raw_content:
Narrative:
restrained minor in care, one confidential witness reported that a physical altercation occurred between a staff (S1) and client (C1) at the facility which resulted in C1 being physically abused and inappropriately restrained in care. Information gathered from interviews deny that staff physically abused and inappropriately restrained a minor in care. Records reviewed indicated that C1 had absconded from the facility and was found by S1. Multiple confidential witnesses confirmed that C1 exhibited aggressive behavior toward S1 and touched S1 and S1's personal property. Details gathered from confidential interviews deny that staff inappropriately restrained a minor in care. Further details gathered from interviews stated that C1 attempted to grab S1's personal property when both the client and staff fell to the floor. A physical altercation followed between C1 and another client in care. There were limited details and inconsistent information regarding which client got in a physical altercation with C1. Based on interviews and confidential information obtained during the course of this investigation, LPA received inconsistent information regarding the allegations. The allegations that facility staff physically abused minor in care and staff inappropriately restrained minor in care may have occurred, however is not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview conducted, appeal rights discussed and provided. A copy of this report along with LIC 9099-C were provided to facility representative.

Investigation Findings:
13On December 29, 2023 at 12:35 pm Licensing Program Analyst (LPA), Emina Preciado, met with Olive Crest, Beazer, Short Term Residential Therapeutic Program (STRTP), Youth Partner, Ivette Olmos to deliver the findings for the above stated allegations. LPA Lisi Leon conducted an inspection of the facility on December 12, 2022, at approximately 2:45 pm and no immediate deficiencies were observed. The investigation included interviews with two staff (S1 and S2), three foster youth (C1, C2, and C3), and one County Social Worker (CSW). In addition, county and facility records were reviewed. On December 2, 2022, Community Care Licensing (CCL) received two allegations alleging that facility staff physically abused minor in care and staff inappropriately restrained minor in care. Regarding the allegations that facility staff physically abused minor in care and staff inappropriately UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: BEAZERFACILITY NUMBER: VISIT DATE: 12/29/2023

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

met_with: Ivette Olmos, Youth Partner


state: CA

facility_name: BEAZER

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed that the staff do not use physical punishment as a form of discipline. Confidential interview revealed that the usual form of punishment used at the facility included verbal redirection, de-escalation techniques and removing privileges and never any forms of physical punishment. There were no witnesses to the alleged incident and C1 could not be interviewed, therefore LPA could not confirm if the incident occurred or not. Based on confidential interviews, the allegation that S1 handled C1 in an inappropriate manner may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Beazer Short Term Residential Therapeutic Program (STRTP), Youth Partner, Randy Davis.

Investigation Findings:
13On 05/15/24 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Youth Partner, Randy Davis, to deliver the finding for the above complaint allegation at Beazer Short Term Residential Therapeutic Program (STRTP). On 07/31/23, LPA Emina Preciado inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with one staff (S1), Residential Manager (RM), three Probation Officer (PO1) and four clients (C2, C3, C4 and C5), Client #1 (C1) was unable to be interviewed after several attempts due to C1's whereabouts are unknown. Clients' Needs and Services Plans and case notes were reviewed. On July 27, 2023, Community Care Licensing received an allegation that staff (S1) handled minor (C1) in an inappropriate manner. Specifically, it was reported that S1 grabbed C1's ear while walking through a tight doorway at the facility. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: BEAZERFACILITY NUMBER: VISIT DATE: 05/15/2024

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

report_type: Complaint Investigation

met_with: Youth Partner, Randy Davis

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Specifically, it was stated that S1 grabbed C3 by the shirt and pulled C3 towards to S1 and S1 made an inappropriate statement to C3. Confidential interviews confirmed that the physical and verbal altercation did happen. After C3 punched S1 in the face, S1 grabbed C3's shirt and pushed C3 in the chest leaving an approximate one-inch abrasion on C3's chest, while verbally threatening C3 by saying they will beat up C3. Based on confidential interviews, the preponderance of evidence standard has been met and the allegations that S1 handled C3 in an inappropriate manner and S1 spoke to C3 in an inappropriate manner are substantiated. The STRTP is being cited for violations of Interim Licensing Standards (ILS), version 5, section 87072(c)(1) for Personal Rights. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Youth Partner, Elsa Montesinos.

Investigation Findings:
13On 05/22/24 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Youth Partner, Elsa Montesinos, to deliver the findings for the above complaint allegations at Beazer Short Term Residential Therapeutic Program (STRTP). On 09/05/2023, LPA Emina Preciado inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), Residential Manager (RM) and Probation Officer (PO). Three clients declined to be interviewed and two clients were unable to be reached. Needs and Services Plans, Special Incident Report, Police Incident Report and case notes were reviewed. On August 28, 2023, Community Care Licensing received allegations stating that staff (S1) handled minor (C3) in an inappropriate manner and staff (S1) spoke to minor (C3) in an inappropriate manner. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: BEAZERFACILITY NUMBER: VISIT DATE: 05/22/2024

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

met_with: Youth Partner, Elsa Montesinos

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On October 22, 2021, at 9: AM Licensing Program Analyst (LPAs) Ronnesha Fountain and Leslie Covarrubias arrived at Beazer, Short Term Residential Program (STRTP). LPAs met with Residential Manager, Anne Lacy. The purpose of the visit is to conduct an annual inspection of the facility. At 9: AM, Residential Manager, Anne Lacy, led the physical inspection of the facility. The home is set up as follows: Bedroom #1- Was furnished with one twin bed. Sleeps one client. Bedroom #2- Was furnished with one twin bed. Sleeps one client. Bedroom #3- Was furnished with one twin bed. Sleeps one client. Bedroom #4- Was furnished with one twin bed. Sleeps one client. Bedroom #5- Was furnished with one twin bed. Sleeps one client. Bedroom #6- Was furnished with one twin bed. Sleeps one client. Bedrooms are arranged so that only one child is placed per room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. A physical plant inspection was completed and included the facility's kitchen area, three refrigerators/ four freezers, food storage areas, client rooms, two bathroom/showers, and community gathering area and dining area. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games were observed for client's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and the menus were posted. At the time of inspection the facility license was observed to be posted by the front door. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathrooms was measured to be 137.8 for bathroom #1 and bathroom #2 was 135.5. Per the Residential Manager, no firearms or weapons are allowed in the facility. LPAs inspected the facility vehicle, and observed it was good repair. LPAs observed the First Aid Kit to be complete. LPAs conducted a client record review of six of six client files. All client's had a current needs and service plan in the file. Licensee has Mental Health Program Approval that is valid through 12/13/2021. Licensee has obtained National Accreditation that is valid through 10/31/2021. Licensing fee payments have been paid and there is currently a balance of $454 due November 27, 2021. Based on review of Physical Plant and Client Records, the facility is being cited for violation of the CCR 80088(e)(1); Fixture, Furniture, Equipment and Supplies , and Client Medical Records 80069(c)(1). An exit interview was conducted and a copy of this report, LIC 809D, LIC 811 and appeal rights were provided to Residential Manager, Anne Lacy.

