raw_content:
Narrative:
The Following Allegation was reported: 1. The Staff did not inform the authorized representative of restraints (lower level hold) upon a minor. S1 refuted the alleged accusation by stating that the incident involving C1, C2, and C3 took place in the morning of November 16, 2023, before the children were dropped off at school. S1 explained that C3 and C2 had an argument over items taken from C3's room, and C3 started approaching C2 with clenched fists. However, the staff redirected C3 back to their room to finish preparing for school. S1 further revealed that C2 became upset and attempted to hit C1, but the staff immediately intervened and separated them, with one staff member escorting C2 to the facility vehicle. At this point, C1 became upset with the staff's intervention and began physically assaulting them. Despite verbal redirection from S1, C1 continued to act out, prompting S1 to employ a 1-man MAB standing technique for eight seconds, in accordance with their program statement. Afterward, C1 was released to their room. S1 mentioned that they completed an SIR (Serious Incident Report) and sent it via email to the appropriate agency. They provided the Licensing Program Analyst (LPA) with a copy of the email, which was dated November 16, 2023, at 4: PM. S1 emphasized that all staff members involved were certified in MAB (Management of Assaultive Behavior) and followed the facility's protocol. The information provided by S2 and S3 supported the aforementioned details. 2. The Facility staff did not provide adequate supervision resulting in minors engaging in a physical altercation. S1, S2, and S3 refuted the accusation by asserting that the number of staff members present at the facility varies depending on the circumstances, ensuring compliance with the Interim Licensing Standards for the Short-Term Residential Therapeutic Program staff-to-client ratio of 1:4. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP representative.

Investigation Findings:
13On May 09, 2024, Licensing Program Analyst (LPA) Joe Martinez conducted a complaint inspection on behalf of LPA Moroney at the above Short-Term Residential Therapeutic Program (STRTP) and met with the representative above. The inspection aimed to deliver the findings regarding the complaint allegation(s). On November 20, 2023, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The Staff did not inform the authorized representative of restraints (lower level hold) upon a minor, and the Facility staff did not provide adequate supervision resulting in minors engaging in a physical altercation. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the three staff members (S1, S2, and S3) on 11/30/2023. Three clients (C1, C2 and C3 declined to provide a statement). (Reference Confidential Names Form LIC 811, dated May 9, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 05/09/2024

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


state: CA

facility_name: DANIEL AND NANCY MARBLE CASA DE NINOS

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 06/12/2024 at 12: PM, Licensing Program Analyst (LPA) John Bonilla, on behalf of LPA Noubar Yerkatyan, conducted an unannounced follow up complaint inspection and met with above representative to deliver complaint findings. While investigating the allegation, LPA Yerkatyan obtained a statement from Reporting Party on 05/17/23; C1 on 05/16/23; facility Administrator on 05/16/24, 05/23/24; and facility Nurse on 05/16/24, (see Confidential Names LIC 811 dated June 12, 2024). LPA Yerkatyan also reviewed documents including e-mails, special incident reports, Medication Administration Records, client Needs and Services Plan, and other documents. Interviews and records revealed the above allegation did take place resulting in C1 missing two days of their medication. LPA Yerkatyan received statements indicating the facility did make efforts to contact the pharmacy for a re-fill, and was denied, however LPA did not obtain any proof of the contacts made. In combination of record review and interviews, the above allegation is substantiated. Based on the information obtained, there is a preponderance of evidence to prove that the facility failed to meet Interim Licensing Standards. Therefore, the above allegation is substantiated. Appeal Rights were provided. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: 157201294

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

report_type: Complaint Investigation

met_with: Abraham Nesheiwat, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Interviews with STRTP staff 1, 2,3, (S1, S2, S3) on 04/25/24. Interviews with STRTP Youth 2,3,4,5,7,8 (FC2, FC3,FC4,FC5,FC7, FC8) on 05/09/24, 05/15/24. Collateral Interviews with County Social Worker (CSW) on 04/23/24. (Reference Confidential Names Form LIC 811, dated July 3 ,2024) Allegation #1 -Staff Caused Injury To Minor Six out of 12 youths were interviewed as part of the investigation. None of the youth interviewed reported experiencing or witnessing any physical harm from the staff. Five youths interviewed were not present during the incident involving S1. One youth denied that S1 took the youth to his room or handled them roughly. One youth denied that S1 caused injury to the youth. STRTP interviews revealed that staff denied using any physical force or objects to harm youth. Staff restated their use of verbal interventions and redirection techniques to calm youth in the facility. Collateral interviews revealed that CSW admitted to not having detailed knowledge about the incident as the placed youth was newly assigned to her caseload. CSW acknowledged speaking with the previous county social worker, who did not express any concerns about the facility staff, including S1. Allegation #2 - Staff Handled Minor In Rough Manner Six out of 12 youths were interviewed as part of the investigation. None of the youth interviewed reported experiencing or witnessing any rough handling from the staff. STRTP staff interviews revealed consistency in using verbal intervention techniques with placed youths. Staff denied using physical force or objects to harm the youth. Collateral interviews revealed that CSW admitted to not having detailed knowledge about the incident as the placed youth was newly assigned to her caseload. CSW acknowledged speaking with the previous county social worker, who did not express any concerns about the facility staff, including S1. Based on the confidential interviews and records reviewed, the complaint against the STRTP is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. An exit interview was conducted, and LPA Martinez provided a signed LIC 9099 to the representative.

Investigation Findings:
13On 07/03/24, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegation(s). On 04/19/24, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): a) Staff caused injury to minor. b) Staff handled minor in rough manner. LPA Martinez investigated the above allegation. The investigation consisted of but was not limited to a review of records and confidential interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 07/03/2024

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

met_with: Abraham Nesheiwat


raw_content:
Narrative:
The staff members (S1, S2, and S3) rejected the allegations made against the facility personnel, emphasizing that most of the staff have been with the agency for a significant duration and have a thorough understanding of the importance of creating a safe and healthy environment for clients who have undergone various types of trauma. They indicated that the facility is generally staffed with four to five individuals, with additional support available as necessary, and that at least four therapists are present on-site during the day to offer essential assistance to clients. The staff confirmed that all personnel have undergone training in Pro-Act and are equipped to apply appropriate restraints on clients to prevent self-harm or harm to others, with such interventions being documented in their restraint log. In response to the claim regarding clients' access to sharp objects, S1 clarified that the facility staff consistently confiscates various items from clients during visual and self-checks prior to entry, as well as during random room inspections and daily cleaning. All confiscated items are disposed of and recorded in the daily binder. S1 also noted that while C1 was residing at the facility, they were involved in physical altercations with other clients, during which staff members would verbally redirect and escort clients to different areas of the facility to de-escalate the situation. All incidents were carefully documented and reported to the appropriate agencies. Information obtained from C2 and C3 confirmed the aforementioned details and revealed that they feel secure residing at the facility and believe that the staff is assisting them in accomplishing their personalized plan. Additionally, the CSW mentioned that the facility staff were highly attentive and supportive, frequently engaging in communication with them regarding matters concerning C1 and their biological parents. The CSW disclosed that, due to the excessive involvement of the biological parents, the facility staff were required to report all incidents to the CSW, who would then relay the information to the biological parents. The CSW stated that during their visits with C1, no mention or discussion of the aforementioned allegations took place. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Manager.

