summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 22, 2021 at 9: AM, Licensing Program Analyst (LPA) Carmen Escobar arrived at Future Stars Short-Term Residential Therapeutic Program (STRTP). LPA was greeted and granted access by Ms. Ronnie Lusk. The purpose of the visit is to conduct an annual inspection of the facility. There were two staff and five clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection, however, no facility manager was on site at the time of the inspection. The facility is being cited under Short-Term Residential Therapeutic Program Interim Licensing Standards chapter section 87065, Personnel Requirements. No facility manager was available to arrive at the facility during the time LPA conducted the inspection. At 9: AM, Ronnie Lusk led the physical inspection of the facility. The facility consists of three bedrooms and two bathrooms. The facility has a small dining area, kitchen area, living room, open common area, laundry room, and a garage. The facility has a clinician's office for therapeutic services. Staff areas are located in the open common area as well as a corner of the main living room. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. Facility grounds are clean and free of debris and observable hazards. During the inspection, it was observed that the basketball hoop in the backyard has fallen over and is on the ground, creating a potential hazard. It was also observed that the outside of the garage wall has white graffiti/markings that need to be painted over. There is adequate indoor and outdoor activity space. Books, crafts, movies, and other activities, were observed for client's recreation time. The client's bedroom windows were also missing screens. Carbon monoxide detector is in appropriate working order, and per staff, all facility smoke detectors are also in working order, however, this could not be verified as fire system is hard-wired into the home with standard fire alarms and fire alarm handles available for use during an emergency. Fire extinguisher is properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. There was no activities calendar posted in the facility. Medications are locked and centrally stored in a locked closet near the front door. The hot water in the kitchen was deemed to be at a safe temperature. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of the license. Chemicals and/or poisons are locked in a cabinet in a restroom by the kitchen/garage area. Sharp objects are locked and stored in the locked closet by the front door/common area. First Aid Kits are also stored in the staff area and are complete, however, a First Aid Manual was unavailable. The facility employs one Facility Administrator, one Facility Manager, one Case Manager, three direct care/youth counselor staff, one Head of Service and one Program Director. Facility has not yet obtained Mental Health Certification, however, have submitted the application and are awaiting approval. Facility has obtained National Accreditation through CARF effective through September 30, 2023. Currently, there is a balance of $227 in Licensing fees for the facility. At 9: AM, five of five client files were reviewed during time of inspection. Client 1 (C1), client 2 (C2), client 3 (C3), client 4 (C4) and client 5's (C5) (See Confidential Names List (LIC 811) dated June 22, 2021, needs and service plans were not up to date. C1, C2, and C3, did not have proof of TB test. C1, C2, and C3 did not have proof of immunizations. C1-C5 did not have a signed copy of removal/discharge procedures, the facility complaint/grievance process, signed house discipline/rules, and C1 and C4 did not have an updated EIP. Additionally, all clients did not have a current allowance log or current inventory log. LPA Escobar requested that the current needs and service plans, immunization records, signed facility policies, and updated logs aforementioned, be sent to LPA Escobar as soon as possible. Currently there are four clients on medication. There are no observable current JV220 forms for C1, C3, C4, and C5. LPA requested copies of current JV220s also be sent to LPA Escobar. Technical Assistance Advisory Notes (TA) will be issued. LPAs conducted client interviews. Clients indicated that their basic needs are being met at the facility and core services being provided as well. LPA Escobar began the review of staff files, however, due to time constraints, was not able to conclude the review. LPA Escobar will return to complete staff file review and interviews at a later date. An exit interview was conducted and a copy of this report and appeal rights were provided to Case Manager, Ms. Ronnie Lusk.

Deficiencies:
87065(f): 1
2
3
4
5
6
787065 Personnel Requirements-
(f) The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present

met_with: Facility Case Manager-Ronnie Lusk


state: CA

facility_name: FUTURE STARS YOUTH SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
On February 2, 2023, at 4: PM, Licensing Program Analysts (LPA), Carmen Escobar conducted an in-person inspection of Future Stars Short Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to conduct a physical walk through of the facility to inspect the building and grounds. While LPA conducted a physical inspection of the facility, it was observed that room 2 and room 3, do not have doors. The doors have been replaced with curtains. By removing all the bedroom doors, the facility is in violation of clients' personal rights. The facility is being cited under Interim Licensing Standards (ILS) section 87072, Personal Rights. An exit interview was conducted and a copy of this report, along with appeal rights, was signed by, and provided to Facility Manager, Iyonna Mathews, via facility email due to technical difficulties.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Family Manager-Iyonna Mathews


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
However, the type of insect that caused the bites was not identified. Confidential interviews reported that the facility had mosquitoes in the backyard and received regular pest control services that treated the outside grounds and inside the facility upon request. Additional confidential interviews reported that all the clients had new mattresses, and the bed linens were washed weekly. In addition, LPA toured the facility with the Facility Manager and observed that all the client bedrooms had clean mattresses in good repair, with protective coverings. LPA did not observe bed bugs or any other insects inside the facility. Based on confidential interviews and facility records, the allegation that the staff does not ensure the facility is free of bed bugs is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and given to Case Manager Ronnie Lusk.

Investigation Findings:
13On November 30, 2023, at 11: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Future Stars Short Term Residential Therapeutic Program ( STRTP) to deliver the investigative findings for the allegation listed above. On 08/22/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA also conducted interviews with clients (C2, C3, C4, C5, and C6) and Staff (S1, S2, and S3.) LPA Peete attempted to interview client 1 (C1) but was unsuccessful due to C1's refusal to be interviewed. On 08/17/2023, Community Care Licensing received an allegation that the facility staff did not ensure the facility was free of bed bugs. It was alleged that C1 had bed bug bites. Multiple confidential interviews denied seeing any bed bugs inside of the facility. Confidential interviews reported that C1 was the only client who reported being bitten by bed bugs. Pertinent documentation from the investigation shows that C1 received medical treatment for insect bites. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 11/30/2023

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

report_type: Complaint Investigation

met_with: Case Manager Ronnie Lusk

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews reported that if clients choose to skip meals, staff will encourage clients to eat and document food refusals. Confidential interviews reported that clients can access the kitchen and prepare food with staff supervision. Confidential interviews reported only breakfast and dinner are served at the facility. In addition, a confidential interview reported that staff does not provide breakfast or lunch, and clients are responsible for preparing those meals. Other confidential interviews also reported that clients are served breakfast, lunch, dinner, and snacks daily according to the posted food menu. LPA toured the facility with staff and observed the facility's food menu is posted in a central location accessible to clients, staff, and visitors. LPA observed two days of perishable and seven days of non-perishable food in the kitchen cabinets and refrigerator. Based on inconsistent confidential interviews, the allegation that staff are not providing nutritious meals to foster youth (C1-C6) is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and given to Case Manager, Ronnie Lusk.