report_type: Facility Evaluation

visit_type: Annual

met_with: Anne Lacy


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2021, at 9:05am, Licensing Program Analyst (LPAs) Ronnesha Fountain and Carmen Escobar conducted an announced inspection. The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on October 22, 2021. LPA's already completed the physical inspection and client records of the facility. During this annual inspection continuation LPAs reviewed nine staff files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS). LPAs conducted an interviews with S6, S9 and S10 staff, see LIC 811 for details. Based on interview with staff, the facility appears to be meeting Core Services/Supports requirements. Due to pending client interviews needed; this annual inspection will be continued at a later date. An exit interview was conducted and a copy of this report was provided to the residential manager Anne Lacy.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2021, at 8:35am, Licensing Program Analyst (LPAs) Ronnesha Fountain and Leslie Corvurriabias conducted an announced inspection. The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on October 22, 2021. LPA's already completed the physical inspection, client and staff records, and staff interviews of the facility. During this annual inspection continuation LPAs interviewed five of the six clients to ensure the STRTP are meeting the Title Regulations and Interim Licensing Standards (ILS), see LIC 811 dated 11/10/21. The client interviews are located under the LIC 809 dated 10/22/21. Based on interview with clients, there was some confusion over the "point system" used that determines the amount of cash a client can keep on them physically, but the amount that is deposited into their savings does not change. In-addition, there was some concern over the food menu; however, it was noted that staff allows for the clients to give suggestions and they will do their best to accommodate them. The STRTP appears to be meeting Core Services/Supports requirements. No deficiencies were found during this inspection. An exit interview was conducted and a copy of this report was provided to the residential manager Anne Lacy.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 10/10/2023, at 09:30 am, Licensing Program Analyst (LPA), Sarah Lo, arrived at Beazer Short Term Residential Therapeutic Program (STRTP) located at 20051B Vista Del Lago, Perris, CA 92570. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on November 21, 2018. LPA was met at the facility by Francisco Jimenez, On-Call Youth Partner whom allowed access into the facility. Leilani Brown, Youth Specialist (D Admin) joined at 10:00 am for the facility inspection. The purpose of the visit is to conduct an unannounced annual random inspection of the facility. A physical plant inspection was completed and included the facility's kitchen area, three refrigerators, four freezers, food storage areas, six client rooms, two bathroom/showers, and community gathering area and dining area. LPA began a physical plant inspection at 09:45 am and the tour of the physical plant inspection was completed with Francisco Jimenez, On-Call Youth Partner and included the following checks: Facility grounds are clean and free of debris and hazards free. There is adequate indoor and outdoor activity space. Sports equipment, books, games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Medications are locked and centrally stored in the facility staff's office inside a locked file cabinet. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Chemicals/poisons are locked inside the facility staff's office and sharp objects stored in the staff office inside a locked file cabinet. The facility staff's office always remains locked. First Aid Kits are also stored in the staff office and are complete. Licensee has provisions for contraceptives to be held in individually locked containers by clients. **Continued on LIC 809c** Bedrooms are arranged so that only one child is placed per room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. All individual twin beds in each room were observed with appropriate clean linens, pillows, comforters, and mattresses were in good repair. The hot water in the client's bathroom was deemed to be safe and measured to be 113.2- and 115.3-degrees Fahrenheit in bathroom #1 and 117.2- and 116.4-degrees Fahrenheit in bathroom #2. Per Francisco Jimenez, On-Call Youth Partner, no firearms, or weapons are allowed in the facility. During the inspection, LPA observed client room #2 to #5 and living room did not have window screens. Per Francisco Jimenez, On-Call Youth Partner stated a work order has been put in for the window screens to be repaired. The facility maintenance person showed up while LPA was at the facility and stated will have the window screens repaired by no later than the end of next week. A technical violation was issued for the window screens. CCR 80088(b) - All window screens shall be in good repair and be free of insects, dirt and other debris. During the inspection, LPA observed client room #1 has a crack on door about 2 feet long, the drawer underneath the bed was missing and the drawer to the desk in the room was not in good repair. Per Francisco Jimenez, On-Call Youth Partner stated the client in the room has behavior issues and a work order has been put in for the repairs to the room door, drawer underneath the bed and the drawer to the desk. The facility maintenance person showed up while LPA was at the facility and observed to be taking down the room door for repair and stated will have the desk drawer and drawer underneath the bed repaired by this week. A technical violation was issued for the crack on the room door, the missing drawer underneath the bed and the broken desk drawer. For the drawers underneath the bed and the desk, ILS 87088(c)(1) - The licensee shall provide and make readily available to each child the following furniture, equipment and supplies necessary for personal care and maintenance of personal hygiene: (1) An individual bed maintained in good repair; equipped with good springs and a clean mattress; and supplied with pillow(s) which are clean and in good repair. For the client room #1 door, CCR 80087(a) - The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. *continued on LIC 809c* During the inspection, LPA observed the kitchen trash bin did not have a tight fitting lid. Per Francisco Jimenez, On-Call Youth Partner will notify the Facility Manager to replace a trash bin with a tight fitting lid. A type B deficiency was issued for the trash bin. CCR 80088(f)(1) - Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. All containers, including movable bins, used for storage of solid wastes shall have tight-fitting covers kept on the containers; shall be in good repair, shall be leakproof and rodent-proof. Due to time constraints, a continuation of this inspection will be conducted at a later date. An exit interview was conducted, and a copy of this report was reviewed and provided to Leilani Brown, Youth Specialist (D Admin).