Investigation Findings:
13On October 18, 2024, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Keisha Davis Unit Coordinator. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On June 7, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff hit a minor, Staff handled a minor in a rough manner, Staff engaged in a verbal altercation with a minor, Staff does not provide a safe environment for minor, Minor has access to sharp object(s). This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the two staff members (S1) on 1/24/24, S2 on 1/24/24, (S3) on 1/24/24, 2 of 3 clients (C2, and C3) on 1/24/24, and the CSW on 1/31/24. C1 declined to be interviewed, so no statement was obtained from them. (Reference Confidential Names Form LIC 811, dated October 18, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 10/18/2024

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

met_with: Keisha Davis Unit Coordinator


raw_content:
Narrative:
The personnel, identified as S1, S2, and S3, firmly and unequivocally rejected the allegations directed at the staff of the facility. They underscored that a substantial number of the employees have been with the agency for an extended period, which has allowed them to cultivate a profound understanding of the critical importance of fostering a safe and healthy environment for clients who have experienced various forms of trauma. This extensive experience equips the staff with the necessary skills and insights to effectively support and care for these individuals. The personnel clarified that the facility typically operates with a core team of four to five staff members, with additional support readily available as required to ensure that all clients receive the attention and care they need. Importantly, they highlighted that at least four licensed therapists are present on-site during daytime hours, dedicated to providing essential therapeutic assistance to clients, thereby reinforcing the facility's commitment to their well-being. Furthermore, the staff confirmed that all personnel have completed comprehensive training in Pro-Act, a program designed to equip them with the skills to apply appropriate restraints when necessary. This training ensures that staff members are prepared to intervene in situations where clients may pose a risk of self-injury or harm to others. The use of restraints is not taken lightly; all such actions are meticulously documented in a restraint log, ensuring transparency and accountability in the care provided. S1 also brought to attention that during C1's stay at the facility, there were instances of physical altercations involving C1 and other clients. In these situations, the staff employed verbal redirection techniques and guided clients to different areas of the facility to help de-escalate tensions and restore a sense of calm. Each incident was thoroughly documented and reported to the appropriate oversight agencies, reflecting the facility's commitment to maintaining a safe environment and adhering to regulatory standards. This comprehensive approach to incident management underscores the staff's dedication to both client safety and the integrity of the facility's operations. Information gathered from the County Social Worker (CSW) indicated that after conversing with C1 about the alleged claims, C1 refuted the allegations, asserting that they were fabricated in an attempt to be removed from the facility and to return to their home county or to reunite with family members. The CSW noted that there were no concerns regarding the care and supervision provided by the staff to her client. Additionally, the CSW revealed that the facility staff upheld effective communication by promptly reporting incidents and addressing any issues that emerged with their client. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Manager.

Investigation Findings:
13On October 18, 2024, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with Keisha Davis Unit Coordinator. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On June 21, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff did not prevent a physical altercation between minors in care, Staff speak inappropriately to minor in care. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the three staff members (S1) on 6/27/24, S2 on 6/27/24, (S3) on 6/27/24, and the CSW on 7/19/24. Clients C1, C2, and C3 declined to be interviewed. (Reference Confidential Names Form LIC 811, dated October 18, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 10/18/2024

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 10/03/2024, the Department received a complaint alleging that staff does not ensure minor is provided a safe environment while in care the STRTP facility. The Facility Administrator (FA) and other facility workers denied the allegation of having knowledge of the client experiencing physical and verbal abuse by staff and other clients. The FA disclosed that C1 had a history of chronic AWOLs and would be at risk while being outside of the facility. FA stated that C1 never informed FA of being afraid of other clients and staff. FA stated that the clients would horseplay and the staff would intervene by redirecting them to prevent fights. FA stated that there was no incident reports or observations of Client being injured by staff and clients. Interviews with clients denied the allegation and stated that C1 would horseplay with them sometimes and that C1 was the youngest of them all. Clients disclosed that C1 would sleep in the closet because it was a decision C1 made and was not because C1 was afraid of his roommate or other clients. Other confidential interviews with the clients by LPA Garibaldo and LPA Portillo provided inconsistent statements regarding the alleged allegation. Some clients denied having any knowledge, and other clients commented that they did not wish to disclose any information that would identify those individuals involved in the physical abuse towards the victim. One client indicated witnessing a staff slap the victim on the face and grab C1 by the arm causing marks on C1's body. In addition, some clients stated that majority of the client's would horseplay amongst each other causing marks on their bodies. Based on the information gathered during confidential interviews, it cannot be determined whether the allegation occurred resulting in the staff not ensuring the minor is provided a safe environment while in care. Therefore, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility representative and copies of all licensing reports were provided after the inspection. An exit interview was conducted, and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 03/04/2025, Licensing Program Analyst (LPA) Claudia Portillo conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA Portillo met with Diana Gil, Facility Manager. During the investigation, LPA Garibaldo conducted in-person visits and telephone interviews with three clients on 10/10/24 and county social worker on 12/10/24. LPA Portillo interviewed phone three clients over the phone on 02/26/25 and two staff on 2/28/25. During the inspection, LPA Garibaldo requested for review and obtained copies of staff and client facility roster reports, special incident reports, clients' Needs and Service Plan, and placement history. LPA Garibaldo also obtained and reviewed; county documents associated with this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 03/04/2025

met_with: Diana Gil, Facility Manager


raw_content:
Narrative:
It was alleged that staff are not preventing physical altercations between minors. Confidential interviews revealed the following: that horseplaying is a constant issue that is taking place at the facility amongst the clients and that its something that they do as a way to play around and get to know each other. The clients indicated that horseplaying is an indication to say we are "cool" with each other. Clients stated that if things get out of control the staff do intervene and separate the clients to ensure safety and provide de-escalation techniques. Additionally, some confidential interviews conducted indicated that some staff have allowed some clients to fight amongst each other if the horseplaying escalates to another level because it was brought upon themselves, and they do not intervene. The staff denied the allegation and explained that horseplaying is a zero-tolerance policy and staff intervene to prevent fights amongst clients. However, clients violate the policy, and staff are constantly redirecting the clients from engaging in such behaviors to prevent peer conflict. Based on information obtained, the allegation is closed as unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence found to prove that the allegations occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names List (reference date 1/22/25) Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On April 11, 2025, at 11:45am, Licensing Program Analyst (LPA) Claudia Portillo conducted a complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation. This LPA conducted the investigation, and it consisted of a review of the following records: personnel report, incident reports, containment logs, peer to peer conflict, staff training logs, and NSP for client. Confidential interviews were completed with one six clients on 3/4/25, County Social Worker on 3/5/25, and three staff and one client on 4/9/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 04/11/2025

