raw_content:
Narrative:
Upon LPA observation, food was inspected and observed to be of good quality with current expiration dates. Confidential staff and client interviews revealed that meals and food prepared for clients are at a proper temperature to ensure safety when consumed. Consistent statements from staff and clients revealed that additional food options are available to those clients who may not like what food is being served or for those clients who are still hungry after their meal. Based on the interviews conducted, documentary evidence, and LPA observation, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was not able to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

Investigation Findings:
13On July 28, 2022 at 9:32am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Julian White, Crisis Intervention Specialist (CIS) to deliver the findings for the above complaint allegation. During the investigation, a total of three (3) staff and three (3) clients were interviewed. Confidential interviews and documentary evidence revealed staff offers nutritious meal options to the clients in care. Confidential client interviews revealed facility provides three (3) meals daily which consist of breakfast, lunch, and dinner to clients. Additional interviews revealed an afternoon snack is provided around 2:00pm and all cottages also have healthy snacks such as fruit for residents whenever they want a snack throughout the day. LPA obtained photocopies of the monthly food menu. Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 07/28/2022

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

met_with: Julian White - Crisis Intervention Specialist


state: CA

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews with Witness #2, #3, #4, and #5 revealed efforts were made by DCFS and Region Worker staff to make arrangements to transport C1 to their school of origin in Los Angeles County (Culver City), however, there were barriers with LAUSD and Pasadena USD that prevented C1 from being able to attend school. C1 was placed at the TSCF for twenty-one (21) days without attending school. Documentary evidence in the Five Acres TSCF Program statement reveal that "DCFS and/or TSCF program staff will transport children to their school of origin, unless the child is considered a flight risk and/or at risk of abduction". LPA obtained a copy of the Program Statement for Five Acres TSCF. The documentary evidence is not consistent with statements made during confidential interviews. Based on the interviews conducted and documentary evidence of the Five Acres TSCF Program Statement, the preponderance of standard has been met, therefore the above allegation is found to be substantiated. Facility cited on the attached LIC 9099-D for violation of Interim Licensing Standards, regulation 84622(d) Plan of Operation. Facility staff failed to transport client to school of origin. Appeal rights were discussed with the Division Director. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13This an amended report of the initial report dated 6/21/2022 due to no deficiency being cited. On June 21, 2022 at 9:40am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres (TSCF) and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegation. During the investigation, a total of three (3) clients, three (3) staff, and five (5) witnesses were interviewed. Confidential interviews with staff and witness statements revealed that transportation of Client #1 (C1) to their school of origin is solely the responsibility of the Department of Children and Family Services (DCFS). Confidential interviews with witnesses reveal that once a child is placed at Five Acres TSCF, DCFS Co-Locater staff contacts the DCFS Region Worker staff to inform them of the child's need for transportation to school and the arrangements are made to transport the child to school or their school or origin by the Region Worker staff. Continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 08/03/2022

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

report_type: Complaint Investigation

met_with: Claudia Rice-Division Director

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews conducted with Staff #2 (S2) revealed that S2 was not on duty on the date the allegation of C1 being "choked" by S2 occured. Additional information obtained during the interview with S2 revealed that S2 was terminated from Five Acres TSCF in February 2022 via a telephone call for a separate incident. Documentary evidence revealed S2 was terminated from employment at Five Acres TSCF in February 2022. LPA Edison obtained a copy of the termination report for S2. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was not able to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13This an amended report from the original date of April 19, 2022. On October 24, 2022 at 9:58am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres (TSCF) and spoke with Angie Wilbur, Residential Supervisor. The purpose of this visit was to deliver the findings for the above complaint allegation. During the investigation, a total of four (4) clients and four (4) staff were interviewed. Confidential interviews and documentary evidence did not reveal Client #1(C1) had been physically abused by staff. Special Incident Report #787982 (SIR) revealed C1 was making verbal threats and an attempt to physically hit Staff #2 (S2). Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 10/24/2022

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

met_with: Angie Wilbur-Residential Supervisor

complaint_status: unsubstantiated


raw_content:
Narrative:
Although it was reported that "staff do not ensure that child's mental health needs are met, documentary evidence revealed regular mental health services provided for C1, therefore, the allegation could not be corroborated. During the investigation, LPA made several unsuccessful attempts to contact and interview Witness #1 (W1). During the initial investigation, LPA requested video footage of the incident from Division Director (DD). DD stated that video footage is unavailable due to their system only retains six (6) months of full video. Based on the interviews conducted, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On January 17, 2023 at 10:40am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation LPA Edison interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the interviews and statements obtained during the investigation process, the allegations could not be corroborated. During confidential interviews, it was revealed that staff called Client #1 (C1) the "N-word" and pulled C1's hair. However, additional confidential interviews with clients and staff did not corroborate staff called C1 the "N-word" and pulled C1's hair and did not corroborate the allegations that "staff handled child in a rough manner and staff speak inappropriately to children". UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 01/17/2023

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


raw_content:
Narrative:
Documentary evidence revealed that staff are Pro-Act trained. During the initial investigation, LPA requested video footage of the incident from Division Director (DD). DD stated that video footage is unavailable due to their system only retains six (6) months of full video. Based on the interviews conducted, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On January 17, 2023 at 12:06pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation LPA Edison interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the interviews and statements obtained during the investigation process, the allegations could not be corroborated. During confidential interviews, it was revealed that staff called Client #1 (C1) the "N-word" and kicked C1. However, additional confidential interviews with clients and staff did not corroborate the allegations "Staff kick a minor while in care" and "Staff speak inappropriately towards a minor while in care". Although it was reported that "Minor is being restrained while in care", confidential interviews with staff and clients revealed that clients are not restrained unless they pose a danger to themselves or others in which Pro-Act techniques may be applied. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 01/17/2023

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


raw_content:
Narrative:
Although, law enforcement was called to the facility, documentary evidence revealed no crime was committed. LPA obtained SIR #840422 and law enforcement report #023-00073-0772-419. LPA conducted a video review on 2/6/2023 of the incident. LPA did observed RP and C1 on the telephone during the video, however, LPA did not observe staff physically abusing RP and C1. Based on the interviews conducted, documentary evidence, and LPA video review, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was not able to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On March 7, 2023 at 11:30am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegation. During the investigation, a total of two (2) clients and three (3) staff were interviewed. Statements made by Reporting Party (RP) and Client #1 (C1) revealed Staff #1 (S1) punched RP in the stomach and grabbed RP by the arm and threw RP and C1 against a window. Consistent statements made by staff and Client #2 (C2) revealed that S1 did not physically abuse RP and C1 by throwing them into a window and punching RP in the stomach. Statements made by C2 revealed S1 did not punch RP in the stomach and that RP and C1 made false allegations against S1. Documentary evidence and LPA video review did not reveal S1 physically abused RP and C1. Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 03/07/2023

