summary: Facility Evaluation

raw_content:
Narrative:
On 3/20/ Dara Campos Licensing Program Manager (LPM), Jean Stidman Licensing Program Analyst (LPA) conducted an Informal conference with Krista Fiser CEO, Chelsi Gapasin Program Manager, Isabel Rios Director of Administration,Eliana Montes Program Coordinator, and Amy Powers Director of Youth Services for the purpose of a Case Management inspection. LPM and LPA discussed the concerns that CCLD has observed and to provide comprehensive technical assistance to assist the facility in providing a successful program. Areas of Discussion/Concerns a. Program Statement b. Qualifications c. Requested Documentation d. Medication e. Services Available to Youth f. Care and Supervision g. Food Services h. Operating Hours No violations were cited. A copy of this report was provided to Isabel Rios Director of Administration


state: CA

facility_name: SAILS CRISIS

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Information obtained through confidential interviews revealed that staff was made aware by other investigating agency that a client was being locked in their room, however staff never witnessed any such incident occur. Staff indicated that all medications were locked and stored in a cabinet away from clients. Staff denied having hazardous items accessible to clients further indicating that all chemicals were stored in a locked cabinet in the garage. Staff denied the facility being in disrepair and further indicating that when items were damaged by clients said items would be discarded and replaced by upper management. As to the allegations of staff not meeting minors' dietary needs and staff storing expired food, staff indicated that meals plans were followed, however C2 refused the meals and would have a tantrum until C2 was given what they wanted. Staff indicated that the facility had plenty of perishable and non-perishable foods that would be purchased on a weekly basis. Staff indicated that they would periodically go through the food and discard the expired items. As to the allegations of clients bedding being unsanitary and not providing clients adequate bedding, staff stated that the facility had an ample amount of bedding and were continuously doing laundry due to client's medical issues. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was sent via email to the above Administrator.

Investigation Findings:
13On July 28th, 2021 at 3:40 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an unannounced inspection to the above Facility and met with Sails Administrator Ty Scherer. The purpose of the inspection was to deliver the findings for the above complaint allegations. On February 16th, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following above allegations. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with 4 staff member S1 on 4/6/21, S2, S3 and S4 on 5/7/21. LPA was unable to obtain statements from C1 and C2 due to being non-verbal. (Reference Confidential Names Form LIC 811, dated July 28th, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 07/28/2021

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

report_type: Complaint Investigation

met_with: Ty Scherer - Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based upon the KRC Unannounced Visit Report as it relates to Health and Safety the medications are properly administered and medications logs are accurately maintained. As it relates to the facility not providing the client diapers, based upon the KRC Unannounced Visit Report, Client Services, the clients are clean, groomed and appropriately dressed, personal hygiene supplies are available to clients and clients have access to their room, clothing and personal belongings. As it relates to a staff being observed falling asleep on-duty, the LPA was unable to interview the reporting party in order to obtain additional information. The investigation revealed that the client resided at Sails V from February 12, 2021 until February 19, 2021. It revealed that staff for Sails Bakersfield, Inc. rotate between facilities. A similar allegation was investigated against the other facility by LPA Winston Moroney. Statements from the KRC Service Coordinator revealed no concerns about staff to client ratios when they conducted their visits. The LPA was unable to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was emailed to Mr. Scherer.

Investigation Findings:
On August 20, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation. The LPA met with Administrator, Ty Scherer. On April 28, 2021, the Monterey Park Children's Residential Regional Office (MPCRO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to the Administrator, Ty Scherer, on July 2, 2021 at the facility and via telephone on August 18, 2021; and one Kern County Regional Center Service Coordinator. The LPA reviewed Client's (see Confidential Names, LIC Ref. #1 dated August 20, 2021) Discharge Summary, Medication Logs for January and February 2021, and Kern Regional Center (KRC) Unannounced Visit Report dated February 12, 2021. The LPA did not interview the client due to the client's limited verbal skills. The investigation revealed that the client resided at the facility from January 7, 2019 to February 12, 2021 and was transfered to another Sails Bakersfield, Inc. facility on February 12, 2021. The facility was only able to provided the LPA with Medication Logs from January and February 2021. Per the Administrator, it is believed the original medication logs were transferred in the client's binder to the client's new facility in a different Regional Center location. (Cont'd) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 08/20/2021

announced_status: Unannounced

met_with: Ty Scherer


raw_content:
Narrative:
Staff reported the allegation regarding the inappropriate behavior could be retaliation made by another staff. When LPA inquired about any staff with a reason to retaliate, staff could not recall. Staff denied using improper restraint on a client; staff explained that staff can only conduct emergency intervention on a client as a last resort and when there are two or more staff present to assist. When LPA inquired if staff restrained any client, staff was unable to recall. Current and former staff denied witnessing staff engaging in the inappropriate behavior described and improperly restraining a client. A former lead staff denied being informed of staff's alleged inappropriate behavior while on duty or any improper restraint on a client in placement. Based on the information obtained, the allegations are unsubstantiated. Although the allegations may have happened, there is no preponderance of evidence found to prove or disprove that the allegations occurred. An exit interview was conducted. A copy of this signed report, the Confidential Names Form and Appeal Rights forms were provided to the facility representative. There were no deficiencies cited during the inspection.

Investigation Findings:
13On September 8, Licensing Program Analyst (LPA) Irene Yamamoto delivered the findings of the allegations. LPA met with the facility representative named above. The Department received a complaint alleging that staff was masturbating while on duty and the same staff used improper restraint on a client. LPA conducted confidential interviews and reviewed records. LPA was unable to obtain a statement from the former client, who was removed from placement on February 2021. Records reveal that client has very limited verbal skills and was unable to respond to queries during prior complaint investigations (See Confidential Names LIC 811 dated September 8, 2021). Confidential interviews reveal that staff was observed masturbating while on duty during a graveyard shift. There was no other witness to this allegation. The same staff was observed holding a client by the neck and when questioned, staff reported client was held to prevent client from engaging in self injurious behavior (biting self). There was no other witness found to the second allegation. Staff involved denied the allegations, stating it did not happen. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 09/08/2021

