no immediate hazards were observed. The investigation included interviews with four foster children [Child #2 (C2), Child #3 (C3), Child #4 (C4), and Child #6 (C6)], Seven staff [Staff #1 (S1) - Staff #7 (S7)], and one county social worker [CSW6]. Child #1 has been reunified with biological family, LPA made several attempts to interview Child #1 (C1); however, all attempts have gone unanswered. In addition, county records and facility records were reviewed. On April 24, 2025, Community Care Licensing (CCL) received complaint alleging Staff handled minor in care in a rough manner. Specifically, it was reported an unknown staff member grabbed (C1) in really hard after a behavior incident occurring on an unknown date. CONTINUED ON C PAGE*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Jacob Ortega LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 08/07/2025

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

met_with: Facility Coordinator Lavonta King


raw_content:
Narrative:
A second was received by CCL alleging staff did not prevent minor from obtaining a weapon. Specifically, it was reported that C1 went outside to retrieve a weapon. Confidential interviews and record review revealed C1 was utilizing rocks and sticks as weapons during a behavior episode. Confidential interviews could not confirm or dispute facility's crisis intervention techniques were used during the incident, which would have prevented C1 from retrieving a weapon. Additionally, CCL received an allegation alleging staff spoke inappropriately to minor. Specifically, it was reported that S1 told C1, "don't come at me; I don't care, I'll lose my job over this." Confidential interviews provided conflicting information on what was said to C1 by S1 and in the manner it was said. Confidential interviews and record review could not confirm or dispute the allegation. Based on record review and confidential interviews the allegations alleging staff handled minor in a rough manner resulting in injury, staff did not prevent minor from obtaining a weapon, and staff spoke inappropriately to minor 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, and a copy of the report was provided along with appeal rights to Facility Manager, May Cruz.

Investigation Findings:
13On August 28, 2025, at 01:45 pm Licensing Program Analyst (LPA), Raina Perez-Diaz, met with East Valley Charlee- Pinta Home, Facility Manager, May Cruz, to deliver the findings for the above stated allegations. A Health and safety inspection of the facility was conducted on August 8, 2025, and safety concerns were observed and addressed with facility. The investigation included interviews with four foster children [Child #1 (C1) - Child #4 (C4)], five staff [Staff #1 (S1)- Staff #5 (S5)], and three county social workers [CSW1- CSW3]. In addition, county records, and facility records were reviewed. On August 5, 2025, Community Care Licensing (CCL) received an allegation alleging staff handled minor in a rough manner resulting in injury. Specifically, it was reported that Staff #1 (S1) kicked Client #1 (C1) on the arm. Confidential interviews provided conflicting information if the bruise on C1's arm was caused by S1 kicking the garage door or C1's arm. Confidential interviews and record review could not confirm or dispute the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 08/28/2025

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

met_with: Facility Manager- May Cruz


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Administrator certificate renewal, they were short 20 training hours, and that certification renewal was requested under the Group Home Administrator re-certification and not for STRTP Administrator certification. Based on confidential interviews and information obtained during the course of this investigation, the allegation that Administrator's certificate was expired, may have occurred, however they are not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to Administrator.

Investigation Findings:
13Licensing Program Analyst (LPAs), Daniel Mena and Matthew Dorantes met with Short Term Residential Therapeutic Program (STRTP) Facility Coordinator, Lavonta King to discuss the investigative findings for the above stated allegations. LPAs Jason Dalson and Daniel Mena conducted an inspection to the STRTP on June 03, 2025 and on August 19, 2025. No immediate hazards were observed. LPAs Dalton and Mena interviewed facility Administrator (AD) and Staff # 1 (S1), as well as reviewed Community Care Licensing (CCL) records and facility records. Community Care Licensing received information on May 28, 2025, alleging that Administrator's certificate was expired. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews and information obtained indicated that when AD submitted their Continues on next page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 09/18/2025

met_with: Lavonta King


raw_content:
Narrative:
If restraints were used, it could not be determined whether they were used appropriately or inappropriately. Confidential interviews and record review could not confirm or dispute the allegations. Based on record review and confidential interviews the allegation alleging staff handled minor in a rough manner, staff hit minor in care, and staff use inappropriate restraining techniques with minors in care 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, and a copy of the report was provided along with appeal rights to Facility Manager, Ronnie Waller.