Deficiencies:
80088(b): (1) An individual bed maintained in good repair; equipped with good springs and a clean mattress; and supplied with pillow(s) which are clean and in good repair.  For the client room #1 door, CCR 80087(a) -

met_with: Leilani Brown, Youth Specialist (D1 Admin)


summary: Facility Evaluation

raw_content:
Narrative:
On October 11, 2023, at 9:45am, Licensing Program Analyst (LPA) Sarah Lo conducted an unannounced inspection. The purpose of the inspection was to complete the continuation inspection for STRTP annual inspection that was initiated on October 10, 2023. LPA already completed the Physical Plant, Disaster Preparedness, Emergency Intervention Plan, and Core Therapeutic Services. During this annual inspection continuation LPA reviewed five staff files to ensure they contained all required documentation per Title Regulations and Interim Licensing Standards (ILS), see LIC 811 dated 10/11/23. LPA conducted two staff interviews with Staff #1 and Staff #2, see LIC 811 dated 10/11/23. Based on the interview with staffs, the facility appears to be meeting Core Services/Supports requirements. During this annual inspection continuation LPA reviewed five of the five clients files to ensure the STRTP are meeting the Title Regulations and Interim Licensing Standards (ILS), see LIC 811 dated 11/10/21. LPA conducted two client interviews with Client #1 and Client #2, see LIC 8122 dated 10/11/23. Based on the interview with clients, the facility appears to be meeting Core Services/Supports requirements. No deficiencies were found during this inspection. An exit interview was conducted, and a copy of this report was provided to the Residential Manager, Stacy Rougely.

met_with: Stacy Rougely, Residental Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on January 29, 2025 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Administrator Stacy Rougely and conducted a health and safety inspection of the facility and no immediate deficiencies were observed. LPA reviewed one of child's records and two of staff personnel files on site at the facility. LPA reviewed one of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child that is currently prescribed psychotropic medications. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator Stacy Rougely and provided a copy of this licensing report and a Technical Assistance (TA)

met_with: Stacy Rougely, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2025, at 9:40 am Licensing Program Analyst (LPA) Julian Lucas arrived at Beazer Short Term Residential Therapeutic Program (STRTP). The purpose of this visit was to conduct an unannounced annual random inspection and post-licensing inspection. LPA was met at the facility by Mikeiba Davenport, Youth Partner. A physical plant inspection was completed which included the common living room area which consisted of a two sofas and one chair. The facility's kitchen area, two stoves, two refrigerators, food storage areas, six client rooms, two bathrooms with showers and community gathering area and dining area. There are two bathrooms for residents. Both faucets are in working order and water temperature reads at 107 and Degrees Fahrenheit. LPA began a physical plant inspection at 9:45 am and the tour of the physical plant inspection was completed with Stacy Rougely, Administrator. The walkthrough included the interior and exterior of the facility. The facility grounds are clean and free of debris. There is an adequate indoor and outdoor activity space. All facility smoke detectors and carbon monoxide detectors are in working order. The fire extinguishers are properly charged and serviced. The facility maintains a supply of perishable and non-perishable food to prepare the items on the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Continued on 809D Medications are locked and centrally stored in the facility staff's office inside a locked file cabinet. Medication records were reviewed and observed to be completed with dates and staff initials on dispensing records. Chemicals/poisons are locked inside the facility staff's office and sharp objects stored in the staff office inside a locked file cabinet. The facility staff's office always remains locked. First Aid Kits are also stored in the staff office and are complete. LPA reviewed three client files. LPA also reviewed all three staff files. Based on the post licensing inspection on this date, the following deficiencies were found. a broken, missing, and damaged cabinet doors. Section 870087 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. An exit interview was conducted with the Administrator,Stacy Rougely and a copy of this report was given to the Administrator.

met_with: Stacy Rougely


summary: Facility Evaluation

raw_content:
Narrative:
On August 08, 2025, at 11:06 am, Licensing Program Analyst (LPA), Julian Lucas, arrived unannounced at Beazer Short Term Residential Therapeutic Program (STRTP) located at 20051B Vista Del Lago, Perris, CA 92570. The purpose of this visit was to conduct interviews for the completion of an annual random. LPA met with Program Manager, Erica Tadeo During the inspection, LPA conducted two staff interviews and three client interviews. LPA Lucas conducted a walkthrough of the facility with the Program Director, Erica Tadeo. An exit interview was conducted, and a copy of this report was provided to the Program Manager, Erica Tadeo.

met_with: Erica Tadeo, Program Manager


facility_name: BELOVED ONES

raw_content:
Narrative:
The Department received a report alleging that on the evening of 5/5/ S1 pushed C1 against a washing machine and scratched C1. C1 reportedly sustained superficial cuts on his hand from S1's nails. S1 denied the allegations. However, S1 admitted C1 obtained a small superficial scratch on the outside of C1's right index finger during the reported incident. S1 stated C1 walked into the garage to get a water bottle. S1 asked C1 to return the water bottle due to C1 having many half-used water bottles in his bedroom. C1 extended the water bottle to S1 and when S1 tried to take the water bottle from him, C1 pulled the bottle away from S1. S1 did not let go of the water bottle and resulted in S1's nail accidentally scratching C1. Statements obtained from interviews conducted with staff revealed the facility has a camera located in the kitchen which monitors the kitchen and the entrance to the garage where the incident took place. Staff reported the video was reviewed by facility management and no proof C1 was pushed into a washing machine by S1 was observed. Statements obtained from confidential interviews conducted did not reveal any witnesses to the alleged incident. Other clients were reportedly in their bedrooms or showering when the incident occurred. Based on information gathered from interviews conducted and records reviewed the allegation was unsubstantiated. Although the allegation may have happened or is valid the standard of the preponderance of evidence has not been met. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited during the inspection.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program analyst (LPA) Christopher Larios on 10/11/21 at 11: AM. During the inspection LPA Larios met with Director Thandi Smith. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted a interviews with one staff (S1) on 5/20/21, two staff (S2,S3) on 10/5/21, four clients (C1,C3,C4,C5) on 5/24/21, and four County Social Workers (CSW1,CSW2,CSW3,CSW5) on 10/5/21. Client (C2) declined to provide a statement regarding the allegation and one County Social Worker (CSW4) was unavailable for an interview (Reference Confidential Names list LIC811 dated 10/11/21). A records review was conducted on 5/20/21 and the following documetns were obtained: Staff Roster (LIC 500) and staff contact information, Facility Sketch, Client Roster and Client (C1) Needs and Services Plans and Special Incident Reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 10/11/2021