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


raw_content:
Narrative:
Investigation revealed the following: It was alleged staff do not intervene when minors engage in altercations with other minors. Interview conducted with all staff denied the allegation. Staff stated that if children get into altercations or are horse playing with one another staff verbally redirect children. Staff stated that if children are in a more physical fight staff will try to separate children and if needed use MAB training techniques which incorporate 2 or more staff. Staff identified two incidents of fighting specifically occurring during the time of this investigation. Staff stated that one child was leaving for school and came back into the home and a fight ensued between two other children for an unknown reason. Staff stated that they immediately intervened as soon as it was recognized a fight was occurring and tried separating the children. Staff stated that children were assessed, and no children wanted to discuss, and no injuries were reported. The other fight that occurred in the home was investigated but staff stated they intervened and stop all potential fights, horse playing or verbal altercations with redirection before the situations escalate. Interviews conducted with four (4) children stated that horse playing has been occurring in the home but that no one is trying to hurt the other person. One child stated that an incident occurred a few months ago of fighting but that children were equally fighting amongst each other. Children stated they never observed or heard of one person being beat up by multiple people at a time. Children also identified that staff do all they can to assist in redirecting children from fighting with one another. Witnesses stated that incidents were never observed nor were any marks or bruises observed on children. LPA attempted to contact social workers. Documents reviewed identified a fight occurred in the home involving multiple children. It was documented that staff did intervene to separate and break up the fight. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited or observed.

Investigation Findings:
13On 4/11/ Licensing Program Analyst (LPA) Claudia Portillo conducted an unannounced visit to the Casa de Ninos STRTP on behalf of LPA Dawn Mahecha for the purpose of closing the above complaint investigation. LPA met with representative and discussed the following findings to investigation. Investigation consisted of the following: On 1/29/ LPA met with and interviewed unit coordinator, direct staff and administrative assistant (see confidential names, LIC811, dated January 29, 2025). LPA reviewed client files and obtained the following documents: client/ staff roster and four (4) children's most recent needs and service plans. LPA requested the following documents be emailed to LPA: Staff policies and procedures on use of restraints or fight interventions, recently completed log of staff training, incident reports documenting altercation with 4 children, law enforcement report for documented follow up to altercation, video coverage (if any) of incident and any associated complaints regarding staff care and supervision. Additionally, on 4/9/ LPA Mahecha conducted further follow up and interviews with three (3) children. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 04/11/2025


raw_content:
Narrative:
The Following Allegation was reported: 1. The staff is not responding to foster children's school calls. The staff members (S1, S2, and S3) refuted the allegations, asserting that all personnel are trained in trauma-informed practices, thereby underscoring their dedication to a trauma-informed methodology in their operations. They further highlighted the importance of maintaining open communication, not only among themselves, but also with school staff and other pertinent professionals. This collaborative approach is vital for effectively assisting their clients, ensuring that each individual can successfully navigate and complete their tailored programs. The staff members stressed their active engagement with school personnel through various means such as phone calls and emails, guaranteeing that crucial information and updates are communicated promptly. Additionally, they take part in team meetings centered on the client's needs, wherein they review progress, address challenges, and devise strategies for enhancement. This continuous dialogue is considered an essential element of their comprehensive approach to client care, aimed at cultivating a supportive environment for every individual they assist. 2. Staff are not providing adequate supervision, resulting in minors engaging in alcohol/drug usage. The staff (S1, S2, and S3) denied the accusation, asserting that the facility consistently employs four or more staff members to uphold a staff-to-client ratio of 1:4, or occasionally higher, based on the specific needs and requirements of the facility. The staff emphasized their commitment to discouraging clients from engaging in risky behavior via consumption of alcohol and illicit drugs, by informing them about the associated risks and offering access to various programs, including mental health and substance abuse initiatives. Furthermore, the facility's personnel adopts a proactive strategy to prevent contraband from being introduced into the facility by performing visual inspections of all bags brought into the premises and requiring clients to conduct self-checks under staff supervision prior to entry. Despite these efforts to mitigate the introduction of contraband, there have been cases where such items were discovered in a client's room, as clients sometimes conceal these items in areas inaccessible to staff. These contraband items are typically recovered and confiscated during random visual inspections of the rooms or while staff are engaged in cleaning activities. The staff additionally noted that clients gain access to prohibited items while absent without leave, during school hours, or during authorized overnight stays with family members. Continued.... Additionally, confidential statements acquired from the previously mentioned clients verified that four or more staff members are supervising the clients and that the clients have access to mental health services or programs, wherein clients express no concerns about the care and supervision provided. Additionally, clients reported that any contraband they possess is acquired at school, while absent without leave, or during authorized overnight visits. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore, the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of the report along with the (LIC 811) was left with the STRTP Unit Coordinator.

Investigation Findings:
13On April 29, 2025, at 10: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the STRTP Unit Coordinator Keisha Davis. The inspection aimed to deliver the findings regarding the complaint allegation(s). On December 6, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff is not responding to foster children's school calls, and Staff are not providing adequate supervision, resulting in minor engaging in alcohol/drug usage. Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegations. This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, and interviews with three staff members, S1, and S2, on December 12, 2024, S3 on December 18, 2025, three of four clients, C1, C2, and C3 on December 18, 2025, (No statement was obtained from C4 due to C4 declining to provide a statement). (Refer to Confidential Names Form LIC 811, dated April 29, 2025.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 04/29/2025

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

met_with: Keisha Davis - Unit Coordinator


raw_content:
Narrative:
The statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On May 28, 2025, at 9: AM, Licensing Program Analyst (LPA), Juliet Robles, delivered the findings on behalf of LPA Karen Suh, the investigating LPA. The LPA met with the Lead Unit Coordinator, Keisha Davis. The investigation included confidential interviews that consisted of but were not limited to: Administrator on December 19, 2024, and two staff on January 16, 2025. The LPA was unable to contact the County Social Workers (CSW) after several attempts. The LPA reviewed client's roster, and incident reports. It was alleged staff are not adequately supervising minors resulting in minor being injured. Staff denied the allegation stating staff provide adequate supervision. Staff stated C1 (see Confidential Names, LIC811 dated May 28, 2025), allegedly sustained an injury while they were on a community pass but did not report it to any staff. C1 was on a community pass when someone tried to attack them. C1 did not report the incident to any staff. The LPA was unable to obtain any statements from the client as they declined to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Juliet Robles LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DANIEL AND NANCY MARBLE CASA DE NINOSFACILITY NUMBER: VISIT DATE: 05/28/2025