Investigation Findings:
13On November 13, 2025, at 01: PM Licensing Program Analyst (LPA), Raina Perez-Diaz met with East Valley Pinta Home Short-Term Residential Treatment Facility (STRTP), Facility Manager, Ronnie Waller, to deliver the findings for the above stated allegations. A Health and Safety inspection of the facility was conducted on September 4, 2025, and no immediate hazards were observed. The investigation included interviews with four foster children [Client #1 (C1) - Client #4 (C4)], twelve staff [Staff #1 (S1) - Staff #12 (S12)], and three county social workers (CSW1- CSW3). In addition, county records, and facility records were reviewed. On August 29, 2025, Community Care Licensing (CCL) received an allegation alleging staff handled minor in a rough manner, hit minor in care, and staff use inappropriate restraining techniques with minors in care. Specifically, it was reported Staff #1 (S1) threw Client #1 (C1) on C1's bed which left a bruise and scratches. Confidential interviews provided conflicting information as to if and when the incident occurred and whether any restraints were used. ***Continue LIC-812-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 11/13/2025

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

met_with: Facility Manager- Ronnie Waller


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On 11/22/2021, Licensing Program Analyst's (LPAs) Lorena Valenzuela and Valerie Wilson arrived at Pinta Home Short Term Residential Therapeutic Residential Program (STRTP). LPA's were met and granted access by Administrator Sterling Kirk. The purpose of the visit is to conduct an annual inspection of the facility. At 10: AM, Administrator Sterling Kirk, led the physical inspection of the facility with LPA's Valenzuela and Wilson. Program Administrator Denise Samano was on the phone during the discussion of the report, citations and plan of corrections discussion. A physical plant inspection was completed and included the facility's kitchen, bedrooms, refrigerator/freezers, food storage areas, bathroom/showers, and outdoor area. Facility outdoor grounds were not found to be clean and free of debris and observable hazards. LPA's observed debris in the outdoor area which included leaves and sticks. Based on interviews and observation, the facility dishwasher is not in good repair. There is adequate indoor and outdoor activity space. The outdoor space included a seating area with a playground area set up with a slide, swings and a monkey bar with rings. Facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods, a variety of snacks are available, and the menus were posted. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff office closet. Per the Administrator, Restroom #1 has a water leak in the shower/bathtub which has caused water damage to the adjacent wall which is a shared wall in Bedroom #2. In Bedroom #2, LPA's observed a wet carpet with removed baseboards, which per Administrator were removed due to the water damage to the wall. Per Administrator the water leak in the shower had been repaired prior but the facility noticed there continued to be water leaking "2 days ago". Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a dining area, kitchen area, living room, computer room, a clinician's office for therapeutic services, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. LPA Valenzuela reviewed the facility's Emergency Intervention monthly log and Emergency Disaster plan both of which included the necessary information and are current. LPA's observed a living area with a computer, desk and chair, which is used by clients. LPA's observed the chair to be worn, and with tape attached to the arm rest. LPA observed the living room area with a couch to have a torn upholstery. LPA's also observed the fireplace harth to have two missing bricks. Chemicals and/or poisons, sharp objects/knives are locked in the staff office closet. First Aid Kit is stored in a locked closet in the staff office and contained all required supplies. LPA's conducted interviews with Staff #1 (S1), Staff #2 (S2) and Administrator. LPA's conducted a review of board meeting minutes for 2020 and 2021. LPA's observed that the facility does not provide children with locked containers with keys, for the purpose of storing contraceptives. Based on observations and interviews, the facility is not providing the locked containers for five of five clients. The facility is cited for violation of STRTP Interim Licensing