raw_content:
Narrative:
The facility staff denied the allegations that client sustained injuries while in care and staff did not seek medical treatment for client. The facility staff indicated client was involved in an altercation with another client while on an outing. During the outing clients refused medical attention, however the following day the client was taken to doctor for medical attention. Facility staff stated no clients are denied medical attention and staff attempted to intervene during the altercation. The confidential interviews conducted did not corroborate the allegations. The placement agency social workers indicated having no concerns with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegations. Based on the interviews and records reviewed the allegations are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On November 12, 2021 at 10: AM Licensing Program Analyst Christopher Larios (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Larios met with Administrator Johnny Watson. During the course of the investigation, LPA Larry Cabral interviewed two facility staff, three clients and attempted to interview two clients on 7/15/21 (see Confidential Names Form LIC 811 dated November 10, 2021). LPA Cabral interviewed one county social worker on 7/2/21 and another county social worker on 11/5/21. LPA Cabral attempted to interview three county social workers on 7/15/21. LPA Cabral reviewed the facility's incident reports, discharge report, needs and services plan and safety plan. UnsubstantiatedEstimated 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 11/12/2021

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

met_with: Johnny Watson


state: CA

facility_name: CAMERON YOUTH HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The investigation revealed that allegation #1 supposedly happened around July 2020. The LPA observed that California Department of Social Services provided facilities with an All County Information Notice No. I-50- Provider Information Notice 20-12-CRP June 22, 2020. The investigation revealed that on July 21, 2020, LPA Claudia Portillo requested an Emergency Plan. It revealed that the facility submitted the Emergency Plan that includes Corona Virus - Operations Plan and Protocol as outlined in the PIN to MPCRP on August 8, 2021. The LPA was unable to corroborate the allegation, because the facility had yet to implement the plan. The Administrator reviewed with the LPA the process in which client's funds are issued to them. The LPA observed that the clients sign for their allowance. The client's clothing allowance is noted on the inventory. The investigation revealed that incidents indicated in the allegations allegedly took place in 2019 and 2020. It revealed that all the clients, except Ref.#5 and #8 discharged from the facility the same years. The investigation revealed that Staff Ref.#1 and #2 are no longer employed at the facility. The investigation revealed that the staff involved in the alleged allegation #3 is no longer working at the facility. They terminated employment in the same years, respectively. The LPA was able to interview only one client, Ref. #1 via telephone. The issue regarding Ref. #1 was addressed in 2019. The LPA was unable to contact Client's Ref. #2 - 8, either because they were inaccessible, there was no contact information in the CWS/CMS System or did not receive a return call from their authorized representatives. The LPA reviewed past interviews conducted by LPAs with the clients, Special Incident Reports, Case Management and Complaint History. The review revealed that allegations #4, #5, #6 and #8 were previously addressed by MPCRP via various Case Management and Complaint Investigation Inspections at the time. Regarding the staffing ratio, the LPA observed no evidence that the facility did not meet the staffing ratio. The LPA observed that on July 9, 2020 and on May 26, 2021, Monitoring LPA Humberto Flores conducted Case Management-Medications and noted that the facility had adequate staff. Statements from the Administrator reveal that the facility has maintained the required staffing ratio even during the Covid Pandemic. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was emailed to Administrator.

Investigation Findings:
On December 9, 2021 at 1:00 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Administrator, Melissa Williams. On June 11, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: the Administrator and the Executive Director, Jaye Williams; the LPA interviewed client Ref. #1 (see Confidential Names, LIC Ref. #1 dated December 10, 2021). The LPA was unable to interview former clients Ref. #2 thru 8, because the client's had been discharged from the facility and either there was not contact information for them in the CWS/CMS System or their authorized representative did not return the LPA's telephone calls. The LPA was unable to interview Staff Ref. #1 and 2, because they are no longer employed at the facility. The LPA reviewed the faclities Emergency Plan dated August 8, 2020; allowance logs and clothing inventory and monthly allowance. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/10/2021

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

report_type: Complaint Investigation

visit_type: Case Management

met_with: Melissa Williams

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews reveal that client became verbally and physically aggressive to staff after being sent home from school due to aggressive and assaultive behavior at school. Client walked towards the kitchen area and was redirected by staff to leave the area. For clients' safety, clients are not allowed in the kitchen area when staff are preparing meals for clients. Client ignored verbal redirection from staff and became physically aggressive towards staff. Client was restrained after client became a danger to self and others. The confidential interviews reveal varying accounts regarding details of client's restraint. One party alluded that continued redirection should have been implemented instead, while another supported the restraint performed by staff to safeguard client's safety. Another party reported witnessing staff engaging with client in a non-physical way. Staff involved denied excessive force while restraining client. Although client maintained being improperly restrained, client did not provide details regarding the incident. There was no evidence found to support that the incident was instigated by staff and staff falsified the report involving client. Based on information obtained during the investigation, there is insufficient evidence found to support the allegations, so the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this signed report, the Confidential Names dated 12/22/21 and Appeal Rights forms were provided to the facility representative. No deficiency citation was issued.

Investigation Findings:
13On December 22, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Ruben Munoz who conducted confidential interviews with clients, staff and other related parties. Pertinent records were reviewed such as, but not limited to the incident report, law enforcement contact report, in-house incident and client behavior report, case plan and needs and services plan, placement referral, admissions agreement, and the facility emergency intervention plan. It was alleged that client was improperly restrained resulting in injuries; staff instigated an incident with client and the facility falsified client's paperwork. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Melissa Williams, Administrator


raw_content:
Narrative:
Multiple allegations were received by the Department alleging supervision, personal rights, reporting requirement and staff qualification issues. The investigation revealed that the allegations occurred between 2019 to 2020. Confidential interviews and records show that clients engaged in a verbal, then physical altercation at the facility after one client became friends with a new client in placement. Staff intervened while clients were having a verbal altercation. However, one client later attacked the other by going to the other client's bedroom. The client/victim stated that the altercation was an isolated incident and staff sought medical attention for client. Records show the incident was reported to law enforcement and licensing. Another report revealed that a client grabbed a scissor being used by staff. The incident was stabilized after staff intervened and client complied and returned the scissors to staff. This incident was also reported to law enforcement and licensing. Interviews reveal that no client is provided any preferential treatment while in placement. Clients are encouraged to go to the gym or play sports. These activities are not held back, regardless of client behavior. Laptops are provided by school district, not the facility, and any restriction to computer access is based on placement agency directive or court order. LPA reviewed incident reports which reveal that staff use verbal intervention to address aggressive and/or unsafe behaviors exhibited by clients but will use restraint to ensure client and/or other clients' safety. LPA observed proof of incident reporting to licensing by phone and/or by email. Based on information obtained during the investigation, there is insufficient evidence found to support the allegations, so the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this signed report, the Confidential Names dated 12/22/21 and Appeal Rights forms were provided to the facility representative. No deficiency citation was issued.

