raw_content:
Narrative:
Regarding the allegation that staff mishandled a minor's personal belonging, it was specifically reported that S1 picked up C1's remote-control car and threw it against the wall causing it to break. Multiple confidential interviews disclosed that S1 broke C1's toy car during an altercation but replaced it afterwards. Another confidential interview disclosed that out of frustration, S1 swiped the toy cars remote off the dresser accidentally causing it to break. In addition, S1 understood that it was not right and replaced the toy car. In regard to the allegation that staff threw a minor against the wall, it was specifically reported that S1 picked up C1 from underneath C1's arm and threw C1 against the wall. Confidential interviews disclosed that although they were inside the same house, they did not see nor hear S1 throwing C1 against a wall. Another confidential interview disclosed that S1 was only deflecting C1 from throwing toys at S1, and C1 was already angled near the wall during the incident, however, S1 didn't intentionally put C1 against the wall. In addition, confidential interview disclosed that at no point did S1 restrain C1 due to S1 being the only staff on duty and S1 was not allowed to restrain by themselves. Another confidential interview disclosed that S1 grabbed C1 and threw C1 against the wall then pushed C1's head against the wall but there was no one around. Another confidential interview disclosed that they witnessed S1 restrain C1 against the wall and had C1's arm pressed against the wall. In addition, confidential interview disclosed that S1 was the only staff present. Based on interview and record review, the preponderance of evidence standard has been met and the Department has determined that staff mishandled a minor's personal belonging and staff threw a minor against the wall. Therefore, the allegations are substantiated. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards Section Personal Rights(c)(11). See LIC D. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Administrative Director, Sylvia Luna.

Investigation Findings:
13On 03/28/2025, at 10: AM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term therapeutic residential program (STRTP) and met with Administrative Director, Sylvia Luna to deliver the investigative finding for the allegations listed above involving the STRTP staff and client 1 (C1). On 10/28/2024, Community Care Licensing (CCL) received a complaint that staff mishandled a minor's personal belonging and staff threw a minor against the wall. On 10/31/2024, LPA Maya Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA Chavez interviewed staff 1 (S1), clients 1-6 (C1, C2, C3, C4, C5 and C6), and county social worker (CSW). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 03/28/2025

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

met_with: Administrative Director, Sylvia Luna


state: CA

facility_name: FATHER'S HEART RANCH

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Regarding the allegation that staff did not prevent physical altercation between C1 and C2, it was specifically reported that C2 socked C1 in the eye resulting in a black eye and that it is unknown whether the staff witnessed the incident or how they became aware of the incident. During investigation, multiple interviews disclosed that C1 and C2 were in a verbal altercation and staff told C1 and C2 to stop but then it escalated to a physical altercation. In addition, multiple confidential interviews disclosed that when the physical altercation started staff attempted to separate C1 and C2 by placing themselves between C1 and C2 but C2 was still able to hit C1. Additionally, multiple confidential interviews disclosed that staff prevent altercations between clients by using verbal redirection and physically separating clients if needed. LPA received conflicting information. Regarding the allegation that staff made inappropriate comment towards minor, it was specifically reported that after a physical altercation between C1 and C2, a staff member at the facility told C1 "if this incident occurs again, whatever has to happen will happen." It was reported that it was unknown what that staff member meant. During investigation, a confidential interview disclosed that what that staff member said, could have meant numerous things such as reporting it to the administrator, calling the police, etc. but it did not seem inappropriate. In addition, multiple confidential interviews disclosed that staff have never said anything inappropriate towards a client in general. Based on interviews, the allegations that staff did not prevent physical altercation between C1 and C2 and staff made inappropriate comment towards C1 may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Administrator, Christina Torres.

Investigation Findings:
13On 05/12/2025, at 12:00PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term therapeutic residential program (STRTP) and met with Administrator, Christina Torres to deliver the investigative finding for the allegations listed above involving the STRTP staff and client 1 (C1). On 01/22/2025, Community Care Licensing (CCL) received a complaint that staff did not prevent physical altercation between minors and staff made inappropriate comment towards minor. On 1/24/2025, LPA Maya Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA Chavez interviewed Clients 1-6 (C1, C2, C3, C4, C5, and C6), and staff 1 (S1). LPA was unable to interview county social worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 05/12/2025

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

report_type: Complaint Investigation

met_with: Administrator- Christina Torres

complaint_status: unsubstantiated


raw_content:
Narrative:
Documentation and confidential interviews confirmed that C1 did sustain a fracture to their left arm, however the injury was caused by C1 falling off their bike. The incident report submitted to the Department reported that on October 5, 2025, C1 was seen riding their bike when they crashed while attempting to make a turn. The report notes that several staff members were present and attended to C1's "cuts and scrapes." However, at the time of the fall, it was not known that C1 had broken their arm as a confidential interview reported that C1 got back on the bike afterward. C1 was kept under staff supervision to monitor for any pain or swelling to their arm. The following day, staff transported C1 to urgent care where a fracture was confirmed. There were allegations that C2 caused C1's injury, as it was reported that on the same day of the fall, C2 kicked in C1's bedroom door, potentially further injuring C1's arm. However, confidential statements regarding this incident were inconsistent and did not establish that C2's actions caused the fracture. Regarding the claim that STRTP staff did not prevent bullying, multiple confidential interviews indicated that C1 and C2 were housed in the same dormitory, and C1 frequently provoked C2. It was also reported that, in addition to clients always being under staff supervision, staff routinely intervened during conflicts. Although C2 and other clients occasionally "teased" each other, staff members were present to redirect behaviors and de-escalate situations as much as possible. Additionally, statements about whether C2 coerced C1 or other clients into bringing C2 food were inconsistent. Based on confidential interviews and pertinent documentation, the allegations that due to a lack of Supervision a minor (C1) sustained a fracture while in care and staff did not prevent minor (C2) from bullying another minor (C1) may have happened or be valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated. An exit interview was conducted, and a copy of this report, along with the Confidential Names List, LIC 811, dated October 11, 2024, and appeal rights, was explained and provided to Chief Executive Officer Christina Torres.

Investigation Findings:
13On May 15, 2025, at 10: AM, Licensing Program Analyst (LPA) Jessica Peete made an unannounced visit to Father' s Heart Ranch Short Term Residential Therapeutic Program (STRTP) and met with Chief Executive Officer, to deliver the investigative finding for the allegations mentioned above. The investigation was conducted by Special Investigator (Inv) Shawniece Poinsette of the Community Care Licensing (CCL) Investigations Bureau. The investigation included interviews the facility staff (S1-S4), clients in care (C1-C6), and the County Social Worker (CSW). On October 9, 2024, Community Care Licensing (CCL) received an allegation that due to a lack of supervision a minor (C1) sustained a fracture while in care and staff did not prevent minor (C2) from bullying another minor (C1). Specifically, there were concerns that the contentious relationship between C1 and C2 led to C2 purposely causing the injury to C1's left arm, as well as C1 bullying and coercing C2 and other clients in care. (Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 05/15/2025

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

met_with: Christina Torres CEO


raw_content:
Narrative:
In regard to the allegation that staff hit minor while in care, it was specifically reported that S1 hit C1 on the face while intervening in an altercation between C1 and another client. In addition, it was reported that S1 attempted to restrain C1 then C1 bit S1's arm and in response, S1 hit C1 on the face during the restraint. During investigation, multiple interviews disclosed that there were only two staff present during the altercation but at no point was C1 restrained or hit by S1. A confidential interview disclosed that there was an altercation between C1 and S1. The confidential interview indicated inconsistent information whether S1 punched C1, S1 slapped C1 or S1 put their hands on C1's face to stop C1 from biting S1. Additionally, a confidential interview disclosed that S1 was trained to deflect clients from biting by placing their hand on client's chin and that is what happened but at no point did S1 hit or restrain C1 while C1 bit S1. LPA received conflicting information. Based on interviews, the allegation staff hit C1 while in care may have occurred, however, there was not a preponderance of evidence to support the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Administrative Director, Sylvia Luna.