Investigation Findings:
13On November 30, 2023, at 11: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Future Stars Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. On 08/22/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA also conducted interviews with clients (C1, C2, C4, C5, and C6) and Staff (S1, S2, and S3). LPA Peete attempted to interview client 3 (C3) but was unsuccessful due to C3's refusal to be interviewed. On 08/17/2023, Community Care Licensing received an allegation that staff are not providing nutritious meals to foster youth (C1-C6). It was alleged that the STRTP was not providing breakfast or dinner. Confidential interviews reported that C1 and other clients (C2-C6) would choose to skip meals but have the option for meal substitutions if the clients do not like the meal being served. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 11/30/2023

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


raw_content:
Narrative:
Confidential interviews reported that S2 and C1's authorized representative agreed that C1 could have a cell phone to be used as an incentive for good behavior. Confidential interviews and documentation show that S2 ordered and set the phone up on C1's behalf. A confidential interview was also reported when the cell phone was set up; due to the C1's age, parental controls were automatically installed on the phone. Confidential interviews disclosed that parental controls were installed unknowingly, and when S2 became aware of the situation, C1's cell phone was factory reset. In addition, information obtained as part of the investigation shows that in order for the parental control application to be effective, S2 would need to install the application on their personal cellular device to monitor C1's cell phone activity. Moreover, a confidential interview denied that S2 had parental control applications installed on their (S2's) personal or business cell phones. Based on inconsistent confidential interviews and pertinent documentation, the allegation that staff (S2) is not allowing the client (C1) to have confidential telephone calls is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Head of Service Tabitha Lopez. This is an amended report of a report that was originally issued on 01/12/2024

Investigation Findings:
13This is an amended report of a report that was originally issued on 01/12/ On January 12, 2024, at 9: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Future Stars Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. On 09/12/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA also interviewed clients (C1-C6), staff (S1 -S3), and the County Social Worker. On 09/11/2023, Community Care Licensing received an allegation that staff (S2) is not allowing the client (C1) to have confidential telephone calls. It was alleged that S2 installed a parental control application on C1's cell phone, allowing S2 to monitor C1's cell phone usage. (Contineued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 01/12/2024

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

met_with: Head of Service Tabitha Lozez


raw_content:
Narrative:
Another confidential interview denied staff verbally or physically abused clients in care and reported all staff and client interactions are professional and trauma-informed. The department also received an allegation that staff (S1) had inappropriate conversations with a minor (C2), and staff did not safeguard a minor's (C2) personal belongings. It was reported that C4 took C2's cell phone and found phone calls between S1 and C2. More specifically, it was alleged that the phone calls between S1 and C2 were exchanged outside of S1's regular working hours. A confidential interview witness interview reported C4 found text messages exchanged between S1 and C2. The confidential witness did not see the text messages and learned, second hand, from C4 that S1 offered C2 money to spy on other clients and a STRTP staff. LPA received inconsistent information to support the alleged misconduct. Although it was reported that S1 had inappropriate phone conversations with C2, LPA did not obtain additional statements from those who saw the text messages or witnessed the phone calls between S1 and C2. Other confidential interviews either denied the allegation or denied having any knowledge of S1 contacting C2 or other clients after hours to spy on clients and staff. In addition, confidential interviews disclosed that C1 did have S2's phone number. However, conversations between C1 and S2 were not inappropriate. C2 only contacted S1 when C2's roommate was "upset," or other clients were "out of control." Information from confidential interviews also reported that S2 was a good employee, and there were no concerns about S1's interaction with clients. Regarding the allegation, the staff did not safeguard C2's belongings, and LPA again received conflicting information to prove the allegation. A confidential interview denied that C2's cell phone was taken by C4 or any other clients in care. Another confidential interview reported that clients stole from each other but did not recall the alleged theft of C2's cell phone. Other confidential interviews reported clients could keep their items in the staff office and had access to personal lockers to store their property. Furthermore, a confidential interview reported that at the time C2 was in care, there were no reports of theft. Based on inconsistent confidential interviews, the allegations Staff (S2) yelled at minor (C3), staff (S1) had inappropriate conversations with minor (C2), and staff did not safeguard minors (C2's) personal belongings are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager, Iyonna Matthews. This is an amended report of a report that was originally issued on 03/28/2024

Investigation Findings:
13This is an amended report of a report that was originally issued on 03/28/ On March 28, 2024, at 1: PM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Future Stars Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegations listed above. LPA obtained documents pertinent to the investigation and interviewed clients (C1,and C2), staff (S1-S4) and one resource parent (RP). LPA attempted to interview C3 and C4; however, C3 was not available to interview and C4's location is unknown. On 12/18/2023, Community Care Licensing received an allegation that staff (S2) yelled at a minor (C3). It was reported that S2 was witnessed yelling in C3's face. A confidential interview reported that S2 and C3 were screaming at each other, and C3 put their (C3's) finger in S2's face. A confidential interview also reported that S2 did not interact with clients in a professional manner. Other confidential interviews denied the alleged incident occurred and noted that S2 established a good rapport with the clients and did not have any disciplinary actions while employed at the STRTP. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 03/28/2024

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

met_with: Facility Manager, Iyonna Matthews


raw_content:
Narrative:
the two took place. Confidential interviews provided conflicting information as to where and when the alleged incident may have occurred. Confidential interviews and record review could not confirm or dispute the two allegations. Based on record review and confidential interviews the allegations alleging lack of supervision resulted in inappropriate interactions between youths (C1 and C4) in care and lack of supervision resulted in youths (C1 and C4) drinking while in care may have occurred, however they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Future Stars Youth Services, Facility Manager (FM), Iyonna Matthews.

Investigation Findings:
13On June 21, 2024 at 1:00pm Licensing Program Analyst (LPA), Nicole Strickland met with Future Stars Youth Services, Facility Manager (FM), Iyonna Matthews, to deliver the findings for the above stated allegations. A Health and safety inspection of the facility was conducted on May 10, 2024, and no immediate hazards were observed. The investigation included interviews with four foster children (C2-C4, C6), two staff (FM and S1), and two county social workers (CSW1 and CSW3). C1 was unable to be contacted and therefore was unable to be interviewed. In addition, county records, and facility records were reviewed. On April 30, 2024, Community Care Licensing (CCL) received two allegations alleging lack of supervision resulted in inappropriate interactions between youths (C1 and C4) in care and lack of supervision resulted in youths (C1 and C4) drinking while in care. Specifically, it was reported sometime in March, on an unknown date C4 had been drinking and provided alcohol to C1, after an inappropriate interaction between UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 06/21/2024

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

met_with: Iyonna Matthews


raw_content:
Narrative:
review revealed conflicting statements as to threats being made towards C1 during and after the incident. Confidential interviews could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation alleging staff did not provide a safe environment for the minor (C1) may have occurred, however it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Future Stars Youth Services, Facility Manager (FM), Iyonna Matthews.

Investigation Findings:
13On June 21, 2024 at 12:27pm Licensing Program Analyst (LPA), Nicole Strickland met with Future Stars Youth Services Facility Manager (FM), Iyonna Matthews, to deliver the findings for the above stated allegation. A Health and safety inspection of the facility was conducted on March 22, 2024, and no immediate hazards were observed. The investigation included interviews with five foster children [Child #1 (C1), Child #2 (C2), Child #5 (C5), Child #6 (C6) and Child #7 (C7)], two staff [Staff #1 (S1) and Staff #3 (S3)], and two county social workers (CSW1 and CSW2). In addition, county records, and facility records were reviewed. On March 20, 2024, Community Care Licensing (CCL) received an allegation alleging staff did not provide a safe environment for the minor (C1). Specifically, it was reported C1 had a behavior episode after which other residents in the facility allegedly made threats of harm to C1. Confidential interviews and record UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 06/21/2024