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

met_with: Keisha Davis


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Tele-Inspection was conducted by Licensing Program Analysts (LPAs) Jean Herring, Pamela Silva and Gilbert Gutierrez on May 19, 2021 at 11: AM via Microsoft Teams Meeting. Remote "tele-inspection" of facilities is a part of Community Care Licensing Division's emergency response to the spread of Coronavirus Disease 2019 (COVID-19). During the tele-inspection, LPAs spoke with Trina Smith, Facility Administrator. Prior to the tele-inspection, LPA Herring requested all pertinent staff and client records from the licensee. LPAs conducted a facility tour with Ms. Smith at 11: AM. Overall, the facility is clean, safe, sanitary and in good repair. All prescribed medications are centrally stored, locked and inaccessible to unauthorized persons. There is adequate staffing in the facility to provide care and supervision for the children per the facility's Plan of Operation. Five(5) records of clients taking psychotropic medications were reviewed at 11: AM. LPAs observed the following: - C2 and C3 missed medications (M1 and M2) for several days. Staff noted on the Psychotropic Medication Administration Record (PMAR-LIC622B) that the clients were "out of medications". Staff explained that this was due to the TAR (Treatment Authorization Request) taking a while to get approved by Medi-Cal. - Facility used LIC622A (Medication Administration Record-MAR)) instead of LIC 622B (Psychotropic Medication Administration Record -PMAR) to log the following psychotropic medications: M1 (PMARs dated March, April, May 2021), M3 (PMARs dated March, April 2021); M4 (PMARs dated March and April 2021); M5 (PMARs dated March, April, May 2021; M6 (PMARs for March, April, May 2021); M7 (PMARs for March, April, May 2021); M8 (PMARs for March, April, May 2021); M9 (PMARs for March, April, May 2021) (continued...) - JV Court Orders authorizing the use of psychotropic medications for C1 and C4 have expired. - Needs and Services Plans (NSPs) for C1, C2, C3, C4, C5 are not signed by either the child or the placement worker or both. LPAs reviewed 2 staff files prior to the tele-inspection. LPAs interviewed 2 staff members at approximately 12: PM. LPAs interviewed 2 clients at approximately 12: PM. One (1) of the clients was not available at the time inspection. Two (2) of the clients refused to be interviewed. LPAs reviewed the facility's Plan of Operation prior to the tele-inspection. LPAs conducted an exit interview with Trina Smith, Facility Administrator at approximately 12: PM. LPAs provided Advisory Notes -Technical Violation (LIC 9102TV) and Advisory Note - Technical Assistance (LIC 9102TA). No deficiencies are being cited at this time. A signed copy of this licensing report was provided to the licensee via email along with Confidential Name(s) list (LIC 811).

report_type: Facility Evaluation

visit_type: Case Management

met_with: Trina Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2/7/22, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Case Management inspection at the facility to follow up on a Law Enforcement Contact report regarding an incident that occurred on 1/20/22 involving C1 and C2. LPA met with Abraham Nesheiwat, Administrator. LPA reviewed and made copies of pertinent records. Additional time is needed to complete this case management. A signed copy of this report was provided to the facility representative along with Confidential Name/s list (LIC811.)


summary: Facility Evaluation

raw_content:
Narrative:
On 2/7/22, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Case Management inspection at the facility to follow up on a Law Enforcement Contact report received by the Department on 11/29/21 regarding an incident that occurred on 11/22/22 involving C1. LPA met with Abraham Nesheiwat, Administrator. LPA reviewed and made copies of pertinent records. Additional time is needed to complete this case management. A signed copy of this report was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On March 07, 2023 at approximately 2: PM, Licensing Program Analysts (LPA) Raymond Wu, Juliet Robles, and Joe Martinez conducted an unannounced follow-up visit regarding the Case Management visit dated 10/05/2022. LPA met with the representative named above and discussed the purpose of the visit. The purpose of the visit was to close out the aforementioned Case Management investigation regarding an incident that occurred among clients on 09/29/22. There were concerns regarding a lack of supervision by staff towards the clients due to instances of truancies at school. Based on interviews conducted with staff and clients, it was revealed that facility staff would drop clients off at school and clients would wait until facility staff drove off before leaving school without authorization. Interviews indicated that there was no formal agreement in place that required facility staff to visually or physically ensure clients entered the school and stayed there. Staff stated that since the incident occurred, they have made it a policy to visually ensure clients enter the front doors of the school prior to driving off. Based on information gathered, no deficiencies or violations were observed. An exit interview was conducted and a copy of this report was provided to the Licensee.

met_with: Administrator Abraham Nesheiwat


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On March 07, 2023, Licensing Program Analysts (LPAs) Juliet Robles, Raymond Wu and Joe Martinez conducted an unannounced inspection at the Short Term Residential Therapeutic Program (STRTP) facility at 9: AM. LPAs met with Abraham Nesheiwat, Administrator. The purpose of the inspection was to conduct an Annual/Required inspection of the facility. The STRTP's Mental Health Program will expire on 03/19/23. The STRTP has COA accreditation valid until 09/30/26. The STRTP is licensed up to twelve (12) ambulatory children ages 11-17 years of age and provides services to non-minor dependent. Currently, there are three (3) clients in placement. This is a two-story home with six (6) bedrooms, three bathrooms, three (3) offices, a full kitchen, living rooms, dining room and recreation activity room. PHYSICAL PLANT: A tour of the facility was conducted at 10: AM, along with Administrator. LPAs observed the required posted items are accessible to clients like: License, Mental Health Program Approval Certificate, Grievance Procedures, Personal Rights, Ombudsman Poster, monthly activity calendar, weekly menu, facility sketch and emergency disaster plan. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in one of the offices designated for the Social Workers. Cleansers/chemicals are locked and stored in the garage. Sharp knives are inaccessible and stored in a locked cabinet in the garage. There are two (2) First Aid Kits that are checked and are complete. Supplies of staples non-perishable foods for one week and perishable foods for two days are maintained in the facility. The facility has smoke detectors and carbon monoxide that are in all bedrooms, kitchen, living room and hallways. The hot water in the client bathroom was measured to be 115 degrees (F). The facility outside grounds was also inspected and it was observed to be free of debris or hazardous things. Emergency exits were free from obstruction. There is a swimming pool located on the premises of the facility, which is locked and inaccessible to clients. The pool is surrounded by a wrought iron fence measured over 5 feet tall with a gate that self-latches and opens outward. Operations Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Core/Therapeutic Services Facility provides core services and supports to children as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition port services; educational and physical, behavioral, and mental health supports; activities to support children with services to achieve permanency. Emergency Intervention Plan: Facility utilizes technique of group and individual behavior management like crisis prevention and alternative methods of handling aggressive and assaultive behavior. Staff have trainings on manual restraint if needed to be utilized. Client Records LPAs at 12: PM started to review six (6) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records: During the inspection review, LPA inspected six (6) staff files and verified that all facility staff was subject to criminal records review, fingerprinted and cleared DOJ, FBI and CACI. All staffs signed the Criminal Record Statement and acknowledgement to report Child Abuse. Personnel records are maintained on the licensee, administrator, supervisor, and each employee. Documentation of the required education and experience requirements are maintained in the personnel file. LPA interviewed two (2) clients and three (3) staffs. LPA was provided with Board Minute Meetings and staffs schedule/personnel report. On today's inspection, there is one (1) Type B citation issued, see LIC809D. An exit interview was conducted, and a signed copy of this report, LIC809D, LIC811 and appeal rights were provided to the facility administrator. The facility representative was provided information on where to locate Provider Information Notices (PINs), and Compliance and Regulatory Enforcement (CARE) Tools, for Children's Residential licensees please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Deficiencies:
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

