raw_content:
Narrative:
Interviews and records reviewed were inconsistent that there were inappropriate interactions or sexual actions among clients in care, between FC1 and FC2, or that the interactions had been witnessed by facility staff. S4 stated that one or more youth had reported that they did not have sex in the bedroom but were making noises to "make the staff go away." Additionally, S1 stated that they did not see FC1 and FC2 unclothed, and that the bedroom had smelled of alcohol, however stated that the youth had obtained the alleged alcohol while off campus, as alcohol was not seen during the search of the youth upon their return to the facility, nor seen in the youth's bedrooms. The facility does not have control over what contraband or actions the youth obtain or participate in while off campus grounds, however based on interviews and records reviewed staff were aware of the youth's change in behavior due to perceived alcohol consumption, and documentation stated the staff monitored the youth for safety or medical concerns while in care. Documentation of the incident on the Incident Report, documented that "students were encouraged to... go into their individual rooms," but had "ignored staff and proceeded to cross one another's physical boundaries," "became rude," and non-compliant with staff over the facility rules and direction of leaving the door open and the light on in the bedroom. The facility followed their Program Statement's procedures and policies related to reporting requirements, group disturbance interventions, and de-escalation techniques, however based on review of documentation and interviews conducted, it could not be determined whether or not staff completed the room checks every 5-15 minutes, or more as needed, to ensure that the bedroom door remained open, and the youth involved were being supervised or separated, or that the bedroom had been searched for illegal contraband. LPA Verna was unable to interview four out of four youth involved in the incident, as their whereabouts are currently unknown, they are AWOL, or have a warrant out for their arrest. The department has conducted a complaint investigation regarding the allegations: Minor were under the influence of alcohol while in care, and Minors engaged in inappropriate interactions. Based on LPA observations, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Title 22 or ILS regulation citations were issued during today's visit. An exit interview and a copy of this report was completed and left with Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above agency on March 15, 2022 at 3: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegations. On 11/17/2021 at 1: PM Licensing Program Analysts (LPA) Stephannie Verna arrived at the above agency and met with Matt Nomura, Agency Administrator for the purpose of opening a complaint regarding the above allegation. Interviews were conducted with S1, S3, S4, S5, S6, JIO 11/17/2021, 03/11/2022, 03/14/2022, 03/15/2022. LPA attempted to conduct interviews with RP, CSW contact/FC4, CSW1 contact/FC1, CSW2 contact/FC3 on 11/17/2021, 02/14/2022, 03/01/2022, 03/11/2022, 03/14/2022. During the course of the investigation, the following documents were gathered and reviewed: Youth roster, Two Youth Face sheets, Incident Report for four youth, Law Enforcement Reports, Police Report, Student/Parent Handbook for two youth, SCAR report, CMS/CSW documents, client long-sheets for four youth, and Needs and Services Plans for three youth, facility Program Statement and policy and procedures, and SCAR report. -continued on 9099-c- UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 03/15/2022

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


state: CA

facility_name: CHILDREN'S HOME OF STOCKTON TRI-PLEX

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13Licensing Program Manager ,Dara Campos, conducted an unannounced inspection to the facility on 6/09/2022 at 9:15 am to deliver complaint allegation findings. LPM met with Katelyn Wells, Clinical Director and discussed the above allegations. During the investigation of Lack of supervision resulting in minor having access to marijuana, LPA Stephannie Verna toured the facility with Joelida Brown, Residential Director on 2/10/22 and 3/29/22. On these inspections, LPA inspected the physical plant inside and out, no concerns were observed, reviewed two client files, and obtained documentation for the complaint investigation of Youth Roster, Needs and Services Plan for two youth, Intake packet for two youth, and Incident Report. LPAs Stephannie Verna and Jean Stidman conducted seven interviews of clients and staff on 2/10/22, 2/14/22, 3/29/22, 3/30/22 and 6/8/22. Confidential interviews revealed the staff encourage clients not to smoke and will confiscate any contraband that is accessible, several clients admitted to smoking marijuana while off-site when they were AWOL and the facility offers substance abuse services to the clients. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview conducted and a copy of this report was left with Katelyn Wells, Clinical Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Margo Castaneda LICENSING EVALUATOR NAME: Dara Campos 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 3

