summary: Facility Evaluation

raw_content:
Narrative:
This is an amended report of the initial LIC 809 dated 3/25/26. The report was amended to correct the inspection type listed in the narrative. The amended report was completed on April 1, 2026. On March 25, 2026, Licensing Program Analyst (LPA) C. White made an unannounced visit to Embolden Youth Services - Iris House for the purpose of completing the STRTP Post Licensing Inspection. LPA met with Licensee, Kendra Bolden and was granted access to the facility. This facility is licensed to provide care and supervision to six (6) female children, ages 13-17 years old, ambulatory only. The facility will also provide services to non-minor dependents. Currently the census is zero (0). The facility is set up as follows: This is a single-story 3 bedroom, 2 bathroom home located in a residential neighborhood. The home has living room, dining room, kitchen, laundry area, backyard, and a detached garage. Living room: Is equipped with two (2) sofas, a lounge chair, a coffee table, two (2) end tables with lamps, a mounted TV, and an entry way table. Dining room: Is equipped with a wooden table with six (6) chairs, and a small bookshelf with board games. Kitchen: Is equipped with an a five (5) burner gas stove (all burners were working at the time of the inspection), refrigerator/freezer, and a microwave. LPA observed a covered trash can, ample plates, cups, and eating utensils. Sharp knives are stored in a locked cabinet located under the kitchen sink. The home has ample nonperishable food. There was no perishable foods in the home as there are no clients in care at this time. The applicant will ensure that clients in care are provided with three (3) nutritious meals and nutritious snacks. Laundry area: located off of the kitchen is equipped with a washer, dryer, locked cabinets, a door leading to the backyard, and an enclosed secured hot water heater. Backyard: Contains a covered sitting area for private visitation purposes. Detached garage: will be used as a staffing office for facility staff and the Mental Health Team, equipped with two (2) desks, chairs, a table and multiple seating. Report continued on LIC 809C (Page 1 of 2) Bedrooms: A, B, and C: are equipped with two (2) twin beds, drawers, and closet space. All bedrooms have a ceiling fan/working light, and security bars. The security bar emergency latches were tested and found to be operational at the time of this inspection. Bathroom #1: is located in the hallway near the front of the home, between bedroom B and bedroom A. The bathroom contains a toilet, sink, and a tub/shower combination. Bathroom #2: is located in the hallway near the back of the home, between bedroom C and bedroom B. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. LPA observed the facility to have two (2) regulation fire extinguishers. The facility has a working telephone. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. The First Aid kit was checked and found to be complete with scissors, tweezers, thermometer, gauzes, antiseptics, and First Aid Manual Guide. Disinfectants and cleaning solutions are kept in a locked cabinet in the laundry area. Medications will be kept in a locked cabinet in the staffing office. Medications requiring refrigeration will be kept in a combination lock box in the refrigerator. There are no firearms or dangerous weapons in the facility. There are no bodies of water on the premises. LPA observed the facility to be clean, safe, and sanitary. Passageways and porch were unobstructed. The front and back yard were free of debris and hazardous material. Vehicle: The facility has a Honda Odyssey to transport youth in care. LPA inspected the vehicle and found the horn, lights, and all seat belts in working order. LPA observed the vehicle to have valid car registration and car insurance with Nonprofits Insurance Alliance of California. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are afforded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements and Emergency Plan were met. The Licensee ensure all staff working in the facility will have DOJ/FBI criminal record clearances, and Child Abuse Index Checks. Facility will operate within license conditions & limitations including capacity limit. An Exit interview was conducted, and a copy of this report was left at the facility with the Administrator. (Page 2 of 2)

met_with: Kendra Bolden - Administrator


state: CA

facility_name: EMPOWERING EXPERIENCE

summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2025, at AM, a Component II Office Visit was held to discuss the application received for Argent Ventures Inc located at W. 92nd Street Los Angeles, CA 90044. Attending Component II were the following individuals: Yvette Duncan, Applicant, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: Argent Ventures Inc Section A Documents 1. Application (LIC 200) 2. Surety Bond (LIC 402) 3. Out of State Criminal Record Disclosure (LIC 508D) Continued on C Control of Property Program Statement Sections A - Q Program Statement Sections 1 - Revisions of the Program Statement are due by March 6, 2025. Licensee needs to complete the Guardian account. Pre-Licensing Inspection scheduled for March 28, 2025, at AM. A copy of this report was provided to Applicant, Yvette Duncan.

report_type: Facility Evaluation

met_with: Yvette Duncan


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2025, at 9: AM Licensing Program Analyst (LPA) Erika Butler, Empowering Experience for the purpose of conducting a Pre-Licensing Inspection. LPA with Applicant Yvette Duncan who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. The garage has been converted in to a bedroom that has a Murphy bed, stove, and bathroom. Living room: is equipped with mounted TV, couch, ottoman, coffee table, and cabinet. Dining room: is equipped with a table with bench seating. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. 809 continued on page 1 of Bedroom #1: staff office equipped with 2 desk, file cabinet, lockers, chair, adequate lighting, and window with bars that open and close freely. Bedroom #2: client's bedroom equipped with bunk beds, drawer space, adequate closet space, adequate lighting, and window with bars that open and close freely. Bedroom #3: client's bedroom equipped with bunk beds, drawers space, adequate closet space, lighting, and window bars that open and close freely. Bathroom: Bathroom #1 is located in staff office, and bathroom #2 is located in the hallway. Bathrooms were observed to be clean and in working condition. Vehicle: The Applicant will use a Lexus GS to transport clients. Insurance is valid from January32, 2025 - January 3, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the kitchen. Extra linens will be stored in drawers in the hallway. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items, except for a thermometer. The applicant has lockers for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C. (Page 2 of 3) LPA observed Ring camera at the front door and on the side of the home. Door sensors were observed on all exit doors. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Applicant informed that the following corrections will need to be made. Applicant will email a additional facility sketch to include the garage conversion. Applicant will purchase a lock box for refrigerated medication. Applicant will purchase a thermometers for the home. Applicant will purchase lock boxes for contraceptives. Applicant will add the use of cameras in the facility to the Program Statement by April 8, 2025. Applicant will purchase an additional drawer for bedroom #2. Applicant will remove radio, and dvd player out of closet in bedroom #2. Applicant needs a fire clearance. Applicant needs to set up a Guardian Account. LPA received a copy of applicants Property Taxes. LPA informed Applicant that a Component III meeting will be held April 8, 2025, at AM. An exit interview was conducted. A copy of report will be emailed to Applicant Yvette Duncan.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On April 8, 2025, at 9: AM, Licensing Program Analyst (LPA), Erika Butler, and Licensing Program Manager conducted a Short Term Residential Therapeutic Program (STRTP) Component III office meeting with Applicant,Yvette Duncan. LPA Butler met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a STRTP, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility is pending final approval due to fire clearance, association to Guardian, and corrections to facility plant, and Systems of Care revisions, A copy of this report was provided to the Applicant, Yvette Duncan.