met_with: Mauricio Villatoro, Executive Director


summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
The investigation revealed that county personnel conducted an unannounced welfare check during the night shift and found only one staff on-site. The facility had a staffing shortage that night with another facility requiring the staff scheduled to be at this facility to cover for another staff who did not show up and did not notify facility management. The facility provided an additional worker at this facility during this incident to cover for the staff shortage. The facility also implemented disciplinary actions for the facility staff and provided re-training regarding proper staffing ratios, consumer rights and emergency contact protocols. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative. The investigation revealed that the two clients at the facility played with a water hose in the backyard resulting in the clients being drenched with water. It was alleged that staff forced clients to undress due to their clothes being wet and entering the facility. Confidential statements obtained during the investigation were unable to corroborate the allegations as details obtained provided inconsistencies which did not support the allegations. One facility client who allegedly undressed in front of the staff stated that they did not change their clothes in front of staff but instead changed their clothes in the bathroom once staff provided them with a bath towel. The other facility client insisted that the other client changed their clothes in front of the staff. Confidential statements obtained regarding staff providing inadequate meals were also inconsistent as one client indicated that food was always readily available and accessible while another client maintained that staff did not provide him with a meal upon request. Facility staff denied the allegations altogether stating that they did not require the clients to change their clothes in their presence and denied withholding meals to the clients. Other facility staff denied witnessing other staff neglect providing meals to clients. In addition, the facility was stocked with food and snacks during an unannounced facility inspection. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On August 30, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA interviewed facility clients on 6/2/22 and 6/16/22, and facility staff on 6/2/22, 6/17/22 and 8/24/22 (see Confidential Names Form dated August 30, 2022). LPA also reviewed documents including the placing agency service logs and reports, facility clients' Needs and Services Plans, incident reports, and facility personnel records. It was alleged that the facility did not have adequate staffing. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 08/30/2022

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:

Deficiencies:
84065.51: 84065.5	Staff/Child Ratios (a) and (c) From 7 a.m. to 10 p.m., there shall be one on-duty child care staff person to each ten children, or fraction thereof, present ... If the children require special care and supervision because of age, problem behavior or other factors, the number of on-duty child care staff shall be increased.

met_with: Roy Aguilar, Facility Manager

title:
2
3
4
5
6
784065.5 Staff/Child Ratios


raw_content:
Narrative:
The investigation revealed that Staff Ref. #2, 3, and #4 denied yelling at Ref. #1. The witness revealed that a staff was rude, because Ref. #1 did not eat all of their food, but the witness was unable to recall the name of the staff. The investigation revealed that Staff Ref. #2, 3, and #4 denied using profanity towards Ref. #1. There was a statement that Ref. #3 used profanity, but the witness denied recalling the staff's name that used profanity. Then the witness informed the LPA that they did not want to talk about it. Staff Ref. #2 denied the allegation of providing keys to Ref. #1 to open the medication closet. The investigation revealed a statement that Staff Ref. #2 provided Ref. #1 with keys to the medication closet in order to obtain candy Ref. #1 requested. The facility provided the LPA with receipts from a pest control company dated February 1, 2022, April 1, 2022, June 2, 2022 and August 1, 2022. There was an allegation that the bathroom and Ref. #1's dresser were in disrepair. On June 24, 2022, the LPA toured the facility and observed the following: a locked medication closet in the hallway; the bathrooms, the linen and Ref. #1's bedroom. The LPA observed no feces in Ref. #1's bedroom on this date. The LPA observed the facility to be clean, safe and in good repair. The LPA observed that Ref. #1's dresser had wood chipped on one edge of the drawer. The KRC Quality Assurance Coordinator noted that the dresser was functional. The Administrator revealed that Ref. #1 chipped the drawer on Ref. #1's first day of placement. The KRC Report indicated that there were no health/safety issues at the facility and Ref. #1's bedroom "appeared clean and organized" and that the facility is "clean, sanitary, and well-maintained inside and out. The LPA observed Hour Functional Behavior Assessments for May 17, 2022, May 24, 2022, June 30, 2022 signed by Behavioral Consultant, Steve Perez. Staff Ref. #4 denied sleeping on duty. The allegation that Ref. #4 was sleep while on duty was maintained. There were no other witnesses present to this incident, although a witness stated they heard Ref. #3 snoring over the telephone. The second client was away from the facility on a home pass. There was an allegation that staff disrupts Ref. #1's sleep. There was no information provided the LPA regarding this allegation. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On September 15, 2022 at 4:05 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with House Manager, Roy Aguilar On June 23, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the Administrator at the facility on June 24, 2022 and via telephone on September 12, 2022; the Kern County Regional Center (KRC), Quality Assurance Coordinator, Rome Quiton, via telephone on June 27, 2022; one client (see Confidential Names, LIC Ref. #1 dated September 15, 2022) at the new placement on August 25, 2022; three staff, Ref. #2, #3 and #4 via telephone on September 7, 2022; and the KRC Service Coordinator via telephone on September 12, 2022. The LPA observed the following documents: Hour Functional Behavior Assessment May 17, 2022, May 24, 2022, June 30, 2022; May, June Menus; May, June Weekly Schedule; General Event Report dated June 6, 2022; Individual Program Plan (IPP); Kern County Regional Center Facility Unannounced Visit Report dated May 17, 2022; Register of Facility Clients; Personnel Report; Pest Control Service Receipts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 09/15/2022

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

met_with: Roy Aguilar


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Administrator stated that staff used appropriate and authorized policies and procedures in de-escalating the situation that they were presented with. LPA attempted to interview children but children were non- responsive to LPA's questions. LPA observed children with staff and in facility and children were dressed appropriately and appeared to be happy and comfortable around staff and within facility. LPA toured facility and observed no mechanical or non- mechanical restraints. Documents reviewed identified child having behaviors and staff hugged one child to console them but did not hold onto to child in the form of a restraint. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection. Exit interview completed, no deficiencies cited and a copy of this report was provided to Administrator.

Investigation Findings:
13On 1/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Sails Crisis Center for the purpose of a complaint investigation. LPA met with Administrator and discussed the above identified allegations. Investigation consisted of the following: LPA met with and interviewed Administrator, two (2) staff and two (2) children (see confidential names LIC 811, dated 1/3/2024). LPA requested the following documents: Current staff/ client roster, children's needs and service plan or recent documented information, documented incident reports regarding care of children, daily notes involving children and staff interactions and any documented used restraints. Investigation revealed the following: It was alleged that staff did not properly manage a client's behavior. Staff and Administrator had similar statements and denied the allegation. Staff stated that they used verbal redirection, consoling and patience with handling children's behavior. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS CRISISFACILITY NUMBER: VISIT DATE: 01/03/2024

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

met_with: Ty Scherer, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 28, 2021 at 3: PM, Licensing Program Analyst (LPA) Jean Herring conducted a Case Management - Tele-Inspection of the facility via FaceTime. Remote "tele-inspection" of facilities is a part of Community Care Licensing Division's emergency response to the spread of Coronavirus Disease 2019 (COVID-19). LPA spoke with Mauricio Villatoro, Executive Director. During a previous tele-inspection conducted on 2/24/21, LPA observed major repairs in progress. The purpose of today's tele-inspection was to follow up on the repairs and ensure there are no buildings and grounds issues. There are no clients residing at the facility at this time. The following was observed during the virtual tour of the facility: - COVID19 signs at the front door have been removed because the door has been repainted. Mr. Villatoro will re-post the COVID19 signs. - The living room, kitchen, dining area and hallways have been repainted. - LPA observed new stove, TV, couch, dining table and chairs. - All fixtures are in good condition. - LPA observed new linens and beddings. - Hallway cabinet doors have been repaired/replaced. - Bathroom faucets and showers are in good repair. Toilets have been replaced. - Bedrooms are clean and in good repair. - Backyard is clean and there are no safety hazards observed. - Part of the garage has been converted to a storage room for carpentry tools and supplies. The storage room is locked and inaccessible to clients. There are no buildings and grounds concerns observed during the tele-inspection. LPA concluded the tele-inspection at 3:45PM. A signed copy of this report was provided to the licensee.