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

report_type: Complaint Investigation

met_with: Katelyn Wells

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 8/16/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for this complaint alleging "Staff did not prevent minors from engaging in CSEC activity," and "Minor has access to alcohol while in care." LPA met with Joelida Brown, Administrator, to review findings. Administrator was pulled into a meeting, so LPA finalized with Amy Whitlock, Cottage Manager. During the course of the investigation, LPAs conducted ten confidential interviews and obtained documentation for the investigation of youth roster, needs and services plans, group attendance logs, and incident reports. This agency has investigated the allegations of this complaint. There is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted with Amy Whitlock and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger 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 3

met_with: Amy Whitlock, Cottage Manager


raw_content:
Narrative:
the facility staff stated they didn't have enough staff to send someone to pick C1 up but did contact law enforcement for assistance. Documentation received from the facility indicates that the community member and/or the other individual who called on C1's behalf alerted the facility of C1's whereabouts at 6: PM but C1 was not picked up until 11: PM by Stockton Police Department. C1 was back at the facility by 11: PM. During confidential interviews, LPA was informed that staff in the cottages supervising youth were alone and could not leave the cottages. Staff indicate that the normal protocol would be to go pick youth up when called about their whereabouts but during this incident, they were pretty "short staffed" preventing them from being able to go get C1 due to staff calling out. LPA asked about individuals on call to go get youth or to come to the facility to substitute staff on shift and staff state that they were and continue to struggle with staffing due to the downsizing and closing of cottages along with high behaviors with other youth on campus. Staff indicated that usually there are staff to pick youth up but this day they were short the additional help they usually had. Further interviews with C1's county social worker indicates that it is the county's expectation that a youth would be picked up in a timely manner and having to wait several hours would not be acceptable, especially if youth are in the company of strangers or at risk as C1 was. LPA also reviewed the program statement and discovered that the Transportation section states "In the event a child or nonminor dependent runaway and then contacts the agency asking to return, the agency will make a reasonable effort to provide transportation for their return, assuming the authorized representative has not close the youth's bed." This did not happen in this incident. Based on interviews conducted, information obtained, documents received, and other documents reviewed the complaint that staff failed to pick up a client in a timely manner is SUBSTANTIATED, meaning that the "preponderance of the evidence" standard has been met. The facility was cited for Direct Care Staff/Child Ratios 87065.5(d)(1). The facility did not make an effort to pick C1 up from a community member's home for over five hours. The facility can be "temporarily be out of compliance with the direct care staff to child ratio" for emergencies or to follow a child during an unauthorized absence as long as replacement staff are called and can arrive at the facility within 30 minutes. LPA observed that it would have taken the facility staff six minutes to drive the distance to the community member's home and an additional six minutes to return to the facility meaning that they would have returned within the allotted 30 minutes specified in this regulation. Exit interview was conducted with Ms. Brown and documentation was provided to the facility. Community member stated that when the facility was contacted, the staff informed them that they did not have enough staff to come and pick up C1 but they had been in contact with law enforcement about C1 being picked up by them. When another individual with whom C1 was familiar also contacted the facility to alert the facility of the whereabouts of C1, they too were told that there were no available staff to pick C1 up. In review of the documentation provided by the facility, the facility was in ratio on the date of the incident, however, the regulation related to direct care staff to child ratios allows for the facility to be "temporarily out of compliance" during an emergency with a child or when following a child beyond the premises of the facility. As a result of the facility being in ratio at the time of the incident, the allegation that staff has an insufficient amount of staff is unsubstantiated meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. LPA did advise the facility of the regulation related to ratios and did advise that the facility work with their assigned Licensing Program Analyst to ensure that the program statement reflects their understanding of this regulation and with the training staff to ensure that all staff are trained appropriately on implementation. Exit interview was conducted with Ms. Brown and documentation was provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection on 8/17/22 at 11: AM and met with Joelida Brown, Residential Director to discuss the allegation stated. LPA Hill informed Ms. Brown that the initial inspection was conducted on 5/3/22 by LPAs Uchenna Ajaero and Connie Goldie and a follow up inspection was conducted on 7/20/22 by LPA Hill. The complete investigation was conducted by LPA Hill. The allegation that facility staff failed to pick up a client in a timely manner is related to C1 (see LIC811 dated 8/17/22) being absent from the facility without authorization on 4/23/22, and an individual calling the facility to alert that C1 was in the home of a community member/stranger. The individual provided the facility with the name, number and address of the community member. The community member also contacted Stockton Police Department to inform them that C1 was in their home. After waiting two hours for police to retrieve C1, the community member then called the facility to request they pick up C1 from their home as it had been several hours since C1's arrival at their home. According to interviews with the community member and the other individual who had called on behalf of C1, SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 08/17/2022