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2025, at 2: PM Licensing Program Analyst (LPA) Erika Butler, Empowering Experience for the purpose of conducting a Pre-Licensing Inspection. LPA with Applicant Yvette Duncan who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, two bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. The garage has been converted to ADU and to a bedroom that has a Murphy bed, stove, and bathroom. Living room: is equipped with mounted TV, couch, ottoman, coffee table, and cabinet. Dining room: is equipped with a table with bench seating. Kitchen: is equipped with a refrigerator/freezer, a five burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. 809 continued on page 1 of Bedroom #1: staff office equipped with 2 desk, file cabinet, lockers, chair, adequate lighting, and window with bars that open and close freely. Bedroom #2: client's bedroom equipped with bunk beds, drawer space, adequate closet space, adequate lighting, and window with bars that open and close freely. Bedroom #3: client's bedroom equipped with bunk beds, drawers space, adequate closet space, lighting, and window bars that open and close freely. Bathroom: Bathroom #1 is located in staff office, and bathroom #2 is located in the hallway. Bathrooms were observed to be clean and in working condition. Vehicle: The Applicant will use a Lexus GS to transport clients. Insurance is valid from January32, 2025 - January 3, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the kitchen. Extra linens will be stored in drawers in the hallway. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete with required items, except for a thermometer. The applicant has lockers for the clients to store there belongings. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C. (Page 2 of 3) LPA observed Ring camera at the front door and on the side of the home. Door sensors were observed on all exit doors. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. LPA Erika Butler-Williams will submit pictures and video to LPM Hernandez. An exit interview was conducted. A copy of report will be emailed to Applicant Yvette Duncan @yvetteduncan28@gmail.com.


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2026 at 10:00 a.m., Licensing Program Analyst (LPA) Erika Butler-Williams conducted a Pre Licensing visit at the above-named STRTP to review the use of an attached converted garage/Additional Dwelling Unit (ADU) located on the same parcel as the proposed facility. During the visit, it was discussed that the Administrator/Director intends to reside in the attached converted garage/ADU. The converted garage/ADU has a separate exterior entrance and is physically attached to the licensed STRTP structure.The attached converted garage/ADU is permitted by Los Angeles County Public Works; however, the Fire Authority approved the primary residence for STRTP operations only. The attached converted garage/ADU was not included in the fire clearance for STRTP use and was identified by the Fire Authority as having only one means of egress. The Fire Inspector documented that the ADU is not approved for use as part of the STRTP.The applicant is advised that occupancy of the attached converted garage/ADU by the Administrator/Director is permitted subject to the following conditions: 1. The attached converted garage/ADU is not approved for STRTP operations. Clients and staff shall not access or utilize the converted garage/ADU for any purpose. The area shall Report continued on LIC 809C remain secured and inaccessible to clients at all times. 2. No interior access shall be created between the licensed STRTP and the attached converted garage/ADU without prior written approval from the Department and the Fire Authority. 3. The converted garage/ADU shall be used solely as the private living space of the applicant. The space shall not be used or represented as office space, administrative space, meeting space, program space, or storage related to the STRTP. The converted garage/ADU shall not be used for emergency housing or overnight staff lodging or for STRTP storage. 4. The Administrator/Director licensee shall not be counted toward required staffing ratios. The facility shall ensure required staffing coverage independent of the Administrator/Director presence on the property unless the Administrator/Director is scheduled to work at the facility. 5. Any visitors to the converted garage/ADU shall not enter any of the STRTP areas and shall have no contact with clients. Visitors who are present on a frequent or routine basis (multiple times per week) shall obtain the appropriate criminal background clearance and must be added to the personnel roster. 6. The applicant shall update the Program Statement to accurately reflect the approved physical plant and clarify the use of the attached converted garage/ADU is not part of STRTP operations and is not used for staff or client activities. 7. The applicant shall submit a revised Facility Sketch (LIC 999) identifying the attached converted garage/ADU and clearly labeling the space as not approved for STRTP use. The previously submitted sketch incorrectly labeled the converted garage/ADU as administrator headquarters, which is not approved. Report continued on LIC 809C 8. The applicant shall post signage indicating that the attached converted garage/ADU is not approved for STRTP use and that access is restricted to the licensee only. Signage shall be visible to staff and clients. Failure to comply with the above conditions may result in regulatory action. Until all documents are submitted a provisional license will not be issued. The applicant will email LPA a copy of the updated Facility Sketch, an updated verbiage for the Program Statement. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be emailed to the applicant.

met_with: Yvette Duncan - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2026, at 1: PM, Licensing Program Analyst (LPA), Aimee Moratalla and Licensing Program Manager (LPM), Enrique Hernandez met with Applicant, Yvette Duncan at the El Segundo, Regional Office to review/discuss/corrected and provided the following documents: 1. LIC 200-revised 2. LIC 215 - signed 3. LIC 308 - provided 4. LIC 309 - provided 5. LIC 400 - provided 6. LIC 402 - Need the original copy of the Surety bond 7. LIC 401 - will be given on 4/1/26 8. LIC 401-a - will be given on 4/1/26 8-b. LIC 403 - will be given on 4/1/26 8-c. LIC 403-a - will be given on 4/1/26 9. LIC 404 - will be given on 4/1/26 9-a. LIC 420 - will be given on 4/1/ Page 1 of 2 10. LIC 500 - provided 11. LIC501 - Personnel training certificates, CPR, first aid 12. LIC 503 - Health Screening for staff 13. LIC 610C - corrected All the missing documents will be provided by the Applicant on or before April 1, 2026. Page 2 of 2

met_with: Applicant, Yvette Duncan


facility_name: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAK

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from LPA conducted a record review of the following documents: Client Placement roster for 3 months, staff roster with weekly schedules, current staff training logs, recent Serious Incident Reports, Needs and Services Treatment Plans for current clients, and an employee disciplinary notice. Based on observation, record review, and interviews, the allegation Staff pushed client in care is SUBSTANTIATED. Facility is cited under Interim Licensing Standards STRTP, Article 6, Personal Rights 87072(d)(11): To be free of physical...or other abuse, and from corporal or unusual punishment...intimidation...or other actions of a punitive nature." A signed copy of this report and the 9099C/9099D was provided to the facility. Exit interview was conducted and a copy of the appeal rights were given to the administrator. The facility has already documented and submitted a Plan of Correction to the Department, which satisfies regulations. The Staff member who pushed the client received disciplinary action and will complete additional training. He reports receiving helpful supervision and feedback from other staff since the incident.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived at the facility on 10/29/21 for the purpose of delivering findings following a complaint investigation. LPA met with Eric Perry, Administrator, to discuss the complaint findings. LPA opened the complaint virtually with the Administrator on 9/1/21, due to the roads to the facility being closed. LPA interviewed one former client on 10/1/21, and one county social worker on 9/23/21. LPA then toured the facility in person on 10/4/21, and interviewed four staff and three clients. A client (C1-See LIC 811: Confidential Names list 10/29/21) became physically and verbally aggressive on the evening on 8/22/21. C1 approached a Staff member, "bumped chests and began yelling and swearing." Staff admitted to pushing C1 away from him when C1 approached. C1 fell back onto his bed, and was not physically injured. Statements were consistent between C1, and the other staff and clients who witnessed the incident. The facility reported the incident to the Department via Serious Incident Report which was submitted on 8/25/21. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall 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 25-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, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 10/29/2021