Investigation Findings:
13On 08/14/2025, at 1:20PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term therapeutic residential program (STRTP) and met with Administrative Director, Sylvia Luna to deliver the investigative finding for the allegation listed above. This complaint concerns staff at STRTP and client 1 (C1) as listed on the Confidential Names List (LIC 811). On 06/10/2025, Community Care Licensing (CCL) received a complaint that staff hit minor while in care. On 06/19/2025, LPA M. Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA obtained documents pertinent to the investigation and interviewed staff 1-9 (S1-S9) and clients 1-4(C1-C4). Client 5 (C5) refused to be interviewed, and LPA was unable to contact C1's county social worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 08/14/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Michael Almaraz, conducted a collateral visit to the facility for the purpose of interviewing client #1, (see Confidential Names form (LIC 811), dated July 28, 2022), regarding a previous investigation at a prior placement. Exit interview conducted and a copy of this report was provided Administrative Director Christina Torres.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Christina Torres


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 08/23/2022 at 12:30 pm During the inspection, LPA Barragan met with Yvonne Hemminger, Register Nurse and inspected the facility inside and out. LPA reviewed 7 of 10 child's records on site at the facility at 1pm - 4pm. No citations were noted at this moment. LPA Barragan will be returning tomorrow 08/24/2022, in order to complete the SB 484 inspection. LPA conducted exit interview with Yvonne Hemminger, Register Nurse at PM. LPA provided the Summary Report to Yvonne Hemminger, Register Nurse upon completion.

met_with: Yvonne Hemminger, Register Nurse


summary: Facility Evaluation

raw_content:
Narrative:
On August 24, 2022, Licensing Program Analyst (LPA) Eduardo Barragan went to Fathers Heart Ranch and met with Sylvia Luna, Office Manager. This case management was a continuation from 08/23/2022. LPA reviewed 3 of 10 child's records on site at the facility at 8:50am. LPA reviewed 1 of 3 staff personnel files on site at the facility at 10:45 am. LPA conducted exit interview with Sylvia Luna, Facility Manager at 12: AM. LPA provided the Summary Report to Sylvia Luna, Office Manager upon completion and notified her that he will be returning to complete this SB484 inspection. LPA emailed this form to Sylvia Luna, Office Manager due to printer issues.

met_with: Sylvia Luna, Office Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 22, 2022, at 2: PM Licensing Program Analyst (LPA), Val Wilson. arrived at Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) and met with Administrator, Christina Torres, to conduct a case management visit for the purpose of decreasing the capacity for clients' placement as requested by the licensee. The STRTP was licensed to provide care for 24 ambulatory males, ages 6-17 years of age. The licensee requested a capacity decrease to a total capacity of Clients. The STRTP had Clients placed on the date of inspection. At 2: PM, LPA began the inspection of the facility with Christina Torres. LPA toured the facility inside and out. LPA observed that there was a total of ten buildings. Father's Heart Ranch sits on 11-acres and is divided in three parcel sections by a six foot high fence. The lower parcel section has a commercial well that is capped. The five acre center parcel section includes a dining hall/multi-purpose room (A), recreation hall (B), four Client houses(C,D,F,G), staff housing (E), and offices (H). Lastly, the upper parcel section has an administrative (I) and mental health building (J). The Client dorms consists of four separate, one-story Client housing units with (3) bedrooms, (1) bathroom, living room, medication storage closet, locked storage with emergency binders, and kitchenette area in each. Each housing unit also has a separate laundry area. Locked contraceptive containers were not available for each Client. House Unit C has three bedrooms. Currently there are five Clients: Bedroom #1: consisted of two single beds and slept one Client age 12. Bedroom #2: consisted of two single beds and slept two Clients aged 12 and Bedroom #3: consisted of two single beds and slept two Clients aged 11 and 12. () (Continued from page one) House Unit D has three bedrooms. Currently there are three Clients: Bedroom #1: consisted of two single beds and slept one Client age 10. Bedroom #2: consisted of two single beds and slept one Client age 11. Bedroom #3: consisted of two single beds and slept one Client age 10. House Unit F has three bedrooms. Currently there are three Clients: Bedroom #1: consisted of two single beds and slept two Client ages 14 and 11. Bedroom #2: consisted of two single beds and slept one Client age Bedroom #3: consisted of two single beds and slept zero Clients. Dorm G has three bedrooms. Currently there are two Clients: Bedroom #1: consisted of two single beds and slept one Client age 10. Bedroom #2: consisted of two single beds and slept zero Clients. Bedroom #3: consisted of two single beds and slept one Client age 8. Bedrooms were arranged so that no more than two Clients share a room, and there was one Client per bed. However, the beds need to remain at no more than 16 single beds, equal to the capacity. Additional beds may be kept in storage. There was adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the Client bathroom was measured to be not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). All hazardous items have been properly made inaccessible to areas where Clients will have access. Client's medications were observed to be inaccessible and stored in a locked closet in each House Unit. Each of the houses require touch-ups on chipped paint, patched walls, and in the door jams of each bedroom. Client files are maintained on-site in a locked cabinet in a staff office in the J building as well as in a locked cabinet in each house and on a computer system. Personnel files are maintained on-site in a locked cabinet in an office in the I building and also on the computer system (EHR Your Way). Cleansers/chemicals were locked and stored in a locked cabinet located in the laundry rooms of each home. Sharp knives were inaccessible and stored in a locked cabinet in the cafeteria. A First Aid Kit is located in each home and contains all required supplies. (Continued) (Continued from page 2) LPA observed a minimum 7-day non-perishable and a 4-day perishable supply of food. There was a variety of snacks available for Clients in the Unit Homes as well. Menu is posted in the cafeteria. Trash cans for storage of solid waste have tight fitting lids. All facility smoke detectors are hard wired and in working order. Carbon monoxide detectors were tested and in working order; fire extinguishers are in each unit and properly charged and serviced as of October 2022. Facility has cameras in common areas of the facility and outside. There are no guns or weapons in the facility, as stated by Christina Torres. There is adequate indoor and outdoor activity space. Sports equipment/toys/ books/games were observed for children's recreation time. However, the outdoor play equipment located near Houses B/C/D no longer have the bark under them. The Administrator shared the wind consistently removes the bark. The outdoor play equipment located near House E has adequate bark covering the the ground of the play equipment with a sail style sunshade coverage overhead. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The Facility Sketch, Emergency Disaster Plan, visitation policy, grievance forms, and Personal Rights were posted. However, the grievance forms are not accessible in each dorm and must be requested of the facility manager at the main office. Administrator corrected this prior to LPA exit. Administrator verified the Board of Directors are meeting quarterly and a Board Resolution dated December 6, 2022, was received resolving to reduce capacity to sixteen children. Facility will complete a fire safety inspection for the approved decreased capacity of Clients and a copy of the approved fire safety clearance will be sent to the Department. Facility appears to be meeting the terms and conditions of their license. The request for the license capacity change will be forwarded to Licensing Program Manager for final approval. Based on file review, interviews, and observations made during the inspection, the licensee did not comply with the sections cited which poses/posed a potential health, safety or personal rights risk to persons in care: Technical Violation: Health Related- 87075(b)(1)(A); Buildings and Grounds 80087(a); Outdoor Activity Space 87087.2(b) An exit interview was conducted and a copy of this report and appeal rights were provided to Administrator, Christina Torres.