report_type: Facility Evaluation

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021 at 3: PM, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced Annual Required inspection at SAILS Crisis Group Home. LPA met with Ty Scherer, Administrator. The group home is licensed to serve four (4) male and female developmentally disabled clients, ages 7 - 17, ambulatory and non-ambulatory. Facility has no placement at this time. This Group Home is a single level house located in a residential neighborhood. The facility consists of 4 bedrooms (one of which is being utilized as an office), 2 bathrooms, living room, kitchen, dining room, laundry room, covered patio and backyard. Half of the garage has been recently converted into a utility/maintenance room. PHYSICAL PLANT Overall, the facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed and all doors open freely. There are no bodies of water in the facility. Disinfectants and other toxic materials are locked in the garage. Sharps and knives are locked in the hallway closet. Hot water temperatures are maintained between 105 and 120 degrees F. The fire extinguisher located in the laundry room is fully charged. Carbon monoxide and smoke detectors were tested and observed operable. The AC is operable and room temperatures feel comfortable. CARE & SUPERVISION There are no children in care at this time. Facility has non-perishable food items for at least one week and there are no perishable foods observed. A weekly menu will be posted prior to placement of children and special diets will be followed. Medications will be centrally stored/locked in the hallway closet and accessible only to employees supervising stored medications. PERSONAL RIGHTS Facility posts child's personal rights. CLIENT AND STAFF RECORDS There are no client records to review at this time. LPA reviewed the administrator's personnel record. The administrator received over 20 hours of annual training in addition to CPR and First Aid and his Group Home Administrator's Certificate is current. A review of Licensing Information System on today's date indicates that facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. ADMINISTRATION Facility's Emergency Disaster Mass Casualty Plan is current and available for review. There were no deficiencies noted during today's inspection. Exit interview conducted and a signed copy of this report was provided to the facility representative.

visit_type: Annual


facility_name: SAILS IX

raw_content:
Narrative:
The facility staff stated client was upset and began to hit, scratch and throw self on floor. The facility staff redirected client until client was calm. The confidential interviews conducted did not collaborate the allegation. The regional center service coordinators and county social worker indicated having no concerns with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegation. Based on the interview and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On January 19, 2022 at 11: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Facility Administrator Tajon Bell. During the course of the investigation, LPA Cabral interviewed one staff on 9/3/21, interviewed one staff, two clients and attempted to interview two clients on 1/6/22 (see Confidential Names Form LIC 811 dated January 19, 2022). LPA Cabral interviewed one regional center service coordinator, attempted to interview another regional center service coordinator and interviewed one county social worker on 1/6/22, LPA interview one regional center service coordinator on 1/7/22. LPA Cabral reviewed the facility's incident report, and client's quarterly report. The facility staff denied the allegation that client sustained red marks on body while in care. Facility staff indicated no clients have been hit, punched or scratched by facility staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS IXFACILITY NUMBER: VISIT DATE: 01/19/2022

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

met_with: Tajon Bell, Administrator


raw_content:
Narrative:
The investigation revealed that Ref. #1 has 1-to-1 supervision at the facility with the Direct Care Professional. It revealed that the Direct Care Professional did not observe a mark on Ref. #1's arm the date Ref. #1 left the facility. The investigation revealed that the Direct Care Professional completed a Body Chart (Program Assessment Form) prior to Ref. #1 leaving the facility. The Direct Care Professional denied leaving Ref. #1 without supervision. Both the facility Direct Care Professional and Regional Center Direct Service Provider indicated that Ref. #1 experiences eczema and engages in self-injurious behavior. The investigation revealed that the facility and Regional Center were not notified of the mark immediately, but a couple of days after Ref. #1 left the facility. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On May 2, 2024 at 12:10 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation involving client (see Confidential Names, LIC Ref. #1 dated May 2, 2024). The LPA met with House Manager, Dawn Bell. On October 19, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the House Manager at the facility on January 5, 2024; the Regional Center Direct Service Provider and the facility Direct Support Professional via telephone on April 5, 2024. The LPA was unable to interview Ref. #1, who is non-verbal. The LPA observed photographs, Program Assessment Forms, Individual Program Plan (IPP) and incident report. The investigation revealed that Ref. #1 had a mark on the inside of his upper right arm that was approximately one inch in length. There was a statement that it appeared to be a bite mark. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS IXFACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Dawn Bell


raw_content:
Narrative:
The investigation did not reveal the name of the staff that was supposedly with the client at the time. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On June 27, 2024 at 5:20 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation involving Client (see Confidential Names, LIC Ref. #1 dated June 27, 2024) to the facility. The LPA met with Direct Care Staff, Kristi Kenley. On March 18, 2024, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the House Manager, Dawn Bell, at the facility on March 27, 2024; the former Administrator, Tajon Bell and the Kern County Regional Center Direct Service Provider via telephone on June 25, 2024. The LPA reviewed Ref. #1's Individual Program Plan. The LPA was unable to interview Ref. #1, because Ref. #1 is non-verbal. There was a statement made that Ref. #1 and a staff at the facility reeked of marijuana on one occasion. The investigation revealed that Ref. #1 was placed in the facility on March 13, 2024 and the facility had not yet vetted Ref. #1 for outings. It revealed that the facility conducted an internal review and found hat a neighbor smokes marijuana in their backyard and it wafts into the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS IXFACILITY NUMBER: VISIT DATE: 06/27/2024