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On July 7, 2023, Licensing Program Analyst (LPA), Karen McGee, conducted a Case Management regarding the death of client (see Confidential Names, LIC Ref. #1 dated July 7, 2023). The LPA met with Director, Robert Carter and Administrator, Abraham Nesheiwat. Following is the current information: On July 6, 2023 at 12 p.m., the client reported to the mental health services team that they were having a panic attack due to stress and needed medication. The facility transported the client to the hospital. The doctor prescribed the client medications. The client arrived back at the facility about 4:30 p.m. At 6 p.m., staff conducted a head count to take the clients on an outing and discovered the client was not in their bedroom and the window was open. Staff conducted a search for the client and contacted law enforcement at 9 p.m. On 7/7/23 at 7:30 am, a farmer informed the staff that a client had hung themselves on a windmill about 1 ½ miles east of the facility in the orchards. As the staff were heading towards the location, law enforcement had arrived and taped off the area. A determination has not been made regarding the cause of death at this time. An autopsy is being conducted. A copy of this report was provided to the Administrator.

met_with: Robert Carter


summary: Facility Evaluation

raw_content:
Narrative:
On 08/18/23, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced visit to the facility listed above and met Abraham Nesheiwat, Administrator (S1). The purpose of the visit was to conduct a case management inspection. On 07/06/23, the department received a special incident report (SIR) stating that C1 was found by a farm worker outside the facility. There was signs of a fatality and law enforcement was notified. (Reference Confidential Name Form LIC 811 dated 08/18/23). During this inspection, LPA Martinez interviewed S1 regarding the incident.LPA Martinez also reviewed and requested the following documents as part of the inspection: Child and Family Team (CFT) meetings, social worker notes, facility roster and medical notes. Additional time is required to conclude the case management inspection. There were no deficiencies cited at this time. An exit interview was conducted, and a copy of the signed LIC 809 was given to S1.


summary: Facility Evaluation

raw_content:
Narrative:
On 1/24/2024, LPA Carrie Palmer conducted a case management follow up visit to the above facility. LPA Palmer explained the nature of the visit. The reason for the case management is to ensure the safety of clients and staff and determine what kind of follow-up is being done with the client. LPA interviewed 6 staff and C1. During the interview with staff, it was reported that the facility has safety plans in place which consist of checking the rooms of the clients at random times and increased supervision of the children. The staff also provided the evacuation plan/disaster plan as well as the training certificates for staff who have taken the MAB Training (Management and Assaultive Behavior). The Social Worker shared that an individual safety plan for the child was created and attempts to review the plan with C1 were refused on more than one occasion. Social worker will continue to attempt to discuss the safety plan with C1. The staff have verbally explained their safety plan and will continue to implement the plan. LPA is requesting that the safety plan be submitted to LPA Palmer in writing on or before Feb. 15, 2024 via email. No further follow up is needed at this time. A signed copy of this report was provided to the facility representative.

met_with: Abraham Nesheiwat, M. ED, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva, Juliet Robles and Timika Martin on 02/27/24 at 9:30AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Abraham Nesheiwat, Administrator, and inspected the facility inside and out. LPAs reviewed three (3) of child's record and three (3) of staff personnel files on site at the facility. LPAs reviewed three (3) of child's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs will conduct interviews at a later date due to no clients being available during the time of inspection. LPAs provided a copy of this licensing report to Administrator, Abraham Nesheiwat. No deficiencies are being cited at this time. LPAs conducted exit interview with Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 09, 2024, Licensing Program Analyst (LPA) Joe Martinez conducted a case management inspection with the above facility to assess an Enhanced Civil Penalty (ECP). LPA Martinez discussed the following with the facility representative named above. The ECP is related to an incident where a youth left the Short-Term Residential Treatment Program (STRTP) without permission on July 06, 2023, and was found deceased on July 07, 2023. The STRTP staff failed to implement a plan to address the youth's mental health needs following his return from the hospital. Based on the investigation conducted by Investigation Branch, the Department cited the facility for Section 80078(a) Responsibility for Providing Care and Supervision. The Department has concluded an analysis and determined that an Enhanced Civil Penalty is warranted. Under Health and Safety Code Section 1548(e)(3)(A), a violation that the Department determines resulted in the death of a person receiving care from a Short-Term Residential Therapeutic Program with a licensed capacity between 40 or fewer will result in a civil penalty of $7,500.00. A copy of LIC809, Confidential Names Form, Appeal Rights and form LIC 421-D(CRP) for a Civil Penalty Assessment - Death, was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 07/11/25, Licensing Program Analyst (LPA) Joe Martinez initiated an annual review at the Short Term Residential Treatment Program (STRTP) and met with the facility representative listed above. LPA Martinez began the tour of the facility with the STRTP administrator (R1), and the following was observed. LPA Martinez toured the interior and exterior of the facility. All common areas, bedrooms, and bathrooms appeared clean, sanitary, and in good repair. A current license and personal rights poster were observed in the hallway leading to the staff office. At the time of the inspection, the STRTP has 12 youth placed in the home.The bedrooms each accommodated two youth, providing unobstructed pathways around beds and ample closet space. No rooms served as passageways, and no more than two residents shared any bedroom. Cleaning solutions, sharps, and chemicals were stored in a locked area away from food areas. No firearms or ammunition were present on the premises. The in-ground swimming pool in the rear yard was enclosed by a fence measuring five feet in height. During the inspection, LPA Martinez observed the pool gate locked. LPA Martinez observed that windows were intact and screened; lighting was adequate in all rooms. Walkways and exits remained clear of obstructions. There were no deficiencies specific to Building and Grounds regulations were identified during this visit. LPA Martinez interviewed 2 youth and began to review 2 youth files. Due to time constraints, the annual review will need to be completed at a later time. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 809 and LIC809C.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/20/25, Licensing Program Analyst (LPA) Joe Martinez initiated a case management annual continuation inspection at the Short Term Residential Treatment Program (STRTP) and met with the facility representative listed above. During the inspection, LPA Martinez observed the following: The facility's staff training plan and personnel training records were reviewed as part of the annual inspection. The licensee maintains a written plan for staff supervision, evaluation, and training. The plan outlines in-service education to support trauma-informed services, cultural competency, and behavioral support strategies for children impacted by trauma, abuse, or neglect. Personnel records showed documentation of annual training for direct care staff. Records indicated that staff completed at least 40 hours of training. training topics reviewed in staff files included reasonable and prudent parenting, cultural humility, trauma informed care. Proof of completion, such as certificates and attendance records, was maintained in a training binder. LPA Martinez observed the facility's practices related to medications. The facility demonstrated that medications prescribed to youth were centrally stored in locked and secure area inaccessible to unauthorized individuals. Medication logs were maintained separately for each child receiving medication. Staff training records observed confirmed that staff received training on medication oversight, including safe handling, documentation. The facility's transportation records were reviewed during the annual inspection. All staff who transport clients possess valid California driver's licenses appropriate for the vehicles operated. LPA Martinez confirmed that current vehicle insurance and registration were maintained. LPA Martinez observed two fire extinguishers on the premises. Both were mounted, charged, and readily accessible for use in the event of an emergency. The facility was also equipped with a carbon monoxide detector, which was tested and found to be functioning properly. The interior temperature of the facility was comfortable. Hot water was tested at bathroom faucets used by clients and measured within the required range of 105 to 120 degrees Fahrenheit. Bathrooms and toilets were checked and found to be in good working condition. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 809 and LIC809C.