met_with: Christina Torres, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA), Erika Lopez, met with Facility Manager, Christina Torres, and conducted an unannounced inspection at the facility. The purpose of the inspection was to conduct confidential interview with a client. Exit interview conducted and a copy of the LIC 809 was provided to Christina Torres.

met_with: Facility Administrator - Christina Torres


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on June 8, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Director Christina Torres, and conducted a tour of the facility. LPA reviewed five of child's records and five of staff personnel files on site at the facility. LPA reviewed five of child's psychotropic medications and medication records. LPA interviewed three staff on site to discuss the facilities policies and procedures of operation. LPA will interview three children, that are currently prescribed psychotropic medication, at their assigned schools, after the facility visit. No deficiencies are being cited at this time, however, the facility was provided with a Technical Assistance Advisory Note. LPA provided a copy of this licensing report and conducted an exit interview with Director Christina Torres. This report serves as an amendment to the LIC 809 created on 06/08/2023.

met_with: Christina Torres, Director


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Erika Lopez, visited the facility for the purpose of conducting interviews with multiple clients, a staff and the facility administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date at 10:00am, Licensing Program Analyst (LPA) Erika Lopez and Licensing Program Manager (LPM) Jennifer Smith conducted an required annual inspection. LPA and LPM met with Administrator Christina Torres and Manager Sylvia Luna. The facility consists of four separate, one-story client housing units with (3) bedrooms, (1) bathroom, living room and kitchen area in each. Each housing unit also has a separate laundry area. The facility has a cafeteria, three buildings consisting of staff and therapy offices, a game room and an employee residence. At 10:30am, a tour of the physical plant was completed with Administrator and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors are hard wired and in working order. Carbon monoxide detectors were tested and in working order; fire extinguishers are in each unit and properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are double locked and centrally stored in the hallway closet of each housing unit. Licensee has provisions for contraceptives to be held in individually locked containers by clients. All individual twin beds in each client house were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathrooms of each units were measured as follows: C house 109 degrees, D house 116 degrees, F House 120 degrees, G House 116 degrees. There were some technical violations observed in individual houses. Room number 1 of house D has a hole in the wall that needs to be repaired. Room number 2 has a damaged/cracked door that needs to be replaced. Room number 3 has a bedroom door that is hard to move and a door knob missing. The carbon monoxide detector is missing but administrator states that there was a fire inspection today and the detector may have been removed to replace the battery. House F, room number 2, has holes in the wall near the door jam that need to be repaired and there is no door to that bedroom. Administrator states it is in the process of being replaced. There are two trampolines on grounds which have safety nets. The net on the trampoline closest to the basketball court is torn and needs to be replaced. Administrator states that the clients will not be using the trampoline until it has been repaired and will only be using the other one. Facility has cameras in common areas of the facility. Per Administrator, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator Christina Torres is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interview. Appropriate staff/client ratios were verified during this inspection. The facility employs four social workers, nine facility managers and 34 direct care staff as well as two volunteers that are used in accordance with regulatory requirements. Administrator verified the Board of Directors are meeting quarterly. Technical violations are being issued for the following: ILS 87087(d) Buildings and Grounds, ILS 87075(b)(1)(A)(1) Health Related Services, and CCR 80087(a) Buildings and Grounds. Due to time constraints, a continuation of this inspection will be conducted on a later date. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Christina Torres for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date at 9:45 a.m., Licensing Program Analyst (LPA) Jason Dalton and Licensing Program Manager (LPM) Jennifer Smith conducted a case management inspection for the purpose of continuing the annual inspection of the facility initiated 6/22/23. During the inspection, LPA and LPM completed a review of five staff records, five client records, operations records and emergency intervention plan records. The client register did not include the following information: physician contact name, address and telephone number and client's restricted health condition(s). The client register is maintained in a computer and not in a centrally stored location. The Emergency Disaster drills are being completed quarterly. Per Administrator Christina Torres the disaster drills were being completed ever six months. Emergency Disaster Preparedness training is conducted annually but has not been documented per Administrator. Two out of five clients did not have their medical assessment completed within 30 days of their date of placement. Technical violations are being issued for the following: Title Regulations Operational Requirements 80071(a)(1), 80071(a)(2) and Client Records 80069(a). Health and Safety Code Disaster Preparedness 1565(c). An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Christina Torres for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/14/24, Licensing Program Analyst (LPA) Sarah Lo arrived unannounced to deliver two amended LIC 9099 report. LPA met with Facility Manager, Gloria Thomas to amend the reports.

met_with: Facility Manager, Gloria Thomas


summary: Facility Evaluation

raw_content:
Narrative:
On 10/31/2024 at approximately 1: PM, LPA Joon Choi conducted a follow-up visit to the facility and met with Administrator Gloria Thomas. LPA explained the reason for the visit was in response to confidential client interviews regarding pyschotropic medications. A copy of this report and a Technical Violation (TV) was provided to Administrator during an exit interview.