Investigation Findings:
13On December 22, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Mariana Lomeli and the undersigned LPA. Investigator Lomeli and LPA Yamamoto investigated the allegations by conducting confidential interviews with clients, staff and other related parties. Two out of four clients involved addressed the allegations. LPA made unsuccessful attempts to interview the other clients, who were either AWOL or detained. Current and historical records were reviewed such as, but not limited to, incident reports, law enforcement contact reports, medical reports, staff training records and the facility emergency intervention plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Melissa Williams. Administrator


raw_content:
Narrative:
Staff denied the alleged allegations however further disclosed that an incident did occur where a previous client (C3) needed crisis management which was provided by staff and other medical personnel due to C3 having a psychotic breakdown and self-harming by hitting their head on the tile floor. Staff further indicated that C3 was removed from the facility by local Law Enforcement due to behavior and to be further evaluated. Staff indicated that the facility is not a lockdown facility and clients are allowed community passes if agreed to by the client's CSW and other services that are being provided. As to the facility being in disrepair, LPA conducted a thorough walkthrough of the facility and found no Building and Grounds deficiencies. Information obtained from clients did not corroborate the above allegations. Therefore, based on the information received, the above allegations 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. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On May 18, 2022, at 1: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program Facility (STRTP) and met with the Facility Administrator Melissa Williams. The purpose of the inspection was to deliver findings for the above complaint allegations. On October 22, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minor sustained injuries while in care, Staff are unable to prevent frequent AWOL's and Facility is in disrepair. The investigation of the above allegations was conducted by this LPA and it consisted of but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with 3 staff members on 11/1/21, 2 of Clients (C1, C2) on 11/1/21 (C3 declined to be interviewed), (Reference Confidential Names Form LIC 811, dated May 18, 2022). Staff denied the alleged allegations however further disclosed that an incident did occur where a previous client (C3) needed crisis management which was provided by staff and other medical personnel due to C3 having a psychotic breakdown and self-harming by hitting their head on the tile floor. Staff further indicated that C3 was removed from the facility by local Law Enforcement due to behavior and to be further evaluated. Staff indicated that the facility is not a lockdown facility and clients are allowed community passes if agreed to by the client's CSW and other services that are being provided. As to the facility being in disrepair, LPA conducted a thorough walkthrough of the facility and found no Building and Grounds deficiencies. Information obtained from clients did not corroborate the above allegations. Therefore, based on the information received, the above allegations 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. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 05/18/2022

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

met_with: Melissa Williams - Administator


raw_content:
Narrative:
Staff Ref. #4 no longer works at the facility and voluntarily ended their employment on March 10, 2022. A review of records indicate that Staff Ref. #4 is not currently employed at a facility licensed by Community Care Licensing. The LPA was unable to interview Staff Ref. #4. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was emailed to Administrator.

Investigation Findings:
On June 4 at 12:39 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Administrator, Melissa Williams. On November 30 2022, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: CQI Administrator, Johnny Watson and two clients (see Confidential Names, LIC Ref. #1 and 2 dated June 4, 2022) at the facility; one Client, Ref. #3 refused to be interviewed. The LPA was unable to interview Staff Ref. #4. The LPA reviewed Law Enforcement Contact Reports and Ref. #1's Needs and Services Plan. The investigation revealed that Ref. #1 wanted to eat after returning from an outing, but was allegedly denied by Staff Ref. #4 due to the late hour. It revealed that Ref. #1 obtained pizza from the kitchen to eat and there were statements that Staff Ref. #4 attempted to take the pizza from Ref. #1. The investigation revealed that Ref. #1 attacked and assaulted Staff Ref. #4. There were statements that Staff Ref. #4 attempted to restrain Ref. #1 and kicked Ref. #1. It revealed that Ref. #3 telephoned law enforcement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 06/04/2022

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

met_with: Melissa Cameron


raw_content:
Narrative:
It was alleged that there was a lack of supervision resulting in inappropriate interactions between clients in care. It was alleged that FC2 sexually harasses FC1 by making sexual comments, moaning noises and touching FC1's genital area. LPA Loera conducted an interview with S1. S1 denied the above allegations and stated that staff are always present at the facility and supervising clients at all time. LPA Loera conducted interviews with three clients at the facility. One client stated that the above allegation occurred, one client refused to answer the questions asked by LPA Loera and one client refused to conduct an interview. Based on a record review, staff are following protocols such as documenting and reporting incidents that occur at the facility. A confidential interview also revealed that there were no concerns with C1 being placed at the facility. 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 a copy of this report as well as the LIC 811 was provided to the facility

Investigation Findings:
13On December 15, 2022 at 9: AM Licensing Program Analyst (LPA) Timika Martin conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations listed above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Zeyda Loera conducted a record review on 6/22/22 and obtained copies of client's roster, Needs and Service plan, Special Incident Report for the past 3 months, LIC 500 of current and past employees employed in the last 2 months. LPA Martin requested the client's needs and services plan (NSPs) and special incident reports (SIRs). LPA Martin also requested copies of the LIC 500, staff contact information, staff shift schedule and staff trainings. LPA Martin reviewed and obtained a copy of the Investigation Narrative on 12/14/22. Confidential interviews were conducted by LPA Loera with Client 1 (C1), Client 2 (C2), Client (C3), Staff 1 (S1) and County Social Worker (CSW) (See Confidential Names List Form LIC 811 dated December 15, 2022). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/15/2022