report_type: Complaint Investigation

met_with: Eric Perry, Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continued from The reporting party alleged one client was sexually abused by another client. Interviews and record reviews were consistent that one client (C1) alleged abuse by another client (C2). C2 denied any abuse or involvement with C1. There were no witnesses to the alleged abuse. C1 gave different accounts of the abuse, and was vague in reporting dates and times of when it occurred, but stated it happened at night and lasted a few minutes. The same day that C1 informed staff of the alleged abuse, C1 was taken the doctor for an exam. C2 was removed from the facility the following day. Within three weeks, the Administrator had retrained all staff on night time supervision policies and procedures. LPA reviewed staff schedules and observed the facility had maintained appropriate staff ratio. C1 indicated to LPA he felt safe in the facility and was well cared for by staff. The Juvenile attorney added they did not feel the facility was neglectful in their level of supervision for the clients. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this LIC-9099 and LIC-9099C were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Hillary Hall arrived unannounced at the facility and met with Alonzo Nall, Co-Administrator. The purpose of the visit was to deliver findings for a complaint investigation. LPA discussed the findings for the allegation: Lack of supervision by staff resulting in sexual interactions between minors. During the investigation, LPA interviewed one client (C1), one Therapist, and one Administrator on 1/19/2022. LPA had previously interviewed the same client on 10/4/21, which was after the alleged sexual incident took place, but prior to the alleged incident being reported by the client on 10/5/21. The client is a private placement and does not have a County Social Worker or Probation Officer. LPA initially interviewed the Administrator about the incident when it was first reported on 10/5/21, 10/6/21, 10/8/21, and 10/29/21. LPA interviewed a Juvenile attorney and two Probation officers on 4/11/2022. LPA reviewed the facility Program Statement, Serious incident reports, staff schedules, and Needs and Service Plan for the client. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Hillary Hall 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 25-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, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 04/15/2022

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

met_with: Alonzo Nalls, Co-Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
All interviews were consistent that an employee was involved in horseplay with a client wherein both wound up on the floor together. Interviews were inconsistent about what occurred during the horseplay. The involved client reported no harm, threat, or inappropriate action occurred. The witness did not report observing the employee doing anything that threatened the health, safety or wellbeing of the client. The involved client reported feeling safe at the facility and that staff never behaved in ways which made them feel uncomfortable. The involved employee was discharged from employment for violation of company policy around horseplay. The agency is developing training and an accompanying syllabus to present to staff around appropriate boundaries. Based on LPA's observations, interviews, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove a violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met ws Valencia and Vue met with Eric Perry, Administrator. LPA Wendy Brown conducted the complaint investigation. LPA Brown opened the investigation with the facility on 08/21/2024 and two staff were interviewed. During the course of the investigation, LPA conducted additional interviews with two clients, one Administrator, one more staff, one county social worker, and one former staff. LPA reviewed records from the facility including: client Needs and Services Plan and progress notes, agency policy information, staff meeting agenda and notes, employee clearance documents, an employee report of the incident, and an email notice to human resources regarding the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Misty Valencia 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 08/28/2024


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on LPA's interview and records review the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating Interim Licensing Standards Section 87095.01(b) and (c). An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D, and appeal rights were provided to Amy Green, Supervisor.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Supervisor. LPA Brown and LPA Yesenia Vallejo conducted the complaint investigation. LPA Brown initiated the investigation with the facility on 04/08/2025 and three staff members were interviewed. A Health and Safety Inspection was conducted. LPA Vallejo interviewed two county social workers and LPA Brown conducted a total of nine confidential interviews. LPA reviewed records including: incident reports, staff training records, Needs and Services plans, daily progress notes, and Child and Family Team meeting notes. The complaint allegation indicates that staff inappropriately restrained a minor in care. While there was some discrepancy as to how the client was restrained, the staff member in question admitted to having the client by the arm to prevent them from leaving, and witnesses were consistent that the staff member had grabbed and held the client by the arm. Restricting the client from leaving in this manner is not an approved restraint as part of the facility's emergency intervention plan. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 05/22/2025

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

met_with: Amy Green, Supervisor


raw_content:
Narrative:
action is taken. One staff person indicated they have seen clients smack each other on the buttocks and told them to stop. Interviews were consistent that staff had not received a report of a client being inappropriately touched by another client. It was alleged that a client received clothing that did not fit and did not receive new clothes when requested. Fifteen of sixteen interviewees were consistent that upon placement, need, or request, clients are provided with clothing immediately if needed, or later if they prefer to shop at a variety of stores not available in the community. Based on LPA's interviews and records review, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099, LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Facility Supervisor. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 05/22/2025 and three staff members were interviewed. During the course of the investigation, LPA interviewed seven other staff members, one probation officer, one county social worker, and five other confidential interviewees. LPA reviewed records including: Mental Health Rehabilitation Team's weekly minutes, Needs and Services Plans, Client Safety Plans, staff discipline and annual evaluation reports, client accounting record, Unusual Incident/Injury Reports, disciplinary notices, employee reviews, daily progress notes, emails, texts, and written statements. It is alleged that staff did not intervene when a client reported inappropriate touching by other client(s) at the facility. Staff interviews were consistent that if or when inappropriate touching is reported, immediate UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 07/31/2025

met_with: Amy Green, Facility Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
were inconsistent as to whether this occurs however one staff person admitted to swearing at clients but getting better at not doing so. Record review of one staff file indicated one staff had received correction for speaking negatively of a client. It was further alleged that staff do not treat clients with dignity and respect, including provoking clients when interacting with them. In interview with LPA, one staff person indicated that they were smiling and laughing while restraining a client. In a separate incident, interviews were consistent from individuals present that a staff person told a client they were at fault for an incident while efforts were underway to de-escalate the client. Based on LPA's interviews and records reviewed, the "preponderance of evidence" standard has been met. Therefore, the allegations are SUBSTANTIATED. One citation is being issued for violating Interim Licensing Standards sections 87072(c)(15) and (32): Personal Rights (c) The licensee shall ensure that each child...is accorded the personal rights...(15) to be accorded dignity in their personal relationships with staff and other persons. (32) To have placement that utilizes trauma-informed and evidence-based de-escalation and intervention techniques. An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, LIC-9099D, and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amy Green, Facility Supervisor and Eric Perry Administrator joined by phone. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 05/22/2025 and three staff members were interviewed. During the course of the investigation, LPA interviewed seven other staff members, one probation officer, one county social worker, and five other confidential interviewees. LPA reviewed records including: Mental Health Rehabilitation Team's weekly minutes, Needs and Services Plans, Client Safety Plans, staff discipline and annual evaluation reports, client accounting record, Unusual Incident/Injury Reports, disciplinary notices, employee reviews, daily progress notes, emails, texts, and written statements. It was alleged that staff speak inappropriately to clients by swearing at and calling them names. Interviews SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 07/31/2025