met_with: Gloria Thomas, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An informal conference was held with Father's Ranch STRTP at the Riverside South Children's Residential Program office to discuss licensing concerns. Present at the meeting were Natasha Dunlap, Regional Manager (RM), Abdoulaye Traore, Licensing Program Manager (LPM), Maya Chavez, Licensing Program Analyst, Christina Torres, Administrator, Gloria Thomas (GT), Facility Manager, Sylvia Luna (SL), Office Manager, Julia Tyler (JT), Head of Service, Maxwell Kraft, Program Coordinator. Virtual attendees included Tasha Inman, San Bernardino County Short Term Therapeutic Residential Program (STRTP) Coordinator, Dawn Waters, Dept. of Behavioral Health Program Specialist II. The following subjects were discussed: · Lack of Oversight by facility management · Lack of Supervision (deficiency) · Incident Reports and reporting requirements (deficiency) · Needs and Services (falsification and backdated) (deficiency) · Allowances · Excessive use of restraints The meeting included a discussion regarding the above concerns. At the beginning of the discussion, Regional Manager (RM) Dunlap and Licensing Program Manager (LPM) Traore explained the reason for the meeting and explained that the meeting would be a collaborative meeting which included the participation and input of all departments listed above that provide services to Father's Ranch STRTP. During the meeting, RM Dunlap and LPM Traore addressed CCL's concerns regarding the above-mentioned issues and requested input from the various oversight agencies participating in the meeting discussion. In regard to the oversight, Christina Torres stated additional leadership staff received administrator certification. JT will be overseeing the mental health Program at the facility, SL will be overseeing administration, and GT will be overseeing the program directly by ensuring the facility is in compliance with title 22 and Interim Licensing Standards (ILS) in all areas. SL will initiate any additional trainings as needed. In regard to the lack of supervision, AT addressed the deficiency. CT stated that the facility will continue to do room checks every fifteen minutes during overnight shift. CT stated that an emergency safety plan was put together in order to correct the lack of supervision. CT stated that AWOL records have been reduced with the last year. SL stated that the client to staff ratio is better than the CCL requirement. Facility provided walkie talkie system to all staff to assist with instant communication and the implementation has been re-enforced. Regarding special incident reports (SIRs) CT stated that the facility will continue to ensure that staff are writing SIRs in a timely manner. Additionally, CT indicated that she rather over report that not report incidents occurring at the facility. MK reported that all incidents are documented however, minor incidents such as a scrape may not be written in a special incident report but are documented. In regard to the Needs and Services Plans (NSPs). The facility's staff have been retrained on NSPs protocols according to Interim Licensing Standards (ILS) and all staff must turn in NSPs no later than the 5th of each month for review and approval by management. In regard to the allowance, CT addressed that the allowance log is kept behind multiple locks, and it is possible when a copy was requested, staff were unable to retrieve logs due to it being locked and after office hours. The facility stated that they pay for all necessities and clients are allowed to request items to be ordered off Amazon. The client's funds are kept in to two different pouches. The first pouch includes the client's base allowance, and any funds clients comes to the facility with which is not used towards damages. The facility brought template of their allowance record keeping and will continue to utilize and enforce record keeping. In regard to the overuse of restraints, the facility stated that their goal for the year was to reduce the amount of restraints. Facility provided a chart which demonstrated the reduction in restraints used at the facility. The chart showed clients who started the year off with multiple restraints in a single month ended the year with less restraints used within multiple months. Facility believes that the reduce of restraints is a result of adequate supervision and the training the staff have received. The facility stated that all staff are Pro-Act certified including maintenance staff and office staff. The Department provided a copy of contact information of the Catalyst Center Kelsie Tatum Martinez kmartinez@catalyst-center.org and a Technical Support Program Basics, Workflow for Providers brochure to the licensees for additional resources. A copy of this report was provided to the licensee.

met_with: Christina Torres, Facility


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025 at 10:00AM, Licensing Program Analysts (LPA) Maya Chavez and Babatunde Aborchie arrived at Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) to conduct a required annual inspection. LPAs met with Administrative Director, Sylvia Luna. The facility consists of four separate, one-story client housing units (C-House, D-House, F-House, and G-House) with (3) bedrooms, (1-2) bathrooms, living room and kitchen area in each. C-House is currently being renovated, and clients are restricted from entering C-House while renovations are occurring. Each housing unit also has an attached but separate laundry area that remains locked. In addition, the facility has a building which is used as a cafeteria, three buildings that consist of staff and therapy offices, and a building which is used as a game room/staff lounge. Lastly, there is one building which is used as an employee residence. At 1:46PM, LPAs began an inspection of the physical plant led by Program Director, Gloria Thomas. During inspection, LPAs observed facility grounds to be clean and free of debris and there were not any observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for client's recreation time. All facility smoke detectors are hard wired and in working order. Carbon monoxide detectors were tested and in working order; fire extinguishers are in each unit and properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are double locked and centrally stored in the hallway closet of each housing unit along with medication logs. The facility has provisions for contraceptives to be held in individually locked containers by clients if the client requests contraceptives. All individual twin beds in each client house were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathrooms of each units were measured as follows: D house 122.0 degrees, F House 115.7 degrees, G House 120.2 degrees. Outside behind the houses there is one trampoline on grounds which has a safety net. In addition, there are two play structures in good condition as well as a basketball court. The facility has cameras in common areas of the facility, none in the client's bedrooms. Per Chief Executive Officer (CEO), no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. CEO Christina Torres is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interview. Appropriate staff/client ratios were verified during this inspection. The facility employs four Clinicians, nine facility managers and twenty-nine direct care staff as well as two volunteers that are used in accordance with regulatory requirements. Administrative Director verified the Board of Directors are meeting quarterly. During the inspection, LPAs completed a review of five staff records, five client records, operations records and emergency intervention plan records. The client register included all information required by Community Care Licensing (CCL) guidelines and are posted in every building along with Emergency Disaster Plan. The Emergency Disaster drills are being completed quarterly and there is documentation in every building. LPAs did not conduct interviews at this time. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to Administrative Director, Sylvia Luna's for signature.

met_with: Administrative Director, Sylvia Luna and


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/ Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) and met with CEO, Christina Torres. The purpose of this visit was to conduct interviews with three staff and one client as part of the Annual Inspection conducted on 11/19/2025. See 812's under LIC809 dated 11/19/2025.

visit_type: Annual

met_with: Christina Torres- CEO


raw_content:
Narrative:
Regarding the allegation that minor sustained unexplained injury, it was specifically disclosed that C1 arrived at school with an egg-shaped bruise on the forearm and marks on the back of the neck. During investigation, a confidential interview disclosed that C1 arrived at the STRTP from school with a bruise and when staff asked C1 about the bruise C1 did not know where the bruise came from and the staff documented the bruise on to a special incident report. Furthermore, confidential interview disclosed to be unaware of any marks on C1's neck. In addition, a confidential interview disclosed that the bruise on C1's forearm occurred when C1 fell at the STRTP and that the marks on C1's neck were self inflicted. A confidential interview disclosed that the bruise on C1 occurred from staff at STRTP grabbing C1. LPA received conflicting information. Based on interviews, the allegation C1 sustained unexplained injury may have occurred, however, there was not a preponderance of evidence to support the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Administrative Director, Sylvia Luna.