Standards (ILS), Section 87075(b) (1) (A) Health Related Services. LPA Wilson measured the hot water temperature in client Restroom #1 and the temperature measured to be over 125 degrees Fahrenheit, which is above the allowed temperature of 105 and 120 degrees F. Based on observation, the facility is cited for violation of Title 22, Section 80088 (e) (1) Fixtures, Furniture, Equipment and Supplies. LPA's observed that five of five children in care share a bottle of lotion and do not have a lotion of their own. Based on interview and observations, the facility is being cited for not providing an individual lotion in order to maintain their basic personal hygiene practices. The facility is being cited for, STRTP ILS, Section 87088 (c) (3) Fixtures, Furniture, Equipment, and Supplies. LPA's observed playground equipment with swings, slide, and climbing wall, however, the swings and climbing wall were not in good repair, the facility is being cited for Title 22, Section 80087 (a) Building and Grounds. In addition, LPA's observed a monkey bar with circular bars to not be securely anchored to the ground, the facility is being cited for STRTP ILS, Section 87088.3 (a) Outdoor Activity Equipment. LPA also observed, the playground area was not cushioned with materials to absorb the fall from high areas of the outdoor equipment . The facility is cited under STRTP ILS, Section 87087.2(b) Outdoor Activity Space. LPA's observed in Bedroom #2, there was water damage to the wall and carpet with two walls having portion of baseboards missing. The facility is cited for not ensuring a clean, safe and sanitary bedroom for clients in care, under Title 22, Section 80087 (a) Buildings and Grounds. LPA's observed in Bedroom #2 to have up to three punctures to the wall, the facility is being cited for not ensuring the walls in client bedroom are in good repair, under Title 22, Section 80087 (a) Building and Grounds. Based on observation and interview, Restroom #1 is out of order due to a water leak in the showerbath/tub, the facility is being cited for not ensuring the restroom is in good repair, under Title 22, Section 80087 (a) Buildings and Grounds. LPA's observed the couch to have ripped upholstery and not be in good repair, the facility is cited for Title 22, under Section 80087 (a) Buildings and Grounds. LPA's observed the chimney harth to be missing two bricks and not be in good repair, the facility is cited for Title 22, under Section 80087 (a) Buildings and Grounds. LPA's observed the facility has an outside basketball court with a cement floor area, however there was a 3 to 4 inch area hole in the cement area, the facility is cited under Title 22, Section 80087 (a) Buildings and Grounds, due to not ensuring the cement floor area is in good repair. LPA's observed the backyard patio awning to have two corners the two beams to have damage and not be in good repair. The facility is cited under Title 22, Section 80087 (a) Buildings and Grounds. LPA's observed the outlet in the computer room and an outlet in the backyard patio to not be in good repair, the facility is cited under Title 22, Section 80087 (a) Buildings and Grounds. LPA's reviewed the board meeting minutes, and the minutes did not reflect the board's discussion of the documents specified in the Health and Safety Code Section 1520.1 (f). The facility is cited for ILS STRTP, Section 87063 (a) (9) Accountability. The facility was given a technical assistance in regard to the facility vehicle and the outdoor area. Due to time constraints, LPA's will return to complete the inspection at a later date. An exit interview was conducted and a copy of this report, LIC 9102TA's- Technical Assistance and appeal rights were provided to Administrator Sterling Kirk

Deficiencies:
87088.3(a): Deficient Practice Statement
1
2
3
4Based on observation and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/15/2021
Plan of Correction
1
2
3
4Program Administrator Samano will provide a plan to come into compliance with the above regulation and provide plan to LPA.
87087.2(b): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/15/2021
Plan of Correction
1
2
3
4Program Administrator Samano will provide a plan to come into compliance with the above regulation and provide plan to LPA.

visit_type: Annual

met_with: Sterking Kirk, Administrator and Denise Samano

title:
Outdoor Activity Equipment

(a) Outdoor activity equipment shall be securely anchored to the ground unless it is portable by design.