raw_content:
Narrative:
that while vapes have been confiscated by facility staff, no clients have been caught smoking or vaping anywhere on the property in recent months. Although as of the date of this report and since the start of school there has been recent occurances of confiscated vapes from clients. One confidential interviewee admitted to vaping in the bathroom without staff knowledge. On a specific night of a reported marijuana odor, one staff person reported smelling skunk outside but not observing anyone smoking. Based on LPA's interviews and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Eric Perry, Administrator. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 07/31/2025 and three staff and four confidential interviews were conducted. During the course of the investigation, LPA interviewed the reporting party, a second involved party, and two additional facility staff. LPA reviewed records to include: daily progress notes, agency policy on neighbor complaints, client roster, facility smoke free policy, law enforcement denial of report request, text messages, two short videos, emails, Code of Conduct, biopsychosocial assessments, and Needs and Services Plans. Allegations include that the facility fails to maintain a smoke free environment. The reporting party did not see any client(s) or staff smoking marijuana but reported smelling it and finding vapes and cans of chewing tobacco along the property line. Seven of the nine interviewees were consistent in stating that staff and clients are not allowed and have not been observed to smoke or vape on the property. Staff indicates UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 09/08/2025

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


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

raw_content:
Narrative:
Based on LPA's record reviews, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. One citation is being issued for violating California Code of Regulations Title 22 section 80078(a). An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Eric Perry, Administrator. LPA conducted the complaint investigation. LPA initiated the investigation with the facility on 07/31/2025 and three staff and four confidential interviews were conducted. During the course of the investigation, LPA interviewed the reporting party, a second involved party, and two additional facility staff. LPA reviewed records to include: daily progress notes, agency policy on neighbor complaints, client roster, facility smoke free policy, law enforcement denial of report request, text messages, two short videos, emails, Code of Conduct, biopsychosocial assessments, and Needs and Services Plans. Allegations include a lack of supervision of clients, with one client throwing rocks over the fence targeting the neighboring resident and their home. Records review indicate that the involved client had documented high needs, that warranted close, increased supervision. Interviews and records review indicate staff were informed by law enforcement that the client was throwing rocks, rather than having supervised the youth to intervene with the behavior. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 09/08/2025

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

Deficiencies:
80078: Based on records review staff were informed by law enforcement that the client with high needs was throwing rocks, rather than
1
2
3
4
5
6
7

title: (a)	The licensee shall provide care and supervision as necessary to meet the client's needs. This regulation was not met as evidenced by


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Narrative:
inconsistent about what occurred or what was observed to have occurred. Based on LPA's interviews and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Eric Perry Administrator. LPA Brown conducted the complaint investigation. LPA initiated the investigation with the facility on 07/02/2025 and two staff were interviewed. During the course of the investigation, LPA interviewed six additional staff, the reporting party, one probation officer, and one confidential interviewee. LPA reviewed records to include: client health records, client personal daily records, staff records, incident report, written statement, emails, safety plan, needs and services plans, individual crisis management plan, and the county cross report. The allegations occurred as a result of an interaction between a staff person and a client wherein it was reported that the staff person caused injury to the minor client, inappropriately restrained the minor, handled the minor in a rough manner, and did not allow the minor to leave their room. There was no medical record to demonstrate any injury immediately following the incident. LPA interviewed all individuals present at the facility at the time and those involved shortly thereafter. Interviews were UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES-DIAMOND PEAKFACILITY NUMBER: VISIT DATE: 09/08/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Hillary Hall conducted a case management inspection at the facility for the purpose of following up on a Serious Incident Report submitted by the facility to the Department on 10/12/21. Administrator Eric Perry (AD) notified LPA on 10/5/21 and 10/6/21 of a incident involving two youth in the facility engaging in sexual behavior with one another. AD informed LPA that the placing counties for the youth had been notified. One youth, C2, was removed from the facility by Probation on 10/7/21 as a result of the incident. The other youth, C1, who reported the incident to staff, did not disclose the day the incident occurred, just that the incident had occurred sometime in the last month, during the night. Both youth were interviewed by law enforcement and C2 was examined by a medical professional. LPA interviewed C2 in person on 10/4/21. C2 reported feeling safe at the facility and that the staff were very supportive. C2 had no concerns about his placement. AD reported to LPA that there are 2-3 night staff on duty each night, plus an administrative designee. AD has retrained the staff on expectations of night staff to check the bedrooms of clients every 15-30 minutes. Staff are to keep eye sight on any youth who get up and exit their rooms at night. Based on interviews and record reviews, no citations are issued at this time.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Hillary Hall received a phone call from Administrator (AD) Eric Perry on 12/30/2022 reporting a 24 hour notice of a Serious Incident. AD reported that the new facility therapist picked up a client on 12/29/21 from a visit in Colusa and was driving the client back to facility in Susanville. Client had just been picked up from a family visit and was emotionally distraught. The therapist stopped at a bank in Red Bluff and ran in, leaving the client in the car. While in the bank, the client stole the car. Law enforcement was notified. The car was found in Stonyford, CA and had minimal damage. The client had not been located. Facility was willing to take the client back. LPA interviewed therapist on 1/19/22. Therapist is now aware to not leave clients unsupervised in the vehicle. It was very cold the day of the incident and the therapist chose to allow the client to remain warm in the car. AD has completed a disciplinary write up with additional training for the therapist. LPA interviewed the county social worker (CSW) for the client on 1/26/2022. The client has no history of theft. CSW indicated that prior to the therapist picking up the client, CSW had just told the client they would not be able to return to their previous foster home and the client was distraught. On 1/11/2022, the client mailed a letter to their previous foster home indicating they were alive and well. The county believes the client is residing in Stonyford, CA with his biological father. The county will do a surprise visit to the home in an attempt to locate the client and would like to return the client to the facility if he is found timely. LPA reviewed the full Serious Incident Report and disciplinary write up. No citation is being issued for this case management. A signed copy of this report was delivered to the facility by Licensing Program Analyst (LPA) Stefanie Whitlow on 1/27/2022.