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

met_with: Thandi Smith


raw_content:
Investigation Findings:
On February 4, 2022 at 2:00 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Administrator, Cindy Bertrand. On October 11, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: the Facility Manager; one client (see Confidential Names, LIC Ref. #1 dated February 4, 2022) at the facility on October 14, 2021; and one County Social Worker (CSW) via telephone on December 28, 2021. The LPA reviewed Special Incident Reports and the child's Needs and Services Plans. The investigation revealed that the allegation was denied by all the witnesses and the CSW had no concerns about the facility. The investigation revealed a statement that Ref. #1 was hit by another client at the facility. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation of personal rights occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was emailed to the facility administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Cindy Bertrand


raw_content:
Narrative:
It was alleged that staff provided cigarettes to minors in care and staff allowed minor(s) to use marijuana while in care. The investigation revealed corroborating statements that staff were instructed to provide minors one cigarette per day. The Director purchased the cigarettes and were kept in the facility's office. Staff were also instructed to allow minors to take walks outside the facility, unsupervised, knowing that minors smoke marijuana or cigarettes during those walks. One minor reported being allowed to use marijuana while in care, but minor stopped using because minor wanted to transition to foster care and be adopted. The dispensing of cigarettes to minors by staff and permission to go on unsupervised walks ended after staff reported to Director that the minors were out of control. Minors started taking long walks or going for walks late at night, and minors started smoking in the facility's back yard. Director denied providing cigarettes to minors and explained that the cigarettes in the facility office were confiscated from minors. Director did not want the minors smoking at the facility, so minors were allowed to go out for walks, knowing that they were going to smoke marijuana or cigarettes. Director explained that allowing those walks was an attempt to work with the minors and not request for their removal. Director admitted to oversights during initial operation of the facility but has since made changes to the program by implementing a zero-tolerance policy to drugs and requesting notices to minors who refuse to follow rules. Based on the above information, the allegations are substantiated. The preponderance of evidence standard was met based on corroborating statements obtained. See LIC 9099D for deficiency citations issued under Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS). LPA discussed the findings and a plan of correction with the facility representative. An exit interview was conducted, and the following reports were provided at the conclusion of the LPA's inspection: LIC 9099, LIC9099C, LIC9099D, LIC Confidential Names Form and Appeal Rights forms. Minor was allowed weekend visitations with minor's potential foster-adoptive parents. Confidential interviews reveal that the minor had a parental relationship with the two staff and there was no inappropriate behavior or relationship witnessed by any of the interviewees. There was no corroborating evidence found to support any sexual relationship between the parties involved and no evidence that staff was pregnant. Based on the above information, the allegations are unsubstantiated because there was no evidence found to support it. Although the allegations may have happened or are valid, the standard of preponderance of evidence was not met. An exit interview was conducted, and a copy of this signed report, the Confidential Names form, and Appeal Rights forms were provided at the conclusion of the inspection.

Investigation Findings:
13On March 8, 2022 at 9:00AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Mariana Lomeli who conducted confidential interviews with minors, staff and other related parties. Pertinent records were reviewed such as, but not limited to, Inter-agency placement reports, incident and law enforcement contact reports, Child and Family Team (CFT) notes and AWOL log. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 03/08/2022

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

met_with: Thandi Smith, Administrator


raw_content:
Narrative:
The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the client's needs and services plans, medical records, and interviews with Staff members S1 on 9/10/2021, S3 on 9/16/21, S2 on 10/22/21, 2 of 4 clients C1 on 9/16/21, C2 on 9/28/21 (C3 was AWOL at the time of attempted interview and C4 declined to be interviewed) and CSW1 on 9/16/21 (Reference Confidential Names Form LIC 811, dated March 29, 2022). Facility staff denied the above allegations further indicating that every child placed in their facility is treated with respect, dignity and adheres to the Short-Term Residential Therapeutic Program Interim Licensing Standards. Complaint procedures were laminated and posted on the wall along with other Licensing required documents. Facility staff denied mismanaging medication however further disclosed that the only issues they have had were clients refusing to take their medication which was addressed appropriately by notifying agencies and clients physicians. S1 indicated that a former employee was hired as an Administrator after completing the Administrator course however after further review of their personal files it was revealed that the employee provided transcripts were fraudulent, and the employee was immediately terminated. The incident was documented and reported to the facility monitoring LPA. During personal file review, LPA Moroney observed health screening LIC503 and other required documents were up to date and filed accordingly. As to the allegation of staff speaking inappropriately and in a demeaning manner toward clients was denied by staff and clients. Information obtained from CSW1 did not corroborate the alleged allegations and further indicated that there are no concerns to the health and safety of the clients residing in the facility. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the facility Supervising Facility Manager. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with Ms. Paredez.

Investigation Findings:
13On March 29, 2022, at 11: AM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above facility and met with STRTP Facility Supervsing Facility Manager Tere Paredez. The purpose of the inspection was to deliver the findings for the above complaint allegations. On September 2, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Administrator handled a foster child inappropriately, Facility does not have complaint procedures posted, Facility staff mismanaged foster child's medication, Unqualified staff working, Facility staff does not have their health screening, and Staff speaks to the residents in an inappropriate and demeaning manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 03/29/2022

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

met_with: Tere Paredez - Supervsing Facility Manager


raw_content:
Narrative:
Information obtained through confidential statements and S1 admission to breaking C1's cellphone is a Personal Rights violation. This is a violation of the Short-Term Residential Therapeutic Program Interim Licensing Standards regulation 87072(b)(11) Personal Rights: To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, exploitation, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. If not corrected, it will have a direct and immediate risk to the health and safety of the children in care. Therefore, the above allegation is substantiated. The agency was cited, and a plan of correction was initiated. Appeal rights were provided and discussed with the Supervising Facility Manager. Copy of the report and the Confidential Name List (LIC811) dated March 29, 2022, was provided to the Supervising Facility Manager and an exit interview was conducted.

Investigation Findings:
13On March 29, 2022, at 10: AM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above facility and met with STRTP Supervising Facility Manager. The purpose of the inspection was to deliver the finding to the above complaint allegation. On September 2, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegation: Administrator damaged foster child's property. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the client's needs and services plans, medical records, and interviews with Staff members S1 on 9/10/2021, S3 on 9/16/21, S2 on 10/22/21, 2 of 4 clients C1 on 9/16/21, C2 on 9/28/21 (C3 was AWOL at the time of attempted interview and C4 declined to be interviewed) and CSW1 on 9/16/21 (Reference Confidential Names Form LIC 811, dated March 29, 2022). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: 157806093

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

met_with: Tere Paredez - Supervising Facility Manager


raw_content:
Narrative:
It was alleged that facility staff was physically abusive to minors in care, and facility staff did not treat minors with dignity. Confidential statements obtained during the investigation were unable to corroborate the allegations as details obtained provided inconsistencies which did not support the allegations such as insistence and denial of witnessing or being subjected to the allegations. Facility staff also denied the allegations. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On March 30, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA Rarela interviewed the facility clients on 3/18/22 and 3/30/22 and facility staff on 3/18/22 (see Confidential Names Form dated March 30, 2022). LPA also reviewed documents including placing agency service logs and reports, facility client case plans, facility incident reports, and personnel records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 03/30/2022