This requirement is not met as evidenced by

title:
Outdoor Activity Space

(b) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material which absorbs falls.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 11/23/2021, Licensing Program Analyst (LPAs) Lorena Valenzuela and Valerie Wilson arrived at Pinta Home Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on 11/22/2021. LPA's already completed the physical inspection of the facility on the first day of the annual inspection. Program Administrator Denise Samano was on the phone during the discussion of the report, citations and plan of corrections. Licensee is in the process of obtaining their Mental Health Program Approval. The facility Program Administrator Denise Samano agrees to provide LPA Valenzuela on updates regarding their Mental Health Program Approval. Licensee is in the process of obtaining their National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF). The Accreditation is currently valid through 12/31/2021. Licensing fee payments have been paid and there is currently a balance of $0. During this annual inspection continuation, LPA's reviewed eight personnel files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). See Confidential Names List (LIC 811) dated 11/23/2021. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel files are retained at the main office located in Redlands, and will be available to the department for review upon request. LPA's reviewed the Personnel Report (LIC 500) and work schedules to ensure appropriate staffing ratios. Administrator, Sterling Kirk is present at the facility a minimum of 20 hours a week, as verified by staff work schedule. Appropriate staff/client ratios were verified during this inspection. Based on records review, Staff #1 did not have a valid cardiopulmonary resuscitation (CPR) and first aid training card on file. The facility is being cited for violation of STRTP (ILS), Version 4.1, Section 87065.1(c)(6)(A) Training Requirements. Based on records review and interviews, the facility did not have documentation of successful training maintained in all direct care staff personnel records reviewed. The facility is being cited for violation of STRTP (ILS), Version 4.1, Section 87065.1(d)(7) Training Requirements. Based on records review and interviews, Staff #1 is the designated employee to develop, implement and evaluate the facility's activity program, however Staff #1 does not have the qualifications required to perform this duty per regulation standards. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Version 4.1, Section 87066 (e) (1) Personnel Records. LPA's conducted interviews with one staff today and three staff on 11/22/2021. Staff were not able to provide sufficient information in relation to the facility's STRTP Program Statement, clients' Needs and Services plan, and Trauma- Informed care. The facility was given an LIC 9102- Technical Assistance (TA) in regard to providing additional training to staff regarding the Program Statement/Plan of Operation, Needs and Services plans and Trauma Informed care. An exit interview was conducted and a copy of this report, LIC 9102-TA, LIC 809-d and appeal rights were provided to Administrator Sterling Kirk. Based on staff records review, LPA's observed staff records for five of eight staff (Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #5 (S5), Staff #7 (S7)) had a job description, however, the job description was outdated and did not meet the STRTP regulation standards. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Version 4.1, Section 87066 (b) (1) Personnel Records. Based on staff records review, the annual training hours for seven of eight staff for 2020 were not completed including (Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7), the facility is being cited for violation of the STRTP ILS, Version 4.1, Section 87065.1 (d)(1) Training Requirements. LPA's observed that the training hours for 2021, for 7 of 8 personnel files reviewed may not meet the training requirements, per STRTP (ILS) which states all direct care staff shall complete a minimum of 40 hours of annual training. Based on records review and interviews, Staff #1 and Staff #3 did not have a work performance evaluation for 2021. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Version 4.1, Section 87066 (b) (6) Personnel Records. Based on records review, eight of eight staff files do not have a statement signed by the employee that they are of at least 21 years of age. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Version 4.1, Section 87066 (c) (1) Personnel Records. Based on records review and interviews, the facility does not have an on call direct care staff that is capable of arriving to the facility within 30 minutes. The facility is being cited for violation of STRTP Interim Licensing Standards (ILS), Version 4.1, Section 87065.5(a)(3) Direct Care Staff/Child Ratios. Based on records review and interviews, the facility did not have an employee training handbook maintained at the facility. The facility is being cited for violation of STRTP (ILS), Version 4.1, Section 87065(l)(1) Personnel Requirements. In addition, LPA's reviewed the employee handbook provided by the facility and the handbook did not contain the facility's program mission, vision and values, disaster response procedures, law enforcement contact procedures, and reporting requirements as required by ILS.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On November 30, 2021, Licensing Program Analyst's (LPAs) Lorena Valenzuela and Valerie Wilson, arrived at Pinta Home Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on November 22, 2021. LPAs already completed the physical inspection, staff records review of the facility on the first and second day of the annual inspection. The LPAs met with Facility Administrator, Sterling Kirk. Program Administrator Denise Samano was on the telephone for the report, citations and plan of corrections discussion. During this annual inspection continuation, LPAs reviewed five of five client files (Client 1- C1; Client 2- C2; Client 3- C3; Client 4- C4; Client 5-C5) to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). Client files are maintained in the home and at the main office. There was four children present at the facility. LPAs conducted interviews with C2, C3, and C5. Client #1 (C1) refused to be interview. LPA's interviewed Head of Service Gregory B Johnson and based on interviews the facility is providing the children in care with Core Services and Supports. Based on the records review and interviews, LPAs observed they did not meet the regulation and requirements. LPA's observed for five of five clients (C1, C2, C3, C4, and C5) discipline policy is not written to reflect STRTP regulation, including the facilities Emergency Intervention Plan not matching the facilities current crisis intervention program. The facility is cited under STRTP Interim Licensing Standards (ILS), Version 4, Section 87070(c)(2) Children's Records. Based on records review, client's record for C1, C3, and C5 do not document Tuberculosis results within 72 hours of the test. The facility is being cited under Title 22, Division 6, Section 80069(c)(1) Client Medical Assessments. Based on records review, client's cash record for five of five clients did not include income, disbursement, balance, and receipts maintained in chronological order. The facility is being cited under Title 22, Division 6, Section 80026(h)(1) Safeguards for Cash Resources, Personal Property, and Valuables. Based on interviews, allowance resources were taken in the form of fines. The facility will be cited under STRTP Interim Licensing Standards (ILS) Version 4, Section 87026(c) Safeguards for Cash Resources, Personal Property, and Valuables. Based on the records review and interview, LPAs observed documentation of bedroom arrangement compatibility for five of five clients (C1, C2, C3, C4, and C5) are not maintained in the child's record. The facility will be cited under STRTP ILS, Version 4, Section 87087(e) Buildings and Grounds. Based on the records review and interview, LPAs observed the Needs and Services Plan did not include money management needs and or goals, including maximum amount of money permitted in the client's possession at any one time for five of five clients. The facility will be cited under STRTP ILS, Version 4, Section 87068.2(b)(5) Needs and Services Plan. Based on the records review and interview, LPAs observed the Needs and Services Plan for five of five clients (C1, C2, C3, C4, and C5's) record did not include Needs and Services Plans updated at least every 30 days. The facility will be cited under STRTP ILS, Version 4, Section 87068.3(a) Modifications to The Needs And Services Plan. Based on records review, the Medication Administration Record (MAR) for C1, indicated C1 had refused medications at least 26 times in a month period. The MAR did not include documentation regarding the reason for refusal, who was notified, and any observed results of the refusal. The facility will be cited under STRTP ILS, Version 4, Section 87070(b)(12)(G)(1) Children's Records. Based on records review, five of five client records did not indicate the services to be provided by the facility in cooperation with community resources. The facility will be cited under STRTP ILS Standards, Version 4, Section 87068.2(c)(2)(C) Needs and Services Plan. Based on records review, five of five client Needs and Services plan did not include information to include the placement agency's case plan and services necessary to meet the child's needs based on the case plan. The facility will be cited under STRTP ILS Standards, Version 4, Section 87068.2(c) Needs and Services Plan. Exit interview conducted. A copy of this report LIC 809Ds, Appeal Rights, was provided to Administrator, Sterling Kirk.