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


raw_content:
Narrative:
It was specifically reported to CCL that an incident involving client #1 (C1) resulting in law enforcement contact occurred at the facility and the facility did not follow the reporting requirements. During the investigation, LPA Urena received consistent information that indicates the allegation is true. Confidential interviews reported that C1 left the facility on a continuous basis while in care and facility staff were not aware that the information had to be reported to CCL within 24 hours. Record review corroborates these statements showing that C1 left the facility multiple times however, LPA was unable to obtain any evidence that these unauthorized absences were reported to CCL. Confidential interviews further reported that an incident involving a law enforcement contact occurred when C1 attempted to return to the facility from a runaway status on or about June 9, 2024. Record review conducted indicated that facility staff did not report this incident to CCL. Another confidential interview also reported that facility staff did not notify C1's authorized representative of C1's runaway status thus, indicating that a violation of reporting requirements occurred while C1 was in care. Based on confidential interviews and record review the preponderance of evidence standard has been met, and the allegation that facility did not follow reporting requirements is supported and proven by evidence, therefore the allegation is substantiated at this time. The STRTP is being cited for California Code of Regulations (CCR) SECTION: 80061(b)(1)(E) REPORTING REQUIREMENTS. (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. An exit interview was conducted, a copy of this report, LIC D, along with appeal rights were provided to Future Stars Youth Services Mental Health Specialist, Ronnie Lusk. facility staff discharged client #1 (C1) from the facility resulting in staff refusing to allow C1 access to the facility following a runaway return. During the investigation, LPA received inconsistent information that would support or dispute the allegation. Confidential interviews denied that facility staff did not follow discharge procedures and reported that C1 was discharged from the facility in collaboration with C1's county social worker. Other confidential interviews reported that C1 attempted to return to the facility from their runaway status but staff #3 (S3) refused to allow C1 into the facility resulting in law enforcement contact. While some confidential interviews reported that facility staff did not follow discharge procedures involving C1 in care other confidential interviews maintained that facility staff followed discharge procedures and C1 was allowed access to the facility following clarification from the placing county. Based on confidential interviews and record review the allegation that facility did not follow discharge procedures for minor, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Mental Health Therapist, Ronnie Lusk.

Investigation Findings:
13On October 3, 2024, at 9: AM, Licensing Program Analyst (LPA), Cynthia Urena met with Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP) Mental Health Specialist, Ronnie Lusk to deliver the investigative finding for the above stated allegation. On June 20, 2024, at 1: PM, Licensing Program Analyst (LPA), Cynthia Urena initiated the investigation at the STRTP and collected pertinent documents from the STRTP staff and client files. Interviews were conducted with a county staff member, three STRTP staff members (S1, S2, S3), four clients, (C1, C2, C3, C4) and a Sheriff Deputy. Additionally, LPA Urena conducted a comprehensive record review to further assist with the investigation process. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 10/03/2024

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

met_with: Mental Health Specialist, Ronnie Lusk


raw_content:
Narrative:
Confidential interviews revealed conflicting statements that staff are not intervening any altercations when it happens. Confidential interviews revealed that staff would break-up the altercations by standing in between or verbally redirecting the youths in the home. Other statements indicated that staff stand there and watch the incidents. Based on confidential interviews, the allegation that facility staff are not properly intervening in altercations between youths, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Mathews.

Investigation Findings:
13On December 11, 2024, at 2: PM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the finding for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 08/29/24, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), six clients (C1, C2, C3, C4, C5, C6) and three County Social Workers (CSW1, CSW2, CSW3). Clients' Needs and Services Plans and County Investigation Narrative were reviewed. On August 26, 2024, Community Care Licensing received an allegation that facility staff are not properly intervening in altercations between youths. Specifically, it was reported C6 was observed falling asleep multiple times in the classroom due to a fight breaking out every night and the staff do not intervene. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 12/11/2024

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


raw_content:
Narrative:
Additionally, confidential interviews revealed that staff allowed them to shower after PM and that the staff ask the clients to spread out their shower schedule so that hot water will not run out. Based on the inconsistent confidential interviews, the allegations that staff would not allow minors to shower after PM, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Matthews.

Investigation Findings:
13On January 15, 2025, at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the finding for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 09/26/24, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two Staff (S1, S2), six Clients (C1, C2, C3, C4, C5, C6) and two County Social Workers (CSW1, CSW2). Clients' Needs and Services Plans and County Investigation Narrative were reviewed. On September 24, 2024, Community Care Licensing received an allegation that staff would not allow minors to shower after PM. Confidential interviews revealed conflicting statements. Confidential interviews revealed that clients will get in trouble, or the staff would nag at them if they took a shower after PM. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 01/15/2025

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


raw_content:
Narrative:
During the investigation, confidential interviews revealed that the staff did not do anything when C1 attempted to self-harm and that they have heard staff using profanity towards the clients in the facility. Other confidential interviews revealed that the staff provided alternative methods to relieve self-harming thoughts, and the staff follows C1's safety plan. Other confidential interviews stated that they would never say anything or act inappropriate to the clients to trigger their feelings. Based on the inconsistent confidential interviews, the allegations that S2 did not treat C1 with respect and S2 did not prevent C1 from self-harming, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Mathews.

Investigation Findings:
13On May 30, 2025, at 09: AM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the finding for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 02/19/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four Staff (S1, S2, S3, S4), five Clients (C1, C2, C3, C4, C5) and County Social Worker (CSW). In addition, Clients' files were reviewed. On February 13, 2025, Community Care Licensing received allegations that staff (S2) did not treat minor (C1) with respect and staff (S2) did not prevent child (C1) from self-harming. Specifically, it was reported that C1 found a sharp object in the kitchen to cut themselves. In addition, a staff member laughed and made fun of C1, called C1 a name and said C1 was cutting themselves for attention. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 05/30/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On April 14, 2023, at 9:00am, Licensing Program Analysts (LPA's) Jessica Peete and Licensing Program Manager (LPM) Cheraki Davis conducted an announced Pre-Licensing Inspection and Component II & III meeting. The Licensee listed above submitted Short Term Residential Therapeutic Program (STRTP) relocation application. Presently there are no clients in care at the proposed new location. The Pre-Licensing inspection was conducted with Program Director Danette Seay. The facility is a single-story home with four bedrooms, one to be used as a staff office, two bathrooms, and one mental health office. The bedrooms will be arranged so that no more than two clients are in a room, and there will be one client per bed. The bedrooms are not yet furnished; per the Directors statement new furniture will be purchased. The Director was advised that all Individual beds must be in good repair, equipped with good springs, clean mattresses, and pillows. LPA observed adequate shelf and closet space for client's belongings. LPA was unable to test the hot water as the gas line has not been turned on. The Director was advised that the hot water should measure within 105 degrees Fahrenheit and 120 degrees Fahrenheit. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. and located throughout the facility. Fire extinguishers are properly charged. The following deficiencies were observed: Gas not turned on. The dining room is not yet furnished. Refrigerator missing. There wasn't a two-day supply of perishable foods, and a week of nonperishable foods. Client's beds, mattress, bedding, dressers, desk, and linens are missing. Kitchen appliances, pots/pans, plates, bowls, cups, and utensils are missing. Monthly Operating Statement LIC Copy of Administrator Certificate Component III Orientation provided to licensee which included information regarding incident reporting procedures, including those specific to law enforcement contacts; facility, client and staff record requirements; application of prudent parent standards and client personal rights. The facility was advised that the plan of corrections, is due Friday, May 5, 2023, prior to the close of business day. After the above stated deficiencies are corrected in-person, a final file review will be conducted, and the facility will be submitted for licensure. Pre-Licensing inspection, review of application was completed, and a copy of this report was given to the Program Director during the exit interviewed. Non-slips rugs in the showers and in the home. Lock boxes for contraceptives and medication are missing. Recreational activities for the clients are missing. Landline and internet services are not connected. Required postings (CCL Complaint hotline number flyer, Foster Care Bill of Rights, Personal Rights, Emergency Disaster, Facility Sketch, food menus, Ombudsman Poster, Grievance Procedures, and weekly client activities) Dining table is missing. Staff office missing desk, computer, and a chair. Mental Health office missing desk, computer, and a chair The following LIC forms are needed: Applicant Information LIC Designation of Administrative Responsibility LIC Affidavit regarding Client/Resident Cash Resources LIC Financial Statement LIC Financial Information Release and Verification LIC Budget Information LIC Personnel Report LIC Personnel Record LIC The following supportive documents are needed: Partnership Agreement/Articles of Incorporation Verification of Administrator /Director Qualifications