met_with: Saxton Zachary


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025 , Licensing Program Analyst (LPA) Joe Martinez conducted a case management inspection at the Short-Term Residential Therapeutic Program (STRTP) and met with the facility representative listed above. The purpose of the visit was to review the facility's camera policy and to verify documentation related to the administration of medication and emergency intervention policy. During the inspection, LPA Martinez interviewed three STRTP staff members. The inspection was initiated to confirm that facility cameras were installed only in common area locations, that camera audio functions were disabled, and that no cameras captured views of bathrooms or bedrooms. LPA Martinez also reviewed medication administration documentation, and verify emergency intervention plan is being implemented. LPA Martinez toured the facility with staff. Cameras were observed in the locations identified in the facility sketch previously provided to the Department. LPA Martinez verified hat audio was disabled and camera views did not extend into private areas such as bedrooms or bathrooms. One client record was reviewed, along with the medication log. Documentation showed that medication was recorded and maintained. LPA Martinez interviewed three STRTP staff members. Staff stated they complete headcounts at the start and end of each shift and document them in a daily log. Staff identified the protocol for managing medication during each shift and stated they follow the established documentation procedures. Staff also expressed they are aware of the camera policy, know the locations of cameras, understand that audio is disabled, and identified who is responsible for reviewing camera footage when needed. LPA Martinez reviewed the facility's camera policy, facility sketch, one client record, the medication administration log, and headcount documentation. The medication log reviewed was current and consistent with staff statements. The headcount documentation reviewed confirmed that staff recorded headcounts as required at the start and end of shifts. Based on observations, staff interviews, and records reviewed, the licensee was found to be in compliance with its camera policy and documentation procedures for medication administration. Due to time constraints, further investigation is required to review their emergency intervention plan. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the STRTP Representative with a signed copy of the LIC 809, LIC809G.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin, Juliet Robles and Pamela Silva on 07/24/25 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Administrator, Abraham Nesheiwat and inspected the facility inside and out. LPAs reviewed four (4) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed four (4) of children's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed one (1) child currently prescribed psychotropic medication. During the inspection, the LPAs observed deficiencies (see attached 809-D). Plan of corrections were discussed, and appeal rights were provided. LPAs conducted exit interview and provided a copy of this licensing report to Administrator, Abraham Nesheiwat.

met_with: Administrator, Abraham Nesheiwat


summary: Facility Evaluation

raw_content:
Narrative:
On 2/7/2022 at 10: AM, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Case Management inspection at the facility to follow up on unreported incident reports that occurred in January 2022. LPA met with Abraham Nesheiwat, Administrator. During a COVID-19 pre-assessment call on 2/4/22, LPA discovered that several staff members have tested positive for COVID-19 in January 2022. Further inquiries revealed that four (4) staff members tested positive on January 10, 11 &12, 2022, which would been considered an outbreak by the local public health. The facility failed to report these incidents to the licensing agency as required. Based on the gathered information, the facility was found to be in violation of Title 22, Division 6, Section 80061(b)(1)(H) Reporting Requirements. (See page 2 - Citation). The deficiency was discussed with the facility representative and a plan of correction was developed. A signed copy of this report was provided to the facility representative. Appeal rights provided.


facility_name: DAUGHTER PROJECT GIRLS HOME

raw_content:
Narrative:
The confidential interviews conducted did not collaborate the allegation. There was no corroborating information obtained through interviews confirm the allegation. Based on the interviews the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited

Investigation Findings:
13On April 29, 2021 at 11: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up tele-conference for the purpose of providing findings for the above complaint allegations. LPA Cabral met with facility coordinator Erin Robinson. During the course of the investigation, LPA Cabral interviewed two clients and attempted to interview two additional clients on 4/26/21 (see Confidential Names Form LIC 811 dated April 29, 2021). LPA interviewed three facility staff on 4/26/21 .LPA attempted to interview three county social workers and interviewed one social worker on 4/26/21. The facility staff denied the allegation that a client threatened another client while in care. The facility staff indicated no clients were threatened by other clients. The facility staff indicated no clients reported that other clients were threatening to kill client if client did not run away with other client UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 04/29/2021

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

met_with: Erin Robinson, Facility Coordinator


raw_content:
Narrative:
LPA requested copies of the facility room check log twice and received one copy of the visitor and temperature log. Others interviewed said the facility staff rarely come upstairs when the girls are upstairs in their bedrooms. It was also reported that the girls sneak in and out of the bathroom window, sneak people from the outside in the facility using the bathroom window, they smoke marijuana, and drink alcohol upstairs because of lack of supervision. LPA Gilmer recommends the facility Administrator have a workstation with a staff stationed upstairs to ensure the protection and safety of the foster children placed at this facility. In reviewing the facility sketch, information obtains during confidential interviews, and LPA's observation the facility staff does not provide adequate supervision of the children upstairs. Therefore, LPA finds the allegation to be substantiated and this STRTP will be cited as per Interim Licensing Standard section 87072 (C)(11) Personal Rights. The staff on duty at the time of this incident told LPA the foster child did not indicate that she was experiencing suicidal ideation. The staff also told LPA the facility staff doesn't go into the bathroom with the girls End of the interview With regards to the allegation that the facility staff did not prevent the minor from attempting to jump from the facility roof. Once the facility staff learned that one of the foster children was on the roof, they took appropriate action by contacting the mental health team calling the Bakersfield police department. One of the facility staff went outside trying to talk the foster child off the roof. And the second the facility staff went onto the roof and tried to encourage the foster child to come inside. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to support how or what the facility staff could have done to prevent the foster child from attempting to jump off the roof. No deficiencies were cited for this allegation . An exit interview was conducted, and a signed copy of this report was left with the above staff.