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: Joelida Brown, Residential Director


raw_content:
Investigation Findings:
13On 8/31/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for this complaint alleging "Staff did not prevent minors from attacking another minor while in care." LPA met with Amy Whitlock, Cottage Manager, to review findings. During the course of the investigation, LPA conducted nine confidential interviews, and reviewed video footage, incident reports and needs and services plans for three youth. After interviews and record reviews, LPA could not determine what other interventions staff could have done to prevent the altercation from occurring. This agency has investigated the allegations of this complaint. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted with cottage manager and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger 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 3

met_with: Amy Whitlock; Cottage Manager


raw_content:
Investigation Findings:
13On 8/31/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for this complaint alleging "Facility staff are not adequately supervising minors in care which resulted in a in a physical altercation and a minor getting hit," and "Facility staff did not obtain a medical evaluation of minor after getting hit." LPA met with Amy Whitlock, Cottage Manager, to review findings. During the course of the investigation, LPA conducted nine confidential interviews, and reviewed video footage, incident reports and needs and services plans for three youth. After interviews and record reviews, LPA could not determine what other interventions staff could have done to prevent the altercation from occurring. This agency has investigated the allegations of this complaint. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted with cottage manager and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger 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 3


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview conducted, no Title 22 regulations were cited during today's inspection, and a copy of the report and Appeals Rights process was provided.

Investigation Findings:
13On 09/22/2022 at 1130am, Licensing Program Analyst (LPA), Tana Kinder conducted an unannounced inspection for the purpose of delivering findings with the STRTP Residential Director Staff. Prior to the meeting, LPA Kinder reviewed the agency's file at the licensing office, including the complaint history, criminal background check, incident reports and facility personnel report summary. LPA Kinder conducted an inspection of the facility inside and out and no citations were issued. LPA Kinder conducted 8 confidential interviews between 7/11/22-7/20/22. LPA attempted to conduct an additional 3 interviews but they declined. LPA obtained and reviewed the following documents: Staff schedule for May-July of 2022, Staff contact information, Staff training log for 2022, current Clients Needs and Services plans, Med log for each client for May-July of 2022, JV220 and Med records for each current client. The allegation is: Staff did not prevent a physical altercation against minor due to lack of supervision. Based on 6 confidential interviews conducted, there is conflicting information regarding whether or not staff are following protocol when clients enter another client's room to initiate an altercation. Not having consistent information or corroboration, the allegation is determined to be UNSUBSTANTIATED. Continued... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tana Kinder LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 09/22/2022

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

met_with: Residential Director


raw_content:
Narrative:
Youths needs and services plans documented that CSEC is being addressed and the facility has documented resources that have been provided to youth with a history of CSEC behaviors. Documentation observed shows the facility is communicating concerns to the authorized representatives. Based on LPAs observations and interviews which were conducted and record review, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted and a copy of this report was left with Joelida Brown, Administrator.

Investigation Findings:
13On 10/26/22, Licensing Program Analyst (LPA), Jessica Caplinger, conducted an unannounced inspection to deliver findings for a complaint with allegations of "Staff did not prevent a minor from engaging in CSEC activities." LPA met with Joelida Brown, Administrator, at the facility and discussed the above allegation. The initial 10-day complaint investigation inspection was conducted at the facility on 07/14/2022 by LPA Kinder. A walk through of the facility was conducted and copies of agency documentation obtained include intake paperwork, needs and services plans, incident reports and communication between facility and placement agency for three youth. Twelve confidential interviews were conducted during the investigation. Nine of the twelve interviews corroborated the resources that are available to youth to prevent CSEC activities and that supervision is appropriate at the facility and when a youth elopes from the facility. Proper supervision was observed documented on incident reports of unauthorized absences. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 10/26/2022

met_with: Joelida Brown; Administrator


raw_content:
Narrative:
Based on LPAs observations and interviews which were conducted and record review, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted and a copy of this report was left with Joelida Brown, Administrator.