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


raw_content:
Narrative:
During the investigation, confidential interviews and documentary evidence was reviewed. Confidential statements indicated that Client #1 (C1) was attempting to self-harm. Staff properly restrained C1 to remove object from around C1 neck. Inconsistent statements did not corroborate whether C1 had a pencil in their mouth. As a result of being restrained, C1 did not sustain any bruising or injuries. Consistent statements revealed C1 and staff denied slamming C1 into wall and handling C1 in a rough manner during incident. Staff further denied staff using foul language or taunting C1 during incident. LPA was unable to obtain video footage of incident. Division Director stated that after conducting a search, they were unable to find video footage regarding the incident. Based on the interviews conducted, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On March 28, 2023 at 1:52pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Jalisa McFee, Crisis Intervention Specialist. The purpose of this visit was to deliver the findings for the above complaint allegations. LPA was informed Claudia Rice, Division Director is not in the office today. During the investigation LPA Edison interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the interviews and statements obtained during the investigation process, the allegations could not be corroborated. Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 03/28/2023

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

met_with: Jalisa McFee-Crisis Intervention Specialist


raw_content:
Narrative:
LPA obtained copies of staff ProAct training certificates. Consistent statements did not reveal that staff member made inappropriate comments to minor and staff member yelled threateningly at minor. LPA obtained copies of Special Incident Reports for the period of 4/28/2022-5/27/2022 involving the victim. LPA was unable to obtain video footage of the incident. Division Director stated that after conducting a search, they were unable to find video footage regarding the incident. Based on the interviews conducted, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On April 25, 2023, at 11:36am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation LPA Edison interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. LPA made several unsuccessful attempts to conduct confidential interviews with the victim and Client #1 (C1) regarding the allegations. Based on the interviews and statements obtained during the investigation process, the allegations could not be corroborated. Although it was reported that the victim was restrained, and their head was "banged against the floor" by staff, confidential interviews did not corroborate staff member inappropriately restrained minor causing injury. Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 04/25/2023

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


raw_content:
Narrative:
Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was not able to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On July 27, 2023 at 10:35am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Julian White, Crisis Intervention Specialist. The purpose of this visit was to deliver the findings for the above complaint allegations. LPA was informed that Claudia Rice, Division Director is not at the facility. During the investigation LPA Edison interviewed and accounted for all available relevant parties and gathered pertinent information regarding the allegations. LPA Edison was unable to corroborate the allegations. Although it was reported that staff choked minor and staff hit minor, confidential interviews and inconsistent statements did not substantiate the allegations. Inconsistent statements indicated staff was physically assaulted by minor. LPA requested Special Incident Report (SIR) for youth and video footage of incident. Division Director stated that they were unable to locate video of incident and SIR's involving youth due to having no access to the old SIR system upon research. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-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, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 07/27/2023

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

met_with: Julian White-Crisis Intervention Specialist


raw_content:
Narrative:
LPA requested Special Incident Report (SIR) for youth and video footage of incident. The Division Director stated that they were unable to locate video of the incident and SIR's involving youth due to having no access to the old SIR system upon research. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was not able to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report will be provided to the Division Director.

Investigation Findings:
13On November 28, 2023 at 9:58am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Claudia Rice, Division Director. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation LPA Edison interviewed and accounted for all available relevant parties and gathered pertinent information regarding the allegations. LPA was unable to conduct a confidential interview with Client #1 (C1). It was reported that Staff did not properly restrain minor, however, consistent statements obtained by LPA did not corroborate the allegation. Confidential interviews and documentary evidence revealed staff are ProAct trained and certified. LPA obtained copies of staff ProAct training certificates. It was reported that minor was physically and emotionally abused by staff calling minor names. LPA was unable to corroborate the allegations, Staff pulled minor's hair and Staff slammed minor into the wall. Confidential interviews and inconsistent statements did not substantiate the allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 11/28/2023

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


raw_content:
Narrative:
Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was unable to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On April 9, 2024, at 10:33am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Shontel Davis, Crisis Intervention Specialist. LPA was informed Division Director is out of the office. The purpose of this visit was to deliver the findings regarding the above complaint allegation. During the investigation, confidential interviews and documentary evidence were reviewed. Statements indicate that minor attempted to swing at staff with a pen. Statements indicate that due to minor's assaultive history with staff and safety concerns for minor and others, staff restrained minor. Confidential interviews and documentary evidence did not corroborate staff pulled minor's hair and scratched minor while minor was being restrained. Statements indicate that minor has very long hair which extends down minor's back. Statements indicate that on the day of the incident, minor's hair was not tied in a ponytail, therefore, child's hair may have gotten tangled during the restraint due to the length of minor's hair, attempting to hit staff, and thrashing around during the restraint. LPA obtained Special Incident Report (SIR), staff ProAct training certificates, and nurse assessment for minor from the day of the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Bernice Karnsrithong LICENSING EVALUATOR NAME: Daphne Edison 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 04/09/2024

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

met_with: Shontel Davis-Crisis Intervention Specialist


raw_content:
Narrative:
Based on the interviews conducted, documentary evidence, and LPA Edison video review, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was unable to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There were no witnesses or physical evidence to corroborate that the allegation occurred. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report will be emailed to the Division Director.

Investigation Findings:
13On April 9, 2024, at 10:55am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Shontel Davis, Crisis Intervention Specialist. LPA was informed Division Director is out of the office. The purpose of this visit was to deliver the findings regarding the above complaint allegation. During the investigation, statements were conflicting. Licensing Program Analyst (LPA) Daphne Edison interviewed and accounted for all available relevant parties and gathered pertinent information regarding the allegations. Inconsistent statements, documentary evidence, and LPA video review did not corroborate staff caused injuries to a minor while in care. Statements and documentary evidence indicate child physically assaulted staff by punching staff in the face. Statements, LPA video review, and documentary evidence indicate child(ren) attempted to assault staff with a broom. Documentary evidence indicates staff are ProAct certified. LPA obtained Special Incident Report (SIR), staff ProAct training certificates, and illness/injury report for child. LPA reviewed video footage on the day of the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Bernice Karnsrithong LICENSING EVALUATOR NAME: Daphne Edison 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 04/09/2024

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


raw_content:
Narrative:
Confidential interviews were consistent that the staff utilized crisis communication protocol and provided redirection in attempt to prevent Child 1 (C1) from assaulting staff. There was no documentary evidence to support that youth are being verbally and emotionally abused, bullied, and provoked by staff. Documentary evidence indicated Special Incident reports were written that C1 met the criteria to be escorted out of the cottage for the safety of other children and staff. Records indicated C1 was restrained on several different occasions due to assaultive behavior towards staff. C1 was assessed and evaluated by the Psychiatric Mobile Response Team (PMRT), hospitalized placed on a on 72-hour hold. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Facility Administrator/Claudia Rice