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

met_with: Kristi Kenley


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2021 at 10: AM, Licensing Program Analyst (LPA) Claudia Portillo conducted an unannounced Annual/Required inspection at the above-named facility. LPA met with Mauricio Villatoro, Administrator. The group home is licensed to serve five (5) male developmentally disabled clients, ages 12 - 17, ambulatory and non-ambulatory. Currently in placement are four (5) clients placed by Kern Regional Center and Orange County Regional Center. All clients attend school. Facility has a Covid-19 check in station where temperatures are checked every time an individual enters the facility. Staff are always required to wear masks and were enough PPE supplies for clients/staff. LPA also conducted a facility tour with Emilio Saucedo (Lead Staff/Facility Manager) at 11: AM. LPA started reviewing staff and client records at 11: AM. Physical Plant: Overall, the facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed, and all doors open freely. There are no bodies of water in the facility. Sharps, disinfectants, cleaning solutions and other toxic materials are locked in a cabinet located in the kitchen. Temperatures in rooms that clients occupy are maintained at 75 degrees (F). The facility is centrally heated. The hot water temperature was tested and measured at 113 degrees F. Each client bedroom has 1 bed, linens, and adequate drawer/cabinet space. LPA also observed a complete First aid kit, and the smoke detectors and carbon monoxide alarm were tested and found to be operable. Two fire extinguishers throughout the facility are fully charged. Emergency Disaster Mass Casualty Plan is current and available for review. The facility has a working telephone. Care and Supervision: The staff to client ratio in the day and overnight is 2:5. Facility has non-perishable foods for at least one week and perishable foods for at least two days. A review of weekly menu indicates that the facility provides nutritious meals and snacks. Medications, knives and hazardous products are locked in a cabinet located in the hallway and accessible only to employees responsible for stored medications. LPA also reviewed the facility disaster drill and fire drill (fire drill was performed on 04/23/2021). Personal Rights: Facility posts child's personal rights and the Foster Youth Bill of Rights was posted and made accessible to clients/authorized representatives. Clients attend school and personal enrichment activities. Clients are advised of their personal rights & house rules during intake and during annual review. Due to COVID-19, outings were cancelled prior to June 15, 2021. The facility has resume outdoors activities and has an outing log with details for all activities. Staff Records: LPA reviewed 3 personnel records. (reference: LIC 859) Adults working in the facility have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Staff files are maintained in a locked file cabinet located in the office space (1st living room). Client Records: LPA reviewed 5 client records. (reference: LIC 858) Client records are maintained in locked hallway cabinets. Administration/Accountability:The following topics were discussed with the Administrator: · Emergency Intervention Protocols are followed, and fire drill/disaster drills are conducted every month. As per Administrator there was no physical restraints in the year of 2020 and current year 2021. · Administrator is on site at least 24 hours · Staff utilize their own personal cars to transport clients and car insurance are verified by the human services personnel. Deficiencies were cited in accordance with Title 22 and Advisory notes were issued. An exit interview was conducted and a signed copy of this report was left with the Facility Administrator along with LIC 859 (Review of Staff Records) and LIC 858 (Client's Records Review), Deficiency page, Advisory Notes, and Appeal Rights.

met_with: Mauricio Villatoro, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On April 21, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted an unannounced required annual inspection at the above facility and met with Facility Tajon Bell . This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of five (5) male clients. There are currently five (5) clients in placement (See Client/Resident's Records Review - LIC811 dated 04/21/23). LPA requested a copy of the following: - LIC 500 (Personnel Report) -Client/resident roster -Board minutes - LIC C Emergency Disaster Plan & written disaster and mass casualty plan of action LPA conducted a walk through of the inside and outside of the facility. This facility has five (5) bedrooms, three (3) restrooms, a living room, a dinning area, a kitchen, a laundry room/area, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to five (5) ambulatory and/or non-ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPA observed the following posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked and inaccessible to the clients. The client files and staff are kept locked in a locked closet near the entrance. The facility has a complete first aid kit and a fire extinguisher that was serviced on 4/10/2023. Carbon monoxide/smoke detectors were tested and observed to be operable. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was safe. There are no firearms on the premises. The facility phone system is operable. OPERATIONS Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. No citations were given. The inspection will be resume at a later date. An exit interview was completed and a signed copy of this report was provided to the facility representative.

met_with: Tajon Bell- Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2023, Licensing Program Analyst (LPA) Johanna Lofton conducted an unannounced Annual Inspection continuation at the above named facility and met with Facility Administrator, Tajon Bell. LPA stated the purpose of the inspection to the group home representative. During the annual inspection LPA reviewed the facility's physical plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Client and Staff records. There were no citations issued during the inspection. An exit interview was conducted and a signed copy of this report (LIC809) was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2024, Licensing Program Analysts (LPAs) Pamela Silva and Juliet Robles conducted an unannounced required annual inspection at the above facility and met with Interim Administrator Emilio Saucedo. This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of five (5) male clients. There are currently five (5) clients in placement. LPAs requested a copy of the following: - LIC 500 (Personnel Report) -Client/resident roster -Board Meeting Minutes - LIC C Emergency Disaster Plan & written disaster and mass casualty plan of action LPAs conducted a walk through of the inside and outside of the facility. This facility has five (5) bedrooms, three (3) restrooms, a living room, a dining area, a kitchen, a laundry room/area, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to five (5) ambulatory and/or non-ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPAs observed the following posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked and inaccessible to the clients. The client and staff files are kept locked in a locked cabinet near the entrance of the home. The facility has a complete first aid kit and two (2) fire extinguishers. Carbon monoxide/smoke detectors were tested and observed to be operable. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was safe. There are no firearms on the premises. The facility phone system is operable. An annual continuation inspection will be conducted at a later date. An exit interview was conducted and a copy of this report was provided to the Interim Administrator.

met_with: Emilio Saucedo


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2024, Licensing Program Analyst (LPA) Pamela Silva conducted an unannounced Annual Inspection continuation at the above-named facility and met with Administrator, Erinique Jones. During the annual inspection continuation, LPA reviewed Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Client and Staff records. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meeting to review and discuss the Group Home's operation. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drills monthly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Individual Treatment Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan Facility does not use manual restraints. However, all staff members are trained on emergency intervention procedures. Client Records LPA reviewed five (5) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, individual treatment plans, medical assessment, safeguards for cash resources, personal property and valuables, individual education plan; personal rights forms; and medication records. Staff Records LPA reviewed four (4) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. LPA verified initial training and at least 20 hours of annual training for all staff. Clients with Special Health Care Needs There are currently no clients in care with special health care needs. LPA interviewed two (2) staff members. LPA was unable to interview clients due to all clients currently in placement are non-verbal. There are no citations assessed during this inspection. An exit interview was conducted and a copy of this report was provided to the Administrator.

met_with: Erinique Jones


facility_name: SAILS LUBAO

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
****PAGE Confidential interviews and documents reviewed confirmed S1 grabbed C1 aggressively by the arm while in the shower. Confidential interviews and documents reviewed confirmed S1 handled C1 in a rough manner by forcefully brushing C1 teeth and shoving the toothbrush into C1 mouth. Documents reviewed confirmed S1 carried C1 upside down while at school and C1's teacher had to intervene in order to prevent C1 from falling to the ground headfirst. Based on confidential interviews and documents reviewed, the preponderance of evidence standard has been met and the allegation staff handled client in a rough manner is substantiated. The facility is being cited for violations of Group Home, Title 22, Division Chapter Article 6, section 84072 (d)(1) Personal Rights. An exit interview was conducted, and a copy of this report along with appeal rights was provided to house manager, Marta Garcia.