met_with: Eric Perry


summary: Facility Evaluation

raw_content:
Narrative:
On July 15, 2022 at 10am, Licensing Program Analysts (LPA) Hillary Hall and Shannon Parks arrived unannounced at the facility for the purpose of completing an Annual Inspection. LPA's met with Administrator (AD) Eric Perry and left at 3:00pm. LPA's previously completed an SB Psychotropic Medication Inspection on July 14, 2022. LPA's used the CARE tool to complete the Annual inspection. On 7/15/22, LPA's completed a facility inspection. Facility is clean and organized. The facility currently has 9 clients, with a capacity of 10 clients. Staff ratio was maintained. More than 7 days of non-perishable food was observed and more than 3 days of perishable food was observed. Each client has sufficient bedding and storage space. Facility vehicles were in good repair. Facility does not have any bodies of water on the property. Outdoor space was safe and free of hazards. Smoke alarms, carbon monoxide detectors, and fire extinguishers were in compliance. Medications and cleaning supplies were locked per regulations. No deficiencies were noted in the physical grounds. On 7/14/22, LPA's interviewed eight clients who were on site. The remaining client was not on site due to a visit. LPA's interviewed two staff on 7/14/22 and two staff on 7/15/22. LPA's reviewed nine client files and six staff files. No deficiencies were noted with staff files. LPA's observed four client files had Needs and Services Plans (NSP) which were not updated within 30 days. Five Needs and Service Plans had not been signed by the client. Four Needs and Service Plans did not accurately include the services provided to the clients. These three citations were given during the SB Psychotropic Medication Inspection and will not be repeated for the Annual Inspection, as a Plan of Correction has been implemented. No deficiencies were cited during this Annual Inspection. A signed copy of this LIC-809 and LIC-809C were provided to the administrator.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Misty Valencia and Wendy Brown on 08/11/2023 at 8:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia and Brown met with Amy Green, Facility Manger and Eric Perry, Administrator and inspected the facility inside and out. LPAs reviewed five of five (5/5) child's records and three of three (3/3) staff personnel files on site at the facility. LPAs reviewed five of five (5/5) child's psychotropic medications and medication records. LPAs interviewed three of three (3/3) of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed four of five (4/5) children currently prescribed psychotropic medication. One child was not present due to being on a home pass. LPAs provided a copy of this licensing report to Eric Perry, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Eric Perry, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/5/ Licensing Program Analyst (LPA) Wendy Brown met with Administrator Diana Tichenor at the Chico office of Community Care Licensing, to discuss and review the Program Statement information submitted to date on behalf of the several Short-Term Residential Therapeutic Programs (STRTP) in northern California. Discussion to move the process forward included, in part, -layout (specifically section headings); -specific required and sometimes repetitive wording; -addressing each section and being sure information is comprehensive -clarity in wording (i.e. client will review personal rights "regularly"); and -missing information The modified Program Statement will be provided to LPA by 03/05/2024.

met_with: Diana Tichenor, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 2024 at Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Carmel Smith,Facility Supervisor. The purpose of the visit was to conduct a Required Biennial Inspection of the facility. The last inspection that occurred was the Pre-licensing Inspection of 07/15/2022. LPA utilized the CARE Tool to complete the inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with five client bedrooms, a large open plan kitchen/dining area, and two locked staff office. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, and safely fenced on shared property lines. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. Grievance Policy information and weekly menus were also in main living areas. The facility has two client bathrooms and one staff bathroom. The shower in one client bathroom is under repair and the Facility has contractor quotes. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand. LPA observed client files and client medications were stored in a locked office in the refrigerator, non-refrigerated medications were stored in a locked office, in a locked closet.

met_with: Carmel Smith, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 04/03/ Licensing Program Analyst (LPA) Wendy Brown returned to the facility unannounced to complete the Biennial Inspection. The facility has no outstanding fees. The facility currently has nine clients, with a licensed maximum capacity of 10. Staff to client ratio is 4:9. LPA reviewed five staff files. Staff files had completed criminal record clearances and all required initial and annual training. Training certificates were in file and all First Aid and CPR certifications were up to date for staff. LPA interviewed four staff on site. LPA reviewed five client files. All clients had signed Admission Agreements on file. Client files had completed initial Needs and Service Treatment Plans, signed by clients and staff, and updated Needs and Service plans every 30 days. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. Three of the five of clients whose files were reviewed were taking court ordered psychotropic medications and had current JV-220's on file. LPA interviewed all three clients available at the facility on this date. No citations were given on this date. A signed copy of the two LIC-809 reports were provided to Carmel Smith. An exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue on 08/28/24 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Eric Perry, Administrator and inspected the facility inside and out. LPA reviewed 5/8 child's records and 3/3 of staff personnel files on site at the facility. LPA reviewed 5/8 child's psychotropic medications and medication records. LPA interviewed 3/3 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 5/8 of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Eric Perry, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Eric Perry, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/09/ Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility for the purpose of a case management inspection following receipt of an incident report indicating staff spoke inappropriately to a client. LPA then received telephone calls from the administrator, another staff person, and the client's representative. LPA also conducted two other confidential interviews. Interviews were inconsistent on what occurred. Parties were consistent in stating that the matter has been resolved. LPA plans no further action at this time. A facility inspection was conducted on 09/08/2025; No deficiencies were noted. An exit interview was conducted and a copy of this LIC809 was provided to Administrator Eric Perry.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/05/ Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility for the purpose of a case management inspection. On 05/22/2025 the facility was issued a Technical Violation. At that time LPA advised the facility to review Interim Licensing Standards Section 87068.3 regarding Modifications to the Needs and Services Plan with appropriate staff to be sure the client Needs and Services Plans are modified, in part, based on an analysis of each incident reported within the thirty days preceding the review, to determine and reflect current needs and progress. In recent review of two clients' Needs and Services Plans, this assessment is still not indicated. The facility is being issued one citation per Interim Licensing Standards section 87068.3(c): Modifications to The Needs and Services Plan (c) In order to determine the need to modify the child's needs and services plan, the licensee shall conduct an analysis of each incident reported pursuant to Section 87061 and California Code of Regulations, Title 22, Section 80061 which occurred in the thirty (30) days preceding the review of the needs and services plan. A facility inspection was conducted. An exit interview was conducted with Eric Perry, Administrator and a copy of this LIC809 and appeal rights were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Hillary Hall and LPA Shannon Parks on 07/14/2022 at 10:30am. During the inspection, LPA Hall and LPA Parks met with Eric Perry, Administrator, and inspected the facility inside and out. During the tour of the facility, LPA's observed the facility to be clean and organized. Medication was properly locked in a closet inside the locked office. LPA's reviewed 6 client files on site at the facility. LPA's interviewed 6 clients currently taking psychotropic medication. LPA's reviewed 2 staff personnel files and interviewed 2 staff. LPA's completed a medication count of all client medications. All clients had current JV-220's or parental consent. During the review of client's records, LPA's observed four Needs and Services Plans did not describe the services provided to the client. Five Needs and Service Plans were not signed by the client. LPA's observed 4 client files did not have current Needs and Service Plans. One deficiency was observed (refer to LIC 809D) and cited from the Interim Licensing Standards (ILS), Section 87068.2(c): The needs and services plan shall include a description of the services to be provided or arranged to meet the short- and long-term needs and goals of the child. Continued on 809C Continued from One deficiency was observed and cited from ILS Section 87068.2 (f): The licensee shall obtain written approval from the child, if age and developmentally appropriate, and the child's authorized representative prior to implementing the child's needs and services plan. One deficiency was observed and cited from the ILS Section 87068.3(a) Modifications to The Needs and Services Plan (a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days. LPA conducted exit interview with Administrator Eric Perry at 5:30pm. A signed copy of this LIC-809, LIC-809C, and LIC-809D were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) NAME arrived unannounced at the facility for the purpose of a case management inspection following a record review during a complaint investigation. LPA Wendy Brown reviewed records from the facility and conducted eight interviews. Records indicate that one staff member observed an incident between a staff and a client on 7/30/2024. The staff provided a written report via email on 7/31/24, of the incident they observed, to the administrator, a senior facility manager, and the engineering supervisor. The facility initially determined the incident involved horseplay between the staff and client. After further internal review by the facility, the incident was interpreted as offensive and a potential safety risk for the client, warranting the facility filing a Serious Incident/Injury Report, a Suspected Child Abuse Report (SCAR), and termination of the involved staff. The SCAR was not submitted until 8/12/2024 and the 24-hour notice of the incident was submitted to the Department on 08/13/2024. The facility is being issued one citation per Title 22, Division 6, Chapter 1, Section 80061(b)(1)(E): Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. An exit interview was conducted and a copy of the report was provided along with appeal rights.