Investigation Findings:
13On May 15, 2025 at 10: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support that the staff used excessive force to restrain youth; Youth are being verbally and emotionally abused by staff; Youth are being bullied and provoked by staff and the staff are untrained. Records indicated that staff received multiple trainings on how to de-escalate a child in crisis. All staff are trained to implement Professional Assault Crisis Training (Pro-ACT) during a crisis by means of verbally redirection to de-escalate the child. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCFFACILITY NUMBER: VISIT DATE: 05/15/2025

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

met_with: Facility Administrator/Claudia Rice


facility_name: FIVE ACRES-BOYS' AND GIRLS' AID SOCIETY OF LA TSCF

summary: Facility Evaluation

raw_content:
Narrative:
On September 27, 2021 at 10:36AM Licensing Program Analyst (LPA) Meghan McGee and Daphne Edison made an unannounced visit for the purpose of conducting a case management for an incident that occurred. LPA discussed with Jalisa McFee SIR # 768689 which was reported by a staff member at the facility involving a client bringing a BB gun on campus. LPA interviewed Jalisa McFee regarding this incident. Based on information gathered there was insufficient information to support the above allegation at this time. Additional Interviews will be conducted at a later date. Exit interview was conducted and a copy of the report was emailed for a signature.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Jalisa McFee, Crisis Intervention Specialist


summary: Facility Evaluation

raw_content:
Narrative:
On December 3, 2021 at 11:00am, Licensing Program Analyst (LPA) Daphne Edison arrived at the above facility for the purpose of a Case Management - Licensee Initiated visit. LPA met with Claudia Rice (Administrator), Jennifer Woolery (Program Manager), and Ulysses Silva (Safety Supervisor) who granted access and provided LPA with a tour of the facility. The provider is requesting to increase their capacity from 10 to 20 at the Temporary Shelter Care program. Five Acres will provide care and supervision for a capacity of 20 male and female children, ages 6-14 years of age, ambulatory only. There are seven (7) clients currently residing in the program. The facility has two cottages on campus designated to accept 20 clients. All bedrooms contain 1 twin bed and personal storage space. All bedrooms have beds with clean linens. There are 2 bathrooms equipped with a sink, toilet, and shower. Hot water was measured within a safe temperature in the bathrooms. The living & dining room is equipped with a television and furniture in good repair. The living/dining room is equipped with a table with 10 chairs. Facility was observed to be clean, safe, sanitary, and in good repair. There were books, board games, and DVDs for clients. The kitchen was observed to be clean and is equipped with refrigerator and a four-burner stove. The kitchen trash can is covered with a lid. Meals are transported to the cottage from the main kitchen on campus. Knives, disinfectants, cleaning solutions, and poisons are made inaccessible to clients. Facility has non-perishable foods for one week. Facility provides nutritious between meal snacks. Continued on LIC 809-C Medications are locked/accessible only to employees responsible for stored medications. Laundry area has a stackable washer and dryer. LPA observed additional linens, towels, and hygiene products. LPA observed a staff office located in the cottage. Clients are not restricted in telephone use except by court order. The smoke detectors and carbon monoxide alarms were tested and are operable. Fire extinguisher was fully charged. First aid kit complete. Outdoor activity space consists of a swimming pool and play area. Passageways, stairways, and open porches are unobstructed. The following documents were posted: emergency disaster plan, personal rights, and grievance procedure. Exit interview completed and a copy of this report will be emailed to staff.