Investigation Findings:
13On April 24, 2025, at 09: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced visit to Sails Lubao facility to deliver the investigative findings for the allegation listed above. On 10/30/24, LPA conducted a health and safety inspection at the facility, and no immediate health and safety hazards were observed. LPA interviewed three clients (C1-C3), eight staff (S2-S9) and attempted to interview one client (C4) and one staff (S1), however was not able to reach. During the investigation, LPA reviewed C1 facility file and S1 staff file. On 10/28/24, Community Care Licensing (CCL) received an allegation that staff handled client in a rough manner. Specifically, it was reported that S1 was observed grabbing C1 aggressively by the arm while in the shower, shoving the toothbrush into C1 mouth, and brushing C1 teeth in an overly forceful manner. It was also reported that S1 was observed carrying C1 upside down while dropping C1 off at school and C1's teacher had to intervene in order to prevent C1 from falling to the ground headfirst. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: SAILS LUBAOFACILITY NUMBER: VISIT DATE: 04/24/2025

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

met_with: Marta Garcia-House Manager

complaint_status: SUBSTANTIATED


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 20, 2022 at 1: PM Licensing Program Analyst (LPA) Babatunde Aborchie conducted an unannounced Annual Inspection of the facility and met with Administrator, Chrystal Garcia. LPA disclosed the purpose of the inspection and was granted entry into the facility. The facility was toured inside and out with Administrator. The home is a two story residence with three bedrooms upstairs, one client bathroom, Administrator office with an adjoining bathroom, and a TV lounge. Downstairs there is one bedroom with an adjoining bathroom. There is one client per bedroom and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured to be 112 degrees in the downstairs bathroom and 112.5 degrees in the client's upstairs bathroom. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in the kitchen cabinet. Cleansers/chemicals are locked and stored in a cabinet in the garage. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the kitchen drawer and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Administrator. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. Clients medications were observed to be inaccessible and stored in a locked cabinet in the kitchen. The medication logs were kept updated and the dispensing records had no discrepancies. Medication logs are maintained in client's files. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients CONTINUE ON PAGE 2. Continued from Page 1. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. A sample of three clients and Three staff files were reviewed during the inspection. Three clients files were reviewed and there were no deficiencies found. All staff that work at the facility had proof of Department of Justice and Child Abuse Clearance Index clearances. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and emailed to Administrator, Chrystal Garcia.

Deficiencies:
92868: Sails Lubaofacility Number: 306004842 Visit Date: 10/20/2022 Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32continued from Page 1.

met_with: Administrator

title: Facility Name


summary: Facility Evaluation

raw_content:
Narrative:
On August 3, 2023 at 1: PM Licensing Program Analyst (LPA) Karen Beal conducted an unannounced Annual Inspection of the facility and met with Administrator, Crystal Garcia. LPA disclosed the purpose of the inspection and was granted entry into the facility. The facility was toured inside and out with Administrator. The home is a two story residence with four bedrooms upstairs, two client bathrooms, and a TV lounge area. Downstairs there is one bedroom with an adjoining bathroom. There is one client per bedroom and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured to be 114 degrees in the downstairs bathroom and 113 degrees in the client's upstairs bathroom. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in the kitchen cabinet. Cleansers/chemicals are locked and stored in a cabinet in the garage. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the kitchen drawer and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Administrator. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. Clients medications were observed to be inaccessible and stored in a locked cabinet in the kitchen. The medication logs were kept updated and the dispensing records had no discrepancies. Medication logs are maintained in client's files. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients CONTINUE ON PAGE 2. Continued from LIC LPA conducted 2 client interview and two staff. Staff and client files were reviewed. there was no violations are safety issues cited. A copy of this report was provide to Administrator Crystal Garcia.

met_with: Administrator, Crystal Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2024 at 9: AM Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced Annual Inspection of the facility and met with Director Manager, Giovanni Camponovo. The facility was inspected inside and out with Director Manager, Giovanni Camponovo. The home is a two story residence with four bedrooms upstairs, two client bathrooms, and a TV lounge area. Downstairs there is one bedroom with an adjoining bathroom. There is one client per bedroom and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured to be 114 degrees in the downstairs bathroom and 114 degrees in the client's upstairs bathroom. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in the kitchen cabinet. Cleansers/chemicals are locked and stored in a cabinet in the garage. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the kitchen drawer and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Director Manager. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu/activities. Clients medications were observed to be inaccessible and stored in a locked cabinet in the kitchen. The medication logs were kept updated and the dispensing records had no discrepancies. Medication logs are maintained in client's files. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients. Continue on Page 2. LPA reviewed 5 staff files and 3 client files. LPA conducted 2 client interviews and 2 staff interviews. Staff and client files were reviewed. There were no violations or safety issues cited. A copy of this report along with LIC 811 and appeal rights were discussed and provide to Director Manager, Giovanni Camponovo.

met_with: Director Manager, Giovanni Camponovo


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA'S) Jacqueline Garcia and Rachel Vanegas on March 5, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's Garcia and Vanegas met with Administrator, John G Tran. LPA's toured the facility with John G Tran and no deficiencies were observed during tour. LPA's reviewed 0 child records and five staff personnel files on site at the facility. LPA's reviewed 0 of 0 child's psychotropic medications and medication records. LPA's interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed 0 of 0 youth currently prescribed psychotropic medication. During the inspection LPA's did not observe any violations therefore no deficiencies are being cited at this time. LPAs conducted an exit interview with Administrator, John G Tran and a copy of this report, LIC 811 dated 03/05/25 were reviewed and provided to Administrator, John G Tran.

met_with: John G Tran-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 06/10/2025 at 9: AM Licensing Program Analyst (LPA) Gilbert Marquez conducted an annual inspection of the facility and met with Administrator John Tran. The facility is licensed to serve four ambulatory children ages three to 17 years old. The current census is four clients. The facility is current with their licensing fees. The facility is a double story dwelling. A physical plant inspection was completed with Child Care Staff Belinda (S2 - See Confidential Names List LIC811) and included the following checks: downstairs kitchen, dining room, living room, one bedroom with an adjoining client bathroom, staff restroom, and outdoor living space; upstairs has the following layout: three client bedrooms, one playroom, two client bathrooms, and a TV lounge area. All beds were observed with appropriate bedding and mattress in good repair. Bedrooms contained adequate drawers and closet space. No bedroom occupied more than one client and not used for other purposes. The water temperature was tested in upstairs bathroom #2 and downstairs bathroom #1 which measured 114 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and the Emergency Disaster Plan. Clients' medications were observed to be inaccessible and stored in medication cabinet in the kitchen. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order.**Continued on LIC809C** **Continued from LIC809 06/10/2025** Four of four client medication and health records (C1 - C4) were inspected. Medical Administration Records (MAR) were signed, psychiatric medications were clearly labeled and had seperate P-MARs, and clients had TB tests and health screenings. LPA reviewed client information and found that C2 and C3 were over the age of 17 years of age. The facility is licensed to serve clients three years to 17 years old. Due to time constraints, LPA will return on another day to conduct client and staff interviews, and review staff and client file reviews, and Emergency Intervention Log. Per Title 22, Division 6, Chapter 1, Article Limitations on Capacity and Ambulatory Status 80010(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by: Based on observation, interview, and client file review, two of four clients (C2 and C3) were 18 years and 19 years of age. The current license for this facility only allows for children from three to 17 years of age. Therefore, a Type B violation is being given for C2 and C3 being in residence at this facility, which is beyond the facility license limitations. Per facility staff, no firearms or weapons are allowed in the facility. An exit interview was conducted, this report was discussed along with a plan of correction, appeal rights were explained, and a copy of this report was provided to John Tran, Administrator. A copy of this report will be placed in the facility file.