Investigation Findings:
13On 11/12/2025, at 3:55PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term therapeutic residential program (STRTP) and met with Administrative Director, Sylvia Luna to deliver the investigative finding for the allegation listed above. This complaint concerns staff at STRTP and client 1 (C1) as listed on the Confidential Names List (LIC 811). On 08/20/2025, Community Care Licensing (CCL) received a complaint that a minor sustained unexplained injury. On 08/29/2025, LPA M. Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA obtained documents pertinent to the investigation and interviewed staff 1 and 2 (S1 and S2), client 1(C1), and staff at C1's school. LPA was unable conduct interviews with C1's county social worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 11/12/2025

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

met_with: Administrative Director- Sylvia Luna


raw_content:
Narrative:
Regarding the allegation that staff are not preventing physical altercations between minors in care. Specifically, it was reported that a client was observed in self-sexual behavior (sucking their own private parts); however, the exact date and time of the incident are unknown. During investigation, multiple confidential interviews revealed that there had been a separate allegation in which C1 disclosed that C2 touched C1's private area over clothing. When staff questioned both C1 and C2, they both denied that any touching occurred. Confidential interviews also indicated that staff addressed the issue by discussing appropriate boundaries with both C1 and C2, closely monitoring their interactions thereafter to prevent any further incidents. Additionally, multiple confidential sources denied witnessing any inappropriate behavior between clients or toward themselves. Several interviews also indicated that while clients sometimes make inappropriate jokes, these were not considered concerning or indicative of serious misconduct. Overall, LPA was unable to receive additional information. Based on interviews, the allegation staff are not preventing physical altercations between C1 and C2 in care may have occurred, however, there was not a preponderance of evidence to support the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Administrative Director, Sylvia Luna.

Investigation Findings:
13On 11/12/2025, at 3:55PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term therapeutic residential program (STRTP) and met with Administrative Director, Sylvia Luna to deliver the investigative finding for the allegation listed above. This complaint concerns staff at STRTP and client 1 and 2 (C1 and C2) as listed on the Confidential Names List (LIC 811). On 05/22/2025, Community Care Licensing (CCL) received a complaint that staff are not preventing physical altercations between minors in care. On 05/29/2025, LPA M. Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA obtained documents pertinent to the investigation and interviewed staff 1-10 (S1-S10) and clients 2-5 (C2-C5). Clients 6 and 7 (C6 and C7) refused to be interviewed, and LPA was unable conduct interviews with C1 and C1's county social worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 11/12/2025

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

met_with: Administrative Director- Syvia Luna


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheraki Davis and Licensing Program Manager Natasha Dunlap on 07/26/2021 at 10: AM. During the inspection, LPA Davis and LPM Dunlap met with Christina Torres, Administrator/Facility Director and inspected the facility inside and out. LPA reviewed 10 out of 22 child's psychotropic records on site at the facility at 2: PM. During the review of children's records, LPA Davis and LPM Dunlap observed two out of 10 children (C1 & C2) did not have a current JV 220 and JV 223. The JV 220 and JV 223 expired for C1 and C2. During the review of children's records, LPA Davis and LPM Dunlap observed eight out of 10 children (C3-C10) Needs and Services Plan were not signed by the child's Social Worker. A LIC Advisory Note were issued. LPA reviewed four staff personnel files on site at the facility at 11: AM. LPA began four staff interviews at 10: AM. LPA interviewed 10 out of 22 children currently taking psychotropic medication at 11: AM. LPA conducted exit interview with Christina Torres, Administrator at 4: PM. LPA provided the Summary Report, LIC 809D, 9102TA, Appeal Rights, to Christina Torres, Administrator upon completion. One deficiency was observed (refer to LIC 809D) and cited from the Health and Safety Code during the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection continuation was conducted by Licensing Program Analyst (LPA) Eduardo Barragan on 08/24/2022 at 3:15PM. During the inspection, LPA Barragan met with Sylvia Luna, Office Manager and inspected the facility inside and out. This inspection consisted of two days (08/23/2022 and 08/24/2022) and these were the findings LPA reviewed of 7 of 10 child's records on site at the facility on 08/23/2022 at 1pm - 4pm. LPA reviewed of 3 of 10 child's records on site at the facility on 08/24/2022 at 8:50am - 10:40am. LPA reviewed 3 of staff personnel files on site at the facility at 3: PM). LPA interviewed 2 of staff on site at 4: PM). LPA interviewed 5 of 10 children currently taking psychotropic medication at 4:40PM). LPA conducted exit interview with at PM. S LPA provided the Summary Report to Sylvia Luna, Office Manage upon completion. No deficiency's were noted during this visit.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on October 31,2024 at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met Administrator Gloria Thomas and facility Nurse Yvonne Hemminger, and conducted a tour of the facility. LPA reviewed five of child's records and three of staff personnel files on site at the facility. LPA reviewed five of child's psychotropic medications and medication records. LPA interviewed three staff on site to discuss the facilities policies and procedures of operation. LPA will interview three children, that are currently prescribed psychotropic medication, at their assigned schools, after the facility visit. After reviewing client and staff records, one deficiency is being cited at this time, please see LIC 809D. The facility was also provided a Technical Advisory (TA). LPA provided a copy of this licensing report, LIC 809D, TA and appeals rights, and conducted an exit interview with Administrator Gloria Thomas.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 03/02/2026 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Chief Executive Officer (CEO). LPA reviewed 5 child's records and 3 staff personnel files on site at the facility. LPA reviewed 5 child's psychotropic medications and medication records. LPA interviewed 3 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 child currently prescribed psychotropic medication. (two clients will be asked to be interviewed at a later day/time) No deficiencies are being cited at this time. LPA conducted an exit interview with CEO Christina Torres, and provided a copy of this licensing report (LIC 809)

met_with: Christina Torres, CEO


facility_name: FERREE'S GROUP HOME #3

raw_content:
Narrative:
Confidential witnesses disclosed that C1 and C2 would leave facility grounds to engage romantically or would kiss one another quickly when staff was not around. Confidential witnesses stated that C1 did not seem uncomfortable and they never witnessed anyone pressure C1 into sexual acts. Confidential witness' statement revealed that they did not hear facility staff disclose health information of any client. Confidential witness stated that in December 2020 law enforcement officers stopped by the facility and one officer mentioned something about C1's health information and that is how some clients began to speak of C1's health information. FM stated that facility staff attempt to be in the same general area while clients are at the facility and when this is not possible facility staff check on clients often. FM stated he did not have any suspicions that C1 and C2 were romantically involved with one another or that C1 was engaging in sexual activity with any other clients. FM stated that C1 felt that staff had revealed C1's health information to another client but FM recalled C1 disclosing C1's health to a past client. County social worker 2 (CSW2) stated that she visited that facility and did not see any inappropriate interactions between clients. CSW2 also stated she was never informed that clients were being pressured to perform sexual acts or that facility staff disclosed a client's health information to other clients. Other confidential witness statement revealed that staff was made aware of the inappropriate sexual interactions going on between C1 and C2 but did nothing and that other clients forced C1 in to performing sexual acts. Other confidential witnesses stated that facility staff revealed C1's health information to other clients. Based on confidential interviews and record reviews, the allegations that there was a lack of supervision resulting C1 and C2 engaging in inappropriate interactions, other clients forced C1 to perform sexual acts and that facility staff disclosed C1's health information, may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett. Documents emailed to Michael Barnett. Original signature on file.