visit_type: Prelicensing

met_with: Director Danette Seay


summary: Facility Evaluation

raw_content:
Narrative:
extinguisherOn May 11, 2023, at 9:00am, Licensing Program Analyst (LPA) Jessica Peete and Licensing Program Manager (LPM) Cheraki Davis conducted an announced Pre-Licensing Inspection meeting. The Licensee listed above submitted Short Term Residential Therapeutic Program (STRTP) relocation application. Presently there are no clients in care at the proposed new location. The Pre-Licensing inspection was conducted with Program Director Danette Seay. The facility is a single-story home with four bedrooms, one to be used as a staff office, two bathrooms, and one mental health office. The bedrooms will be arranged so that no more than two clients are in a room, and there will be one client per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. LPA observed extra liens and towels in the hall closet. The smoke detectors are hard wired into the facility and are in working order. The Carbon Monoxide detector is located in the hallway and was working properly. The facility landline is connected and working. The gas stove and microwave are operable. There was adequate food storage space. LPA observed a two day supply of perishable foods and a week of non-perishable foods. A proper storage of all food was observed. Trash cans with lids were observed in the kitchen, bathrooms, and bedrooms. The sharp knives, medications, and cleaning supplies will be locked in the front hall closet, inaccessible to clients. The hot water in the client bathroom measured to be 117.3 degrees Fahrenheit The home's First Aid kit was complete and is located in the front hallway closet. One fire was present in the home and is located on the kitchen wall. The fire extinguisher was observed to be properly charged and inspected by the fire department. There is no firearms in the home as stated by the licensee. There is no pool or other body of water. The backyard where clients will have access to play and recreation is fenced The following deficiencies were observed: Required postings (CCL Complaint hotline number flyer, Foster Care Bill of Rights, Emergency Disaster, Facility Sketch, food menus, Ombudsman Poster, Grievance Procedures, and weekly client activities) are not yet posted. The following LIC forms are needed: Applicant Information LIC Financial Statement LIC Financial Information Release and Verification LIC Budget Information LIC Personnel Record LIC The following supportive documents are needed: Partnership Agreement/Articles of Incorporation Verification of Administrator /Director Qualifications Monthly Operating Statement LIC Copy of Administrator Certificate The facility was advised that the plan of corrections, is due Monday, May 22, 2023, prior to the close of business day. After the above stated deficiencies are corrected in-person, a final file review will be conducted, and the facility will be submitted for licensure. Pre-Licensing inspection, review of application was completed, and a copy of this report was given to the Program Director during the exit interview.


summary: Facility Evaluation

raw_content:
Narrative:
On July 6, 2023, at 9: AM, Licensing Program Analyst (LPA), Jessica Peete arrived unannounced to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP) to conduct a collateral interview. LPA interviewed Client #1 (C1), as identified on the Confidential Names List LIC 811, dated 07/06/2023, regarding allegations from a prior placement. An exit interview conducted, and a copy of this report was provided to Facility Manager Iyonna Matthews.

met_with: Facility Manager Iyonna Matthews


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2023, at 9: AM Licensing Program Analyst (LPA) Jessica Peete arrived unannounced to Future Stars Short Term Therapeutic Program (STRTP); to conduct a post-licensing inspection. LPA met with the Facility Manager Iyanna Matthews and Head of Services Tabitha Lopez. LPA began and tour of the physical plant at 10: AM. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Books, games and art supplies were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. All hazardous items have been properly made inaccessible to areas where clients will have access. Sharp knives, medications, and a complete first aid kit are kept locked and secure in the entry way hall closet. Cleansers and chemicals are locked in the staff office. The facility has one staff office, one mental health office, and 3 bedrooms. The bedrooms are arranged so that no more than two clients share a room. Each bedroom has two beds with one client per bed. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water in both bathrooms measured between 105 degrees and 120 degrees Fahrenheit. The Facility does not have a pool or any open bodies of water Per Facility Managers, there are no firearms or weapons on the facility grounds. ( Continued on LIC C) At 11: AM LPA began the review of Operational Requirements, Disaster Preparedness, Emergency Interventions, and Core Therapeutic Services. All documentation pertaining to this area of the inspection was provided, and no deficiencies were noted. At 12: PM LPA reviewed five staff files ( S1-S5). All staff have current CPR/First aid certification. S2 did not have the Department of Justice and Child Abuse Clearance Index clearances on file. Per Title California Code of Regulations (CCR) 80019(e)(2) 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: (2) Obtain a California clearance or a criminal record exemption.... The license was issued a Technical Violation. LPA was able to access Guardian Background Check System and observed S2's documents (LIC 508, LIC9182, and Driver's license) were uploaded to Guardian on 04/03/2023. Per the facility managers statement S2 has cleared background. As there are known issues with the Guardian system; LPA will follow-up with Licensing Program Manager (LPM) and LPM will follow up with Guardian to verify clearances. LPA observed that S2 and S3 did not have the required health screening forms. Per Title CCR 80066(a)(10)... Each personnel record shall contain the following information: (10) A health screening... S3 and S4 did not have the required Tuberculosis (TB) documents. Per Title CCR 80066(a)(11)... Each personnel record shall contain the following information: (11) Tuberculosis test documents... Technical violations were issued; per Facility Managers statement the staff files are in the process of being updated licensee was instructed to follow up with LPA and provide the documentation. An exit interview was conducted, and a copy of this report, the LIC 811, and appeal rights was provided to Head of Service Tabitha Lopez

met_with: Facility Manager Iyanna Matthews, Head of Service Tabitha Lopez


summary: Facility Evaluation

raw_content:
Narrative:
On August 4th, 2023 at 1:28 pm Licensing Program Analyst (LPA), Emina Preciado, conducted a collateral visit at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering investigative findings. The facility mentioned above has since relocated and the investigative findings were pertaining to Future Stars Youth Services STRTP, License #366408739. While at the facility LPA conducted a staff interview and gathered supporting documents. A copy of this report was provided to Mental Health Specialist, Ronnie Lusk.