met_with: Claudia Rice-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 1, 2022 at 11:33am, Licensing Program Analyst (LPA) Daphne Edison arrived at the above facility for the purpose of a Post Licensing Inspection. LPA met with Claudia Rice, Division Director who granted access and provided LPA with a tour of the facility. Five Acres is licensed to provide care and supervision for a capacity of twenty (20) male and female children, ages 6-14 years of age, ambulatory only. There are four (4) clients currently residing in the program. The facility has two (2) cottages on campus designated to accept twenty (20) male and female clients. All bedrooms contain one (1) twin bed and personal storage space. All bedrooms have beds with clean linens. There are two (2) bathrooms equipped with a sink, toilet, and shower. Hot water was measured within a safe temperature in the bathrooms. The living & dining room is equipped with a television and furniture in good repair. The living/dining room is equipped with a table with ten (10) chairs. Facility was observed to be clean, safe, sanitary, and in good repair. There were books, board games, and DVDs for clients. The kitchen was observed to be clean and is equipped with refrigerator and a four-burner stove. The kitchen trash can is covered with a lid. Meals are transported to the cottage from the main kitchen on campus. Knives, disinfectants, cleaning solutions, and poisons are made inaccessible to clients. Facility has non-perishable foods necessary for one (1) week. Facility provides nutritious between meal snacks. Medications are locked/accessible only to employees responsible for stored medications. Laundry area has a stackable washer and dryer. Cleaning, laundry, disinfectants are kept in a locked cabinet accessible by staff. LPA observed additional linens, towels, and hygiene products kept in locked cabinets accessible by staff. The following documents were posted: Emergency disaster plan, personal rights, and grievance procedure. All posting requirements are met. Adequate supervision is provided for children in care. Continued on LIC 809-C Children are afforded personal rights. Children in care are supported and encouraged to participate in extracurricular activities. Children in care are able to contact the licensing agency or Ombudsperson in confidence without threats or punishment for making complaints. LPA observed a staff office located in the cottage. Clients are not restricted in telephone use except by court order. The smoke detectors and carbon monoxide alarms were tested and are operable. Fire extinguisher was fully charged. First aid kit complete. Outdoor activity space consists of a swimming pool and play area. Passageways, stairways, and open porches are unobstructed. LPA informed Division Director of licensing fees that were due on 2/28/2022 of $706.00. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit Interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2022 at 1:26pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF for the purpose of a Case Management Incident regarding Special Incident Report #816758 (SIR), Fire. During this visit, LPA Edison conducted confidential interviews. Division Director granted LPA access to Willow Cottage, where fire took place, and together a tour was conducted. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On January 26, 2023 at 9:48am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres (TSCF) for the purpose of conducting a Case Management for Special Incident Report #841120. LPA met with Claudia Rice, Division Director and discussed the incident. During this visit, confidential interviews were conducted. Additional interviews will be conducted on a later date. LPA requested video footage of the incident. LPA also requested a Health/injury Report for Client #1 (C1), copy of hospital discharge for C1, copy of police report for the incident or law enforcement contact information for the date of the incident including police report number, current LIC 500, Pro-Act training certificates for Staff #1 (S1) and Staff #2 (S2), verification that S1 received re-training on badge security and inaccessibility to clients, Child and Family Team (CFT) meeting notes for Client #1 (C1), and a copy of the safety plan implemented for C1. Division Director stated will email LPA all requested documents. LPA will follow-up with Division Director to review video footage within the next two (2) weeks. Based on the information gathered, this incident needs further investigation. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On January 26, 2023 at 9:48am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres (TSCF) for the purpose of conducting a Case Management for Special Incident Report #841682. LPA met with Claudia Rice, Division Director and discussed the incident. During this visit, confidential interviews were conducted. Additional interviews will be conducted on a later date. LPA requested a current LIC 500, verification that staff received re-training on badge security, supervision of clients for Staff #1 (S1), Child and Family Team (CFT) meeting notes for Client #1 (C1) and Client #2 (C2), and a copy of the safety plan implemented for C1 and C2. Division Director stated will email LPA all requested documents. Based on the information gathered, this incident needs further investigation. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2023 at 11:26am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Jalisa McFee, Crisis Intervention Specialist (CIS). The purpose of this visit is a follow-up for a Case Management conducted on January 26, 2023 for SIR #841120. LPA was informed that Claudia Rice, Division Director is not in the office today. During the investigation, three (3) staff and one (1) client were interviewed. LPA Edison determined Client #1 (C1) was able to gain access to Staff #1 (S1) badge and use the badge to access the main building of the facility. Additional information received from Division Director states that badge procedures are discussed during onboarding training with staff which includes the purpose of the badge and what staff should do if the badge is lost. Division Director stated that badge procedures are discussed by the supervisor as a verbal conversation with staff to address keeping the badge on their person. It is unclear why S1 removed the badge and set it down making it accessible to C1. CIS was advised by LPA that they will discuss conducting additional staff training on supervision and badge security and providing LPA with documentation once the staff training has been completed with Division Director. CIS stated will inform Division Director regarding LPA advisory on how to prevent this incident from occurring again. LPA Edison issued a technical assistance advisory to facility to conduct additional staff training regarding badge policy and security. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2023 at 12:41pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF and spoke with Jalisa McFee, Crisis Intervention Specialist (CIS). The purpose of this visit is a follow-up for a Case Management conducted on January 26, 2023 for SIR #841682. LPA was informed that Claudia Rice, Division Director is not in the office today. During the investigation, four (4) staff and two (2) clients were interviewed. LPA Edison determined Client #1 (C1) and Client #2 (C2) was able to gain access to a work badge left in the kitchen staff office in which the door was left unlocked making it accessible to C1 and C2. Additional information received from Division Director states that badge procedures are discussed during on boarding training with staff which includes the purpose of the badge and what staff should do if the badge is lost. Division Director stated that badge procedures are discussed by the supervisor as a verbal conversation with staff to address keeping the badge on their person. It is unclear why the kitchen office door was left unlocked and accessible to clients. CIS was advised by LPA that they will discuss conducting additional staff training on supervision and badge security and providing LPA with documentation once the staff training has been completed with Division Director. CIS stated will inform Division Director regarding LPA advisory on how to prevent this incident from occurring again. LPA Edison issued a technical assistance advisory to facility to conduct additional staff training regarding badge policy and security. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2023 at 9:37am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF for the purpose of conducting a Case Management for Referral 0294-0735-5865-1048752. LPA met with Julian White, Crisis Intervention Specialist. LPA was informed that Claudia Rice, Division Director is not at the facility today. During this visit, confidential interviews were conducted. Additional interviews will be conducted on a later date. LPA requested the current LIC 500, copies of ProAct Training certificates for Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3), and video footage of the incident. Crisis Intervention Specialist stated that requested documents will be emailed to LPA by Division Director. Crisis Intervention Specialist stated if video is available, it will be provided for LPA review by Division Director on a later date. This Case Management needs further investigation. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On November 28, 2023, at 11:58am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Five Acres TSCF for the purpose of conducting a collateral visit regarding allegations from a previous placement. LPA met with Claudia Rice, Division Director. During the visit, LPA was informed Client #1 (C1) is no longer placed at Five Acres TSCF. LPA was unable to conduct a confidential interview with (C1). Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted, and a copy of this report will be emailed to the Division Director.


summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2024 at 10:19am, Licensing Program Analyst (LPA) Deborah Lee arrived at the above facility for the purpose of an Annual Random Inspection. LPA met with Claudia Rice, Division Director who granted access and provided LPA with a tour of the facility. Five Acres is licensed to provide care and supervision for a capacity of twenty (20) male and female children, ages 6-14 years of age, ambulatory only. There are four (4) clients currently residing in the program. The facility has two (2) cottages on campus designated to accept twenty (20)--10 male and 10 female clients. All bedrooms contain one (1) twin bed and personal storage space. All bedrooms have beds with clean linens. There are two (2) bathrooms equipped with a sink, toilet, and shower. Hot water was measured within a safe temperature in the bathrooms. The living & dining room is equipped with a television and furniture in good repair. The living/dining room is equipped with a table with ten (10) chairs. Facility was observed to be clean, safe, sanitary, and in good repair. There were books, board games, and DVDs for clients. The kitchen was observed to be clean and is equipped with refrigerator and a four-burner stove. The kitchen trash can is covered with a lid. Meals are transported to the cottage from the main kitchen on campus. Knives, disinfectants, cleaning solutions, and poisons are made inaccessible to clients. Facility has a supply of non-perishable foods necessary for one (1) week. Facility provides nutritious between meal snacks. Medications are locked/accessible only to employees responsible for stored medications. Laundry area has a stackable washer and dryer. Cleaning, laundry, disinfectants are kept in a locked cabinet accessible by staff. LPA observed additional linens, towels, and hygiene products kept in locked cabinets accessible by staff. The following documents were posted: Emergency disaster plan, personal rights, and grievance procedure. All posting requirements are met. Adequate supervision is provided for children in care. Children are afforded personal rights. Children in care are supported and encouraged to participate in extracurricular activities. Children in care are able to contact the licensing agency or Ombudsperson in confidence without threats or punishment for making complaints. Continued on 809C LPA observed a staff office located in the cottage. Clients are not restricted in telephone use except by court order. The smoke detectors and carbon monoxide alarms were tested and are operable. Fire extinguisher was fully charged. First aid kit complete. Outdoor activity space consists of a swimming pool and play area. Passageways, stairways, and open porches are unobstructed. LPA reviewed (3) staff files. Per review of files, ( 3 )out of ( 3 ) files met current licensing requirements. LPA reviewed (2 ) client files. Per review of files, ( 2 ) out of ( 2 ) files met current licensing requirements. Licensee has obtained Mental Health Program Approval, valid through June 6, 2024. Licensee has obtained National Accreditation through COA (Council of Accreditation). The Accreditation is valid through December 31, 2027. There were no deficiencies no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit Interview was conducted, and a copy of this report will be emailed to the Division Director.