Investigation Findings:
13On 07/09/21 at 12:30 pm Licensing Program Analyst (LPA), Belinda Gilmer conducted an unannounced inspection of this facility to deliver the above allegation finding. LPA Gilmer met with Veronica Martinez, Facility Manager, to discuss the findings. During this complaint investigation, spoke with the complainant on 5/28/21, and again on 6/28/21, LPA reviewed files and conducted confidential interviews with the facility staff and the foster children placed at the group home who agreed to speak with LPA on 6/3/21, additional staff was interviewed 6/4/21, 6/7/21, and 6/8/21. LPA also reviewed and received copies of paperwork from the children's files. LPA was told that the facility staff conducted a face-to-face check on the girls every 30 minutes unless something is going on at the facility and the facility staff can't conduct the checks. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Belinda Gilmer LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/09/2021

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

met_with: Veronica Martinez


raw_content:
Narrative:
Confidential interviews were also conducted with reporting party (RP) on 5/8/21, four facility staff on 5/8/21, two facility managers on 5/11/21 and two facility managers on 5/12/21 via telephone (See Confidential Names List Form LIC 811 dated July 22, 2021). It was alleged that clients have access to drugs. Staff denied the allegation and indicated that they do not allow or give client's access to drugs. Staff also indicated that client's AWOL and go to a local smoke shop to buy marijuana and smoke. Staff said this was reported to Bakersfield Police Department. One client indicated that other client's AWOL to the smoke shop and smoke marijuana. Another client stated that she does not know where client's AWOL to. It was also alleged that staff did not prevent minors from AWOLing which lead to minors engaging in CSEC activities. Based on confidential interviews, staff are unaware of where clients are going and what activities they are going to engage in when they AWOL. Both staff and clients said that staff will make multiple attempts to re-direct client's and use crisis communication to prevent them from leaving the facility. It was alleged that staff failed to provide a safe environment for minors. Based on confidential interviews, staff conduct room checks every 15-30 minutes, there is an alarm on the door that the client's AWOL from and cameras throughout the facility to assist staff with supervision. Staff do not use the cameras in lieu of supervision of the clients. It was alleged that staff failed to meet client's needs because the staff are not ensuring that clients are attending school, and do not provide the clients with enough activities. Staff and clients said that clients do attend school. A client said if they refuse to go, staff encourages them to attend and complete assignments. Confidential interviews and records reviewed also revealed that activities are scheduled, but some clients refuse to participate in the scheduled activities. Some clients admitted to not participating in activities if they did not like them. It was alleged that staff are not adequately trained. Based on confidential interviews and records reviewed, staff are trained monthly. It was also alleged that the facility is not taking any precautions for COVID-19 when the clients return to the facility from AWOLing. Based on confidential interviews with staff, staff encourages Covid-19 safety procedures, but clients refuse to follow them at times. LPA conducted interviews with two clients. Two clients have not observed or witnessed staff following Covid-19 procedures when client's return from AWOL. Based on LPA Martin observation, staff follows Covid-19 safety procedures. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On July 22,2021 at 11: AM, Licensing Program Analyst (LPA) Pamela Silva conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. This complaint was investigated by LPA Timika Martin. LPA Silva met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 06/10/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and SCAR reports from January 2021-Present. LPA requested copies of the LIC 500, staff daily shift schedule, staff trainings/training schedule, facility rules, activity schedule and cell phone policy. LPA also requested Covid-19 safety protocols, Covid-19 client/staff positive cases, receipts of personal protective equipment (PPEs) and staff cleaning schedule. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2) on 5/8/21 via telephone. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Pamela Silva LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/22/2021

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

met_with: Julia Castillo, Facility Manager


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Statements obtained from confidential interviews conducted were consistent and revealed the client's bathrooms had water temperatures that were uncomfortable while showering. Four of the seven clients interviewed reported that the water temperature of the showers was hot. During an inspection by LPA Larios on 7/26/ LPA Larios measured the water temperature of the showers and faucets used by clients. The water temperature in the shower located on the ground floor measured at 118 degrees Fahrenheit. While inspecting the water temperature in the ground floor shower, LPA Larios observed water leaking from the flange of the shower head. The water temperature in the upstairs shower located between bedroom #1 and #2 measured 122 degrees Fahrenheit and the faucet water temperature measured 126 degrees Fahrenheit. The water temperature in the upstairs shower located between bedroom #3 and #4 measured 141 degrees Fahrenheit. The faucet in this restroom was not tested due to construction material inside the bathroom. Based on information obtained from interviews conducted, records reviewed and observation during an inspection on 7/26/21 the allegation was substantiated, the facility did not provide comfortable water temperatures for children in care. Facility cited for California Code of Regulations, Title Division Six, regulation 80088(e)(1): Furniture, Fixtures, Equipment and Supplies. During an inspection conducted on 7/26/21 two showers used by clients had water temperatures of 126 degrees Fahrenheit and 141 degrees Fahrenheit. Facility cited for California Code of Regulations, Title Division Six, regulation 80087(a): Buildings and Grounds. During an inspection conducted on 7/26/ LPA Larios observed water leaking from the flange of the shower head in the shower located on the ground floor. Exit interview conducted and appeal rights were discussed and provided. The administrator was provided signed copies of the LIC9099 and LIC9099D.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/26/21 at 11: AM. During the inspection LPA Larios met with Administrator Erin Robinson and was given a tour of the facility by Child Care Worker Daysi Espinoza. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with five County Social Workers (CSW) on 7/6/21 and 7/7/21, seven Clients on 7/7/21 and 7/13/21 and six facility Staff on 7/13/21. On 2/25/ LPA Larios conducted a records review and obtained copies of the facility sketch, staff roster, client roster, special incident reports from December 2020 to February 2021 and work orders related to facility plumbing from August 2020 to February 2021. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/26/2021

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Erin Robinson

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Investigation revealed the following: It was alleged that client receives less allowance for failure to attend therapy or school, staff refused to take client to store because she did not attend school and staff did not clean or replace client's backpack after being thrown in the trash. Interviews conducted with C1 stated that S1 refused to take C1 to the store and that allowances varied based on C1 attending school and therapy. Additionally, C1 stated that S1 mixed up their backpack with someone else's and ultimately threw the backpack in the trash. However, initial statements made by C1 were indecisive in that names of staff differed as to who was involved in the incidents. C1 was not able to provide specific dates, names of individuals or provide details as to who else observed these incidents or how often this was occurring. Interview conducted with C2 had similar statements of an incident occurring of children not receiving allowances, staff refusing to take children to the store and of a backpack being lost. However, C2 was not able to provide names or dates in incidents. Interviews conducted with staff (S2-S4) had similar statements in that staff try to follow companies' policies and procedures and that they are not aware of any staff not being compliant with that. Staff stated that allowances are provided based on children's point system. Children can earn tickets based on different things they do. If children have no tickets, they at least get 5 dollars a week. Staff stated if children do not attend school or therapy, they get blacked out meaning they do not go on outings unless it's an emergency or they need essential items. Furthermore, staff denied not cleaning or providing new backpacks to C1 when the backpack was observed to be in the trash. Documents reviewed did not identify any specific information related to these allegations or of incidents occurring. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/30/ Licensing Program Analyst (LPA) Janeth Chavez made an unannounced visit to the Daughter's Project Youth facility for the purpose of concluding the above complaint investigation on behalf of LPA Dawn Mahecha. LPA met with Teodora Corbell regarding the findings to the above identified allegations. LPA informed Administrator of findings. Investigation consisted of the following: On 5/19/21, LPA conducted 10-day inspection to facility, interviewed Administrator and requested documents (see LIC 811 confidential names, dated 5/19/21). Additionally, between 09/21/21-9/23/ LPA Elnora Smith interviewed four (4) staff, two (2) children (C1 and C2) and attempted to interview an additional four (4) children who declined to be interviewed. On 9/22/ LPA Mahecha reviewed interviews and information provided. Report Continues on Next Page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/30/2021