met_with: Ronnie Lusk, Mental Health Specialist


summary: Facility Evaluation

raw_content:
Narrative:
On August 7, 2023, at 9: AM Licensing Program Analyst (LPA) Jessica Peete arrived unannounced to Future Stars Short Term Therapeutic Program (STRTP); to continue with the Post-Licensing inspection. LPA met with the Facility Manager, Iyonna Matthews. LPA Peete previously visited the facility on 08/01/2023, to complete inspection of the Physical Plant, Staff Records, Operational Requirements, Emergency Interventions, Disaster Preparedness, and Core Therapeutic Services. At 9: AM LPA began the review of four client records (C1-C4). Based on file review the licensee was issued two technical violations. LPA observed the required health and tuberculosis (TB) screenings were not on file for C1 and C4. Per Title California Code of Regulations (CCR) 80069(a) ... prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client... and CCR 80089(c)(1) The medical assessment shall include the following: The results of an examination for communicable tuberculosis... Per Facility Managers statement, the medical provider did not have availability within the clients initial 30 days of placement; the appointments have been scheduled for 08/22/2023. The licensee was instructed to follow up with LPA and provide the required documentation. LPA conducted one staff interview with S1; other staff (S2-S5) were not present at the facility during the time of inspection. LPA conducted two client interviews with C1 and C4. An exit interview was conducted, a copy of this report, the LIC 811, and appeal rights was provided to the Facility Manager Iyonna Matthews.


summary: Facility Evaluation

raw_content:
Narrative:
On August 18th, 2023 at 1:50 pm Licensing Program Analyst (LPA), Emina Preciado, conducted a collateral visit at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering investigative findings. The facility mentioned above has since relocated and the investigative findings were pertaining to Future Stars Youth Services STRTP, License #366408739. A copy of this report was provided to Facility Manager, Iyonna Matthews.

met_with: Iyonna Matthews, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday October 24, 2023 at 10: AM Licensing Program Analyst (LPA) Peete arrived unannounced to Future Stars Youth Services Short Term Residential Therapeutic Treatment Program (STRTP) and met with Mental Health Specialist Ronnie Lusk to deliver an amended LIC 9099 report originally issued on 09/12/2023.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/18/2024 at 4: PM Licensing Program Analyst (LPA) Peete arrived unannounced at Future Stars Short Term Residential Therapeutic Program (STRTP) . The purpose of the visit was to amend the LIC 9099 and LIC 9099-C reports originally issued on 01/12/2024. A copy of this report was given to Case Manager Ronnie Lusk.


summary: Facility Evaluation

raw_content:
Narrative:
On Friday March 29, 2024 at 9: AM Licensing Program Analyst (LPA) Peete arrived unannounced to Future Stars Youth Services Short Term Residential Therapeutic Treatment Program (STRTP) and met with Facility Manager, Tanicki Wallace to deliver a report. A copy of this report was given to the Facility Manager.

met_with: Facility Manager, Tanicki Wallace


summary: Facility Evaluation

raw_content:
Narrative:
On May 17, at 9:54 am Licensing Program Analyst (LPA) Nicole Strickland arrived unannounced to Future Stars Short Term Therapeutic Program (STRTP); to conduct an annual/required inspection. LPA met with the Facility Manager Iyonna Matthews. LPA began and tour of the physical plant at 10:07am. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Books, games and art supplies were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. All hazardous items have been properly made inaccessible to areas where clients will have access. Sharp knives, medications, and a complete first aid kit are kept locked and secure in the entry way hall closet. Cleansers and chemicals are locked in the staff office. The facility has one staff office, one mental health office, and 3 bedrooms. The bedrooms are arranged so that no more than two clients share a room. Each bedroom has two beds with one client per bed. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water in both bathrooms measured between 105 degrees and 120 degrees Fahrenheit. The Facility does not have a pool or any open bodies of water Per Facility Managers, there are no firearms or weapons on the facility grounds. (Continued on LIC C) LPA reviewed five staff files (S1-S5). Six technical violations and one technical advisory were issued to the facility. Due to time constraints LPA will return to the facility to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, the LIC 811, and appeal rights was provided to Facility Manager Iyonna Matthews

visit_type: Annual


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On May 22, 2024, Licensing Program Analyst (LPA) Nicole Strickland arrived to the facility to conduct an unannounced continuation annual inspection. During time of inspection LPA five client records and conducted staff and client interviews. Client files were reviewed to ensure they contain the required documentation per Title Regulations and Interim Licensing Standards (ILS). Based on review of and five client files, facility is being cited for violation of Interim Licensing Standards (ILS) 87070(b)(14). A technical violation was also issued to the facility for ILS standard 87070(c)(2). A copy of this report was reviewed and given to Facility Manager Iyonna Matthews, along with the confidential names list (LIC 811), LIC 809-d and appeal rights.

Deficiencies:
87070: (14)A separate log for each psychotropic medication prescribed to a child documenting all of the following:

title:
Children's Records

(b) 	The following information regarding the child shall be obtained and maintained in the child's record


summary: Facility Evaluation

raw_content:
Narrative:
On April 22, 2025, at 10:33 am Licensing Program Analyst (LPA) Raina Perez-Diaz and Licensing Program Manager (LPM) Nicole Strickland arrived unannounced to Future Stars Short Term Therapeutic Program (STRTP); to conduct an annual/required inspection. LPA met with Iyonna Matthews, Facility Manager. LPA began a tour of the physical plant at 10:45 am. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Books, games and art supplies were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. All hazardous items have been properly made inaccessible to areas where clients will have access. Sharp knives, medications, and a complete first aid kit are kept locked and secure in the entry way hall closet. Cleansers and chemicals are locked in the hallway mental health office. The facility has one staff office, one mental health office, and 3 bedrooms. The bedrooms are arranged so that no more than two clients share a room. Each bedroom has two beds with one client per bed. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water measured 114.5 degrees Fahrenheit. **Continue on LIC 809-C*** The Facility does not have a pool or any open bodies of water Per Facility Managers, there are no firearms or weapons on the facility grounds. LPA reviewed five staff files (S1-S5) and deficiencies were observed. S3 and S4 did not have current first aid and CPR and S1's first aid and CPR was issued by a provider that does not met regulatory requirements; therefore, the facility is being cited for violation of California Code of Regulations (CCR) HEALTH RELATED SERVICES 80075(f) Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross. Review of staff files (S1-S5) also noted missing TB testing/results for S2 and S4. This is a violation of California Code and Regulations (CCR) PERSONAL RECORDS 80066(a)(11) Tuberculosis test documents as specified in Section 80065(g). Due to time constraints LPA will return to the facility to complete the inspection at a later date. An exit interview was conducted, and a copy of this report, the LIC 811, and appeal rights were provided to Facility Manager Iyonna Matthews.


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025, at 11: AM Licensing Program Analyst (LPA) Raina Perez-Diaz arrived to the facility to conduct an unannounced continuation annual inspection. During time of inspection LPA reviewed five client records and conducted three staff and three client interviews. Client files were reviewed to ensure they contain the required documentation per Title Regulations and Interim Licensing Standards (ILS). Based on review of and five client files, facility is being cited for violation of Interim Licensing Standards (ILS) 87070(b)(13). A technical violation was also issued to the facility for ILS standard 87063(a)(9). A copy of this report was reviewed and given to Facility Manager Iyonna Matthews, along with the confidential names list (LIC 811), LIC 809-d and appeal rights.