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 did not intervene when minors engaged in inappropriate interactions while in care. Staff had similar statements and denied the allegation. Staff stated that two children were arguing in the home over a game. One child became upset and started attacking the other child. Staff stated that staff stepped between the children and redirected children from hitting one another. Additionally, staff stated that the one child who initiated the interaction started acting out and threatening to kill themselves and ended up leaving and damaging property. Interviews conducted with children had similar statements and denied the allegation. Children had similar statements of staff in an incident transpired and that staff intervened. However, child stated that the way that staff intervened was not adequate to resolve the issue. Interviews conducted with county social worker (CSW) and additional witnesses confirmed information provided by staff and child and did not identify any concerns or issues with staff not being present or not intervening and redirecting children from being in an altercation. It was also alleged; staff spoke inappropriately to minor(s) in care. Staff denied the allegation. Staff had similar statements and stated that one child had an issue with cursing and speaking inappropriately to staff and children. Children made no reference to staff speaking inappropriately to anyone in the home. Documents reviewed and interviews conducted with CSW and witnesses make no reference to any complaints or issues noted of any staff speaking inappropriately to staff or children in the home. Furthermore, it was alleged staff pushed minor in care. Staff denied the allegation and stated that during one altercation between two children staff intervened by stepping in the middle of the children to prevent children from hitting one another. Staff stated that no children were pushed but rather children were redirected to walking away from one another. Children had differing statements from staff in that one child stated that during the altercation one staff pushed them to the ground. Child identified what staff they believed pushed them to the ground, however, child stated that others in the facility would support and believe that staff as he is liked in the facility. LPA reviewed documents and interviews conducted with CSW and additional witnesses no documents of information received support that staff pushed children or pushed a child in any incident. Lastly, it was alleged staff inappropriately restrained minor in care. One child stated that a staff restrained them and held them on the ground. Child stated that this occurred during one incident after child struck another child. Child stated that staff restrained them for an unknown amount of time and that other staff stood by vacuuming. On the other hand, staff had similar statements and denied the allegation. Staff stated that staff stepped between children to prevent one child from hitting the other. Staff stated that one staff was vacuuming and that after the altercation from children one child started making threats of harming themselves and left facility and began damaging property. Interviews conducted with CSW and witnesses identified that one child has had a history of embellishing the truth and that no information provided supports that restraints were used or that staff intervening in altercation did any inappropriate restraints. Based on documents reviewed and information provided it is unclear as to if staff did not intervene or that staff's intervention was inappropriate. Documents reviewed illustrated an incident occurring between two children. However, no information identified that staff restrained children or staff spoke inappropriately to children in care. Although the allegations may have happened or may be true there is not a preponderance of evidence to support that the allegations did or did not happen. Therefore, this complaint is being closed Unsubstantiated. Exit interview was completed, no deficiencies cited, and a copy of this report was given to Administrator.

Investigation Findings:
13On 03/08/ Licensing Program Analyst (LPA) Janeth Chavez made an unannounced visit to the Cameron Youth Facility for the purpose of concluding the above identified complaint investigation on behalf of LPA Dawn Mahecha. LPA met with administrator and discussed the above identified allegations. Investigation consisted of the following: On 9/22/ LPA Mahecha interviewed facility manager and obtained current staff/ client roster (see confidential names LIC811 dated, 9/22/2022). Additionally, LPA requested the following documents to be emailed to LPA: Staff current trainings completed within the past year, incident reports involving fights or interactions with staff from April 2022 to present date, restraint policy, recently disenrolled children and any facility notes or logs regarding children interactions, recent complaints and daily assessments from July 2022 to present date. Between November 21, 2022 and March 6, LPA Elnora Smith interviewed children, staff, and social workers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 03/08/2023

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


raw_content:
Narrative:
Ref. #1 punched Ref. #2 in their genital area when Ref. #2 removed shoes from the room. Ref. #1 continued to hit Ref. #2 until they were placed in a standing hold restraint for approximately eight seconds. Ref. #2 stated they did not hit the Ref. #1. Ref. #1 indicated they hit Ref. #2 because they were upset. Ref. #1 stated Ref. #2 hit them but recanted stating Ref. #2 did not hit them. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegations. Based on the information gathered, 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 April 6, 2023, at 1: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: two clients and two staff on October 27, 2022 and two staff on November 2, 2022. The LPA was unable to contact the County Social Worker (CSW) after several attempts. The LPA reviewed Special Incident report, and the clients Daily Logs from October 21, 2022 to October 23, 2022 and Needs and Services Plans. It was alleged that a staff engaged in a physical altercation with a client. Staff denied the allegation. Staff and Ref. #1 indicated that Ref. #1 was waiting for their turn to take a shower and they became upset when another client entered the bathroom to shower ahead of Ref. #1. Ref. #1 started curse and started to hit the walls and table with their shoes. Ref. #2 provided redirection and verbal prompts to calm down but Ref. #1 became more upset and continued to hit the wall and a window with their shoes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 04/07/2023

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

met_with: Jessica Payan, Facility Manager


raw_content:
Narrative:
It was alleged that the client's medications were not properly stored in accordance with state and federal laws resulting in C1 having access to their prescribed medication. Information obtained from S1, and S2 denied the alleged allegation indicating that all client medications are kept in separate plastic bins with each client's name on them. All medications are stored in the closet near the living room and are secured by a lock and key and are only accessed by staff who have been trained in dispersing psychotropic medication. S1, S2 indicated that when medication is distributed it is done in the kitchen one client at a time to avoid any confusion. LPA conducted an inspection of the medication bubble packs and the psychotropic medication logbook and found no discrepancies. Information obtained from C1 indicated that all medication is locked up and only accessible to certain staff members. CSW indicated that they have no concerns about the care and supervision that the facility staff is providing C1 and the communication that they have with the facility staff. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility manager. 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 Facility manager.

Investigation Findings:
13On June 21, 2023, at 11: AM, Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit on behalf of LPA Winston Moroney to conclude the above complaint investigation. LPA met with the above Facility manager and discussed the findings of the above-identified allegations. On February 15, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Centrally stored medication is accessible to minors in care. The investigation of the above allegations was conducted by LPA Moroney, 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 two staff members (S1, S2) on 3/8/23, one of two clients (C1) on 3/15/23, (C2 declined to be interviewed) and CSW on 5/8/23. (Reference Confidential Names Form LIC 811, dated June 21, 2023). 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 06/21/2023

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

met_with: Ashlin Robinson, Facility manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged staff do not treat minors with respect. Staff had similar statements and denied the allegation. Staff stated that children are treated with respect and that children and staff treat each other with equal respect and understanding. Staff stated that sometimes children will horseplay, but that staff will redirect or separate children if needed. Staff stated that one staff was upset due to being terminated from facility and that staff was videoing interactions with children and staff during times staff were providing boxing lessons to children. Staff stated that children are offered the opportunity to express their physical aggressions by learning boxing techniques and are encouraged to do so in a structured environment to prevent children from acting out their aggressions on each other or on staff. Staff stated they do not hit or make children do anything they do not want to do. Staff stated encouragement of participation is done so in a respectful manner. Interviews conducted with all children had similar statements and denied the allegation. Children stated they had never observed or experienced any staff being disrespectful to them or anyone in the home. Children identified feeling safe and comfortable in the home with children and staff. Documents reviewed showcased children being offered boxing lessons or techniques and showed inconsistencies with allegations in that children did not express any concerns or issues with staff treating them with disrespect. LPA attempted to contact social workers however, no information was documented that children expressed having issues or concerns with staff and children being placed in the home. 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 6/14/ Licensing Program Analyst (LPA) Winston Moroney made an unannounced visit to the Cameron Youth facility on behalf of LPA Dawn Mahecha for the purpose of concluding the above complaint investigation. LPA met with representative and discussed the above findings to complaint investigation. Investigation consisted of the following: On 2/14/ LPA interviewed facility manager and one (1) staff (see confidential names, LIC 811 dated 2/14/2024). LPA requested copies of LIC 500 staff roster/ client roster, recently completed staff training, two (2) weeks of most recently completed daily logs, and two (2) most recent in-house reports for each currently placed child. Additionally, LPA requested emails of termination paperwork for one (1) staff and sample staff application/ intake paperwork. LPA interviewed four (4) children. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 06/14/2024

met_with: Melissa Williams - STRTP Administrator


raw_content:
Narrative:
the complaint findings are Unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the allegation occurred.