met_with: John Tran, Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 06/13/2025 at 10: AM Licensing Program Analyst (LPA) Gilbert Marquez visited for the continuation of the annual inspection of the facility that started on 06/10/2025 and met with Administrator John Tran. The facility is licensed to serve four ambulatory children ages three to 17 years old. The current census is four clients. A physical plant inspection was completed with House Lead Belinda Simon (S2 - See Confidential Names List LIC811) and included the following checks: downstairs kitchen, dining room, living room, one bedroom with an adjoining client bathroom, staff restroom, and outdoor living space; upstairs has the following layout: three client bedrooms, one playroom, two client bathrooms, and a TV lounge area. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Facility grounds are clean and free of debris, and two fire extinguishers were just purchased. All client files are stored in a locked cabinet in the home. LPA reviewed four client files (C1 - C4) to ensure clients had all required documents per Title 22. Client files had admission agreements, education records, physical examinations, Needs and Services plans, and case manager notes. LPA also reviewed five client medication records. **Continued on LIC809C dated 06/13/2025** **LIC809 dated from 06/13/2025** All staff files are stored in a locked cabinet in the home. LPA reviewed five staff files (S1 - S5) to ensure staff had all required documents such as criminal record clearance or exemption, health screening and tb test, drivers license, personnel record, and all required trainings. LPA reviewed two weeks of the house schedule from 06/02/2025 to 06/13/2025 and found that only a Direct Support Professional (DSP) Level 2 (S4) was scheduled during the times of 12: AM until 6: AM on 06/07, 06/08, 06/14, and 06/15, and no Facility Manager was scheduled to be present at that time. LPA reviewed the file for S4 and confirmed that one year of experience was documented, but did not have Facility Manager training. LPA conducted three staff interviews (S1, and S2 and S3) and two client interviews (C1 and C3). Per facility staff, no firearms or weapons are allowed in the facility. Based on files reviewed and staff schedule, overnight staff (S4) did not have training to meet the requirements of a facility manager; a facility manager is required to be on the premises in the absence of the administrator. Per California Code of Regulations, Title 22, Division 6, Section 84065(i)(1)(D)(2)Staffing Records, a Type B deficiency is being cited today for not appropriately training staff to be a facility manager. An exit interview was conducted, this report was discussed along with a plan of correction, appeal rights were explained, and a copy of this report and appeal rights were provided to John Tran, Administrator. A copy of this report will be placed in the facility file.

Deficiencies:
84065(d): Personnel Requirements

(d) The licensee shall designate at least one facility manager to be present at the facility at all times when children are present


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Emina Preciado and Rachel Vanegas on February 25, 2026 at 9:40 am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's Preciado and Vanegas met with Giovanni Camponovo, District Manager, and inspected the facility inside and out. LPA's reviewed 1 of 1 of child's records and 5 of 5 staff personnel files on site at the facility. LPA's reviewed 1 of 1 of child's psychotropic medications and medication records. LPA's interviewed 2 of 2 of staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed 0 children currently prescribed psychotropic medication. LPA's provided a copy of this licensing report to Giovanni Camponovo, District Manager. No deficiencies are being cited at this time. LPA's conducted an exit interview with Giovanni Camponovo, District Manager.

met_with: District Manager


facility_name: SAILS MARK V

raw_content:
Narrative:
done according to training and justified due to C1's aggressive and assaultive behavior towards others. While other confidential information received by Licensing Office stated that these allegations had occurred, and that C1 was yelled and cursed at by staff for not complying, and that C1's arms were also twisted for refusing to get into the shower. Confidential information also claimed that C1 did not want to go to facility because they did not feel safe there. LPAs were unable to interview C1, due to legal guardian's refusal to allow LPA Mena to speak to C1 regarding these allegations. LPA Mena observed that C1 was the only child placed at the facility at the time of these allegations. There were no other witnesses to the allegations. Based on confidential interviews, the allegations that Licensee does not maintain a safe environment for minor in care, that Staff restrained, yelled at, spoke inappropriately, as well as handled Child # 1 (C1) in a rough manner, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Administrator, Rukiyat Adams to issue the findings for the above stated allegations. An investigation was conducted by LPAs Kourtney Williams and Daniel Mena regarding allegations. LPAs conducted an investigation to the facility on May 04, 2021 at 4:00pm, and on November 12, 2022 at 11:30am. No immediate hazards observed. LPAs interviewed four staff (S1, S2, S3, & S4), as well as reviewed client and facility records. Community Care Licensing received information on April 26, 2021 alleging that Licensee does not maintain a safe environment for minor in care, that Staff restrained, yelled at, spoke inappropriately, as well as handled Child # 1 (C1) in a rough manner. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that staff was ever verbally abusive or had handled C1 in a rough manner. Confidential interviews also denied that facility does not maintain a safe environment. According to confidential interviews, although C1 was restrained on a couple of occasions, restraints were always UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAILS MARK VFACILITY NUMBER: VISIT DATE: 03/04/2022