summary: Facility Evaluation

raw_content:
Narrative:
On May 21, 2025, at 9: AM, Licensing Program Analyst (LPA) Raina Perez-Diaz and Licensing Program Manager (LPM) Nicole Strickland arrived to Future Stars Youth Services for the purpose of following up on the Plan of Correction (POC) created on May 8, 2025. On May 8, 2025, LPA conducted an annual inspection and a file review revealed Client #1 (C1) in care did not have paperwork authorizing the facility to provide them with the prescribed psychotropic medication. A deficiency was issued, and POC and due date of May 9, 2025, was developed with the Facility Manager (FM) Iyonna Matthews. FM did not provide proof of correction by May 9, 2025, and this prompted a visit today May 21, 2025. LPA met with FM indicated she was aware the deadline for the POC was missed and FM took full accountability for not informing LPA of the POC status. On May 14, 2025, FM received a Physician Statement paperwork from C1's social worker granting continuation of the medication under emergency circumstances. As a result of Licensee's failure to complete the POC by the due date of May 9, 2025, the facility is being assessed a civil penalty from May 10, 2025 through May 14, 2025, of which accrued at a rate of $100 per day. An exit interview was conducted, and a copy of this report, LIC 421FC, and appeal rights was provided to Facility Manager Iyonna Matthews, whose signature confirms receipt.

met_with: Facility Manager- Iyonna Matthews


raw_content:
Narrative:
Confidential interviews revealed conflicting statements. Confidential interviews revealed S2 used profanity towards C1 and C3 during an outing. Other confidential interviews revealed clients have never heard the staff using profanity and that the staff are nice and respectful. Although the Department received detailed information, the confidential interviews provided inconsistent statements that would validate the allegation. Based on confidential interviews, the allegation that S2 use profanity towards C1 while in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Mathews. *this is an amended report from original LIC 9099 dated 12/04/25*

Investigation Findings:
13On December 04, 2025, at 09: AM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the findings for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 07/21/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two Staff (S1, S2), six Clients (C1, C2, C3, C4, C5, C6) and three County Social Workers (CSW1, CSW4, CSW6). In addition, the Clients' Needs and Services Plans were reviewed. On July 15, 2025, Community Care Licensing received an allegation that staff (S2) use profanity towards the minor (C1) while in care. (continued on LIC 9099c) *this is an amended report from original LIC 9099 dated 12/04/25* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 12/04/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On May 21, 2025, at 09: AM, Licensing Program Analyst (LPA) Raina Perez-Diaz and Licensing Program Manager (LPM) Nicole Strickland arrived to Future Stars Youth Services for the purpose of conducting a case management and met with Facility Manager (FM) Iyonna Matthews. FM was unable to obtain an emergency order to provide Client #1 (C1) with the prescribed psychotropic medication. FM reported she was unsuccessful in obtaining an appointment with a physician at a different clinic to obtain an authorization. The youth has not had any medication as of May 9, 2025. FM reported she received the JV-220 from the client's social worker on May 14, 2025, authorizing the administration of the medication in an emergency circumstance; however, the facility has continued to not provide C1 with medication. Licensee did not ensure the client in care received their prescribed medication as required by 87075(c)(1)Psychotropic medications may be administered to children without court order or parental authorization in an emergency. Emergency procedures are specified in the California Rules of Court, rule 5.640. An exit interview was conducted, and a copy of this report, LIC 809D, and appeal rights was provided to Facility Manager Iyonna Matthews, whose signature confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Leslie Covarrubias and Jose Gonzalez on November 15, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's Covarrubias and Gonzalez met with Head of Service, Tabitha Lopez and inspected the facility inside and out. LPA's reviewed two of child's records and three of staff personnel files on site at the facility. LPA's reviewed two of child's psychotropic medications and medication records. LPA's interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed two of children currently prescribed psychotropic medication. During the inspection the LPA's observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA's provided a copy of this licensing report to Head of Service, Tabitha Lopez.

met_with: Head of Service, Tabitha Lopez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews admitted to making the wrong move and snatched C1's tablet out of their hands and told C1 that they were making a big deal with signing a paper. Confidential interviews could not confirm if S2 swung at C1, as LPA received conflicting statements. Additionally, confidential interviews revealed that S2 was reprimanded and given a verbal warning. Based on the confidential interviews, the preponderance of evidence standard has been met and the allegation that S2 did not treat C1 with respect is substantiated. The facility is being cited for violations of Interim Licensing Standards (ILS), Version 5, Section 87072(c)(1) - Personal Rights: (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, and below, as applicable: (1) To live in a safe, healthy, and comfortable home where they are treated with respect. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Matthews.

Investigation Findings:
13On February 06, 2026, at 09: AM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the findings for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 10/24/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four Staff (S1, S2, S3, S4), five Clients (C1, C2, C3, C4, C5) and County Social Worker (CSW). In addition, Clients' files were reviewed. On February 13, 2025, Community Care Licensing received allegations that staff (S2) did not treat minor (C1) with respect. Specifically, it was reported that S2 shoved a paper in C1's face and smacked the tablet from C1 and swung at C1. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 02/06/2026

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Although the Department received detailed information, during the investigation there was no corroborating evidence to support the above allegation, the confidential interviews revealed conflicting statements if the incidents occurred and there were no witnesses to the alleged incident. LPA was not able to obtain a preponderance of evidence regarding the allegation. Based on the inconsistent confidential interviews, the allegation that staff made inappropriate comments to C1 and C4, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP), Facility Manager, Iyonna Mathews.

Investigation Findings:
13On February 06, 2026, at 09: AM, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Iyonna Matthews, to deliver the finding for the above complaint allegation at Future Stars Youth Services Short Term Residential Therapeutic Program (STRTP). On 11/03/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two Staff (S1, S2), six Clients (C1, C2, C3, C4, C5, C6), Reporting Party (RP) and County Social Worker (CSW1). In addition, the Clients' Needs and Services Plans were reviewed. On October 28, 2025, Community Care Licensing received an allegation that staff made inappropriate comments to minor (C1, C4) in care. Specifically, it was reported that a staff called C1 a crackhead and another staff asked C4 if they are going to get "dicked down." (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: FUTURE STARS YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 02/06/2026

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


facility_name: GATEWAY RESIDENTIAL PROGRAM-FAIR OAKS HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman at 9:00 am. During the inspection, LPA met with Cat Matthews, Executive Director and inspected all files, medication documentation and conducted a medication count on this date. LPA met with Jamie Taylor Child Care Worker and inspected the facility inside and out. LPA reviewed two child's records on site at the facility at 9:00am. LPA reviewed three staff personnel files on site at the facility at 11:00am. LPA interviewed three staff on site at 1:30pm. LPA interviewed two children currently taking psychotropic medication at 1:00pm. No deficiencies being cited at this time. LPA conducted exit interview with Jamie Taylor Child Care Worker at 1:30pm. LPA provided the Summary Report to Jamie Taylor Child Care Worker upon completion.

met_with: Jamie Taylor Child Care Worker


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced annual inspection on 3/7/22 at 9: AM and met with, Catherine Matthews, Executive Director, Jeffrey Beesley, Deputy Director and Ramzy Shehadeh, Program Director. All Gateway properties were inspected by LPA on 3/1/22. LPA did advise the agency that the inspection is being completed with the use of the CARE Tool. LPA Shelton conducted a walk-through of the facility inside and out. There were no clients present during the inspection due to school. LPA observed four bedrooms with both single and double beds in each room. Two bathrooms with soap, paper towels hygiene products and towels. LPA Shelton inspected and/or reviewed the following: · Postings of facility license and Personal Rights Poster were appropriately posted · Disinfectants/Cleaning solutions were inaccessible and locked as required · Nonperishable Foods for one week and fresh perishable for foods two days minimum were present · Menu was present and posted · LPA observed a working telephone on the premises · Carbon monoxide detectors and Smoke Detectors were present and functioning · First Aid Kit was present and fully stocked as required · Common Room (living room) was available as was a separate room in each wing for privacy · Dining area with enough seating for clients in care was present and in good condition · Medication was centrally stored, locked/inaccessible. Centrally stored medication and log reviewed. · LPA's reviewed five (5) client files. One interview was conducted · Motor Vehicle was not present during inspection due to school. · LPA observed that the facility appeared to be free of vermin · LPA observed Locked Facilities included a shed with lawn equipment · LPA reviewed complaint procedures for clients. · Board Minutes were reviewed · Disaster Preparedness was updated and available for review, quarterly drills are completed and logged in a binder and there are disaster preparedness supplies available and verified by LPA · Staff training was in compliance · Criminal record clearances were verified by LPA and in compliance · Certified Administrators certificate was valid and current · Staff job titles/qualifications were verified along with the required Hours of initial training. LPA verified that for staff that have been here longer than a year, the Hours of annual training was also present · Trauma informed practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports) per discussion with the administrator. The following items were reviewed for compliance in the regional office prior to the facility inspection: Administrator Certificate for Catherine Matthews is current and verified Fees have been paid and documentation was provided No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.