Investigation Findings:
13On 09/20/2024 at 9: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted a complaint investigation to the above facility. While investigating the allegation, LPA Johanna Lofton obtained statements from two staff on 03/14/24, (see Confidential Names LIC 811 dated September 20, 2024). On 09/04/2024, LPA Yerkatyan obtained a statement from Reporting Party, Administrator, four staff, two county social workers, and attempted to interview C3. On 09/05/24, LPA Yerkatyan attempted to interview C4. On 09/11/24, LPA attempted to interview C2. On 09/20/24, LPA Yerkatyan interviewed C1. LPA Yerkatyan also reviewed documents including incident reports, medical report, client case plans, placement history, LIC 500, client roster, and other documents. Interviews revealed staff were present and doing their best to prevent C1 sustaining an injury due to an altercation with other clients. LPA Yerkatyan was informed staff followed proper protocol following the incident such as providing C1 medical attention and reporting the incident. LPA Yerkatyan received inconsistent statements regarding if lack of supervision was a result leading to C1's injury. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Noubar Yerkatyan 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 09/20/2024

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


raw_content:
Narrative:
Confidential interviews completed on 07/17/24, 09/09/24 with Staff 1,2,3 (S 1,2,3), Foster Youth 1,2 (Y 1,2) On 07/29/24, LPA Martinez attempted to contact Collateral 1,2 (C 1,2) via phone regarding the ongoing investigation. A second attempt was made via phone on 08/14/24. A final attempt was made on 09/03/24. LPA Martinez did not record statements from C 1,2 (Reference Confidential Names Form LIC 811, dated October 11, 2024) STRTP staff confirmed that two separate accidents occurred involving the STRTP vehicle. Staff interviews revealed both incidents were reported to the department as required. Staff also disclosed that the facility's vehicles are insured and undergo regular maintenance to ensure the safety of the youth being transported. Interviews with youth confirmed that they did not sustain any injuries. Youths stated that they felt safe when being driven by staff. Reviewing the facility's records revealed that the STRTP followed the necessary reporting requirements. Incident reports for both accidents were submitted to the licensing department. LPA Martinez observed physical damage to the STRTP vehicle, which matched the details provided in the incident report. The auto damage was consistent with the facility's account of the events described in the incident reports. Based on the confidential interviews and records reviewed, the complaint 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. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the STRTP representative.

Investigation Findings:
13On 10/11/24, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP) and met with the facility representative mentioned above. On 07/12/24, 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): Staff did not follow reporting requirements. LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 10/11/2024

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

met_with: Melissa Willams


raw_content:
Narrative:
Staff stated that sometimes children say inappropriate comments to one another or to staff but staff have never been heard or observed speaking inappropriately to any child. Children stated that staff are always respectful and that they have had no issues with staff saying anything inappropriately. It was also alleged staff handle minors in a rough manner that caused injury. Staff denied the allegation. Staff stated they received no reports or documented incidents of children injuring themselves or being handled roughly causing injury. Staff stated they have observed no marks or bruises on children and have received no complaints regarding the ways in which staff handle children. Interviews conducted with 3 children stated they have never observed a staff handle anyone roughly. Three children stated that if they get into trouble or are having issues they get their electronics taken away or they are asked to stay in room for approximately 10-15 minutes. Interviews conducted with one child identified that one staff handled them roughly. However, child was unable to identify what staff did, or when it occurred. Child also stated no one was present to observe and that they were not injured based on staff handling them roughly. Furthermore, it was alleged staff are under the influence while providing supervision to minors in care. Staff and children denied the allegation. Staff stated they have never observed staff to be under the influence. Children stated that they have never observed staff to be under the influence or having issues with care an supervision. It was alleged, staff yell at minors in care. Children and staff denied the allegation. Staff stated that they do not yell at children. Staff stated that they may call to a child from another room but that children are not yelled at. Staff stated they encourage children and everyone to use their inside voices and remind children not to yell at one another. Children stated that they have not heard or observed any staff yell at a child or someone in the home. It was alleged, staff are not ensuring that minors receive services as necessary. Staff and children denied the allegation. Staff stated that children receive all services and obtain initial assessments for services in the times in which they are authorized. Staff stated if a child is new and there is a delay in services; staff will work with county in getting services started for child. Children stated they have never been denied services or not received services. Additionally, it was alleged staff force minors to stay in their rooms for an extended period of time. Staff and children denied the allegation. Staff stated if children are exhibiting aggressive behaviors they are asked to sit in their room for approximately 10-15 minutes to calm down. Staff stated that children are consistently monitored and are free to leave their rooms to eat, use the restroom or if calmed. Children stated that when in trouble they are asked to calm down in their rooms but stated that staff are present and that times are usually 10 to 15 minutes. It was alleged facility is not meeting the needs of clients in care. Staff and children denied the allegation. Staff stated that facility attends regular training and that children are able to obtain whatever they are in need of. Staff stated that facility has adequate staffing and are able to provide resources and monitoring to children. Children stated they felt as though facility has adequate staffing to meet their needs. Children stated they felt safe and comfortable in the home. It was alleged clients are allowed to smoke weed. Staff and children denied the allegation. Staff stated that no children smoke in the home or have been caught with any smoking paraphernalia. Children stated they do not smoke and have not observed anyone smoking weed or anything else in the home or near facility. It was alleged client treatment plans not followed. Staff and children denied the allegation. Staff stated that children receive updated needs and services monthly and children and family team meetings are conducted regularly. Children stated that staff are very good with following their treatment plans and getting them the services they need. It was alleged, staff are under the influence while transporting clients in care. Staff and children denied the allegation. Staff stated that they have never observed anyone to be under the influence caring for the children. Staff stated that there have been no incidents of incidents occurring while transporting children to and from locations. Staff stated that if anything occurs it is documented and reported to all associated parties. Children stated they have not observed any staff being under the influence in or out of the facility. Lastly, it was alleged the licensee does not ensure oversight and general supervision of the facility. Staff and children denied the allegation. Staff stated that they have adequate staffing in all shifts and have enough staff to meet the needs of the children. Children stated that there is adequate staff throughout the day and that staff are attentive and responsive to whatever they may need. LPA observed documents and documents identified children receiving all required services, staff received required training's and no incidents of children being injured or incidents of staff being rough. Documents reviewed also identified no issues or concerns with facility from outside agencies. 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 via electronic mail. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 11/06/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Cameron youth facility for the purpose of concluding the above complaint investigation. LPA Mahecha met with representative and discussed the findings to above identified allegations. Investigation consisted of the following: On 6/13/ LPA met with representatives (see confidential names, LIC811, dated 6/13/2024). LPA requested the following documents be e-mailed to LPA Mahecha: Current staff/client roster, children's most recent needs and service plans (NSPs), SIRs or complaints of staff or children being under the influence and or smoking. Additionally, LPA requested a copy of staff employment expectations, recently completed training's and daily logs of room checks or incidents involving room checks. LPA Mahecha interviewed 4 children and 4 staff. Investigation consisted of the following: It was alleged staff speak inappropriately to minors in care. Interviews conducted with staff and children denied the allegation. Staff stated that children are treated equally and treated with respect. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha 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 MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 11/06/2024