Investigation Findings:
13On 10/26/22, Licensing Program Analyst (LPA), Jessica Caplinger, conducted an unannounced inspection to deliver findings for a complaint with allegations of "Facility staff is not adequately supervising minors' internet activities while in care." LPA met with Joelida Brown, Administrator, at the facility and discussed the above allegation. The initial 10-day complaint investigation inspection was conducted at the facility on 08/16/2022 by LPA Caplinger. A walk through of the facility was conducted and copies of agency documentation obtained include intake paperwork, needs and services plans, incident reports and client handbook. Nine confidential interviews were conducted during the investigation. Nine of the nine interviews corroborated that the facility has policies in place for cell phone use in the facility and that these policies are followed. Three of the interviews detailed the process for creating cell phone contracts with youth that are observed not following the policies and corroborated the process that would be used to address the concern. Nine of the interviews stated supervision is appropriate at the facility. Continued on 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 10/26/2022


raw_content:
Narrative:
Based on review of the incident reports, youths' needs and services plans, and interviews, the facility is aware of youth drinking and using substances and has taken appropriate actions to help youth lessen these behaviors. All interviews corroborated that staff supervise the youth and discourage alcohol and substance use often resulting in making the minors feel uncomfortable with staff's presence monitoring their behaviors. Four out of eleven interviews reported that staff make them uncomfortable when discouraging them from substance use or leaving the facility without permission. The above allegation states that a minor sustained an injury while in care. The interviews were inconsistent that the minor sustain an injury caused by staff at the facility. Based on LPAs observations and interviews which were conducted and record review, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 or STRTP ILS regulations were cited during today's inspection. Exit interview was conducted and a copy of this report was left with Joelida Brown, Residential Director.

Investigation Findings:
13On January 18, 2023, Licensing Program Analyst (LPA), Stephannie Verna, conducted an unannounced inspection to deliver findings for a complaint with the above allegations. LPA Verna met with Joelida Brown, Residential Director. at the facility and discussed the above allegations. The initial 10-day complaint investigation inspection was conducted at the facility on 08/16/2022 by Licensing Program Analyst (LPA), Jessica Caplinger. A walk through of the facility was conducted and copies of agency documentation obtained include current roster of youth, incident reports regarding substance use, needs and services plans, child and family team meeting notes, and intake paperwork. Eleven confidential interviews were conducted during the investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 01/18/2023

met_with: Joelida Brown, Residential Director.


raw_content:
Narrative:
Based on review of the incident reports, youths' needs and services plans, and interviews, the facility is aware of youth using substances and has taken appropriate actions to help youth lessen these behaviors. Based on interviews staff will offer medical attention and monitor the youth. If the youth are incoherent, then the staff will call for EMTs. Additionally, mental health clinicians will conduct a suicide assessment on the youths taking illegal substances and create a safety plan with the youth. All interviews corroborated that staff supervise the youth and discourage substance use and staff are present to monitor these behaviors. Additionally, the medications were obtained while youth was on AWOL status, from a local drug store, and staff called around to the local drug stores to let them know that illegal substances is being stolen by the youths. C1 had and received mental health services and stated they are not suicidal, and there is no clear evidence to state whether or not the facility does not provide a safe environment to youth in care. Based on LPAs observations and interviews which were conducted and record review, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. No title 22 or STRTP ILS regulations were cited during today's inspection. Exit interview was conducted and a copy of this report was left with Joelida Brown, Residential Director.

Investigation Findings:
13On January 18, 2023, Licensing Program Analyst (LPA), Stephannie Verna, conducted an unannounced inspection to deliver findings for a complaint with the above allegations. LPA Verna met with Joelida Brown, Residential Director, at the facility and discussed the above allegations. On 9/23/ Licensing Program Analyst (LPA) Jean Stidman met with Joelida Brown Residential Director for the purpose of opening a complaint investigation. LPA discussed the allegations and informed Joelida Brown Residential Director that LPA Jessica Caplinger will request documentation for the investigation. On 11/21/22, Licensing Program Analysts (LPAs), Jessica Caplinger and Kim Pawlowicz, conducted an unannounced inspection for the purpose of investigating a complaint with the above allegations. LPA met with Joelida Brown, administrator, and a walk through was conducted. LPAs conducted one confidential interview and requested documents to include the facility roster, the incident report and needs and services plan for one youth. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 01/18/2023