Investigation Findings:
13Licensing Program Analyst (LPA), Michael Almaraz, conducted a tele-inspection due to COVID19 and met with facility supervising manager, Michael Barnett, to issue the finding for the above stated allegations. The investigation was conducted by LPA Almaraz. LPA inspected the facility on March 16, 2021, at 8: AM. During LPA inspection an interview was conducted with facility manager (FM). During the course of the investigation additional interviews were conducted with three additional facility staff, two county social workers, and four of four clients. On March 10, 2021, the Department received a complaint that alleged staff did not prevent inappropriate interactions between minors while in care, minor is not provided a comfortable environment while in care, and staff disclosed confidential information about a minor. More specifically, that client #2 (C2) (See confidential names list LIC April 29, 2021) would kiss client #1 (C1) without permission from C1 and that facility staff disclosed C1's health information to other clients. Also, reported was that C2, client #3 (C3), and client #4 (C4) would pressure C1 to perform sexual acts. Confidential witness' statement revealed that facility staff monitor clients well but C1 and C2 were romantically involved. (continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 04/29/2021

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

met_with: Michael Barnett


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

raw_content:
Narrative:
***This is an amendment to a report that was issued on September 23, 2021:*** However, FA stated that they reviewed facility cameras located in the common areas and they didn't observe or noticed anything that showed a lack of supervision. Confidential witness statement revealed that clients were left unsupervised for approximately 25 minutes. Another confidential witness corroborated that facility staff were outside the facility during C1 and C2's inappropriate interaction. Confidential witness' statements disclosed that the inappropriate interactions only occurred between C1 and C2. Other confidential interviews didn't provide information regarding the allegation due to not being present during the incident. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff did not properly supervise C1 and C2 resulting in an inappropriate interaction. The allegation is therefore substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87065.2 (b) (1) Personnel duties. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On September 23, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with shift manager, Pat Prior, to issue the finding for the above stated allegation. On May 6, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with four of five clients and two staff. Additionally, LPA interviewed one client, two county social workers and five staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 09/23/2021

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

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Pat Prior

complaint_status: SUBSTANTIATED

title:
Personnel Duties.
(b) Direct care staff shall perform the following duties


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
to transport C1 to a therapy appointment. A confidential interview revealed that staff didn't transport C1 to an appointment due to C1 informing facility staff the day of the appointment and the facility had already planned other activities for the other clients at the facility. Confidential witness' statements revealed that they had not witnessed facility staff refusing to transport C1 or any other clients. County social worker (CSW) stated that she was informed that facility staff denied transporting C1 to health-related services. CSW added that she had contacted facility staff to inform of upcoming appointments but on the day of the appointment CSW would be notified that C1 was not transported by facility staff. Other confidential witness' statements revealed that facility staff had not been transporting C1 to C1's anger management appointments and therapist appointments. Another confidential interview stated staff not providing transportation for C1's appointments was not necessarily due to the facility not having enough facility staff to transport C1. Based on confidential interviews, the preponderance of evidence standard has been met that the facility failed to ensure that C1 was transported to health-related services. This poses a potential Health, Safety, or Personal Rights risk to residents in care. The facility is being cited for violation of Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87074 (c) (1) Transportation. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On September 23, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with shift manager, Pat Prior, to issue the finding for the above stated allegation. On May 6, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with four of five clients and two staff. Additionally, LPA interviewed one client, two county social workers and five staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 09/23/2021

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


raw_content:
Narrative:
SFM added that the wall had been cut open for a week as the facility was waiting for the supplies they ordered to arrive. SFM stated that they had neither smelled nor had been approached by any clients about the existence of a mold. Other Confidential witnesses stated that they did not smell mold or any other unpleasant odor and had not experienced headaches. Additional confidential witness statements maintained that the facility smelled moldy which had caused clients and staff to experience headaches. During LPA inspection of the facility LPA did not smell mold or any unpleasant odor. Based on confidential interviews and record reviews, the allegation that the facility smells like mold which lead to clients and staff having headaches may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On October 7, 2021, Licensing Program Analysts (LPA) Michael Almaraz and Lisi Leon arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the finding for the above stated allegation. On May 27, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with two of four clients and five staff. Additionally, LPA interviewed two clients and one staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 10/07/2021

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


raw_content:
Narrative:
Additionally, confidential witnesses stated that facility staff was always checking on the clients and engaging with them by asking them questions and conversating with the clients. Confidential witness' statements revealed that some clients smoke marijuana at the facility but it was not allowed or condoned by facility staff. Supervising facility manager (S1) disclosed that staff always try to supervise clients by keeping line of sight and conducting room checks. S1 stated that several clients smoked marijuana, and some have smoked in the facility even though it was not allowed. S1 stated that clients were counselled and advised about the dangers and negative impact of drugs, but the clients continued to smoke marijuana. Other Confidential witnesses stated that on May 5, 2021, they witnessed clients smoking marijuana outside the facility at approximately 10: PM. Additionally, when the confidential witness contacted the facility but staff was not aware of clients being outside. Based on confidential interviews and record reviews, the allegations that clients were outside of the facility at night without staff knowledge and lack of supervision resulted clients smoking marijuana at the facility may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On October 20, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the findings for the above stated allegations. On May 17, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with three of five clients and one staff. Additionally, LPA interviewed two county social workers and five staff. Two of five clients were unavailable for interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 10/20/2021

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


raw_content:
Narrative:
Confidential witnesses also stated that while C2 was attacking C1, S2 walked over "slowly" and did nothing to stop or prevent C2 from attacking C1. Confidential witness stated that S2 was laughing at C1 while C2 was striking C1 several times on the face and body. LPA was provided a video of the incident and in the video C1 is being attacked by C2. LPA observed in the video surveillance that S2 does not show a sense of urgency and does not attempt to redirect the clients. LPA observed C1 attacked twice once in the game room and another time outside the facility. During the attacks, S2 did not attempt to get C1 to a safe place or separate C1 from the attacker. Other confidential witness statements revealed that S2 walked over and attempted to stop the attack but C2 would not listen. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff did not prevent a physical altercation between C1 and C2. The allegation is therefore substantiated which poses a health, safety, and personal rights risk to clients in care. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87072 (c) (11) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On December 2, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Facility Manager, Michael Barnett, to issue the finding for the above stated allegation. On May 17, 2021, at 11: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed children's records and conducted interviews with three of five clients and one staff. Additionally, LPA interviewed one client, one county social workers and five staff. One of five clients was unavailable for interview. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 12/02/2021

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


raw_content:
Narrative:
Regarding minors consuming alcohol in the facility, it was specified that night shift staff fell asleep and minors in the home brought alcohol in the facility and consumed it. During the investigation, confidential interviews denied that minors had consumed alcohol in the facility while staff was sleeping. A confidential interview reported that minors will come back to the facility from a pass under the influence of drugs or alcohol. Another confidential interview stated that they did not witness minors consuming alcohol. Other interviews did not have any information regarding minors' consuming alcohol in the premises. For the allegation regarding minors' needs were not met, it was specified that staff are supposed to take minors to their medication appointment after crisis, but they don't. A confidential interview indicated that when a client is going through a crisis, staff contacted facility Therapy for advice and sometimes clients will be scheduled for Doctor's appointment. Another interview reported that medication appointments are scheduled upon placement, but they were not aware medication appointments needed to be scheduled after crisis. Other confidential interviews declined to provide information regarding the staff failing to take clients to appointments. Other confidential interviews stated that they have not witnessed clients going through crisis. Based on confidential interviews, the allegations that C1, C2, C3, C4 and C5 were consuming alcohol in the premises due to lack of supervision and staff failed to meet C1, C2, C3, C4 and C5 needs may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Supervising Facility Manager Michael Barnett.