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 choked minor. Interviews conducted with six (6) staff denied the allegation. Six staff stated they never witnessed or choked a client. Staff stated they never received notice or complaints of a child being choked. However, interview conducted with one (1) staff denied witnessing a child being choked but stated they did witness children being mistreated by two staff. Staff stated that those incidents were already being investigated and no part of this complaint or allegation. All children denied the allegation. Children stated they never observed anyone or received any staff choking anyone in or out of the home. Children stated that they are placed on time out or have electronics taken away when get they get into trouble. Additionally, children stated if they are placed in restraint hold they are not choked as part of the restraint. LPA was unable to reach county social workers to children. However, documents reviewed identified no concerns with home, children being placed in the home or of children being choked. 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 12/12/ Licensing Program Analyst (LPA) Winston Moroney made an unannounced visit to the Cameron Youth facility on behalf of LPA Dawn Mahecha for the purpose of concluding the above complaint investigation. LPA met with representative and discussed the findings to allegation. Investigation consisted of the following: On 7/17/ LPAs Juliet Robles and Pamela Silva requested the following documents be e-mailed to LPA Mahecha: Current staff/client roster, children's most recent needs and service plans (NSPs), SIRs or complaints of staff or children being under the influence and or smoking. Additionally, LPA requested a copy of staff employment expectations, recently completed training's and daily logs of room checks or incidents involving staff interactions with children. Between 8/20 and 9/20/ LPA Elnora Smith interviewed seven (7) staff, four (4) children and attempted to contact county social workers. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/12/2024

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

met_with: Melissa Williams - Administrator


raw_content:
Narrative:
On March 07, 2025, the Department received a complaint alleging that staff speak inappropriately to a minor while in care. It was also alleged that staff do not take care of minor. It was alleged that smoke on the job. Furthermore, it was alleged that staff smoked a vape in the car while transporting a minor. LPA's investigation revealed that the STRTP has a no smoking policy and employees are aware of it. STRTP staff denied ever cussing at youths in care, adding that the reverse is often the case. Staff denied not caring for minors, stating that though clients can present challenging behaviors, staff remain professional and provide top care for clients in care. Staff denied seeing anyone smoke in the facilities, in front of clients, or, let alone while in a vehicle with minors. Confidential interviews provided conflicting information, neither corroborating nor refuting allegations. 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 determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Administrator. Appeal rights provided.

Investigation Findings:
13On June 10, 2025 at 02:45 p.m., Licensing Program Analyst (LPA) John Bonilla conducted a follow-up complaint investigation at Cameron Youth Home, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegations. LPA met with Melissa Williams, Administrator. UnsubstantiatedEstimated 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 06/10/2025

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


raw_content:
Investigation Findings:
13On June 25th, 2025, at 2:45PM, Licensing Program Analyst (LPA) Ashley Ruacho completed the investigation on the above allegations. While investigating the allegations LPA conducted an inspection to the Short-Term Residential Therapeutic Program (STRTP). LPA interviewed two clients on 05/21/25, four staff on 06/10/25, CSW on 06/10/25, and made attempts to interview two addition staff. (See Confidential Names LIC 811 dated June 25th, 2025). Certain files were reviewed such as the Client Roster, Staff Roster, Foster Children's Needs and Services Plan, staff training and other pertaining documents. All staff members denied the allegations. During confidential interviews it was revealed that the allegations did take place. Other interviews revealed the above allegations did not take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon the interviews, the complaint findings are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the allegations occurred. A copy of this report was given to the above representative. No deficiencies were cited. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Ashley Ruacho LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Jessica Payan - Facility Manager


raw_content:
Narrative:
Confidential interviews were completed on 05/22/25 with C1, S1, 06/02/25 with S2, and on 10/06/25 with R1. C2 declined to be interviewed or provide a statement for the investigation. (Reference Confidential Names Form LIC 811, dated October 10, 2025). The youth interview revealed that a physical interaction occurred between the two youth and that staff were present at the time. According to C1, the staff member dismissed his concern and commented that the behavior seemed playful. C1 indicated that this was the only time such contact occurred and that he feels safe in the home C2 declined to participate in the interview and did not provide any information related to the incident. Therefore, C2 account could not be obtained or compared to C1's description. Staff acknowledged that youth in the home often engage in playful interactions but denied witnessing any behavior that violated personal boundaries or required intervention. When asked about the youth's disclosure, staff reported they did not receive or document any report of discomfort from either youth during that time.Collateral interviews did not recall receiving any incident report or notification related to the alleged interaction between youth. Interviews described the facility staff as responsive in reporting behavioral incidents and had not previously received concerns about inadequate supervision or boundary issues. The accounts provided by the staff and collateral contacts were consistent in describing staff responsiveness but lacked recollection or documentation directly addressing the incident.Interviews with staff and collateral sources did not corroborate that a supervision failure occurred or that staff dismissed a youth's disclosure. Based on the confidential interviews and records reviewed, the complaint 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. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 10/10/25, 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 inspection aims to deliver the findings for the above allegation. On 05/13/25, 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): Lack of supervision resulting in inappropriate interaction between children in care. LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 10/10/2025