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

met_with: Cindi Bertrand, Administrator


raw_content:
Narrative:
It was alleged that youth was inappropriately touched by another youth while in care. Confidential statements obtained during the investigation were unable to corroborate the allegations as details obtained provided inconsistencies and denial of witnessing or being subjected to the allegations. Facility staff also denied the allegations. LPA obtained the County Investigation Narrative. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On April 21, 2022 at 12: PM, Licensing Program Analyst (LPA) Janeth Chavez conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Chavez met and discussed the findings with the facility representative named above. During the investigation, LPA Chavez interviewed the facility clients on 04/08/22 and 04/11/22 and facility staff on 04/21/22 (see Confidential Names Form dated April 21, 2022). LPA also reviewed documents including placing agency service logs and reports, facility client case plans, facility incident reports, and personnel records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 04/21/2022

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

met_with: Emanuel Butler


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
It was alleged that around April and May of 2022, a lack of supervision by staff resulted in one minor in care being assaulted and bullied by other minors in care. In an interview conducted, one child stated that for a period of time in the facility, some of the other children would physically bully them. The child stated that this ended after he began standing up for himself. The child stated that when he would get bullied, staff would attempt to redirect everyone by separating them. The child reported no injuries sustained during the incidents. The child stated that he felt safe in the home and that staff would always assist him if needed it. The child stated that there were usually 3-4 staff members working at any given time and that they were always nice and professional. In interviews conducted, two other children confirmed that staff were always kind and helpful. They both felt safe in the home and felt like they could always ask staff for assistance if needed. Both other children also stated that when fights or disagreements would occur in the home, staff would redirect the children and take away privileges as a form of discipline if applicable. In an interview conducted, one staff member stated that all employees were vigilant with their supervision and would break up disagreements or fights as soon as they started. Fights have not resulted in injuries and the children generally get along for the most part. Another staff member interviewed confirmed that staff were always supervising the children and that any physical disagreements would be redirected immediately. The children would get into arguments every once in awhile but it has never resulted in serious injuries. A review of records revealed no indications that there are any issues with a lack of supervision in the home. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the above allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report, along with the Licensee's Rights, were provided to the Licensee.

Investigation Findings:
13On August 31, 2022 at approximately 12: PM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of concluding an complaint investigation. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, LPA conducted interviews with clients and staff on 05/25/22 and 08/18/2022. Records were reviewed on 07/15/22 and 08/30/22. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 08/31/2022

met_with: Tere Paredes, Supervising Facility Manager


raw_content:
Narrative:
Staff denied the allegation. Staff indicated that clients were closely supervised and monitored by staff since it was a joint outing at a lake. Staff provided that they did not observe any inappropriate interactions between clients. However, one client interviewed stated that the incident occurred, and one denied stating the incident did not occur. There were no witnesses and statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Based on the information gathered, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, Confidential Names, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On March 17, 2023, at 11: AM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. LPA met with Amari Perry, Direct Care Worker and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: two clients on October 12, 2022 and October 26, 2022 and four staff on October 12, 2022, November 3, 2022, December 12, 2022 and two CSWs on December 12, 2022 and one client refused to be interviewed. The LPA reviewed Needs and Services Plan, Treatment Plan, CFT Meeting Plan Reports, Monthly Report, and Transition Determination Plan. It was alleged that minors engaged in inappropriate interactions. The alleged incident occurred on August 28, 2022, during a joint outing to a lake with all facilities, Ref. #1 (see Confidential Names, LIC811 dated March 17, 2023) touched another client, Ref. # 2 by their crotch area while Ref. #3 held down Ref. #1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 03/17/2023

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

met_with: Amari Perry


raw_content:
Narrative:
It was alleged that C1 was being abused while in care at the facility. Staff (S1, S2, S3) denied the alleged allegation stating that type of behavior will not be tolerated and will be handled accordingly. Staff further indicated that C1 has never disclosed nor has staff seen anyone physically, verbally, or sexually abuse anyone at the facility. Staff further indicated that all staff members are trauma-informed and provide whatever is needed by the clients to ensure clients successfully complete their individual programs. C1 denied the allegation further stating that she never reported the above allegation, however, had disclosed to a Social Worker that they were physically abused while residing with their biological mother. C1 indicate that they have no issues with the facility staff and that the staff treats her and the other clients with respect and provides whatever is needed. C1 further disclosed that the facility staff is carrying assist them when they are going through difficult times at school or when dealing with family issues. Information obtained from the CSW revealed that they have no issues with the care and supervision that the facility staff is providing their client. CSW further disclosed that C1 has made some improvements while residing at the facility and that staff has kept great communication with them on daily issues that C1 may have. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with Mr. Butler. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with Regional Administrator Brendan Coulon.

Investigation Findings:
13On June 8, 2023, at 12: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection of the above Facility and met with Direct Care Staff - Emanuel Butler. The purpose of the inspection was to deliver the finding for the above complaint allegation. On January 26, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minor is being abused while in care. The investigation of the above allegation was conducted by this LPA and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members (S1, S2, S3) on 2/3/23, one of two clients (C1) on 2/3/23, (C2 declined to be interviewed), and the County Social Worker on 2/22/23. Reference Confidential Names Form LIC 811, dated June 8, 2023). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 06/08/2023

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

met_with: Brendan Coulon - Regional Administrator


raw_content:
Narrative:
The investigation revealed that the Program Statement outlines the Roles/Responsibilities of Child and Family Team Participants. According to the Roles/Responsibilities the "Family and significant others/informal supports - to support the youth in their treatment, provide information about youth, either prepare for reunification and/or maintain positive connection with youth as they plan placement..." A review of the Program Statement did not indicate that the facility will provide family members records. An interview with the Administrator indicated that the client's records are provided to the client's authorized representative and any documents needed to be requested from the authorized representative. Allegation - Facility did not prevent a client from calling another client's parents. - The investigation revealed that Ref. #1 made a telephone call using the facility land line to call a family member. It revealed that after Ref. #1 made the call, client Ref. #2 used the facility telephone and obtained Ref. #1's family member's telephone number from the call log history and called Ref. #1's family member. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations are a violation of the ILS, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Tere Paredes