met_with: Eric Perry, Admin


facility_name: ENVIRONMENTAL ALTERNATIVES - BUTTE VALLEY

summary: Facility Evaluation

raw_content:
Narrative:
An announced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA), Stefanie Whitlow, at STRTP EA Butte Valley located at address above on 9/8/21 at 9:30am. During the inspection, LPA met with Joe Wylie, facility administrator, and inspected the facility inside and out. There were no deficiencies noted. A medication count was also conducted. LPA reviewed three children's records. LPA interviewed three children currently taking psychotropic medication at 2: PM LPA interviewed five staff on site during the inspection at 10: AM. LPA reviewed five staff personnel files. LPA conducted exit interview with Joe Wylie, facility administrator, who signed the LIC 809. Appeal rights were not explained, as no citations were given. LPA provided the Summary Report to Joe Wylie, facility manager, upon completion by email.

met_with: Joe Wylie


summary: Facility Evaluation

raw_content:
Narrative:
On 08/03/2022, at 11: AM Licensing Program Analyst (LPA) Connie Goldie conducted an announced visit to facility to conduct a collateral interview with a client for a open investigation at another facility. LPA Goldie met with House Manager Joe Wylie to assist with this interview. LPA interviewed 1 client today. Exit interview conducted with House Manager Joe Wylie at 12: PM.

met_with: House Manager Joe Wylie


summary: Facility Evaluation

raw_content:
Narrative:
SB Psychotropic Medication Inspection An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hillary Hall on 11/3/22 at AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Hall met with Joe Wylie, Administrator, and inspected the facility inside and out. LPA reviewed 5 client files and 3 staff personnel files on site at the facility. LPA conducted a medication count of 5 client's psychotropic medications and medication records. LPA interviewed 3 staff on site. LPA interviewed 3 clients out of 5 who are currently prescribed psychotropic medication. One client was not interviewed due to feeling ill and one client refused to be interviewed. No deficiencies are being cited at this time. LPA conducted an exit interview with the Administrator. LPA provided a signed copy of this LIC-809 licensing report to the Administrator.

met_with: Joe Wylie, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/4/2022, Licensing Program Analysts (LPA) Hillary Hall and Misty Valencia arrived unannounced at the facility for the purpose of conducting an Annual Inspection. LPA's arrived at 10:45 am and met with Administrator (AD) Joe Wylie. LPA's left at 2:30pm. LPA's utilized the CARES tool to conduct the inspection. Facility is clean and organized. More than 7 days of non-perishable food was observed and more than 3 days of perishable food was observed. The facility currently has six clients. Each client has sufficient bedding and storage space. Facility vehicles were in good repair. Facility has a pool which is properly fenced. Staff supervision was was within regulations. Smoke alarms and fire extinguishers were in compliance. Medications and cleaning supplies were locked. *No deficiencies were noted in the physical grounds. On 11/03/22, LPA Hall interviewed three clients present, as LPA was on site this date for a SB Psychotropic Medication Inspection. LPA's reviewed six client files. LPA Hall interviewed 3 staff. LPA's reviewed five staff files. LPA's observed all six client files to have current Needs and Services Plans (NSP). *No deficiencies were noted with the staff or client files. A signed copy of this LIC-809 and LIC-809C were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 11/30/2023 at 8:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Author (Joe) Wylie, Administrator and inspected the facility inside and out. LPA reviewed one of five (1/5) child's records and three of three (3/3) staff personnel files on site at the facility. LPA reviewed one of five (1/5) of child's psychotropic medications and medication records. LPA interviewed three of three (3/3) staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one of five (1/5) children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Joe Wylie, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Joe Wylie, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On April Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Joe Wylie, Administrator. The purpose of the visit was to conduct a Required Biennial Inspection of the facility. The last inspection that occurred was 11/04/2022. LPA utilized the CARE Tool to start the inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with three client bedrooms, a large open plan kitchen/dining area, and a locked staff office. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, and the pool was fenced with fencing previously approved by the Department. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. The facility has two client bathrooms and one staff bathroom. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand. LPA observed client files and client medications were locked. LPA will return at a different date to conclude the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/19/2024, Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Joe Wylie Administrator. The purpose of the visit was to finish the CARE Tool and interviews, and conclude the Required, Two-year Annual Inspection of the facility. The facility currently has six clients, with a licensed maximum capacity of six. Awake staff-to-client ratio from 7:00am to 10:00pm is 1:2 exceeding the state requirement, and the awake staff-to-client ratio from 10:00pm to 7:00am is 1:6. LPA reviewed 5 staff files. Staff files had completed criminal record clearances and all required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPA interviewed all four staff on site at the time of the inspection. LPA reviewed five client files. All clients had signed Admission Agreements on file. Client files had completed Needs and Service Treatment Plans, signed by clients and staff. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. One client is placed through foster care and five through Adoptions. Appropriate authorizations and the JV-220 were on file where applicable for psychotropic medications. LPA interviewed five clients. The facility has no outstanding fees. No citations were given on this date. An exit interview was conducted. A signed copy of this LIC-809 report was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Connie Goldie on 10/29/2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Goldie met with Arthur (Joe) Wylie, Administrator and inspected the facility inside and out. LPA reviewed one of six (1/6) child's records and four/four (4/4) staff personnel files on site at the facility. LPA reviewed one of six (1/6) of child's psychotropic medications and medication records. LPA interviewed four of four (4/4) staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one of six (1/6) children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Shari Mota, Supervisor. One technical violation was issued to the facility. This is not a deficiency. No deficiencies are being cited at this time. LPA conducted exit interview with Shari Mota, Supervisor.