Deficiencies:
87068.2(c): Needs and Services Plan

(c) The needs and services plan shall include the following information regarding services necessary to meet the child's needs, consistent with the case plan prepared by the placing agency, if provided
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Shanae Pharaoh on April 13, 2022 at 12: PM. During the inspection, LPA Shanae Pharaoh met with Direct Care Staff Selena Ponce and inspected the facility inside and out. LPA reviewed three of three client records C1, C2 and C3 on site at the facility at 12: PM. LPA reviewed three of three staff, S1, S2, S3 personnel files on site at the facility at 1: PM. LPA interviewed two of three staff, S1 and S2 on site at 2: PM. LPA interviewed three of three children currently taking psychotropic medication at 1: PM and 4:00pm LPA conducted exit interview withDirect Care Staff Selena Ponce at 4: PM. LPA provided the Summary Report to the Direct Care Staff Selena Ponc eupon completion. No deficiencies are being cited at this time.

met_with: Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On 11/07/22 at 8:35am, Licensing Program Analyst (LPA) Sarah Lo arrived at Pinta Home Short Term Residential Therapeutic Residential Program (STRTP). LPA Lo was met and granted access by Direct Care Staff, Tiana Van. The purpose of the visit is to conduct an annual inspection of the facility. At 8:40, Direct Care Staff, Tiana Van, led the physical inspection of the facility with LPA Lo and at 9:07am, Direct Care Staff, Selena Ponce and Administrator, Francine Haynes took over the physical inspection. A physical plant inspection was completed and included the facility's kitchen, bedrooms, refrigerator/freezers, food storage areas, bathroom/showers, garage, therapy/storage room, staff office and outdoor area. Facility outdoor grounds was found to be clean and free of debris and hazards, the wired fence around the facility is in good repair. There is adequate indoor and outdoor activity space. The outdoor space included a seating area for arts and crafts. Basketball hoop, punching bag and soccer ball is available for children to play with. Facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods, a variety of snacks are available, and the menus were posted. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff office closet. Per the Administrator, no firearms or weapons are allowed in the facility. Continue on LIC 809C At 9:15am, LPA observed the water temperature in Restroom #1 is not in compliance. The temperature was at 131.5-degree F. Per CCR 80088( e)(1) - (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Per the Administrator, Restroom #1 water temperature has been an issue since last year and the water heater was replaced. The hot water temperature flatulates throughout the day and staff monitors the temperature and documents in a log. The Administrator called the maintenance person, and the issue was fixed at 11:40am and currently reading at 112.2-degree F. At 10:04am, LPA observed Child #1 (C1) is missing medical assessment. Per CCR 80069(a) Except for licensees of ARFs, prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client, as specified in Section 80069(c), which enables the licensee to determine his/her ability to provide necessary health related services to the client. The assessment shall be used in developing the Needs and Services Plan. Per the Administrator, C1 was admitted on 09/28/22 but did not get the Medi-Cal card until 10/26/22. The staff acted diligently and called the medical office for a medical assessment; the earliest date for an exam is going to be on 11/11/22 @ 9:30am. LPA met with Administrator and completed the Operational Requirement, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Core/Therapeutic Services and Client with Special Health Care Needs and no deficiencies were noted. At 12:45pm, LPA conducted Staff interview with Staff #1 (S1) and Staff #2 (S2). At 1:50pm, LPA conducted Client interview with Client #2 (C2) and conducted Client interview with Client #1 (C1) at 2:20pm. An exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Administrator, Francine Haynes.

met_with: Francine Haynes, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 09/01/2023 at 12:48pm, Licensing Program Analyst (LPA), Sarah Lo, arrived at Pinta Home Short Term Residential Therapeutic Program (STRTP) and conducted an unannounced complaint inspection. LPA met with Leonard Haynes, Facility Manager. The purpose of the inspection was to conduct a face-to-face interview with Client #1 (C1) for a prior placement. Please see separate LIC 812 for actual interview summary.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/07/24 at 10: AM, Licensing Program Analyst (LPA) Jason Dalton arrived at Pinta Home Short Term Residential Therapeutic Residential Program (STRTP). LPA Dalton was met and granted access by Darlo Murray, Direct Care Staff. The purpose of the visit is to conduct an annual inspection of the facility. At 11: AM, Direct Care Staff Darlo Murray led the physical inspection of the facility with LPA Dalton and at 11: AM, Executive Director Tina Collins, took over the physical inspection. A physical plant inspection was completed and included the facility's kitchen, bedrooms, refrigerator/freezers, food storage areas, bathroom/showers, garage, therapy/storage room, staff office and outdoor area. Facility outdoor grounds were found to be clean and free of debris and hazards, the wired fence around the facility is in good repair. There is adequate indoor and outdoor activity space. The outdoor space included a seating area for arts and crafts. Basketball hoop, punching bag and soccer ball is available for children to play with. Facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods, a variety of snacks are available, and the menus were posted. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff office closet. Per the Executive Director, no firearms or weapons are allowed in the facility. Continue on LIC 809C **Continued from Previous Page** At 1: PM, LPA reviewed two of four client records of Child #1 (C1) and Child#2 (C2) records files. No deficiencies were found. At 1: PM, LPA conducted Staff interviews with Staff #1 (S1) and at 2: PM with Staff #4 (S4) and interviewed Staff #5 (S5) at 3: PM. At 2: PM, LPA conducted Client interview with Client #2 (C2) and conducted Client interview with Client #1 (C1) at 3:00pm. Due to time constraints LPA will return to complete the annual inspection. No deficiencies were cited during today's inspection. A copy of this report, and appeal rights were provided to Executive Director Tina Collins.