visit_type: Annual

met_with: Claudia RIce, Divison Director


summary: Facility Evaluation

raw_content:
Narrative:
On July 3, 2024, at AM, Kenrick Ellis, Licensing Program Analyst (LPA) and JoAunne Griffin, Licensing Program Manager (LPM) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Claudia Rice, Administrator. A health and safety assessment was conducted prior to entering facility. The department received a Self- Reported Incident Report dated June 29, 2024. The Incident Report disclosed that Staff 1 (S1) yelled and made inappropriate comments to Child 1 (C1). Report also indicated that S2 grabbed C1 by his neck and slammed C1 to the ground the night before. There were no reports of C1 having any injuries, marks, or bruising. During the investigation, LPA interviewed S3,S4,S5,S6,S7, S8 and C2. LPA also requested and reviewed Personnel Report (LIC500), client roster, Incident Report, internal investigation, and shift notes. Based on the information obtained during this visit, additional information is needed. There were no deficiencies cited at time. Exit interview was conducted, and a copy of this report and appeal rights were emailed to Claudia Rice, Administrator.

met_with: Claudia Rice


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2024, at AM, Kenrick Ellis, Licensing Program Analyst (LPA)arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Claudia Rice, Administrator. A health and safety assessment was conducted prior to entering facility. Currently there is one positive COVID client in isolation The department received a Self- Reported Incident Report dated June 29, 2024. The Incident Report disclosed that Staff 1 (S1) yelled and made inappropriate comments to Child 1 (C1). Report also indicated that S2 grabbed C1 by his neck and slammed C1 to the ground the night before. There were no reports of C1 having any injuries, marks, or bruising. During the investigation, LPA interviewed S1, S2, and S LPA also requested and reviewed Personnel Report (LIC500), and client roster.Based on the information obtained during this visit, additional information is needed. There were no deficiencies cited at time. Exit interview was conducted, and a copy of this report and appeal rights were printed and given too Claudia Rice, Administrator.

met_with: Claudia Rice Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 6, 2022 at 03:55 p.m. Licensing Program Analyst (LPA) Regina Martin conducted an unannounced Case Management-Deficiencies inspection. LPA met with Facility Representative, Oscar Menendez, Crisis Intervention Specialist to discuss details. During investigation in connection with complaint control # 34-CR-20211025134156, records reviewed, and statements obtained revealed Staff Member #1 (S1) [see LIC811, dated May 6, 2022] was scheduled and worked during regular scheduled shift on October 23, 2021 and performed chest compression on a youth while having an expired CPR/First Aid Certification. This poses potential Health and Safety risk that, without correction, could become an immediate risk to the health, safety or personal rights of clients that could impact the care of clients and/or protection required to meet clients' needs. The facility is cited for violation of California Code of Regulations, Title Division 6, Section Health Related Services. Exit interview was conducted with Facility Representative. Appeal Rights issued, and a copy of this report was provided and emailed to Facility Administrator. (Continued on LIC809D)


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2024, 10: AM, Kenrick Ellis, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of concluding a Case Management - Incident investigation. LPA met with Claudia Rice, Administrator. A health and safety assessment was conducted prior to entering facility. The department received a Self- Reported Incident Report dated June 29, 2024. The Incident Report disclosed that Staff 1 (S1) yelled and made inappropriate comments to Child 1 (C1). Report also indicated that S2 grabbed C1 by his neck and slammed C1 to the ground the night before. There were no reports of C1 having any injuries, marks, or bruising. During the investigation, LPA conducted confidential interviews with eight staff and one client. LPA also reviewed video evidence, Personnel Report (LIC500), client roster, Incident Report, internal investigation, and shift notes. Video evidence revealed S1 in C1's personal space as she was clearing the campus. S1 was also seen taking a bike from C1 and throwing it away from C1 with two hands. Statements indicated S1 was repeating the same inappropriate language that C1 was using towards S1 during the incident. Documentary evidence indicated that S1 received a write up for using inappropriate language when communicating with C1. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80072 (a)(1). S1 repeated inappropriate language and posturing when interacting with C1.

met_with: Claudia Rice, Administrator


raw_content:
Investigation Findings:
13On October 21st,2025 at 10:00 am, Kenrick Ellis, Licensing Program Analyst (LPA), conducted an unannounced visit to Five Acres TSCF for the purpose of concluding a complaint investigation of the above allegations. LPA met with Administrator, Claudia Rice and discussed the complaint allegations. A health and safety inspection was also conducted. There are no positive COVID clients. During the investigation, LPA conducted confidential interviews with four staff members and one client.LPA also reviewed Personnel Report (LIC500), client roster and program guidelines. Interviews revealed statements to suggest that clients in TSCF program do not have visitations while in care. Interviews revealed statements that clients in TSCF program do not receive allowance. Multiple statements and LPA observation indicated that licensee ensures that minors are provided healthful and comfortable accommodations while in care. LPA Ellis was unable to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


facility_name: FOSTERHOPE SAC. WELCOME HOME

summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 5 allegations

raw_content:
Narrative:
Three out of the five interviews conducted confirmed the allegations that staff are not reporting incidents to appropriate parties in a timely manner, staff are not taking measures to keep the facility free from insects, staff are allowing clients to smoke on facility premises, and the facility is not in good repair. LPA Turner's review of facility records and interviews with staff revealed that several incidents occurring within the facility were not documented or reported to Community Care Licensing (CCL) as required. Incident reports were not received by CCL in a timely manner, and in some cases, incidents were not reported at all. CCL became aware of these incidents only after subsequent visits, during which multiple deficiencies were observed. Insects were observed throughout the facility by LPA Turner, LPA Buchannan, staff, and youth. Interviews confirmed that the insect problem had been present for several weeks. There was no documentation or evidence of a plan to address or eliminate the infestation through professional extermination or other appropriate means within a reasonable time frame. It was confirmed that youth were smoking inside and outside of the facility. LPA Turner, staff, and youth observed the presence of smoking materials and a noticeable odor of marijuana in the facility. Staff acknowledged that youth had smoked both inside the home and in the facility vehicle, and that they were permitted to smoke outside the facility while being observed. Staff demonstrated a lack of awareness and enforcement of policies prohibiting smoking on facility premises, resulting in unsafe and noncompliant conditions. The facility was previously cited on August 6, 2025 for physical plant deficiencies observed on August 1, 2025. Based on LPA Turner's observation and based on interviews which were conducted and records reviewed. There is a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are found to be SUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the Five out of the five interviews conducted did not confirm the allegation that staff are taking facility food home. During the investigation LPA Turner was informed by staff that all food prepared in the kitchen or dining areas was made for the youth residing at the facility. Staff further reported that any leftover food items were stored in accordance with facility policy and that food was not to be removed from the premises. Staff stated that they had not witnessed seeing staff remove food from the premises. It was confirmed by youth that they had not seen staff take food home and that they were not aware of any food being taken out of the facility. No one stated that they had witnessed seeing staff remove food from the premises. Even though all staff and youth interviewed did not report seeing any staff take food home, it was noted that there was frequent staff turnover. Due to the ongoing turnover, it was not possible to obtain statements from all individuals who may have had knowledge of the situation. Therefore, based on the limited information available, the allegation cannot be determined to be unfounded at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On November 6, 2025 at approximately 11: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Program Manager, Steven Dogan. Prior to the meeting LPA Turner initiated the complaint investigation on August 7, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Sheet, Client Face Sheets, Incident Reports (July through August), Pest Control Receipt, Case/Staff to Staff notes, and Needs and Services Plans for each client in care. LPA Turner conducted five interviews between August 7, 2025 and October 16, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations can be substantiated because there were consistent statements throughout the investigation process. Report continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: FOSTERHOPE SAC. WELCOME HOMEFACILITY NUMBER: VISIT DATE: 11/06/2025