met_with: Catherine Matthews, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced Case Management - Annual Continuation inspection on 4/17/2024 and met with Jeffrey Beesley, Deputy Director and Ramzy Shehadeh, Program Director, who assisted with the inspection. LPA Shelton conducted a walk-through of the home inside and out. There are currently no clients or staff living or working in the home. LPA did advise that today inspection was done using the Care Tools. LPA observed that the facility was clean and maintained during the inspection No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.

met_with: Ramzy Shehadeh, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jean Stidman and Janie Davis on 12/15/23 at 9:15am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPAs Stidman and Davis met with Jeffrey Beesley, Executive Director and inspected the facility inside and out. LPAs reviewed two child's records and three staff personnel files on site at the facility. LPAs reviewed two child's psychotropic medications and medication records. LPAs interviewed three staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed two children currently prescribed psychotropic medication. LPAs provided a copy of this licensing report to Jeffrey Beesley, Executive Director. LPAs observed the deck in the backyard has a broken board. Facility cited 80087(a) Buildings and Grounds. LPAs conducted exit interview with Jeffrey Beesley, Executive Director.

met_with: Jeffrey Beesley, Executive Director


facility_name: GATEWAY RESIDENTIAL PROGRAMS-GINGER BLOSSOM HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
On December 8, Licensing Program Analysts (LPAs) Mary Shelton and Connie Goldie made an announced case management to the home and met with Catherine Matthews, Executive Director. The reason for the visit was to conduct an inspection of the home after the home changed the occupancy from six to five clients. LPAs observed that there are currently no residents residing in this house. As such there are no staff working their now either. There are five bed's in the home for residents and the home is in compliance.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced annual inspection on 3/1/22 at 2: PM and met with, Catherine Matthews, Executive Director, Jeffrey Beesley, Deputy Director and Ramzy Shehadeh, Program Director, who assisted with the inspection. LPA Shelton conducted a walk-through of the facility inside and out. There is currently no clients or staff at the home and it is not being occupied. . LPA did advise the agency that the inspection is being completed with the use of the CARE Tool. LPA Shelton inspected and/or reviewed the following: · Postings of facility license and Personal Rights Poster were appropriately posted · Disinfectants/Cleaning solutions were inaccessible and locked as required · Carbon monoxide detectors and Smoke Detectors were present and functioning · First Aid Kit was present and fully stocked as required · Common Room (living room) was available as was a separate room in each wing for privacy · Dining area with enough seating for clients in care was present and in good condition · LPA observed that the facility appeared to be free of vermin A file review was conducted at the office prior to the visit. No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2022, Licensing Program Analysts (LPA) Mary Shelton made an announced case management to the home and met with Jeff Beesley, Executive Director. The reason for the visit was to conduct an inspection of the home after the home changed the occupancy from five to six clients. LPA observed there to be six beds in the home. LPA conducted an exit interview.

met_with: Jeff Beesley, Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/21/2023 at 1: PM Licensing Program Analyst (LPA) Mary Shelton made an announced case management to the home and met with Jeff Beesley, Executive Director. The reason for the visit was to conduct an inspection of the home after the home suffered fire damage on 8/8/2022. LPA observed that there are currently no residents residing in this house. As such there are no staff working their now either. LPA observed that all fire damage has been repaired and the home is in compliance.

met_with: Jeff Beesley, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced annual inspection on 4/12/2024 at 9: AM and met with Ramzy Shehadeh, Program Director. LPA did advise the agency that the inspection is being completed with the use of the CARE Tool. LPA Shelton conducted a walk-through of the office. LPA Shelton inspected and/or reviewed the following: · LPA reviewed client files. · LPA Interviewed (3) clients. · Client Records/Client Checklist using CARE Tool. · Clients with special health care needs using CARE Tool. · Emergency Intervention using CARE Tool. · Board Minutes were reviewed. · Disaster Preparedness was updated and available for review, quarterly drills are completed and logged in a binder and there are disaster preparedness supplies available and verified by LPA. The following items were reviewed for compliance in the regional office prior to the facility inspection: Administrator Certificate for Jeffrey Beesley is current and verified. Fees have been paid and documentation was provided. No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.

met_with: Ramzy Shehade, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced Case Management - Annual Continuation inspection on 4/17/2024 and met with Jeffrey Beesley, Deputy Director and Ramzy Shehadeh, Program Director, who assisted with the inspection. LPA Shelton conducted a walk-through of the home inside and out. LPA did advise that today inspection was done using the Care Tools. LPA Shelton inspected and/or reviewed the following: · Postings of facility license and Personal Rights Poster were appropriately posted. · Disinfectants/Cleaning solutions were inaccessible and locked as required. · Carbon monoxide detectors and Smoke Detectors were present and functioning. · First Aid Kit was present and fully stocked as required. · LPA observed the Grievance/Complaint Policy is posted as required. · Allowance binder was in compliance. · Common Room (living room) was available as was a separate room in the home for privacy. · Dining area with enough seating for clients in care was present and in good condition. · Clients bedrooms/bathroom. · LPA observed that the home's water was at required temperatures at all faucets within the home. · LPA inspected the Medication Log and the Controlled Medication Log for clients in care. · LPA observed that the facility was clean and maintained during the inspection and meal menu displayed. A staff file review was conducted at the office prior to the visit. No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.

met_with: Jeffrey Beesley, Deputy Director


summary: Facility Evaluation

raw_content:
Narrative:
On 1/15/2025, Licensing Program Analyst (LPA) Mary Shelton, conducted an unannounced inspection for the purpose of conducting a case management regarding an incident that occurred on 12/27/2024. LPA met with staff, C1's Probation Officer and one client, and obtained information regarding the incident. LPA conducted a walk through to observe the facility. The case management is closed. No follow-up investigation is required. An exit interview was conducted and a copy of this report was provided to the Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On April 25, 2025 at 11: AM, Licensing Program Analyst (LPA) Michelle Silvas made an unannounced visit to Gateway Residential Programs - Ginger Blossom House, to conduct a case management inspection. LPA met with Ramzy Shehadeh, Administrator who assisted with the inspection. 0 clients and 1 staff were present. LPA conducted an inspection of the facility inside and outside. The purpose for today's inspection is to issue a citation for 2 uncleared staff working at the facility. While conducting an inspection at one of the other Gateway homes, it was determined that multiple staff in every location did not have a criminal record clearance to work at the facility. A civil penalty of $100.00 per day for five days is being assessed for the two uncleared staff. An exit interview was conducted, and appeal rights were discussed. A copy of this report along with the appeal rights were given to Ramzy Shehadeh, Administrator.