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

met_with: Rukiyat Adams


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Narrative:
information for C1, but might have delayed in doing so due to the high stress situation caused by the incident. According to confidential interview, S1 obtained permission from hospital and group home staff, prior to leaving C1 under the care of hospital medical staff. Confidential interviews also stated that once a staff leaves a client at the hospital there is always a staff designated to be on call for any questions, client discharge, or medical emergency. While other confidential information received by Licensing Office stated that these allegations had occurred, and that S1 left C1 at the hospital without approval after stating that they did not want to be around the "crazy people." Confidential information received also stated that staff was unable to provide some of C1's medical information for the Centralized Assessment Team (CAT) upon request. LPAs were unable to interview C1, due to legal guardian's refusal to allow LPA Mena to speak to C1 regarding these allegations. LPA Mena observed that C1 was the only child placed at the facility at the time of these allegations. There were no other witnesses to the allegations. Based on confidential interviews, the allegations that Facility Staff # 1 (S1) did not provide adequate care and supervision after leaving group home child # 1 (C1) alone in the hospital emergency room, and that facility staff # 1 (S1) did not have C1's medical information available for emergency personnel, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Lead Staff, Aime Rodriguez to issue the findings for the above stated allegations. An investigation was conducted by LPAs Michael Almaraz and Daniel Mena regarding allegations. LPAs conducted an investigation to the facility on July 14, 2021 at 11:00am, and on March 04, 2022 at 9:02am. No immediate hazards observed. LPAs interviewed seven staff (S1, S2, S3, S4, S5, S6 & S7), as well as reviewed client and facility records. Community Care Licensing received information on July 06, 2021 alleging that Facility Staff # 1 (S1) did not provide adequate care and supervision after leaving group home child # 1 (C1) alone in the hospital emergency room, and that facility staff # 1 (S1) did not have C1's medical information available for emergency personnel. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that staff was unable to provide medical information for C1, or that C1 was left alone in the hospital emergency room. According to confidential interviews, S1 did provide the medical UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAILS MARK VFACILITY NUMBER: VISIT DATE: 03/16/2022

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

met_with: Aime Rodriguez


facility_name: SAILS OC CRISIS

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involved parties are aware of the behaviors. It was also reported that Client #2 wears too big, dirty, and clothing that has holes in it. It was also advised that Client #2 only has one pair of shoes and the sole is coming off. Information obtained stated that Client #2 has a lot of clothing and there are no clothes in disrepair. Staff members were unable to provide when the last time Client #2 had new clothing purchased for them. Staff was unable to provide the information, but reiterated that Client #2 had a lot of clothes. Client #2's County Social Worker stated there were no concerns regarding Client #2's clothing. It was also advised that Client #2 had an odor from his body and mouth. It was also advised that it appeared that Client #2 had not had a haircut in months. Staff stated Client #2 is bathed and brushes their teeth twice a day. Staff stated Client #2 was taken to the doctor and dentist on numerous occasions due to Client #2's body odor. Staff stated after being evaluated, medical personnel stated there were no concerns and it is normal due to the medication that Client #2 takes. Client #2's County Social Worker corroborated the information and stated there were no concerns regarding Client #2's health. LPA received inconsistent information regarding the allegation. According to facility records and interviews Client #2 needs are being met. Based on interviews and information obtained, Client #2 sustained unexplained injuries, Client #2 does not have appropriate sized clothes, shoes have holes, and staff are not managing Client #2's hygiene, may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the report will be provided to the facility.

Investigation Findings:
13On August 11, 2021, at 6: PM, Licensing Program Analyst (LPA) Jazmond Harris met with House Manager, Tajanaye Parker to deliver the findings for the investigation pertaining to the listed allegations. LPA Ann Valenzuela initiated the investigation on March 4, 2021 at 1: PM. During the investigation, LPA Valenzuela conducted interviews with Administrator, Client #2 (See Confidential Names List (LIC 811) dated August 11, 2021), County Social Worker, and an additional witness. LPA Harris interviewed three staff members. LPA Valenzuela and LPA Harris were unable to interview Client #1 due to being non verbal. On February 26, 2021, Community Care Licensing (CCL) received information which stated Client #1 sustained injuries while in care, did not have appropriate sized clothes, shoes have holes, and staff are not managing Client #2's hygiene. It was advised that Client #2 had numerous scratches and bruises on their arm. Information obtained from Administrator stated that Client #2 conducts self harm. Interviews advised that Client #2 scratches, bites, and hits self on the head and arms. It was advised that Client #2 wears a helmet, braces on their arm, and leg restraints in order to deter self harming. It was advised that all UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 08/11/2021

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

met_with: House Manager-Tajanaye Parker


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minutes; causing C1 to become upset and urinate on themselves. Based on interviews and information gathered during the investigation, the preponderance of evidence standard has been met and the Department has determined the allegation that Facility Staff yelled at the resident, more specifically that Staff # 1 (S1) yelled at Child # 1 (C1) to the point where C1 urinated on themselves is substantiated. This posed a potential health and safety risk to the children placed in care. The facility is being issued a citation for violations of the Title Regulations 84072(d)(11) Personal Rights. See attached LIC 9099D for cited deficiency. An exit interview was conducted, and a copy of the report and appeal rights were provided.

Investigation Findings:
13LPA Mena met with Administrator, Nero Tinsley to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Kourtney Williams and Daniel Mena regarding allegation. LPAs Williams and Mena conducted an inspection to the facility on April 22, 2021 at 3:53pm and on November 12, 2021 at 8:28am. No immediate hazards observed. LPAs interviewed four staff, two of three foster children (C1, C2), as well as reviewed client and facility records. LPAs were unable to interview Child # 3 (C3) due to their limited verbal ability. Community Care Licensing received information on April 15, 2021 alleging that Facility Staff yelled at the resident, more specifically that Staff # 1 (S1) yelled at Child # 1 (C1) to the point where C1 urinated on themselves. Information received in confidential interviews corroborated allegation with a preponderance of evidence. According to confidential information received during interviews, S1 went into C1's bedroom after C1 had already been deescalated by another staff due to a negative behavior, and proceeded to yell at C1 after becoming aware of the incident for approximately to 20 to SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 11/17/2021

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

met_with: Nero Tinsley


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In regards to facility not communicating with youth's authorized representative, Administrator stated that while getting physical appointment for C1, C1's biological father wanted to know what was going on, but it was in the hallway at the clinic, so staff advised father to wait until they get into the facility. Biological father became upset and yelled at staff. Administrator added that the biological father was impatient and angry at staff. A confidential witness did not provide any information pertaining to the allegation. It was reported that staff were not addressing C1's medical needs. Administrator indicated that C1's medical records were up to date. Administrator stated that the facility was following all the Doctor's orders and C1's was taken to medical appointments and follow up. A confidential interview corroborated the administrator's statement regarding C1's medical needs. SC stated that Father needed to give the facility the chance to provide service for C1 and she believed all medical appointments for C1 were completed during C1's placement at the facility. For the allegation regarding facility not having adequate food quantity, Administrator stated that the facility always had food for the residents, and they have additional storage in the garage. LPA observed that the facility had sufficient food supplies, however, a confidential interview disclosed that there were times where facility ran out of food or delayed grocery arrival and they had to go to the sister facility to get what they needed. Confidential interviews stated that the clients were always served three meals a day. SC stated she was not aware of the facility not having sufficient food, however, she indicated that C1 will sometimes refuse to eat because C1 was not happy with the school C1 was attending. Based on confidential interviews, the Department determined there was not sufficient information to determine GH staff are not communicating with C1's authorized representative, facility staff are not properly addressing C1's medical needs and facility does not have an adequate quantity of food. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegations. The Department's finding is that these allegations were unsubstantiated.