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

Deficiencies:
84061(h): (2) A detailed narrative, describing the incident and the events leading up to incident.

met_with: Steven Dogan, Program Manager

title: Incident Reports must include the following


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, 2025 at approximately 9: AM Licensing Program Analyst (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez conducted an in-person Component II Meeting in the office for the purposes of reviewing the LIC9106, A Documents, and Program Statement. Present during the meeting were LPA Zaria Turner, LPM Rosa Rodriguez, Executive Director, Erin Brown, Clinical Supervisor, Jessica Wharton, Program Manager Administrator, Antoinette Carter, Youth Counselor, Rebecca Solono, Training Coordinator, Grace Cole. Below is a summary of the topics that were discussed and the answers that were provided by the applicant: LIC9106 - LPA, LPM, and attendees present reviewed the LIC9106. LPA and LPM informed the attendees of adjustments and additional information that needs to be included. Information such as: population clarification, ratio, social work services being provided, and missing pages 13-19 from LIC9106 form. A Documents - LPA, LPM, and attendees present reviewed the A Documents. LPA and LPM informed the applicants of adjustments and additional information that needs to be included. Information such as: missing forms(LIC215, LIC308, LIC309, LIC402, LIC404, LIC420, LIC501, LIC503, and LIC9054), signatures, days, and hours on duty need to be added to the LIC500, ages and facility type on the LIC200, lease agreement, source of water, and update operating costs on the LIC401 and LIC403, and number of non-ambulatory clients in care. Program Statement Sections to be Revised/Updated - LPA, LPM and the attendees present reviewed the program statement. Sections reviewed and corrections needed included: (report continued on LIC 812C) SECTION 3 · Specify the Age Range · Explain why you are not taking this specific youth. · Elaborate on how CCL/FHS will expedite the placement. SECTION 3B · Verify that the home is empty. (Can't co-mingle populations) · Getting insight and approval from youth in care for separate bedrooms · Elaborate on how you would handle splitting the sibling set if over capacity. · Advisory: Staff be removed if causing issues/other staff step in to de-escalate SECTION 4 · Example of the Daily Log should be placed here. SECTION 8 · Elaborate staff training for that specific population (infant/toddler) · Are you equipped to care for infant/toddler? (Furniture, bottles, etc.) · Examples of barriers preventing youth from attending school regularly. · Elaborate on behaviors and high-level needs? Include information from LIC 9106 · Based on the regulations, modify age range if needed SECTION 11 · Elaborate appointment only. What happens if the parent does not make appointment and shows up? SECTION 12 · What takes place when clients do not want to do chores? Do staff assist? · What happens if clients do not turn over personal devices? · What happens if client does not want to change? · What does gang related clothing entail? · Specify what kind of holes in clothing. · Goes against regulations. (Should not encourage smoking) · Preventing AWOL · What is the schedule for clients under 6? (report continued on LIC 812C) SECTION 13 · What are the logical consequences? · What are the unacceptable behaviors? · What is the punishment orientation? SECTION 14 · Age range needs to be updated. · Specify who you will be sending it to the whereabouts and conditions to. SECTION 15 · Missing Runaway Plan · What takes place when clients do not want to do chores? Do staff assist? · What happens if clients do not turn over personal devices? · What happens if client does not want to change? · What does gang related clothing entail? · Specify what kind of holes in clothing. · Goes against regulations. (Should not encourage smoking) · Preventing AWOL · What is the schedule for clients under 6? SECTION 16 · What if the complaint involves the staff member? SECTION 17 · 80026(d)(e) · What happens when there is a death of child? Where do the funds go? SECTION 19 · 84076(b)(c) · What if the client does not like the food? (Dietary Restrictions) · Menus due weekly instead of monthly (report continued on LIC 812C) SECTION 20 · What is the stored location? Clothing/Items need to be stored on site. · Clarification (Obtain/Purchase) · What will happen to belongings if not obtained by client or representative? · Intake agreement/clients will be inventoried. SECTION 21 · Reminder: submit an LIC500 (Every time there is a schedule change/personnel change). · Clarification on numbers (FTE) SECTION 26 · Lease will expire on 3/31/25. Going to extend for another year until 3/31/26. SECTION 27 · Missing Control of Property. SECTION 28 · Missing window exits. 4. Serving Clients Under Six Requirements - LPA and LPM advised applicants present on what items and training need to be included in the Program Statement for the home if caring for the age range 0-6. Items advised needed included: · Elaborate staff training for that specific population (infant/toddler) · Formula (options for the different needs or allergies)/ Rice Cereal/ Baby Food · Bottles (different sizes)/ Bottle Wand or Bottle Cleaner · Different nipples for the bottles · Diapers (All sizes and recommend different brand in case of allergies) · Changing Table & Changing Pads · Wipes · Bibs and Burp Rags · Cribs (Interchangeable is recommended so it can change as needed for the size/age) · Pack and Play · Crib Mattress (report continued on LIC 812C) ·Linens and Blankets (3 pair minimum, for changes) · Clothes (All size ranges and seasonally appropriate) · Age-appropriate toys · Towels/Washcloths · Potty Chair · Pacifier with guard shields · Highchair with broad base legs, straps, and a washable seat) · Car Seats and Baby Gates · Clothes in range from infants to teens for different seasons. · Infant Bathtubs · Some Diaper Changing supplies (Aquaphor, A & D ointment, and lotion) · Some bathing supplies (Baby Shampoo) · Elaborate staff training for that specific population (infant/toddler) LPA Turner and LPM Rodriguez offered up the opportunity for discussion and questions. Executive Director, Erin Brown advised that they would be sending completed and updated copies of the missing LIC forms to LPA and LPM. LPA, LPM, and applicants present coordinated a Pre-Licensing date. Due to Sacramento County placement at the facility the Pre-Licensing has been scheduled to be determined March 5, 2025. LPA and LPM will be enrolling attendees in the online Component III meeting; date to be determined, no schedule is showing in SharePoint at this time. LPA and LPM thanked the attendees for their time and concluded the Component II Meeting.