met_with: Executive DIrector, Tina Collins


summary: Facility Evaluation

raw_content:
Narrative:
On November 12, 2024, Licensing Program Analyst (LPA) Jason Dalton arrived at Pinta Home Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on 11/07/2024. LPA already completed the physical inspection of the facility on the first day of the annual inspection. Licensee has a current Mental Health Program Approval which expires on August 16, 2025. Licensee has obtained their National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF). The Accreditation is currently valid through 12/31/2025. Licensing fee payments have been paid and there is currently a balance of $0. During this annual inspection continuation, LPA reviewed six personnel files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). See Confidential Names List (LIC 811) dated 11/12/2024. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA reviewed the Personnel Report (LIC 500) and work schedules to ensure appropriate staffing ratios. Administrator, Courtney Brandon is present at the facility a minimum of 20 hours a week, as verified by staff work schedule. Appropriate staff/client ratios were verified during this inspection. During Staff interviews Staff were able to provide sufficient information in relation to the facility's STRTP Program Statement, clients' Needs and Services plan, and Trauma- Informed care. The clients interviewed were able to provide sufficient information regarding food services, allowance, and telephone privileges, relationships with staff, daily schedule activities and visitation. An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were provided to Executive Director Tina Collins.

met_with: Executive Director, Tina Collins


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2024, at 12: PM Licensing Program Analyst (LPA), Jason Dalton, met with Pinta Home Short Term Residential Therapeutic Program (STRTP), Administrator Courtney Brandon, to initiate a case management - incident inspection. Information obtained by Community Care Licensing (CCL) revealed a concern regarding the response of staff toward a client at the residence during an incident occurring in November 2024. The purpose of the inspection is to obtain additional information, conduct interviews and gather documentation to assist with the case management. A copy of this report was provided to Pinta Home (STRTP), Administrator Courtney Brandon.

met_with: Administrator, Courtney Brandon


summary: Facility Evaluation

raw_content:
Narrative:
On February 04, 2025, Licensing Program Analyst (LPA), Jason Dalton returned to the facility and met with Nateika Cullors, Facility Manager. The purpose of the visit was to obtain a signature and provide copy of report to the facility for visit conducted at the facility on January 30, A copy of this report was provided to Nateika Cullors, Facility Manager .

met_with: Nateika Cullors, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jacqueline Garcia on April 16, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA met with Administrator, Courtney Brandon and inspected the facility inside and out. LPA reviewed two of child's records and five of staff personnel files on site at the facility. LPA reviewed two of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed two of children currently prescribed psychotropic medication. During the inspection LPA did not observe any violations therefore no deficiencies are being cited at this time. LPA conducted exit interview with Administrator, Courtney Brandon and a copy of this report, LIC 811 dated 04/16/25 were provided to Administrator, Courtney Brandon.