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

met_with: Jessica Payan


raw_content:
Narrative:
This LPA conducted an 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 service plans, police report, and interviews with the three staff members (S1) on 6/10/25, S2 on 7/22/25, S3 on 10/23/25, one of two clients (C1) on 6/10/25. No statement was obtained from C2 due to their refusal to provide a statement. (Reference Confidential Names Form LIC 811, dated October 23, 2025.) The Following Allegation(s) were reported: 1. Staff assaulted a minor in care. Staff refuted the allegation, indicating that staff have completed formal training modules that concentrate on understanding the impact of trauma on youth, implementing supportive interventions, and creating a safe and healing environment. Staff indicated that they are a hands-off facility and will only use Management of Assaultive Behavior (MAB) techniques to prevent clients from self-harming or causing bodily injuries to others. 2. Staff caused injuries/scratches to the minor in care. Staff refuted the allegation, indicating that they are a hands-off facility and that said injury was self-inflicted when C1's behavior escalated by making threats of self-harm. Staff explained that C1 first attempted to use their own shirt collar to tighten it around their neck, which was prevented by S1 by placing their hand on C1's back and via verbal re-direction to get C1 back to their baseline. As a result, C1 proceeded to scratch the front left side of their neck, making self-threatening comments and reporting false accusations that S1 had injured C1's neck. S1 indicated that de-escalation and crisis intervention were used and removed themselves from the area in hopes of C1 returning to baseline. Continued..... 3. Staff spoke inappropriately to a minor while in care. The staff denied the accusation, asserting that such behavior will not be accepted and will be addressed appropriately. The staff highlighted that all personnel have undergone comprehensive training in Trauma-Informed Care and recognize the significance of fostering a healthy environment. Furthermore, a statement from C1 clarified that the allegations made against staff were false. C1 stated that these claims were reported purely as an act of retaliation for the staff not allowing them to do as they wanted and that the scratch on their neck was self-inflicted. C1 expressed that they feel safe, have a good relationship with the staff, and enjoy living at the STRTP. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred; therefore, the allegation is 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 23, 2025, at 4: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Manager Desiree Gonzalez. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On May 2, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint with the following allegation(s): Staff assaulted a minor in care; Staff caused injuries/scratches to the minor in care; Staff spoke inappropriately to a minor while in care. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 10/23/2025

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

met_with: Desiree Gonzalez


summary: Facility Evaluation

raw_content:
Narrative:
On May 06, 2021, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, via Microsoft Team Application, at Cameron Youth Home Short Term Residential Therapeutic Program (STRTP), and spoke with Melissa Williams, Administrator. The purpose of the inspection was to gather information about the below incident. The Monterey Park Regional Office of Community Care Licensing Division (CCLD) received a report that on 07/02/2020, Child Ref #1 (C1) (see Confidential Names form LIC811 dated 05/06/2021) was sexually assaulted by Child Ref #2 (C2). The same reported stated that C1 acts out sexually and is addicted to pornography and he masturbates in front of people. LPA Flores attempted to interview C1, but C1 refused to participate in the investigation of this incident. C2 was discharge on 09/04/2020. During the meeting Namez Habroun, Recovery Specialist and Melissa Williams were present, C1 agreed to have both staff present during the interview. Documentation from C1's and C2's files was requested and provided. No further inspection is needed at this time. cont.# A copy of this report and LIC811 was provided to the facility representative. Exit interview conducted.

report_type: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
On May 14, 2021, at 1:00PM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, via phone call, at Cameron Youth Home Short Term Residential Therapeutic Program (STRTP) and spoke with Jay Williams. The purpose of the inspection was to address that the STRTP did not submit, in a timely manner, documentation requested to conduct Senate Bill (SB) Psychotropic Inspection schedule for 05/13/2021. On 04/13/21, LPA Flores spoke with Jay Williams, and informed him that the SB Psychotropic Inspection will be conducted on 5/13/21, and copies of the STRTP children and stafff records was needed. The due date for the documentation requested was 4/30/21. A detailed electronic mail (e-mail) was sent to Jay Williams, and he forwarded it to Melissa Williams. LPA Flores informed Jay Williams that the documentation needs to be reviewed prior to the inspection. The STRTP did not meet the initial due date. cont.# On 05/03/21, Melissa Williams sent an e-mail to LPA Flores requesting an extension until May 5th. The extension was granted by LPA Flores. The STRTP did not meet the second due date. On 05/06/21, LPA Flores sent an e-mail to Melissa Williams and let her know that the 05/05/21 due date expired and the documentation was due. During a phone call on 05/06/21, Mellisa Williams requested a third extension and stated that the documentation for the SB Psychotropic Inspection will be submitted by Friday 05/07/21. The STRTP did not meet the third due date. On 05/11/21 and 05/12/21, LPA Flores sent e-mails to Jay and Melissa Williams, stating that the documentation for the SB Psychotropic Inspection was overdue. On 05/11/21, Melissa Williams submitted the documentation requested; she was informed that the SB Inspection must be re-schedule for 05/20/2021. The STRTP did not make available children records to inspect upon demand. An Advisory Note / Technical Violation was issued. No further inspection is needed at this time. A copy of this report and LIC9102TV was provided to the STRTP representative. Exit interview conducted.

met_with: Jay Williams, Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 25, 2021 at 10:00AM, and May 26 at 1:00PM, Humberto Flores, Licensing Program Analyst (LPA) conducted an announced Senate Bill 484 (SB484) Psychotropic Medication Inspection at Cameron Youth Home Facilities Inc. Short Term Residential Therapeutic Program (STRTP) and met with Jay and Melissa Williams via Microsoft Team Application. LPA Flores conducted a tour inside and out of the facility at 10:20AM. No deficiency was observed. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. LPA Flores conducted interviews with staffs at 11:00AM LPA Flores conducted interview with 3 children at 11:30AM LPA Flores conducted a review of 2 staffs' file at 1:30PM. cont.# LPA Flores conducted a review of the Children's file at 2:30PM. The Psychotropic Medication Administration Record (PMAR) for the last 2 months was reviewed. The PMARs contain the initials and signatures of the staffs that administer psychotropic medication. Form JV-223 of April 2021, for Child Ref #2 (C2) (see Confidential Names form LIC811 dated 05/26/2021) is not in the file. An Advisory Note-Technical Assistant was issued due to STRTP is not in compliance with California Code of Regulations (CCR), Title 22, Section On 05/26/21, LPA Flores reviewed the Program Statement and Plan of Operation of the STRTP. There is adequate staffing in the facility to provide care and supervision for the clients per facility's Plan of Operation. A copy of this report, LIC811s and LIC9102TA was provided to the STRTP representative upon completion. On 05/26/2021, at 1:30PM LPA Flores conducted exit interview with STRTP representative.