Investigation Findings:
13On December 15, 2021 at 1:20PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home Supervising Facility Manager Michael Barnett to discuss the investigative findings for the above stated allegations for the clients in the facility. On June 2, 2021, Community Care Licensing received information alleging that minors consumed alcohol in the facility premises and staff fell to meet minors' need. On June 14, 2021 at 10:40AM, LPA Michael Almaraz initiated the investigation at the facility and interviewed three staff and five clients. On December 8, 2021, LPA Adaleyci Caballero interviewed Facility Administrator and one staff. Additionally, LPA Adaleyci Caballero obtained copies from three clients' records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 12/15/2021

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

met_with: Supervising Facility Manager- Michael Barnett


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

raw_content:
Narrative:
Moreover, confidential witnesses disclosed that the facility did not have a current Order on Application of Psychotropic Medication (JV-223). During client file review, LPA confirmed that C1 did not have a current JV-223. For the allegation that staff was not reporting incidents to the Department, it was reported that C1 had AWOLed several times and the facility didn't report them to the Department. Confidential interviews confirmed that C1 would AWOL on a daily basis during C1's placement. During LPA's review of special incident reports (SIR) from the facility, LPA noted the facility did not report all of C1's AWOL incidents. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff administered medication to C1 without the proper documentation, and staff was not reporting incidents involving C1. The allegations are therefore substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program (ILS) Sections: 87075(c) Health Related Services and 87061(b)(4) Reporting Requirements. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett. sessions. LPA was unable to verify if those sessions of therapy were appropriate for C1. Regarding staff not preventing a minor from AWOL allegation, confidential witness' stated that staff always address clients when they are attempting to leave the facility on AWOL and staff inform clients on the dangers of going AWOL. LPA received inconsistent information regarding this allegation. In reference to the allegation that staff allowed unauthorized visits. Confidential witnesses denied that staff allowed unapproved visits to individuals while in care. A confidential interview maintained that unauthorized visitors were allowed to leave the facility with C1. Regarding the allegation that staff did not provide adequate supervision to minors while in care. It was disclosed that facility staff slept while on duty and client would leave the facility without supervision. Confidential witnesses denied that staff would sleep while on duty. Based on confidential interviews and record reviews, the allegations that C1 was not being provided appropriate therapy, C1 was not prevented from going absent without leave, C1 was allowed to have an unsupervised visits with unapproved individuals and staff do not provide adequate supervision to minors while in care may have occurred, however, they are not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On March 7, 2022, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the finding for the above stated allegations. On June 14, 2021, at 12: PM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. Additionally, LPA reviewed children's records and conducted interviews with five of five clients (C1, C2, C3, C4 and C5) and three staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 03/07/2022

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

Deficiencies:
87061: (4) Any unusual absence or failure of a child to1
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7Per supervising facility manager (SFM) the facility staff will be trained on ILS 87061(b)(4) Reporting requirements. SFM stated that the POC will be provided to LPA by POC due date.

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14return or inform the facility that they are not returning for a specified period of time.

title:
REPORTING REQUIREMENTS.
(b) The licensee shall ensure that the child's authorized representative is notified no later than the next business day if the following circumstances have occurred without the authorized representative's participation


raw_content:
Narrative:
For the allegation regarding that staff did not protect a client during a mental health, it was specified that client 1 (C1) told staff that C1 wanted to commit suicide with a gun. It was added that C1 was depressed, and C1 medication was making C1 suicidal. Furthermore, it was indicated that facility staff took C1 to San Gorgonio hospital due to C1 being incoherent. A confidential interview reported that when clients are in crisis, staff will immediately act to get clients in a safe place and C1 was taken to the San Gorgonio hospital when C1 was in a health crisis. The confidential interview disclosed that C1 was only placed at the facility for one week and C1 was constantly leaving the facility without permission. Other confidential interviews did not provide any information regarding this matter. Regarding the child accessing illegal substance, a confidential interview stated that C1 used marijuana often and it was immediately addressed when observed to be under the influence. Facility staff denied child had access to marijuana while at the facility. It was reported that C1 was constantly AWOL (absent without leave). Two clients refused to interview. LPA Caballero was unable to interview C1 at C1's current placement due to C1's AWOL. Based on confidential interviews, the allegations that client #1 was not protected by staff during a mental health crisis and C1 had access to an illegal substance may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Facility Representative Phillip Ferree gave Shift Manager Pat Prior verbal authorization to sign this report. A copy of this report was provided to Shift Manager Pat Prior.

Investigation Findings:
13On April 22, 2022 at 10:52AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Shift Manager Pat Prior to discuss the investigative findings for the above stated allegations involving a client in the facility. On August 18, 2022, Community Care Licensing received information alleging that a staff did not protect child during a mental health crisis and the child had access to an illegal substance. On August 30, 2021 at 10:42AM, LPA Almaraz initiated the investigation at the facility and interviewed one staff and two clients (clients) refused to provide any information. On April 1, 2022, LPA Caballero visited the facility for additional interviews but LPA was unable to interview clients. LPA Caballero obtained client roster dated August 26, 2021 and updated client roster dated March 17, 2022. On April 13, LPA Adaleyci Caballero interviewed Facility Administrator. On April 22, 2022, LPA Caballero conducted interviews with two clients at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 04/22/2022

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

met_with: Shift manager- Pat Prior


raw_content:
Narrative:
Additionally, confidential witnesses stated that on August 17, 2022 and August 18, 2022, facility staff were outside of the facility supervising the clients asking the clients to go inside but the clients ignored the staff's request. County social worker (CSW) stated that facility staff provided supervision to clients and CSW did not suspect a lack of supervision occurring at the facility. County social worker 2 (CSW2) added that her client would ignore staff's request and would not follow direction. County social worker 3 (CSW3) stated that staff's supervision was appropriate. Other confidential witness stated that on August 17, 2022 and August 18, 2022, staff was not outside with the clients and staff did not ask the clients to go inside. Based on confidential interviews and record reviews, the allegation that due to inadequate supervision on August 17, 2022 and August 18, 2022, clients were outside of the facility at late hours of the night disturbing the community may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and appeal rights were explained and provided to Tina Willis.