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

met_with: Teodora Corbell


raw_content:
Narrative:
C1 stated that staff was not informed about the stolen cash or body suit and that it might have happened in May or June of this year. Also, that no one else witnessed this incident. It was alleged that staff do not respect resident's privacy. Staff denied the allegation and stated that they announce themselves by knocking on the door and then proceeding to unlock their room to conduct their hourly safety check. C1 stated that staff does not knock on their door before unlocking it. C6 stated that sometimes they do knock on the door and then staff enters their room. It was alleged that staff forces resident to attend medical appointments. Staff denied the allegation. Interviews conducted with S1-S5 revealed that staff does not force residents to attend their medical appointments. C1 & C6 stated that depending on how they are feeling that day they will choose to attend or decline to go to their medical appointments but that sometimes they feel like they are being forced to go. Staff encourages residents to attend their medical/therapy appointments by earning additional allowance money or by earning tickets with the incentive point system. Staff, however, reminds the residents of their child guidance, medical and therapeutic appointments but ultimately it is the residents choice to attend or refuse these appointments. It was alleged that staff did not intervene when resident was verbally abused by another resident. Staff denied the allegation. Staff revealed that when residents are verbally abused by other residents the staff tries to de-escalate the situation by separating the residents from each other and offering to take them out for a ride to calm them down before it turns to a physical altercation. C1 stated that sometimes the staff does not do anything to intervene and was unable to provide dates of similar incidents. However, C1 feels that staff is not doing enough to intervene and that they should do more. C6 stated that when residents get into verbal fights the staff might try to intervene and distract them from the other resident. It was alleged that facility is not maintained clean, sanitary and in good repair at all times. Staff denied the allegation. Interviews conducted revealed that the facility is maintained clean, sanitary and in good repair at all times. During, LPAs inspection on 06/19/21 the facility was clean, sanitary and in good repair. LPA inspected the residents rooms and observed them to be sanitary and furniture in good repair. Staff stated that when something is broken the administrator is informed so that it can be fixed or replaced. C1 & C6 could not provide dates of any time a fixture or furniture was broken or needed repair. LPA tried to interview C2-C5 on 06/19/21 but they declined to be interviewed. Therefore, due to conflicting statements and information not reported to staff by the residents and no other witnesses the allegations cannot be substantiated. The documents reviewed did not identify any specific information related to these allegations or of incidents occurring. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/30/ Licensing Program Analyst (LPA) Janeth Chavez made an unannounced visit to the Daughter's Project Youth facility for the purpose of concluding the above complaint investigation. LPA met with Teodora Curbell regarding the findings to the above identified allegations. LPA informed Administrator of findings. Investigation consisted of the following: On 6/19/21, LPA interviewed Reporting Party (RP), conducted 10-day inspection to facility, interviewed two staff (S1 and S2), interviewed one (1) youth (C1) and attempted to interview four (4) other youth (C2, C3, C4 & C5) who declined to be interviewed. Also, LPA requested documents (see LIC 811 confidential names, dated 6/19/21). On 09/30/21, LPA conducted interviews with one youth (C6) and three (3) staff (S3-S5). (See Confidential Names List dated 09/30/21). It was alleged that licensee did not safeguard resident's personal property. Staff denied the allegation. Interviews conducted with C1, C6, S1-S5 revealed that all residents have a personal locker on the first floor where they can keep their cash and valuable belongings. Staff encourages residents to safeguard their money and valuables in their personal locker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/30/2021

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


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this report was provided to the facility representative.

Investigation Findings:
13On October 6, 2021 at 9: AM, Licensing Program Analyst (LPA), Jean Herring delivered the findings of a complaint investigation to Administrator, Teodora Corbell. On December 10, 2020, Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: the Administrative Assistant at the facility on September 24, 2021, a witness and the County Social Worker via telephone on October September 21 and September 28, 2021, respectively; client (see Confidential Names, LIC Ref. #1 dated October 5, 2021). LPA Karen McGee observed special incident reports, and Needs and Services Plan for Ref. #1. Ref. #1 and the Administrative Assistant denied the allegation. The investigation revealed that Ref. #1 was not compliant with the facility policies and refused all interventions. LPA McGee observed eighteen (18) Law Enforcement Contact Reports (LE624), one (1) Unusual Incident/Injury Report and one (1) Bakersfield Police Report for Ref. #1. The LPA observed that the facility met Reporting Requirements regarding Ref. #1. There were no witnesses to the allegation. The LPA was unable to corroborate the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Jean Herring LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/06/2021

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

met_with: Teodora Corbell, Administrator


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The Department received a report alleging a client (C1) was observed smoking marijuana in the facility parking lot and staff did not prevent it. Per statements obtained from confidential interviews conducted S1 attempted to verbally redirect C1 by stating "Your coach will notice if you are high and you might not get to play." However, it was reported, the staff did not shadow C1 as she walked out of the facility and into parking lot and was observed smoking marijuana shortly after. S1 initially stated the reported alleged incident could have possibly occurred, then admitted the incident did take place. S1 stated she personally does not walk outside and stand there if she thinks clients are smoking. S1 stated the following reasons for not going outside: being exposed to secondhand smoke, not wanting to appear as if she is smoking with clients if someone were to observe her outside or being short staffed and clients requiring supervision. Based on information obtained from interviews conducted and records reviewed the allegation was Substantiated. S1 did not provide direct care and supervision for C1 as require by the Interim Licensing Standards (ILS) Ver. 3. Sec. 87065.2(b)(1). The allegation is valid because the standard of the preponderance of evidence has been met. Facility cited for violation of Interim Licensing Standards (ILS) Ver. 3. Sec. 87065.2(b)(1): Personnel Duties. Statements obtained from interviews conducted corroborated the allegation that staff did not prevent a client in care from smoking while on the premises. Exit interview conducted and a copy of this report along with a LIC9099D and LIC811 were provided to the facility representative. Appeals rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/11/21 at 2: PM. During the inspection LPA Larios met with Administrator Erin Robinson. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with two staff (S2,S3) on 9/28/21 and one staff (S1) on 10/9/21, three County Social Workers (CSW) on 10/5/21, two CSW on 10/6/21, one CSW on 10/7/21, one client (C3) on 9/28/21, and one client (C2) on 10/6/21. Three clients (C4,C5,C6) declined to provide a statement regarding the allegation. Client (C1) was unavailable for an interview. A records review was conducted on 6/7/21 and LPA Larios obtained copies of the following documents: staff roster, facility sketch and unusual incident reports. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/11/2021

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

met_with: Erin Robsinson