met_with: Ramzy Shehadeh, Administrator


facility_name: GATEWAY RESIDENTIAL PROGRAMS-PALM HOUSE

raw_content:
Narrative:
while playing a boxing game. C1 missed the punching bag and punched the medal post behind the bag and fractured his hand. S6 was present at the time of the incident and had asked if C1 was OK, which he replied yes. S1, S4, S5 and C2 state that C1 refused to go to the ER because he did not want to wait for a long time. Staff called S4 who was the Resident Care Coordinator, and the on-call emergency contact that day. She asked to speak to C1 and asked how he was doing and if he wanted to go to the ER? S4 states that C1 did not want to go to the ER because of the wait so S4 advised staff to give him Ibuprofen and to use the first aid kit and put a splint on his hand. Staff did keep asking him throughout the weekend if he needed more Tylenol for the pain. That following Monday, March 13, 2023, S4 called C1s pediatrician to make an appointment, the soonest they could get him in was March 15, 2023. S4 states that C1 felt content knowing he would have an appointment with his doctor. C1 was seen on March 15, 2023, and had X-rays done which showed his right hand to be fractured. His hand was splinted up and a week later he had a cast put on. Regarding the allegations staff did not seek medical attention for minor in a timely manner, staff did not treat minor with dignity and respect and staff did not address a change in minor's health condition, four out of nine confidential interviews stated that C1 refused to go to the ER because he did not want to wait for a long time. Seven out of nine confidential interviews stated that staff always show concern when it comes to client's health and safety and if a client would insist on going to the ER, they would take them immediately. C2 states that staff treat all the clients with dignity and respect and take good care of them. He states that, "if C1 wanted to go to the ER, staff would have taken him." C2 also states that he heard staff ask C1 if he wanted to go to the ER and C1 refuse to go. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted and appeal rights were discussed. A copy of this report along with a copy of the appeal rights were provided to Ariana Gomez, Residential Counselor.

Investigation Findings:
13On May 5, 2025 at 4: PM, Licensing Program Analyst (LPA) Michelle Silvas initiated an unannounced complaint investigation inspection at the above listed facility. LPA met with Ariana Gomez, Residential Counselor, who assisted with the inspection. The purpose of the inspection was to deliver findings for the above listed allegations. On January 27, 2025, LPA initiated a 10-day initial complaint investigation inspection and conducted one staff interview. LPA obtained copies of face sheets and needs and services plan for C1, C2, C3, C4. Between 1/27/25 and 3/27/25, LPA conducted nine confidential interviews. The Department received a complaint on January 23, 2025, regarding C1 being injured and not receiving medical attention in a timely manner. C1 was a client at Gateway-Palm house in 2023. While his time there, he had gone on a group outing on March 10, 2023, to an arcade where C1 sustained an injury UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Michelle Silvas 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: GATEWAY RESIDENTIAL PROGRAMS-PALM HOUSEFACILITY NUMBER: VISIT DATE: 05/05/2025

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

met_with: Ariana Gomez, Residential Counselor


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman at 1:30 pm. During the inspection, LPA met with Cat Matthews, Executive Director and inspected all files, medication documentation and conducted a medication count on this date. LPA met with Albertina Johnson, Case Manager and inspected the facility inside and out. LPA reviewed two child's records on site at the facility at 1:30pm. LPA reviewed three staff personnel files on site at the facility at 1:30pm. LPA interviewed three staff on site at 2:30pm. LPA interviewed two children currently taking psychotropic medication at 1:30pm. No deficiencies being cited at this time. LPA conducted exit interview with Albertina Johnson, Case Manager at 3:15pm. LPA provided the Summary Report to Albertina Johnson, Case Manager upon completion.

met_with: Albertina Johnson, Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2021, Licensing Program Analysts (LPA's) Connie Goldie and Mary Shelton made an announced case management visit to the home and met with Catherine Matthews, Licensed Social Worker. The reason for the visit was to conduct an inspection of the home after the home reduced occupancy from six to five clients. LPA's Goldie and Shelton observed that there are three single resident bedrooms and one dual resident bedroom with a total of five beds available for clients. The home was clean, safe and compliant. LPA's conducted an exit interview.

met_with: Catherine Matthews / Licensed Social Worker


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Mary Shelton made an unannounced annual inspection on 3/1/22 at 10: AM and met with, Catherine Matthews, Executive Director, Jeffrey Beesley, Deputy Director and Ramzy Shehadeh, Program Director, who assisted with the inspection. All Gateway properties were inspected by LPA on 3/1/22. LPA did advise the agency that the inspection is being completed with the use of the CARE Tool. LPA Shelton conducted a walk-through of the facility inside and out. There were no clients present during the inspection due to school. LPA observed four bedrooms with both single and double beds in each room. Two bathrooms with soap, paper towels hygiene products and towels. LPA Shelton inspected and/or reviewed the following: · Postings of facility license and Personal Rights Poster were appropriately posted · Disinfectants/Cleaning solutions were inaccessible and locked as required · Nonperishable Foods for one week and fresh perishable for foods two days minimum were present · Menu was present and posted · LPA observed a working telephone on the premises · Carbon monoxide detectors and Smoke Detectors were present and functioning · First Aid Kit was present and fully stocked as required · Common Room (living room) was available as was a separate room in each wing for privacy · Dining area with enough seating for clients in care was present and in good condition · Medication was centrally stored, locked/inaccessible. Centrally stored medication and log reviewed. · LPA's reviewed four (4) client files. No interviews were conducted · Motor Vehicle was not present during inspection due to school. · LPA observed that the facility appeared to be free of vermin · LPA observed Locked Facilities included a shed with lawn equipment · LPA reviewed complaint procedures for clients. · Board Minutes were reviewed · Disaster Preparedness was updated and available for review, quarterly drills are completed and logged in a binder and there are disaster preparedness supplies available and verified by LPA · Staff training was in compliance · Criminal record clearances were verified by LPA and in compliance · Certified Administrators certificate was valid and current · Staff job titles/qualifications were verified along with the required Hours of initial training. LPA verified that for staff that have been here longer than a year, the Hours of annual training was also present · Trauma informed practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports) per discussion with the administrator. The following items were reviewed for compliance in the regional office prior to the facility inspection: Administrator Certificate for Catherine Matthews is current and verified Fees have been paid and documentation was provided No citations were issued at the conclusion of the inspection. Exit interview was conducted and documents were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On August 18, 2022, Licensing Program Analysts (LPA) Mary Shelton made an announced case management to the home and met with Ramzy Shehadeh, Program Director. The reason for the visit was to conduct an inspection of the home after the home changed the occupancy from five to six clients. LPA observed there to be six beds in the home. LPA conducted an exit interview and a report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 01/18/2023 at 8:30 am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Jeffrey Beesley, Executive Director, and inspected the facility inside and out. LPA reviewed 0/5 child's records and 2/6 staff personnel files on site at the facility. LPA reviewed 0/5 of child's psychotropic medications and medication records. LPA interviewed 2/6 of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0/5 of children currently prescribed psychotropic medication. No children in care qualified as they all were private placement's. LPA provided a copy of this licensing report to Jeffrey Beesley, Executive Director. No deficiencies are being cited at this time. LPA conducted exit interview with Jeffrey Beesley, Executive Director.