Investigation Findings:
13On February 2, 2023, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Facility Manager, Tina Willis, to issue the finding for the above stated allegation. On August 23, 2022, at 12: PM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed one facility staff, interviewed two of the three clients see confidential names list (LIC 811) dated February 2, 2023, and reviewed three client records. Additionally, LPA conducted interviews with three county social workers and a confidential witness. One of three clients was unavailable for LPA interview. On August 19, 2022, the Department received a complaint that alleged facility staff are not providing adequate supervision to youth in care. It was specified that due to inadequate supervision on August 17, 2022 and August 18, 2022, clients were outside of the facility at late hours of the night disturbing the community. Confidential witnesses stated that staff are always checking on clients and facility staff provided appropriate supervision. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 02/02/2023

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

met_with: Tina Willis


raw_content:
Narrative:
County social worker (CSW) stated that staff at the facility interacted appropriately with the clients and C1 had not informed CSW that staff were abusing clients. Furthermore, CSW stated that she had not seen any injuries on C1 to suggest that C1 was being abused at the facility. Confidential witnesses stated that they had not seen S1, or any facility staff become physically aggressive towards clients. Other confidential witness maintained that S1 was upset with C1 on the evening of November 22, 2022 and choked C1. Based on confidential interviews and record reviews, the allegation that S1 physically abused C1 may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and appeal rights were explained and provided to Tina Willis.

Investigation Findings:
13On February 2, 2023, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Facility Manager, Tina Willis, to issue the finding for the above stated allegation. On November 1, 2022, at 8: AM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed one facility staff, two clients (see confidential names list LIC 811 dated February 2, 2023) and reviewed three client records. Additionally, LPA conducted interviews with one client, three county social workers and one additional staff. In total three of three clients were interviewed. On October 24, 2022, the Department received a complaint that alleged facility staff handled youth in a rough manner. More specifically, it was alleged that staff #1 (S1) physically abused C1 by choking C1. During the investigation, confidential witness stated that on the evening of November 22, 2022, C1 and S1 were involved in altercation at the facility. The confidential witness continued stating that C1 attacked S1 due to C1 being upset with facility policy. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 02/02/2023

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Regarding the allegation that S1 left client 1 (C1) unattended. It was specifically stated that "Life Coach" needed to come pick up the client from a Stater Brother's parking lot 45 minutes before the scheduled placement was to take place. A confidential interview stated C1 was driven to a meeting location where C1 was to be picked up. The confidential interview added that C1 did not want the facility to know C1's new location/home, therefore, C1 preferred to be dropped off and be picked up outside of the facility. Another confidential interview stated there was communication between S1 and the driver picking C1 up. The confidential interview added S1 had to leave to pick other clients for appointment, however, the other driver was five minutes away when S1 left. LPA was unable to gather additional information regarding the time frame C1 was left unattended. Based on confidential interviews, the allegation that S1 left C1 unattended, may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, this allegation is unsubstantiated at this time. A copy of this report, LIC 811 and the appeal right was reviewed and provided to STRTP representative.

Investigation Findings:
13On January 29, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Ferree's Group Home # Short Term Therapeutic Residential Program (STRTP) to deliver investigative finding involving the STRTP. LPA met with Tina Willis. On March 11, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging facility staff left resident unattended. On March 18, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate investigation of the above allegation and conducted a safety inspection. There were no safety issues observed. During investigation, LPA interviewed Staff 1, (S1), Facility manager (FM), Administrator (A1). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-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, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 01/29/2025


summary: Facility Evaluation

raw_content:
Narrative:
An informal conference was held with Ferree's Group Home Inc. (FGH) to discuss current licensing concerns. Present at the meeting was LaCresha Cook, Regional Manager (RM), Abdoulaye Traore, Licensing Unit Manager, Michael Almaraz, Licensing Program Analyst, FGH Head of Service Mitchica Smith, Ferree's Group Home # Administrator, Alisha Jones, Ferree's Group Home # Executive Director Phillip Ferree, Riverside Behavioral Health Nisha Elliot, San Bernardino County Hannah Gutierrez, Riverside County Jonelle Ross, Riverside County Alan Dominque, Riverside County Probation Juan Bretado, Riverside County Probation Naomi Durley, Riverside County Sofia Williams, Department of Health Care Services Sandi Shelgrove and Department of Health Care Services Dave Gutierrez. The following information was discussed: · Expiration of provisional license. · Medi- Cal certification. · Mental Health program approval. · Closure plan. · RM discussed withdrawal of application. · Facility referred to Community Care Licensing Legal Department for review of Administrative Action. The facility has agreed to the following · Facility has submitted the corrections to insurance that were requested by Riverside Behavioral Health. · Facility has hired a Licensed Vocational Nurse and will submit this information to Mary Walsh with Riverside Behavioral Health by August 31, 2021. · Facility will submit their Mental Health application to the Department of Health Care Services by August 31, 2021. (...) · Facility will submit possible closure plan by September 3, 2021. The possible closure plan will include an update to the counties and the Department of what is occurring and provide dates as to when expected Mental Health Program Approval or closure date of facility. A copy of this report was given and explained to Phillip Ferree.

met_with: Phillip Ferree


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst, (LPA) Jose Gonzalez, and LPA Michael Almaraz conducted an annual inspection of the facility. The facility was inspected inside and out with Supervising Facility Manager Michael Barnett. The home is a one-story residence with three bedrooms and two bathrooms. One client was present at time of inspection. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean with one shower fixture in need of repair. The temperatures in rooms that clients occupy are maintained between 68 and 85 degrees (F). Passageways, stairways, inclines, ramps, and open porches are unobstructed. The hot water in the client bathroom was measured at 109 degrees (F). All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the staff office. Cleansers/chemicals are locked and stored in pantry. First Aid Kit is located in the staff office and contained all required supplies. There are no guns or weapons in the facility as stated by Facility Manager, Michael Barnett. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, and current menu. Clients medications were observed to be inaccessible and stored in the staff office. LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. One client was interviewed and indicated that he feels safe in the home and accorded personal rights. The facility outside grounds was also inspected and it was observed to not be clean, free of waste, and or maintained well. Emergency exits were free from obstruction. There is no swimming pool located at facility. (Continued ...) A sample of staff files were reviewed during the inspection. A review of administrative records indicate that the facility has paid their current licensing fees. Facility manager was present at time of inspection, and there was one client present at time of inspection. Facility cited for violation of Health Related Services, Fixtures, Furniture and Equipment Supplies, Personnel Records, Personnel Requirement and Training Requirement. A copy of this report was reviewed and given to Facility Manager, Michael Barnett along with a Confidential Names List (LIC 811).


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 7, 2021, at 11: AM, Licensing Program Analyst (LPAs) Michael Almaraz and Lisi Leon conducted an unannounced inspection. The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on September 29, 2021. LPA's already completed the physical inspection of the facility and reviewed facility staff files. During this annual inspection continuation LPAs reviewed three client files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). Lpa M. Almaraz conducted interviews with two of three available clients. Clients were able to provide sufficient information in relation to the facility's STRTP phone policy, needs and services plan, and mental health services. Based on interview with clients, the facility appears to be meeting Core Services/Supports requirements. Based on observation and file review, the facility is being cited on the following area: documentation and reporting requirement. An exit interview was conducted and a copy of this report, LIC 809-d and appeal rights were provided to supervising facility manager Michael Barnett.

Deficiencies:
87095.61(f): Documentation and Reporting Requirements

87095.61 DOCUMENTATION AND REPORTING REQUIREMENTS
(f) The licensee must maintain a monthly log of each use of manual restraints. The log must include