raw_content:
Narrative:
Confidential interviews were conducted with 13 individuals during the period of 11/01/2022 to 01/25/2023 and attempted with three individuals during the period of 11/10/2022-01/30/2023. LPA's observation, interviews conducted, and records reviewed were consistent that the staff do follow the policies for intervention and supervision at the facility. However, the two youth involved were not able to be interviewed as one's whereabouts are unknown and the other refused to be interviewed. During records reviews both youths had prior history of unacceptable behaviors and continued to engage in those behaviors during their placement at the facility. Interviews with youth and staff reported that the staff intervened with the youth, reminding them to stay away from each other as they had previously engaged in verbal altercations, but no reports of physical altercations had occurred. There was communication between the youth by text, which staff could not intervene as the youth have the personal right to have cell phones and privacy. FC2 requested to stay in their room when FC1 was present, and staff remained present at all times if FC2 left their room. The staff did assess moving FC2 to another cottage but determined that it was not an appropriate relocation. All youth and staff interviewed reported that staff are always supervising, trying to engage with youth and intervene prior to any situations occurring by talking with youth, distracting the youth from engaging in situations that could lead to altercations and reminding the youth of the facility rules. The department has conducted a complaint investigation regarding the allegation: Youth in care was not provided a safe environment. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA )Stephannie Verna conducted an unannounced complaint inspection with the above agency on 2/3/2023 at 12: PM and met with Joelida Brown, Residential Director. The purpose of the tele-inspection was to deliver complaint findings for the above allegation. On October 11, Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with staff Maria Ceja, and Relief Service Supervisor (RSS) Shelyn Rodriguez-Jouhfi who assisted with the inspection. LPA collected the client roster. LPA and staff conducted a walk-through of the facility and LPA observed no deficiencies. During the course of the investigation, the following documents were gathered and reviewed: Client roster, Needs and Services Plans for two youth, Cottage Daily logs, Client face sheets for two clients, Incident Reports for two clients, and Support Specialist Logs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 02/03/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with nine individuals during the period of 11/10/2022 to 02/03/2023 and attempted with four individuals during the period of 01/13/2023 to 01/30/2023. Based on records reviewed and interviews, there was no evidence to determine that the facility did or did not obtain authority to obtain youth's haircut, nor was there evidence to determine the facility was denied authorization from the youth's authorized representative and/or guardian to obtain youth's haircut. The department has conducted a complaint investigation regarding the allegation: Facility did not obtain proper permission before getting a client's hair cut. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director. LPA's interview conducted with S1 was consistent that staff had left FC1 at an outing location when they walked away from the facility vehicle, and S1 returned to the outing location after three - five minutes to transport FC1 back to the facility. The facility was unable to provide and Incident Report related to this incident for LPA to review, and it could not be determined if absent without permission protocols had been warranted and/or followed. FC1 refused to meet with LPA to provide LPA with details of the incident and allegations reported. Review of Support Specialist notes document that staff were on their way to the outing location to offer support when S1 let them know that FC1 agreed to get back into the facility vehicle and return to the facility. The department has conducted a complaint investigation regarding the allegation: Staff left client with an absence of supervision. Based on LPA observations, documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being cited for deficiencies related to Title 22 regulations section 80078(a) The licensee shall provide care and supervision as necessary to meet the client's needs. An exit interview was conducted with and a copy of this report and appeal rights were provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA )Stephannie Verna conducted an unannounced complaint inspection with the above agency on 2/3/2023 at 12: PM and met with Joelida Brown, Residential Director. The purpose of the tele-inspection was to deliver complaint findings for the above allegation. On October 11, Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with staff Michael Sequssesequeira, who assisted with the inspection. LPA collected the client roster. LPA and staff conducted a walk-through of the facility and LPA observed no deficiencies. During the course of the investigation, the following documents were gathered and reviewed: Youth Roster, Needs and Services Plan for one youth, Youth Face Sheet, Incident Reports for one youth, Client Daily logs for one youth, Skills Sheets for one youth, Support Specialist logs from 06/04/2022-05/04-2022 and Cottage Activity Calendar. Confidential interviews were conducted with nine individuals during the period of 11/10/2022 to 02/03/2023 and attempted with four individuals during the period of 01/13/2023 to 01/30/2023. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE This is an official report of an unannounced visit/investigation of a complaint received in our office on 10/06/2022 and conducted by Evaluator Stephannie Verna PUBLICCOMPLAINT CONTROL NUMBER: 23-CR- FACILITY NAME:CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: ADMINISTRATOR:JOELLE GOMEZFACILITY TYPE: ADDRESS: E. LINDSAY STREETTELEPHONE: (209) 466- CITY:STOCKTONSTATE: CAZIP CODE: CAPACITY:16CENSUS: 12DATE: 02/03/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Joelida Brown, Residential DirectorTIME COMPLETED:12: PM 9Facility did not obtain proper permission before getting a client's hair cut. INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA )Stephannie Verna conducted an unannounced complaint inspection with the above agency on 2/3/2023 at 12: PM and met with Joelida Brown, Residential Director. The purpose of the tele-inspection was to deliver complaint findings for the above allegation. On October 11, Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with staff Michael Sequssesequeira, who assisted with the inspection. LPA collected the client roster. LPA and staff conducted a walk-through of the facility and LPA observed no deficiencies. During the course of the investigation, the following documents were gathered and reviewed: Youth Roster, Needs and Services Plan for one youth, Youth Face Sheet, Incident Reports for one youth, Client Daily logs for one youth, Skills Sheets for one youth, Support Specialist logs from 06/04/2022-05/04-2022 and Cottage Activity Calendar. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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: 2 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 02/03/2023