met_with: Erin Brown, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2025 at approximately 11: AM, Licensing Program Analysts (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez, made an announced visit with the purpose of conducting a pre-licensing inspection to the above Temporary Shelter Care Facility (TSCF). LPA and LPM met with Executive Director, Erin Brown, and a walk through of the interior and exterior was completed. LPA and LPM conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPA and LPM observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of 3 bedrooms, 2 ½ bathrooms, activity room, kitchen, living room/dining room, storage/pantry room, staff office, intake room, and garage. Each client room is equipped with 2 twin size beds, bedding, 2 bedside tables, and closet space for clothing and personal belongings. The 2 bathrooms at the facility are equipped with working toilets, shower/tub, and running water. The ½ staff bathroom is equipped with a water heater, storage for cleaning supplies, a working toilet, and running water. Upon entry, there is a desk and monitor, a double sided fireplace, a sofa, side table, a table with 2 chairs, a TV, and a TV stand. The living/dining room is equipped with 3 sofas, 2 side tables, a TV, a TV stand, and a dining table with 4 chairs. The staff office is equipped with a desk, monitors, a staff and client filing cabinet, and locker. The intake room is equipped with 2 fridges used for medications. lockers, and filing cabinets. The storage/pantry room is equipped with cabinets used to store nonperishable foods, a fridge to store perishable foods, and racks to store extra linens. The garage is converted into a storage room equipped with extra toiletries, bedding and linens, mattresses, cleaning supplies, dining utensils, car seats, and toys/games. There are 4 hall closets. There are 3 hall closets used for extra toiletries, linens, and supplies. There is one hall closet equipped with the HVAC (Heating Ventilation and Air Conditioning Unit). There is a washer and dryer located in the kitchen and cabinets above and below where extra linen, toiletries, and cleaning supplies are kept and locked away. Continue summary of inspection on 809-C Disinfectants/cleaning solutions are inaccessible to clients in care and locked, under the kitchen sink, in the ½ staff bathroom, and above the laundry units. The refrigerator temperature is at or below 45 degrees F. There is nonperishable food for one week and fresh perishable food for three days minimum. There are containers to place leftover food. Carbon monoxide and smoke detectors are in working order. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. The facility is free of vermin. The backyard contains a concrete area with 2 chairs, 2 tables, a bench, and 12 chairs. There is a basketball hoop and horizontal bars. There is a detached cottage located in the back of the property. The cottage is equipped with 4 chairs. The cottage is large enough to be converted into an extra room for the population under 6 or an isolation room(not for behaviors). There is a tool shed that is currently not in use. There is no pool on the premises. The following adjustments need to be made: Smoke detector in cottage. Air conditioning unit in cottage. An exit interview was conducted with Executive Director, Erin Brown, and a copy of this report was discussed and provided during today's inspection.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Temporary Shelter Care Facility (TSCF) for the purpose of conducting a Case Management to follow up on an incident report received by the department on April 24, 2025, regarding lack of details on the incident report. LPA Turner met with Facility Administrator, Erin Brown. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies: The incident report received by the department on April 24, 2025 lacks a detailed narrative, describing the incident and the events leading up to the incident. The facility is submitting the incorrect Incident Report Forms. The facility is ineligibly handwriting the Incident Reports Forms. (See LIC TV) On May 6, LPA Turner submitted a referral to the Technical Support Program (TSP) to ensure the facility receives additional training on incident reporting procedures. TSP will contact the licensee to coordinate and schedule training to aid the facility in resolving the deficiencies. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Erin Brown, Facility Administrator.

met_with: Erin Brown, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025, 10: AM Licensing Program Analysts (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a post licensing inspection. LPA met with Erin Brown, Facility Administrator, and walk through of the interior and exterior of the facility was conducted. LPA conducted a walk though of the interior and exterior of the facility. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of 3 bedrooms, 2 ½ bathrooms, activity room, kitchen, living room/dining room, storage/pantry room, staff office, intake room, and garage. Each client room is equipped with 2 twin size beds, bedding, 2 bedside tables, and closet space for clothing and personal belongings. The 2 bathrooms at the facility are equipped with working toilets, shower/tub, and running water. The ½ staff bathroom is equipped with a water heater, storage for cleaning supplies, a working toilet, and running water. Upon entry, there is a desk and monitor, a double sided fireplace, a sofa, side table, a table with 5 chairs, a TV, and a TV stand. The living/dining room is equipped with 3 sofas, 2 side tables, a TV, a TV stand, and a hammock. The staff office is equipped with a desk, monitors, a staff and client filing cabinet, and locker. The intake room is equipped with 2 fridges used for medications. lockers, and filing cabinets. The storage/pantry room is equipped with cabinets used to store nonperishable foods, a fridge to store perishable foods, and racks to store extra linens. The garage is converted into a storage room equipped with extra toiletries, bedding and linens, mattresses, cleaning supplies, dining utensils, car seats, and toys/games. There are 4 hall closets. There are 3 hall closets used for extra toiletries, linens, and supplies. There is one hall closet equipped with the HVAC (Heating Ventilation and Air Conditioning Unit). Continue summary of inspection on 809-C There is a washer and dryer located in the kitchen and cabinets above and below where extra linen, toiletries, and cleaning supplies are kept and locked away. Medication is centrally stored, locked, and inaccessible to clients in care. Disinfectants/cleaning solutions are inaccessible to clients in care and locked, under the kitchen sink, in the ½ staff bathroom, and above the laundry units. The refrigerator temperature is at or below 45 degrees F. There is nonperishable food for one week and fresh perishable food for three days minimum. There are containers to place leftover food. Carbon monoxide and smoke detectors are in working order. Temperature in facility is between 68 degrees F and a maximum of 85 degrees F. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. There is a working telephone accessible to clients. The facility is free of vermin. The backyard contains a concrete area with 2 chairs, 2 tables, a bench, and 12 chairs. There is a basketball hoop and horizontal bars. There is a detached cottage located in the back of the property. The cottage is equipped with a table, 11 chairs, and a bookshelf. There is a tool shed that is currently not in use. There is no pool on the premises. Based on a review of the facility's Guardian Roster the staff working during today's inspection are fingerprint cleared and associated to the facility. A Technical Violation (TV) was assessed during today's inspection. (See LIC TVs) Licensee has been notified by the county that the lease agreement has not gone out for signature and they are working to get it out this week and will provide and update to LPA Turner via email by June 24, 2025. An exit interview was conducted with Facility Administrator, Erin Brown, and a copy of this report was discussed and provided during today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2025 at 11: AM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Foster Hope Sacramento Welcome Home. LPA was greeted by Reyes Bonilla, Facility Administrator who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. The front door of the home is bent creating a gap large enough for bugs and pest to enter. 2 windows are broken exposing glass. They are boarded from inside of the facility but the outside is exposed. A drawer is missing in the kitchen. The Client bathroom in the hallway has a shower which is stuck and cannot be changed into a bath. The Client bathroom in the hallway has a sink which is not draining properly. There are large amount of ants in both client bathrooms. A strong odor of Marijuana throughout the entire facility. LPA observed the facility to place tape over the exterior windows which were exposing glass. LPA also requested copies of work orders for the above deficiencies be sent to LPA Zaria Turner via email at zaria.turner@dss.ca.gov by close of business on August 1, 2025. LPA Turner will also conduct the remainder of this case management. Exit interview conducted and a copy of this report was left with Reyes Bonilla, Facility Administrator.