met_with: Courtney Brandon-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 9, 2025, at 09: AM, Licensing Program Analyst (LPA), Raina Perez-Diaz, arrived unannounced to Pinta Home Short Term Therapeutic Program (STRTP), and met with Facility Manager Nicholas Hart. LPA conducted a health and safety inspection of the facility and two safety concerns were observed. During a walk through of the clients bedrooms LPA observed all three clients rooms windows to be missing screens; however, the facility had two out of the three bedroom screen replacements. Due to the facility having a Incident Report (IR) regarding the screens being removed by the clients on August 3, 2025, and were in the process of replacing them LPA will issue a Technical Violation with the expectation of receiving a photo of the replaced window screens on all windows via email by August 22, 2025. If not provided by August 22, 2025, LPA will return to issue a citation. Additionally, LPA observed the fireplace was not made inaccessible to the clients in care as it did not have a barrier to ensure protection for the clients in care. However, the facility administrator Courtney Brandon was able to seal the area with a temporary screen and reported she will be obtaining a new fireplace cover to be replaced by August 22, 2025. LPA will issue a Technical Violation with the expectation of receiving a photo of the new fireplace barrier via email by August 22, 2025. If not provided by August 22, 2025, LPA will return to issue a citation. An exit interview was conducted and a copy of this report was provided to Administrator Courtney Brandon.

met_with: Facility Manager Nicholas Hart


raw_content:
Narrative:
through the weekend and the facility does not follow the menu. Confidential interviews revealed conflicting statements. Some interviews indicated that S1 has cursed at the clients or used curse words while talking on the phone. Regarding the allegations that staff did not ensure that there is an adequate amount of food stored at the facility and staff are not following facility menu, some interviews indicated there were times the facility did not have enough food and staff had to purchase additional food and there were times the facility did not have enough items for the specific meals for the facility menu, however, confidential interviews did not indicate time frames for these allegations. LPA was unable to interview all individuals, although multiple attempts were made, thus, confidential interviews could not confirm or deny the allegations. Based on confidential interviews and records reviewed the allegations that staff used foul language towards minors in care, staff did not ensure that there is an adequate amount of food stored at the facility, and staff are not following facility menu, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Lavonta King. A copy of this report will be placed in the facility file.

Investigation Findings:
13On November 19, 2025, at 11:05 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Lavonta King, Facility Coordinator, to discuss the investigative finding for the allegations noted above. LPA Jason Dalton conducted an inspection of the facility on March 25, 2025, at 9:00 am, and no deficiencies were observed. LPA Dalton interviewed two Staff (AD, FM1), and three Clients (C1, C3, C4), and LPA Linley interviewed one Staff (S1) and LPA was unable to interview one Staff (S2) and two Clients (C2, C5), despite multiple attempts to contact them. LPA reviewed the facility documents during the investigation. On March 20, 2025, Community Care Licensing (CCL) received allegations that staff used foul language towards minors in care, staff did not ensure that there is an adequate amount of food stored at the facility, and staff are not following facility menu. It was reported that S1 curses at the clients and says the word, "bitch." It was also reported that there is not enough food for the clients and not enough food to make it UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: PINTA HOMEFACILITY NUMBER: VISIT DATE: 11/19/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On December 16, 2021, Licensing Program Analyst (LPA) Lorena Valenzuela arrived at Pinta Home Short-Term Residential Therapeutic Program (STRTP). LPA met with Administrator Sterling Kirk to discuss information received during a review of an incident that occurred at the STRTP facility. Program Administrator Denise Samano was on the telephone during the review of the report. Records review and interviews, revealed the facility did not report a missed medication made on 09/26/2021 where Client #1 (C1) failed to receive C1's morning dosage of a psychotropic medication. Based on records review an interview, the Department finds the facility did not comply with the reporting requirements. Facility is cited under Title 22, Division 6, Section 80061(b)(1)(E) Reporting Requirements. A signed copy of this report, the LIC 809-D, Appeal Rights, were provided to Administrator Sterling Kirk. In addition, the facility is advised in reviewing incident reports submitted to Community Care Licensing (CCL), all required information is not being included in the incident reports. The facility is advised to review STRTP Interim Licensing Standards (ILS) Section Reporting Requirements.

met_with: Sterling Kirk, Administrator