Investigation Findings:
13On December 9, 2021 at 12: PM, Licensing Program Analysts (LPA) Babatunde Aborchie arrived at the group home and met with Administrator Nero Tinsley to deliver the investigative findings of the above allegations. During the investigation, LPA Cervantes initiated the complaint allegations and conducted a health and safety tele-inspection at the GH on September 1, 2021 at 1: PM and no safety concerns were noted. LPA Cervantes also obtained facility schedules, activity schedules, daily logbooks, special incident reports, picture evidence and medication administration records. LPA Aborchie conducted interviews with Administrator, staff and Regional Center Worker. LPA Aborchie attempted to interview clients; however, they did not provide any response due to clients being non-verbal. On September 28, 2021, the department received allegations that facility staff are not communicating with C1's authorized representative, facility staff are not properly addressing youth's medical needs and facility does not have an adequate quantity of food. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, THE CITY DR., SUITE FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 12/09/2021

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

met_with: Kate Adamu


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In regards to the allegation that C1 sustaining unexplained injuries while in care , it was specified that C1 had black eye (red purplish) on C1's right eye; a greyish-black bruise next to his right ear, about one inch long; a 4-inch long light purplish-brown bruise on the bottom of C1's chin that is about 4 inches long; a purplish-reddish bruise on the knuckle of C1's right index finger; a half-inch long yellowish-brownish bruise on his chest between his nipples; a 3 inch scratch and bruise on his right ankle. During the investigation a confidential interview indicated that C1 had bruises days before the allegations, facility staff notified management on Friday prior the report, but school had not been notified, C1 had self-injurious behaviors of self-hitting on the head and face. Confidential interviews disclosed that C1's behaviors were increased due to 10-day quarantine during COVID-19 at the facility. It was reported that C1 had difficulty to adjust to the daily routine changes which resulted C1 being frustrated. The confidential interviews added that C1 self- expressed by hitting self during the quarantine period. Another confidential corroborated the information obtained and indicated that C1 was very agitated for not being able to go to school resulted to self-injurious behavior. For the allegation that staff inappropriately restrained C1 while in care; confidential interviews stated that C1 wears arm-splints to keep C1's arms straight, if not properly worn, it could make Velcro tangled together making the arms stuck together sometimes during transportation. Management was aware of the Velcro and got C1 a new splint to prevent future occurrence. A confidential interview stated facility staff do not restrain any of the client and bruising on C1 were from self-injurious behavioral episodes that occurred prior shift. Another confidential interview indicated that facility does not use any form of restraint other than protective equipment recommended by the physician. Based on confidential interviews, the Department determined there was not sufficient information to determine C1 sustained unexplained injuries while in care and staff inappropriately restrained C1. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department's finding is that these allegations were unsubstantiated.

Investigation Findings:
13On December 9, 2021 at 1: Licensing Program Analysts (LPA) Babatunde Aborchie arrived at the group home (GH) met with Administrator Nero Tinsley to deliver investigative findings of the above allegations. On October 7, 2021 at 11:03 am LPA arrived at the GH to initiate the investigation regarding the above allegations and interviewed four staff including two Administrators, two of two clients. The two clients were non-verbal. LPA was unable to get any information from C1 and C2 regarding the allegations. Additionally, LPA obtained clients (C1 and C2) records, LPA reviewed documentation which showed that C1 uses protective equipment such as helmet that covers chick bones for protection from self-injury, protective pillows and uses arm splints On September 28, 2021, the department received allegations that child C1 sustained unexplained injuries while in care; staff inappropriately restrained child C1 while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, THE CITY DR., SUITE FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 12/09/2021

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


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spoke negatively about other staff in the presence of clients. While other confidential information received by Licensing Office stated that these allegations had occurred, and that Staff # 1 (S1) talked negatively about S4 in the presence of C1 and C2; causing them to feel anxious and upset. LPAs were unable to interview Child # 1 (C1) and Child # 3 (C3) regarding this allegation, due to C1's current whereabouts being unknown and C3 being a non-verbal client. Based on confidential interviews, the allegations that Facility Staff speak inappropriately to youths in care, more specifically that children in care were being emotionally manipulated by staff, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Lead Staff, Aime Rodriguez to issue the findings for the above stated allegation. An investigation was conducted by LPAs Kourtney Williams and Daniel Mena regarding allegation. LPAs conducted an investigation to the facility on May 04, 2021 at 4:15pm, and on November 12, 2022 at 9:30am. No immediate hazards observed. LPAs interviewed seven staff (S1, S2, S3, S5, S6, S7 & S8), one of three foster children (C2), as well as reviewed client and facility records. Community Care Licensing received information on April 26, 2021 alleging that Facility Staff speak inappropriately to youths in care, more specifically that children in care were being emotionally manipulated by staff. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff were manipulating clients or causing them any stress by trying to get them to say things against Staff # 4 (S4). Confidential interviews also denied that any facility staff had conversations with any of the clients regarding other staff or UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 03/16/2022

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


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Regarding the allegation that C1 and C2 are not able to access outside, it was specifically stated that there were locks on the entry doors that were not able to unlock from the inside. A confidential interview stated that the entry door had locks that were accessible from the inside. A confidential witness stated that front door was easily accessible to C1 and C2 from the inside. LPA did not observe entry doors being locked during the inspection. Regarding the allegation that staff inappropriately restrained C2, it was specifically stated that staff were observed holding C2 to the floor. A confidential interview denied not holding C2 to the floor. Another confidential interview denied not holding C2 to the floor. A confidential witness did not see or receive any reports of restraint. Based on confidential interviews, the Department determined there was not sufficient information to determine staff sleeping in home, C1 and C2 are not able to access outside and staff inappropriately restrained C2. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegations. The Department's finding is that these allegations were unsubstantiated.

Investigation Findings:
13On June 17, Licensing Program Analysts (LPA) Babatunde Aborchie arrived at the group home (GH) met with Administrator Crystal Garcia to deliver investigative findings of the above allegations. On February 25, LPA arrived at the GH to initiate the investigation regarding the above allegations and interviewed two staff, Administrator, two of two clients. One client C1 was non-verbal and C2 did not have a clear speech. LPA was unable to get any information from C1 and C2 regarding the allegations. Additionally, LPA obtained clients (C1 and C2) records. On February 17, 2022, the Department received allegations that staff sleeping in home, Residents are not able to access outside and staff inappropriately restrained child. In regards to the allegation that staff were sleeping in the home, it was specified that staff is sleeping at the facility in the empty beds at the home at night. Confidential interview denied sleeping at the facility on an empty bed during night shift. Another confidential interview denied sleeping on an empty be during night shift. A confidential witness did not see or received reports of staff sleeping at the facility on an empty bed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, THE CITY DR., SUITE FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 06/17/2022