summary: Facility Evaluation

raw_content:
Narrative:
On March 15, 2022, at 11:05AM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, at Cameron Youth Home Short Therapeutic Residential Treatment Program (STRTP) and met with Melissa Williams. The purpose of the inspection was to gather information about the below incident reported via Referral submitted by the Department of Human Services (DHS) - Child Protective Services (CPS) On 10/12/2021, Children Ref #1 (C1) and Ref #2 (C2) (see Confidential Names List dated 03/15/2022) ran away from the STRTP between the hours of 5:00PM-9:30PM. Both Children were returned to the STRTP by an unknown man with his wife and daughter. The CPS report indicated that C1 complained about his anus being sore and stinging and wanted to shower. C1 went to the restroom passed stool and there was visible blood in his stool. LPA Flores investigated the incident and interviewed Melissa Williams. A review of C1's file was conducted; copies were made upon request. Melissa Williams disclosed that C1 was taken to a doctor for a follow-up. After examination of the affected area, it was determined that there was no need for further examination. cont.# According to the facility representative, C1 experiences constipation and likes caffeine drinks, which might cause dehydration, and in some individuals can lead to constipation. No further inspection is needed. No citation was issued. A copy of this report and LIC811 was provided to the facility representative. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jenny Mundo and Pamela Silva on April 7, 2022 at 9: AM. During the inspection, LPAs met with Melissa Williams, Director/Administrator. LPAs and the Director/Administrator inspected the facility inside and out. LPAs reviewed three (3) children record's on site at the facility at 9: AM. LPAs reviewed two (2) staff personnel files on site at the facility at 10: AM. LPAs reviewed three (3) child's psychotropic medications and medication records at 10: AM. LPAs interviewed two (2) staff at 10: AM. LPAs were unable to interview children due to being in school. LPAs conducted exit interview with Melissa Williams, Director/Administrator at 11: PM. LPAs provided the Summary Report to the Director/Administrator upon completion. No deficiencies are being cited at this time.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On 04/17/23 at 10: AM, Licensing Program Analysts (LPAs) Pamela Silva, Juliet Robles and Timika Martin conducted an unannounced Annual Inspection at the facility. LPAs met with Melissa Williams, Administrator. This STRTP is licensed to serve up to six (6) ambulatory children ages 10-15 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) minors currently in placement. This facility is a 3-bedroom single story home. There are no bodies of water in the premises.There are no ammunition and firearms in the facility. LPA Silva conducted a walk-through of the entire facility. Physical Plant The license, facility sketch, Personal Rights, Emergency Disaster form, Complaints poster, Foster Youth Bill of Rights, Complaints/Grievance policy, emergency phone numbers and menus are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet in the hallway. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked closet in the hallway. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers are fully charged. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and was measured at 137 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Emergency exits are free from obstruction. Overall, the facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility has developed, maintained and implemented written complaint procedures. The facility is licensed to accept children ages 10-15. During records review, one (1) client is not within the age range specified in their license. Emergency Intervention Documentation of emergency intervention training for staff is on file. The facility maintains a monthly restraint log which will be submitted bi-annually to the Department. During records review, the monthly restraint log is not updated. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. 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 and non-minor dependents 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 support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Client Records LPAs reviewed three (3) client records. 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, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; removal/discipline/complaints form and medication administration records. Staff Records LPAs reviewed five (5) staff records. Based on records review, three (3) staff are not cleared with DOJ, FBI and CACI. Documentation of the required education and experience requirements are maintained in the personnel file. Documentation of staff training are on file. LPAs interviewed two (2) staff members. LPA interviewed one (1) client. Two (2) clients were unavailable for interview at the time of inspection. Three (3) deficiency citations and a Technical Violation were issued during today's inspection, see LIC809D and LIC9102TV. Plan of Corrections were discussed with the Administrator. An exit interview was conducted, and a signed copy of this report, LIC809D, LIC811 and appeal rights were provided to a facility representative, Jessica Payan-Medina...

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility
80010(a): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in 1 out of 3 clients.

visit_type: Annual

title:
Limitations on Capacity and Ambulatory Status

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 04/18/2023, Licensing Program Analysts (LPAs) Pamela Silva and Juliet Robles conducted an unannounced Plan of Correction (POC) visit at the above facility. The POC is for the Type A violation issued on 04/17/23. LPAs met with Administrator, Melissa Williams. LPAs checked on the hot water temperature, which measured at 113 degrees F. POC is cleared and no further follow-up is needed. An exit interview was conducted and a copy of this report was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/21/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Cameron Youth Home for the purpose of a case management- other inspection. LPA met with facility manager and discussed the below identified observations. 1. Two (2) screens on windows located in front of house broken or bent Facility manager stated the following: Screens were bent on Monday June 19, 2023 and facility staff documented incident of clients destructive behavior and a work order was put in to administration to have screens repaired or replaced. At this time facility manager is unsure when screens will be replaced but stated she would provide LPA with processed work order to show screens being scheduled to be repaired and picture documentation after screens are repaired. LPA told facility manager that screens being damaged or broken violate Interim licensing standard 80087 and could be a health and safety concern for clients in care. Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. Exit interview completed, deficiencies were observed but not cited during this inspection due to work order and documented incident of occurrence. LPA emailed a copy of report to facility manager for record.