met_with: Reyes Bonilla, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, 2025 at approximately 1: PM Licensing Program Analyst (LPA) Zaria Turner conducted an Informal Meeting with the above facility for the purposes of initiating a conversation about expectations and current observations regarding Physical Plant. Present during the meeting was (LPAs) Zaria Turner, Sarina Buchannan, Licensing Program Manager (LPM) Connie Goldie, and Facility Administrator (FA) Erin Brown. Below is a summary of the topics discussed and the responses provided by the licensee. Expectations: LPAs and LPM discussed the importance of clear and open communication, honesty in all matters, reporting requirements, and the appeal process, and asking as many questions as needed. Current Observations: LPA Buchannan discussed the following observations from their inspection on August 1, 2025 regarding the Physical Plant. Additionally, section 84087(c) The licensee shall prohibit smoking in the facility and on the grounds of the facility. Collaborative Discussion: LPA Turner discussed immediate response to safety risks, including email dates; clear expectations for youth regarding smoking in the facility and on the grounds; the cleaning crew's routine for the facility; pest control measures; and overall facility maintenance. Agreement and Responses provided by the licensee: The FA shared communication about the focus of hiring. A contract has been put in place for pest control and a contractor's list has been created to assist in maintaining the Physical Plant.


summary: Facility Evaluation

raw_content:
Narrative:
On October 29, 2025 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Temporary Shelter Care Facility (TSCF) for the purpose of conducting a Case Management to follow up on an incident report received by the department on October 10, 2025, regarding an AWOL. LPA Turner met with Program Manager, Steve Dogan. LPA conducted a tour of the inside and outside of the facility. No deficiencies noted. Program Manager will send LPA Turner an updated copy of the Incident Report with corrections by October 30, 2025 by the end of the day. This case management is closed, no further investigation is needed. An exit interview was conducted and a copy of this report was left with Program Manager, Steve Dogan.

met_with: Steve Dogan, Program Manager


summary: Complaint Investigation - Unsubstantiated - 5 allegations

raw_content:
Narrative:
Five out of the six interviews conducted confirmed the allegations facility operates out of ratio, facility staff do not prevent minors from engaging in physical altercations, and administrator is not present during operating hours. During the investigation LPA Turner was informed by staff that staff members frequently describe a constant staff turnover, which leaves the remaining employees to cover additional responsibilities. Because of these ongoing shortages, workers say the facility often ends up operating out of the required staff-to-youth ratio 1 to 2, creating periods where there are simply not enough adults present to properly supervise the minors in care. Staff stated that the administrator is "rarely present" during operating hours, leaving managers or shift leads to step in and run day-to-day operations. Some youth have even expressed that they have never seen the administrator at all. Staff stated that the lack of an administrative presence has made it difficult to maintain structure, support overwhelmed employees, or address ongoing operational challenges. LPA Turner was informed by staff that when minors began engaging in physical altercations, staff on duty did not appear to know how to intervene. Rather than de-escalating the conflict, their hesitation or uncertainty allowed the situation to intensify. Staff have acknowledged feeling unprepared in these moments, unsure of the proper steps to take or how to safely separate the youth involved. Based on LPA Turner's observation and based on interviews which were conducted and records reviewed. There is a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are found to be SUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee. Four out of the six interviews conducted did not confirm the allegations staff allow minors to smoke in the company vehicles, staff allow minors to drink alcohol in the facility, and facility staff does not ensure food is provided to the minors. LPA Turner was informed by staff that they do not allow youth to smoke in company vehicles and reported that when a youth has attempted to smoke inside a vehicle, staff immediately redirected the youth and reinforced that smoking is not permitted. Staff and youth stated that meals are provided within the facility and that they have not witnessed any instances of food being withheld from any youth. Staff stated that meals and snacks are offered regularly and made accessible as needed. LPA Turner was informed by staff that they do not allow youth to drink alcohol within the facility. Staff stated that although some youth may consume alcohol while AWOL, staff actively prevent alcohol from being brought into the facility and intervene when such attempts occur. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On November 25, 2025 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Facility Manager, Steven Anderson. Prior to the meeting LPA Turner initiated the complaint investigation on August 28, 2025. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Sheet, Client Face Sheets, Incident Reports for the month of August, Maintenance Request, and Needs and Services Plans for each client in care. LPA Turner conducted six interviews between August 28, 2025 and October 16, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations can be substantiated because there were consistent statements throughout the investigation process. Report continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: FOSTERHOPE SAC. WELCOME HOMEFACILITY NUMBER: VISIT DATE: 11/25/2025

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

met_with: Steven Anderson, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 6, 2025 at 2: PM Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Temporary Shelter Care Facility (TSCF) for the purpose of conducting a Case Management to follow up and assess a deficiency that was observed on August 1, 2025 by LPA Sarina Buchannan, regarding two broken windows exposing glass. LPA Turner met with Program Manager, Reyes Bonilla. Facility Administrator, Erin Brown, approved Program Manager, Reyes Bonilla, to sign off on any documentation left at the facility today. LPA Buchannan observed the facility place tape over the exterior windows which were exposing glass. LPA also requested copies of work orders for the above deficiencies be sent to LPA Zaria Turner via email at zaria.turner@dss.ca.gov by close of business on August 1, 2025. LPA Turner conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies: Two broken windows exposing glass. The windows are boarded from the inside and outside of the facility. The deficiencies were assessed during today's inspection. (See LIC 809-D) Exit interview conducted and a copy of this report was left with Reyes Bonilla, Program Manager.

met_with: Reyes Bonilla, Program Manager