raw_content:
Narrative:
The LPA was informed that on one occasion Ref. #2 destroyed over $600 dollars worth of food and additional food was ordered. There were statements that Ref. #1's food was placed in the office, because Ref. #2 would eat Ref. #1's food. The PO indicated they had no concerns with Ref. #1's meals at the facility. The LPA observed sufficient perishable and non-perishable food at the facility. The LPA observed three months, March to May Menu Plans from the facility. The LPA observed that the Meal Plans indicated that the clients received three meals per day including two snacks. The LPA observed that each meal met at least 1/3 of the servings recommended in the USDA Basic Food Group Plan - Daily Food Guide. Allegation - Client's window is in disrepair. The investigation revealed that Ref. #2 broke a window in the living room area, not in Ref. #1's bedroom. Ref. #1 denied having a broken bedroom window. It revealed that the window was repaired within three days. Allegation - Client's medication is mishandled. - There was a statement that it took the facility 2-to-3 months to have one of Ref. #1's medications filled. The Administrator and PO indicated that they were not aware of any concerns with Ref. #1's medication. The Administrator indicated that Ref. #1's medication had been placed on hold at one time and there were no problems with Ref. #1's medications. The LPA observed that Ref. #1 was prescribed six medications and all were recorded on Ref. #1's MARS. LPA observed that Ref. #1 refused a specific medication once in March, eight times in May, and 10 times in May 2023. The LPA observed the Order on Application for Psychotropic Medication. Allegations - Client is smoking marijuana at the facility and Client allowed to have drug paraphernalia at the facility. The investigation revealed that Ref. #1 smoked marijuana at the facility in the bathroom and brought drug paraphernalia from school to the facility. It revealed that Ref. #1 placed the contraband in private areas on their body, so that staff was unable to confiscate it. The PO indicated that the incidents were reported. Allegation - Client was not allowed to use the telephone. There was a statement that a staff told Ref. #1 that they could not be on the telephone. The investigation revealed that the facility had two land lines. It revealed that Ref. #1 kept one of the telephones in Ref. #1's bedroom and sometimes kept the telephone all night. The investigation revealed that the telephone number for Ref. #1's family was found by another client on the telephone history log. The LPA was unable corroborate the allegations. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On October 12, 2023 at 4:10 p.m., Licensing Program Analyst (LPA), Karen McGee, arrived at the facility to deliver findings of a complaint investigation. The LPA met with Facility Manager, Henry Jenkins. On June 1, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: Direct Care Staff, Emanuel Butler, at the facility on June 8, 2023, Client Ref. #1 via telephone on August 17, 2023, Probation Supervisor, Rosa Castellanos, via telephone on September 26, 2023, Administrator Thandi Smith and Probation Officer (PO) Juan Bretado, via telephone on September 27, 2023. The LPA reviewed Ref. #1's Needs & Services Plan, Incident Reports, Psychotropic Medication Administration Records (MARS), Menu Plans and the facility Program Statement. Allegation - Client is not provided nutritious meals. - There were statements that there was no food at the facility and Ref. #1 had to eat at another facility operated by the Corporation. There were statements that if staff did not want to cook they did not cook. There was a statement that Client Ref. #1 cooked for Ref. #2 and a statement that one of the facility managers always cooked dinner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 10/12/2023

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

met_with: Henry Jenkins


raw_content:
Narrative:
Staff stated when clients try to leave the facility, they provide redirections and try to persuade clients not to leave. When the redirection did not work and clients left the facility, staff follow clients on foot and in a vehicle and continue to discourage them from leaving and asked them to return to the facility. It was also alleged that staff did not go with minor to hospital. Staff stated when C1 was transported to a hospital by the paramedic, staff was unable to go with them. The staff had to wait for another staff as there was another client at the facility. Two staff followed and went to the hospital about 30 to 40 minutes after the paramedic left the facility. Staff found out when they arrived at the hospital that C1 ran away from the hospital. Search of the area was done by staff and the police officers and they were able to locate C1. Staff stated the staff was unable to accompany C1 to the hospital because there was another client at the facility and had to wait for additional staff. The LPA was unable to corroborate the allegations. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On December 8, 2023, at 1: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: one client and three staff at the facility on May 25, 2023, Administrator via telephone on May 25, 2023. LPA McGee conducted interviews with Probation Supervisor via telephone on September 26, 2023, Probation Officer via telephone on September 27, 2023, and one client via telephone on August 17, 2023. The LPA reviewed client's (C1; see Confidential Names LIC 811, dated December 8, 2023) Needs and Services Plan Reports, Child and Family Team (CFT) Meetings Report, Juvenile Probation Placement Case Plan, and Special Incident Reports. It was alleged that minor ran away from facility due to lack of supervision. Staff denied the allegation. Staff stated there is no lack of supervision; clients are being supervise at all times. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 12/08/2023

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

met_with: Tere Pareds, Supervising Facility Manager


raw_content:
Narrative:
The facility staff, consisting of S1, S2, and S3, have denied the allegations made against them. They have stated that they had already informed the biological parents about the C1's IEP, which was agreed to on May 10th, 2022. They further state that the biological parents were also present during an IEP meeting with C1's school and two facility staff members on April 19th, 2022. Initially, the facility staff informed the biological parents every week, however, facility staff were instructed by C1's Probation Officer to communicate all information through probation, as the parents disagreed with C1's treatment plan and program. The facility staff has documented all incidents and reported them to the supporting agencies promptly. Moreover, the staff confirmed that C1 was taken to school, but there were instances where C1 would refuse to attend school and refused prescribed medications, regardless of the interventions and support provided by the staff. Due to subsequent attendance issues, C1 fell behind in missed schoolwork, which C1 neglected to complete and thus C1's grades suffered. A medical incident concerning C1 occurred at the facility, which was handled accordingly by the staff, wherein C1 was transported to a medical center for further evaluation. S1 confirmed that hygiene products are provided to all clients upon intake and kept in abundance. Clients can request specific hygiene products or brands, which will be purchased by the facility. The staff has denied the allegation that the facility did not have enough food. The staff indicated that perishable items are purchased weekly along with any items that the clients may request and that the facility only had two clients during this time. C2 denied the alleged allegations, stating that they feel safe residing at the facility and that the staff is very supportive and provides clients with whatever is needed. C2 indicated that the facility provides an abundance of healthy food options and that staff will ask clients for meal ideas to include clients' preferences while ensuring that meals include the five food groups. The Probation Officer confirmed that the facility did provide in-service programs and services, but C1 refused to participate in the services provided and did not take medication as prescribed. In response to the allegation that the facility is facing financial difficulties, the staff denied the claim and confirmed that the facility is currently operational and compliant with the Interim Licensing standards. Additionally, the Licensing Program Analyst (LPA) obtained copies of the 2022 tax return, tenant ledger, and bank statements, which showed that the facility is financially stable and not under any distress. Based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Facility Manager.