met_with: Arthur Wylie Administrator Shari Mota Supervisor


raw_content:
Narrative:
Interviews and records reviewed were consistent in that there was one incident which occurred on 11/11/25, a staff member did not properly restrain a minor while taking over a restraint from other staff who were doing a sitting restraint. Interviews conducted confirm a staff member yanked client by their hair and forcefully grabbed minor into a restraint to which the client felt like they could not breathe. Based on LPA's interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. Citation is being issued for violating Interim Licensing standards Section # 87072(c)(16) Personal Rights A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Interviews and records reviewed were inconsistent regarding the allegations. Two interviews allege staff do yell at clients in care while all other interviews state staff are not yelling, just raising their voice to get clients attention. Interviews conducted indicated that some staff have let inappropriate language slip around clients, however, have never used inappropriate language directed at a client. Based on LPA's interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Joe, Wylie, Administrator. LPA Vallejo conducted the complaint investigation. LPA initiated the investigation with the facility on 11/25/25 and met with Shari Mota. During the course of the investigation, LPA interviewed 3 clients, 7 staff, and one administrator. LPA reviewed records including: Employee schedules, incident reports, training reports, phone roster, client roster, and TCI physical restraint handbook. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: ENVIRONMENTAL ALTERNATIVES - BUTTE VALLEYFACILITY NUMBER: VISIT DATE: 01/14/2026


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility for the purpose of a case management inspection following a record review. LPA Vallejo conducted interviews and reviewed records specifically one incident that occurred on 11/11/25. LPA determined the Serious Incident Report (IR) that was submitted on 11/11/25 to not be accurate, and missing key information such as, staff present, staff actions, and staff involved in the restraint. One citation is issued per Interim Licensing Standards 87095.61(b) Documentation and Reporting Requirements (b)Any report of the use of manual restraints must be reviewed, for accuracy and completeness, and signed by the administrator or administrator's designee following the incident. Signed copy of this LIC 809 and 809D was provided to the facility.


facility_name: ENVIRONMENTAL ALTERNATIVES LOSH

raw_content:
Narrative:
S1, S2,S3 and S4 also stated that a stern, raised voice is only used if safety is a concern. Seven of nine confidential youth interviews corroborated that staff spoke appropriately to them. There are inconsistencies in the two additional interviews. One of the two was hearsay and the other could not be corroborated. Based on LPA's observations, and interviews which were conducted, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No citations are being issued today, Exit interview was conducted with Facility Administrator, Gloria Losh at 2: PM. A copy of this report along with appeal rights were discussed and provided.

Investigation Findings:
13On 06/17/2022, Licensing Program Analyst (LPA), Connie Goldie met with Facility Administrator Gloria Losh at 2: PM and explained the purpose of the visit was to deliver complaint findings for the above allegation. LPA Shawndra Miles initiated the complaint at the above named facility on 11/08/2021and met with Facility Manager Dolores Martinez regarding a personal rights violation allegation. During the course of the investigation, LPA Goldie investigated the complaint that "Staff spoke inappropriate to resident in care." LPA Goldie conducted a records review of documentary evidence on 05/05/2022. LPA Goldie conducted a physical plant inspection of the home on 05/20/2022 and interviewed three staff. Additionally, nine foster youth, the facility administrator and the social worker were interviewed on 05/03/2022, 06/03/2022 and 06/10/2022. All staff collaborate that that they have not heard nor stated anything inappropriate to youth in care. Continued on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Connie Goldie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 06/17/2022

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

met_with: Facility Administrator Gloria Losh


raw_content:
Narrative:
The Department has investigated the complaint that Staff handled youth in a rough manner and staff threatened youth. C1 and S1 were by the front door entrance according to C2 and S1 tried placing C1 in a restraint. C1 confirmed S1 placed one hand on C1's shoulder and turned C1 around. C1, C2, and C3 confirmed that C1 wasn't threatened or handled roughly. C1 and C2 all confirmed C1 did not open the front door and was not pushed back into the home. C1, C2 and C3 confirmed that C1 was not chocked before or after the restrain. C1 stated "I thought, I was "I say stuff when I'm angry and don't mean it". C1 and C2 confirmed S1 had hands on C1 shoulders. C1 stated "I was not hurt". The reporting party did not observe any bruises or marks on the minor and the minor did not report any after the incident. Based on LPA's interviews which were conducted, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Exit interview conducted and no Title 22 regulations were cited during today's inspection. A copy of this report along with appeal rights was given to the Gloria Losh.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit on July 1, 2022, and LPA spoke with Gloria Losh, STRTP Administrator, to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility by LPA Shawndra Miles on 11/01/21. The initial 10-day complaint inspection was conducted by LPA Shawndra Miles, at the agency on 11/01/21 and LPA, obtained a recent copy of the LIC 500 and staff schedules. Interviews were conducted by LPA Mary Shelton, which included C1, C2, S1, S2 and the County Social Worker between 5/9/2022 and 5/12/2022. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 07/01/2022

met_with: Gloria Losh


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
The Department has investigated the complaint that Staff improperly restrained youth. C1 was heading towards the front door entrance to run away and S1 was following behind C1. S1 was talking to C1 as C1 was trying to leave the home. C1 turned around and called S1 a "bitch" and attempted to hit S1. S1 then attempted to place C1 in a Small Child Restraint. C1 confirmed S1 placed one hand on C1's shoulder and turned C1 around. C2 and S1 stated C1 let her body go limp during the restrain and went to the floor. Protocol was not followed as outlined in the Program Statement by staff which resulted in a youth being placed in an improper restraint. The Program Statement states "Physical interventions will be employed when a child is in immediate danger of harming her/self or other and when other less restrictive interventions have failed, and a "Restraint" is defined as: The use of trained staff members to hold a young person to contain acute physical behavior" the restrain was not executed properly which resulted in C1 going to the floor. Also, staff did not follow the Program Statement regarding "Staff will first employ protective interventions (releases, deflections, proximity, and protective stance) when a child attempts to physical harm to staff or peers. Staff did not allow enough space between C1 therefore, the staff was not implementing proximity and a protective stance which resulted in a improperly restraint. The youth was restrained for behavior that did not present an imminent danger for injuring self or others which poses a potential Health, Safety, or Personal Rights risk to clients in care. As a result of the interviews conducted, documentation reviewed and investigation conducted, the allegation that staff improperly restrain youth is SUBSTANTIATED at this time meaning that the allegation is valid because the preponderance of the evidence standard has been met. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 87095.00(d) General Provisions: All children placed in a short-term residential therapeutic program have the right to be free from the use of restraints imposed as a means of coercion, discipline, convenience, or retaliation by staff An exit interview was conducted with Gloria Losh, STRTP Administrator, a copy of the report and appeal rights were provided. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit on July 1, 2022, and LPA spoke to Gloria Losh, Administrator to deliver findings of the investigation on the complaint allegation as stated. LPA Shelton informed the complaint investigation included a tour of the facility by LPA Shawndra Miles on 11/01/21. The initial 10-day complaint inspection was conducted by LPA Shawndra Miles, at the agency on 11/01/21 and LPA, obtained a recent copy of the LIC 500 and staff schedules. Interviews were conducted by LPA Mary Shelton, which included C1, C2, C3, S1, S2 and the County Social Worker between 5/9/2022 and 5/12/2022. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 07/01/2022

Deficiencies:
87095.00(d): All children placed in a short-term residential therapeutic program have the right to be free from the use of restraints imposed as a means of coercion, discipline, convenience, or retaliation by staff.

met_with: Gloria Losh, STRTP Administrator

title: General Provisions


raw_content:
Narrative:
No title 22 regulations were cited during today's visit. An exit interview was conducted, and a copy of this report, and appeal rights were left with Gloria Losh, Administrator, whose signature on this form confirms receipt of these documents.