met_with: Jessica Payan, Facility maanger


summary: Facility Evaluation

raw_content:
Narrative:
On 04/11/24 at 10: AM, Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin conducted an unannounced case management follow-up inspection at the above facility and met with Jessica Payan, Facility Manager. The purpose of the visit was to follow up on an Unusual Incident Report (UIR) dated 02/24/24 regarding a physical altercation between clients that resulted to client injury. Based on records review, the incident was reported late to the Department on 02/28/24 via UIR. LPA Silva found no documentation of a 24-Hr Initial Notification regarding the incident. The facility Administrator stated that she left a voicemail message reporting the incident on 02/25/24. A deficiency citation for late reporting will not be issued at this time. However, LPA Silva reminded the Administrator regarding reporting requirements. LPA advised the Administrator to speak to a CCL staff rather than just leaving a message, or email the Department within 24 hours upon the occurrence of a reportable incident, if a written report cannot be submitted within the 24-hour time frame. No further follow-up is needed. An exit interview was conducted. A copy of this report was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin on 02/20/25 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Melissa Williams, Administrator, and inspected the facility inside and out. LPA reviewed 2 of children's records and 3 of staff personnel files on site at the facility. LPA reviewed 2 of children's psychotropic medications and medication records. LPA will conduct interview at a later date due to no clients being available during the time of inspection. LPA interviewed 2 of staff on site to discuss the facility's policies and procedures of operation. LPA provided a copy of this licensing report to Ms. Williams, Administrator. No deficiencies are being cited at this time. A Technical Advisory was issued (see LIC 9102). LPA conducted exit interview with Ms. Williams, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/30/25 at 11: AM, Licensing Program Analysts (LPAs) Olena Maico conducted an unannounced annual Inspection at the above facility. LPA met with Melissa Williams, Administrator. This STRTP is licensed to serve up to six (6) ambulatory children ages 10-15 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) minors currently in placement. This facility is a 3-bedroom single story home. There are no bodies of water in the premises. There are no ammunition and firearms in the facility per the administrator's statement. LPA Maico conducted a walk-through of the entire facility alongside with the administrator and Facility Manager. LPA requested LIC 500, LIC 9020, LIC 610C, LIC 309 and LIC 308 as well as the Emergency Drill records and Board Meeting records to be provided to the LPA. Facility has current CARF accreditation expiring January 31st 2028, as well as Mental Health Services approval expiring November 16 2025. LPA observed the license, facility sketch, Personal Rights, Emergency Disaster form, Foster Youth Bill of Rights, Complaints/Grievance policy, menu and activity schedule posted in prominent, publicly accessible location in the facility. Physical Plant Facility has no cameras on premises. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet in the hallway. Facility has non-perishable food for at least one week and perishable food for at least two days and meet the licensing standards. Medications are centrally stored in a locked closet in the office. Sharps are locked in the hallway closet. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers are fully charged. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and was measured at 114 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Currently there is one client per room and there 2 beds in each room. The unoccupied beds have mattress and a bedsheet, but no pillows. Extra pillows are stored in the Administrator office which is next door, due to the clients misusing the extra bedding (like tearing it etc). Each client has a color coded towel and use it for the hygiene needs. If clients need paper towels, staff will provide it. Paper towels are not stored in the bathroom due to clients stuffing it inside the toilet and clogging toilets. Emergency exits are free from obstruction. Overall, the facility is clean, safe, sanitary and in good repair. Facility has basic laundry services. LPA reviewed insurance and registration for the facility's vehicles and it is current. Vehicles have first aid kit. Operations Facility maintains a register of clients and the register is available upon request with all the required information. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. LPA reviewed the minutes provided. The facility has developed, maintained and implemented written complaint procedures which is posted in the office. Cash resources of the clients are stored in the Administrator's office which is the next door tot he facility. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. 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. Disaster and casualty plan is updated every year and posted at the facility. Client Records LPAs reviewed three (3) client records. 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, JV 220 forms, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; removal/discipline/complaints form and medication administration records. LPA reviewed the JV 220 form and psychotropic medication administration log. LPA did not observe TB test in 3 clients' files, Administrator stated the clients have appointments scheduled for the TB tests. Facility will be issued a deficiency due to not having the records of TB test or the refusal of the test administration. Two technical assistance were issued to the facility. Due to time constraints, LPA will be back to continue the inspection. The copy of this report along with the Appeal Rights and LIC 9102TA and the LIC809d was issued to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/01/2025 at 09: AM, Licensing Program Analysts (LPAs) Olena Maico conducted an unannounced annual continuation inspection at the above facility. LPAs met with Melissa Williams, Administrator. Staff Records Facility has a Head of Service Flexibility request on file. LPAs reviewed five (5) staff records. Staff files include but not limited to records of DOJ, FBI, CACI clearances, Out of State Criminal Record Statements, Statement to Acknowledge Child Abuse Reporting, Driver License copies, training records, health screening and TB test results, Job Duties Acknowledgement, MAB certificates. LPA did not observe 40 hours of annual training for five (5) staff; only partial hours of training were completed for the year 2024. . Core/Therapeutic Services LPA interviewed Head of Service to inquire about the core therapeutic services provided. Facility provides core services and supports to children as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate. Head of Service works together with the Rehabilitation specialist and Social Worker. Clients are provided with group and individual therapy. Head of Service stated that they try to conduct the therapy in the most natural environment as possible for the clients (e.g. going to the park and alternating therapy with games and activities). Emergency Intervention LPA observed the documentation of emergency intervention training for staff is on file. The facility utilizes MAB program for the Emergency Intervention at the facility. The facility maintains a monthly restraint log which will be submitted bi-annually to the Department. Clients' records continuation. LPA reviewed psychotropic medication log and the bubble pack for the medication and LPA observed that client (FC3) psychotropic medication log had a missed medication logged in due to client being in custody and the medication was missing from the bubble pack, staff did not have record of the explanation why the medication was missing. Facility will be issued a citation for not having a written explanation of medication missing form the pack. LPA interviewed two (2) staff and one (1) client. One (1) client declined to be interviewed and one (1) was in custody. Two (2) deficiency citations and a Technical Violation were issued during today's inspection, see LIC809D and LIC9102TV. Plan of Corrections were discussed with the Administrator. An exit interview was conducted, and a signed copy of this report, LIC809D, LIC811 and appeal rights were provided to the Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2022, at 10:45M, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, at Cameron Youth Home Short Therapeutic Residential Treatment Program (STRTP) and met with Melissa and Jay Williams. The purpose of the inspection was to gather information about the below incident. Community Care Licensing Division (CCLD) received information that on 06/27/2022, Child Ref #1 (see confidential Names form LIC811 dated 09/29/2022) had an incident, at the facility, and was acting aggressive towards staff. According to the information, C1 was having a behavior and Jay Williams (JW), Administrator, tried to calm C1 down and in the process JW pocked C1 in the eye. LPA Flores investigated the incident and interviewed JW and Melissa Williams. A review of C1's file was conducted, and copies were obtained. The information revealed that on 06/25/22, C1 was acting aggressively towards staff and peers at the facility, thwoing punches, using foul language and spiting. JW was called. When JW arrived at the facility, he went to C1's room to talk with C1 and calm him down. cont.# C1 was laying on the floor yelling, using foul language and spiting. C1 sat down on C1's bed while C1 was still on the floor. While JW was talking to C1, C1 crawled towards JW's leg and attempted to bite JW's ankle. JW placed his hand to protect his ankle and C1 crawled into JW's thumb and was C1 alleged that JW pocked him. The STRTP did not submit a Special Incident Report (SIR) to CCLD. During the file review, LPA Flores observed that C1's Needs and Services Plan (NSP) did not contain C1's signature. On 08/29/22, C1 taken into custody by the Kern County Probation Department (KCPD) and is currently in Juvenile Hall. The STRTP did not submit a Law Enforcement Contact to CCLD. Three (3) citations type B were issued. No further inspection is needed at this time. A copy of this report and LIC811 was provided to the facility representative. Exit interview conducted.

met_with: Melissa Williams, Administrator, Jay Williams, CEO