Investigation Findings:
13On December 20, 2023, at 7: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection of the above Facility and met with STRTP Facility Manager Henry Jenkins to deliver the findings for the above complaint allegations. On April 27, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The administrator does not include a minor's parents in the education plan, The facility is in financial distress, Staff do not take minors to school, Staff are not meeting minors' educational needs, Staff did not follow the minor's needs and service plan, Staff do not dispense medication as prescribed to minors in care, Staff sleeping while supervising minor, Staff did not provide medical assistance for minor(s) in care, The facility does not provide hygiene products for minors in care, The facility does not have enough food for minors in care, Staff do not report unusual incidents to the minor's guardian. LPA Moroney conducted the investigation of the above allegation(s), which consisted of, but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members S1 on 5/25/23, S2 on 5/22/23, S3 on 6/12/23, C2 on 5/22/23, and C1's Probation Officer on 5/23/23. LPA was unable to obtain a statement from C1, due to C1 declining to provide a statement to LPA. (Reference Confidential Names Form LIC 811, dated December 20, 2023). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 12/20/2023

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

met_with: Henry Jenkins - Facility Manager


raw_content:
Narrative:
The Following Allegation was reported: 1. The staff did not accord child dignity in their relationship with staff or other persons. The personnel (S1, S2, and S3) at the facility firmly rejected any claims or allegations suggesting that their agency endorses racism, anti-trans attitudes, or anti-LGBTQ+ sentiments among its staff. They emphasized that their team is composed of individuals from a wide range of ethnicities, cultures, and backgrounds, which reflects their dedication to diversity and inclusion. The staff highlighted that this diverse makeup not only improves the workplace environment but also fosters a culture of respect and understanding among colleagues. The staff asserted that they have not witnessed any staff member exhibiting disrespectful behavior towards any client, stressing that such actions are intolerable and will be addressed without delay. S1,S2, and S3 further indicated that C1 has previously used inappropriate language or made derogatory remarks while listening to music. The staff members have advised C1 to refrain from music that demeans women and contains racial slurs. In response, C1 identified herself as a African American, asserting her right to use the term "Nigga" and to select her music. S1 noted that staff have reminded C1 that the impact of certain words may differ for others who might overhear them and could find them offensive. C2 reported that they have not observed any staff members at the facility disrespecting clients or making derogatory comments. They also mentioned that upon their initial placement at the STRTP, some staff members (whose names were not disclosed) did not use their preferred pronouns. However, these staff members corrected themselves and subsequently apologized. C2 also pointed out that C1 tends to create challenges for the staff by being confrontational and by playing music with lyrics that include profanity, racial slurs, and derogatory remarks about women. Additionally, the information gathered from the County Social Worker (CSW) revealed that C1 has not expressed any of the aforementioned concerns in her monthly meetings, Child and Family Team (CFT) meetings, or during phone conversations. The CSW also noted that C1 has a pattern of creating false narratives to influence others or when her wishes are not fulfilled. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On September 13, 2024, at 3: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the STRTP Administrator Teere Paredes. The purpose of the inspection was to deliver the finding(s) regarding the complaint allegation(s). On March 3, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not accord child dignity in their relationship with staff or other persons. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the children's needs and services plans, medical records, and interviews with three staff members on 6/25/2024, and two clients (C1, and C2) on 6/25/24, and the CSW on 7/18/24. (Reference Confidential Names Form LIC 811, dated September 13, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 09/13/2024

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

met_with: Tere Paredes - Administrator


raw_content:
Narrative:
The Following Allegation was reported: 1. The staff did not ensure that the minor in care was administered their medication as prescribed. The Staff (S1, S2, and S3) refuted the claims, asserting that every member of the team is thoroughly trained in the proper procedures for handling and dispensing medications. This training ensures that all medications are administered to clients strictly according to the doctor's prescriptions and guidelines. The staff expressed their commitment to maintaining high standards of care and safety in the medication management process. Additionally, information from C1 and C2 verified that all medications were administered as prescribed and were only missed when the clients chose not to take them. 2. The staff does not allow the minor in care to go on outings. The staff members (S1, S2, and S3) denied the allegation, stating that one of their primary goals is to encourage clients to participate in outings, which helps promote social interaction and personal growth. Additionally, they emphasized their commitment to fostering independence among clients who are of age, as this is a crucial part of preparing them for transition into a transitional program. The staff believes that these efforts are essential for equipping clients with the skills and confidence they need for successful autonomy in the future. Information obtained from C1 and C2 corroborated the above statements made by staff. 3. The staff does not treat minor(s) with dignity. The staff members (S1, S2, S3, and S4) denied the allegations, further stating that each staff member has undergone comprehensive training in trauma-informed care, which equips them with the necessary skills to understand and effectively respond to the needs of clients who have experienced trauma. Furthermore, they highlighted the vital role of fostering a safe and healthy environment for all clients, emphasizing that such an environment is essential for promoting client well-being and supporting their journey toward success. Through their training and dedication, the staff are committed to providing the necessary support and resources to help clients thrive. Information obtained from C1 and C2 indicated that they felt safe and got along well with the staff. Additionally, statements from CSW1 confirmed that they have no concerns regarding the care and supervision provided to their client. Furthermore, their client (C1) has not reported any incidents of misconduct by the facility staff. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On April 30, 2025, at 12: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the STRTP Administrator Tere Paredes. The inspection aimed to deliver the findings regarding the complaint allegation(s). On November 14, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not ensure that the minor in care was administered their medication as prescribed; The staff do not allow the minor in care to go on outings; The staff do not treat minor(s) with dignity. Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegations. This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, restraint logs, and interviews with three staff members, S1, S2, and S3, on November 22, 2024; two clients, C1 on November 22, 2024, C2 on December 10, 2024, and one Riverside County Social Worker (CSW1) on November 25, 2024. (Refer to Confidential Names Form LIC 811, dated April 30, 2025.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 04/30/2025

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


raw_content:
Narrative:
Based upon the inspection and interviews, the complaint findings are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the allegations occurred. A copy of this report was given to the above representative. No deficiencies were cited.