Investigation Findings:
13Licensing Program Analyst (LPA) Shawndra Miles conducted an unannounced inspection at the agency on 08/29/2022 at TIME to deliver complaint allegation findings. LPA met with Gloria Losh, Administrator and discussed the above allegations. LPA conducted confidential interviews with five youths and four adults. The interviews were consistent that during their bedroom routine, the youth had a physical altercation with another youth in their bedroom, while in care. However, there is not enough evidence to show there was a lack of supervision and/or staff could have prevented the incident from occurring. Based on LPAs observations and interviews which were conducted and record review(s), although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Shawndra Miles LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 08/29/2022

met_with: Gloria Losh, Administrator


raw_content:
Narrative:
During the investigation LPA Ajaero interviewed the administrator and facility managers on 1/19/23 and learned that staff accompanied FY1 to the hospital and stayed with FY1 till the doctor directed the staff to leave. Staff was directed to leave because the hospital had a sit-in staff that remained with FY1. Staff stated that it was based on this reason that Staff presence was no longer required by the hospital. On 1/20/23, the Program Director provided the facility policy. The policy did not have any requirement that the staff should stay at the hospital with clients when they are taken for psychiatric treatment. LPA Ajaero was informed by LPA Michael Almaraz that during LPA's visit on 2/9/23, FY1 appeared to be under the influence and could not be interviewed by the LPA. On 2/2/2023, Reporting Party stated that at the time of FY1's evaluation, FY1 was attended to by a hospital sitter and that Hospitals in San Joaquin County have different protocols regarding if a legal guardian, referring to Facility staff, has to be present in the ER. Therefore, he could not firmly state whether the Staff was required or not. Additionally, reporting party stated that due to the emergent need for a mental health evaluation on the client, it was necessary to complete the evaluation without a legal guardian present. In addition, the Administrator denied any knowledge of any staff making inappropriate comments towards FY1. On 1/19/23, LPA interviewed the staff and they denied making the alleged statement. Lastly, LPA Ajaero made several attempts to interview FY1. FY1 is not available to respond to questions at this time because FY1 has been hospitalized with no definite day of release. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was conducted. A copy of the report and appeal rights were provided to the Administrator, Gloria Losh.

Investigation Findings:
13On 3/30/2023, Licensing Program Analyst, (LPA) Uchenna Ajaero made an unannounced complaint investigation visit to Environmental Alternatives Losh to deliver findings for this investigation. LPA Ajaero met with Gloria Losh the Administrator and informed her of the reason for the visit. During the investigation, LPA Jean Stidman initially conducted a visit to the facility on 9/23/22. On 1/19/23, LPA Ajaero visited the facility and met with the Administrator and obtained copies of incident reports, needs and services plan, placement reports, staff schedule and roster of the facility and daily staff assignments for the period of the incident. LPA Ajaero was informed that the FY1 has been moved to another facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Uchenna Ajaero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 03/30/2023

met_with: Gloria Losh, Facility Administrator


raw_content:
Narrative:
The Department investigated the complaint that staff lock the refrigerator. C1 stated there was a child lock placed on the middle drawer of the refrigerator in the kitchen. The refrigerator has three different ways to access opening; two top doors that swing open, a middle drawer that pulls out and a bottom drawer that pulls out and opens. During confidential interviews the administrator, three staff and three clients stated that they have never seen a lock on the refrigerator door in the kitchen. A former client and mother who works for CPS also stated that there was not a lock on the refrigerator door. LPA Shelton observed the refrigerator in the kitchen and to place a child lock on the middle drawer would not prevent the drawer from opening. Based on the investigation, records reviewed, and interviews conducted, the complaint finding is UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No Title 22 deficiencies were cited. LPA Shelton provided a copy of report along with appeal rights were discussed.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton arrived at the home to conduct an unannounced complaint investigation inspection on 7/30/2024 at 11: AM. LPA Shelton spoke with Gloria Losh, Administrator, to discuss the findings of the complaint investigation and allegation stated above. LPA Shelton informed the Administrator this case was investigated by LPA Shelton. The initial 10-day complaint investigation inspection was conducted by LPA Mary Shelton at the home on 7/10/2024. Copies of facility documentation were provided to LPA Shelton included: LIC 500 and a current client roster. Confidential interviews were conducted with the reporting party, administrator, four clients, three staff and a former client's mother between 7/10/24 and 7/29/2024. Records review of documents and photos obtained was completed on 7/10/2024. Continued on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 07/30/2024

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


raw_content:
Narrative:
It was alleged that staff members S1, S2, and S4 pushed the child, pulled her by her arm, and threw a water bottle at her. Confidential interviews revealed that during the child's two week stay, she had many physical altercations with another youth in care, and that staff had put hands on her once when attempting to prevent a physical fight between clients. An Incident Report (IR) was sent in by the facility on 9/12/24 describing an incident where S4 held C1's wrists for less than 20 seconds when she was going in to beat up another client and was also swinging at the staff member. Confidential interviews with staff revealed that C1 was threatening to hit C2 with a water bottle, so staff collected all water bottles in the facility, and locked them up to prevent this from happening. In an interview with C1, when asked about an incident with a water bottle, the youth stated that she was the one who tried to, "hit C2 upside the head with a water bottle". C1 stated, on another occasion, S1 told her to 'get out of the way' and pushed her. C1 stated S3 was a witness. S1 stated, no staff had ever pushed C1, and S3 stated she never saw anyone push C1 either, resulting in conflicting information. This Department has investigated the complaint alleging that the minor is being physically abused in care. We have found that the complaint is Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with the Administrator, Gloria Losh. A copy of this report, and appeal rights were given.

Investigation Findings:
13On Monday, October 28th, 2024, Licensing Program Analyst (LPA) Brittany Crass, made an unannounced complaint investigation inspection at the facility, to deliver findings for the allegation listed above. LPA met with the Facility Administrator, Gloria Losh, who assisted with the inspection. LPA conducted the initial-10 day complaint investigation at the Facility on 9/20/24. Between 9/20/24 and 10/21/24, LPA reviewed C1's file, and interviewed the Administrator, four staff members, and the Agency Social Worker/Clinician. On 10/17/24, LPA Karen McGee conducted a collateral interview at James Penny House Facility to interview C1. It was alleged that the minor is being physically abused while in care. (Continued on LIC 9099-C). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Brittany Crass LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: ENVIRONMENTAL ALTERNATIVES LOSHFACILITY NUMBER: VISIT DATE: 10/28/2024