Investigation Findings:
13On July 1st, 2025, at 11:35AM, Licensing Program Analyst (LPA) Ashley Ruacho completed the investigation on the above allegations. While investigating the allegations LPA conducted an inspection to the Short-Term Residential Therapeutic Program (STRTP). LPA toured the facility with the Administrator (AD) and observed that all smoke detectors were installed and in working order on 06/18/25. When speaking with AD the smoke detectors were not removed from the facility but knocked down by a client and put back up immediately by staff. LPA also observed one lock on a client bedroom door was reversed and on the outside of the bedroom. AD stated that a previous client Needs and Service Plan (NSP) stated the door was to have the lock on the outside due to issues with self-harm and was not for the purpose of locking the client inside the bedroom. Client is no longer at the facility; LPA requested the facility to place the lock back on the proper side. During the visit the AD placed the lock to its original side, inside the bedroom. (See Confidential Names LIC 811 dated July 1st, 2025). Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegations occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Ashley Ruacho LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 07/01/2025

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


raw_content:
Investigation Findings:
13On Friday, 7/11/25 at 12:00PM, Licensing Program Analyst (LPA), Carrie Palmer conducted a follow-up complaint inspection with the above named facility and spoke with Tere Paredes, Administrator with the purpose of delivering findings for the above complaint allegation. During the course of the investigation, LPA Palmer reviewed facility records and conducted investigative interviews with a total of 2 staff and 1 clients on 1/08/25, 1 staff on 7/9/25, and the SW1 on 3/7/25 . LPA Palmer was unable to interview the complainant and C1. (See LIC 811, Confidential Names Statement.) During the confidential interviews it was reported that C1 has a history of inappropriate behavior patterns towards staff and clients. These behaviors include hitting, spitting and claiming false accusations of sexual abuse. Additional reports were made by staff that they had not witnessed any inappropriate behaviors towards clients by staff. Based on the information obtained by LPA Palmer, there is not a preponderance of evidence to support the allegation therefore, the allegation is unsubstantiated. No deficiency cited. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Carrie Palmer 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:

met_with: Tere Paredes, Administrator


raw_content:
Narrative:
[The following allegations were reported.] 1. The staff are not intervening in physical altercations between minors. S1 and S2 denied the allegation, affirming that client safety remains their highest priority. They stated that the facility maintains staffing levels of one to three employees, depending on operational needs, in compliance with STRTP Interim Licensing Standards requiring a 1:4 staff-to-client ratio. Regarding the February 27, 2025, incident involving clients C1 and C2, staff reported that both clients were initially in their rooms. C1 exited their room to ask C2 to lower the volume of the music. S2 confirmed the music was not loud and that C2 complied with the request. Shortly after, C1 returned to their room and closed the door. Within minutes, S1 observed C1 quickly exit toward the living room. Upon hearing the gas stove activate, S1 and S2 responded immediately and found C1 in the kitchen with a lit piece of paper towel inside a cup. C1 ran to C2's room, opened the door, and threw the burning object near the entrance. S1 promptly extinguished it with a water bottle. C1 then locked themselves in their room. In reaction, C2 became distressed, forcibly pushed past staff, and broke C1's door. Staff intervened with verbal redirection, reminding C1 of the seriousness of their actions and soon be considered an adult. S1 and S2 physically separated the clients, preventing further harm. Mental health services were contacted, and no law enforcement involvement was necessary as staff effectively de-escalated the situation. As a follow-up, each client was assigned a dedicated staff member, and the facility now ensures a minimum of two staff members on duty at all times. S1 additionally informed the LPA that C2 is preparing for transition to an independent living program. All required agencies received prompt notification of the incident. Moreover, confidential statements obtained from client C2 refuted the allegation, confirming that the facility staff are always present and that clients receive regular monitoring by the staff. C2 conveyed that they felt safe residing at the facility and valued the engagement of the facility staff with the clients. Information collected from the ER worker suggested that there are no concerns regarding the care and supervision offered to clients, and that the staff implemented suitable measures and established a plan to avert any future incidents. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore, the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On July 24, 2025, at 12: PM, Licensing Program Analyst (LPA) Winston Moroney carried out an unannounced inspection of the aforementioned Short-Term Residential Therapeutic Program (STRTP) to present the findings related to the stated complaint. LPA engaged with the Administrator of the STRTP and reviewed the results concerning the identified allegation(s). On February 27, 2025, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff are not intervening in physical altercations between minors. LPA conducted an investigation into the aforementioned allegations. This investigation included, but was not limited to, a thorough review of various records, such as the client's needs and service plans, medical records, and SIRs. Additionally, interviews were conducted with two staff members: S1 on 3/6/25 and S2 on 3/6/25. Furthermore, one out of two clients was interviewed: C2 on 3/6/25. An interview was also conducted with a Kern County Emergency Response (ER) Social Worker on March 24, 2025. It is important to note that no statement was obtained from C1, as they chose not to provide one. (Reference Confidential Names Form LIC 811, dated July 24, 2025). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BELOVED ONESFACILITY NUMBER: VISIT DATE: 07/24/2025

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

met_with: Tawana Walls - Supervising Facility Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 29, 2021, at 10:30AM, Licensing Program Analyst (LPA) Humberto Flores, conducted an unannounced Annual Inspection at Beloved Ones Short Term Residential Therapeutic Program (STRTP) and met with Cory Jackson, Direct Care Staff. The purpose of the inspection was informed to the Licensee. During the inspection a copy of the Register of Facility Clients and Personnel Report was provided upon request. The following topics were inspected: PHYSICAL PLANT: A tour of the facility was conducted, along with the facility representative. The License was placed in a prominent place, in the dinning room / kitchen area of the facility. Children's foster rights were available upon request. LPA Flores observed that in bathroom #1 there is a hole in the door and clothing items and pieces of paper, empty bottle of water on the sink, a plastic cloth hanger and a jean pant and mannequin head on the floor. In bedroom #1 there is a bed without bed sheets. # Patio Area: LPA Flores observed that there are broken and missing wood panels in the wood fence that surrounds the patio. There is an iron chain attached to the west front corner of the patio. There is a barbecue grill with charcoal accessible to the children. There are sharp items in the patio area accessible to the children. The passageways are unobstructed. The disinfectants and cleaning solutions were stored away from the kitchen areas, food preparation areas to the children. The food is safe and of the quality and the quantity necessary to meet the needs of the clients. Supplies of staples non-perishable foods for one week and perishable foods for two days are maintained in the facility. Medications are locked and accessible only to the authorized staff. The temperature in the rooms that clients occupy are maintained between 68 and 85 degrees (F). During the inspection there was no facility manager on site. The STRTP did not comply with Interim Licensing Standards (ILS) Version 4. 87065. Personnel Requirements. (f) The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present: cont.# Due to time constrains this inspection will continue another day. Further inspection is needed. A citation was and two (2) Advisory Note / Technical violation were issued. A copy of this report and LIC Advisory Note / Technical Violation was issued. Exit interview conducted.

Deficiencies:
87065(f): (f)The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present

met_with: Cory Jackson, Direct Care Staff