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: Joelida Brown, Residential Directo


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Narrative:
LPA's observations, interviews conducted, and records reviewed were inconsistent that staff did not allow a minor to have access to marijuana while in care. Interviews conducted and records reviewed were consistent that staff are aware that youth, including FC1, use illegal substances and have contraband on the facility premises, but they do not allow it as it is against the facility rules and policies. Multiple youth stated illegal substances, including marijuana, is obtained off facility grounds when they are absent without permission. Staff complete room searches when there is reasonable suspicion of illegal substances being on cottage premises, as well as when there is a reasonable suspicion of illegal substance use upon returning from an absent without permission or missing person status in the community. Due to client's personal rights staff cannot search a youth's person, and FC1 stated they keep illegal substances on their person. FC1 also stated staff have confiscated illegal substances from them multiple times at the facility. Staff continue to supervise youth who are refusing to stop illegal substance use, or ask youth to smoke outside of the facility, to ensure safety of all youth present. Interviews were consistent that staff and youth are aware of the facility rules pertaining to drugs and alcohol not being allowed on the facility premises, but most of the time youth refuse to stop engaging in illegal substance use and refuse to turn in contraband when asked by staff. Based on interviews and records reviewed, including Substance Abuse Prevention Education (SAPE) records, and Incident Reports, staff continue to remind youth of the rules and the negative effects of the use of illegal substances and that all youth are to attend SAPE groups as part of their treatment goals at the facility. FC1 had attended multiple SAPE groups offered, as well as received counseling from the Facilitator of the group and other staff, to educate and discourage illegal substance use. The department has conducted a complaint investigation regarding the allegation: Minor had access to marijuana while in care. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above agency on February 14, 2023 at 12: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On October 25, Licensing Program Analyst (LPA) Cecilia Warren met with Shelyn Rodriguez, Relief Service Supervisor and Joelida Brown, Residential Director to discuss opening a complaint with allegations of "Minor had access to marijuana while in care." During the course of the investigation, the following documents were gathered and reviewed: Youth roster, Needs and Services Plans for client, Cottage Daily logs, Client face sheet, Incident Reports for one client, Facility policy and agreements for one client, SOC154A for one client, Substance Abuse Support Education (SAPE) Group Sign-In sheets and Facilitator notes. Confidential interviews were conducted with 12 individuals during the period of 11/01/2022-02/08/2023 and attempted with four individuals during the period of 12/13/2022 to 01/18/2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 02/14/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with eleven individuals during the period of 12/12/2022 to 02/23/2023 and attempted with two individuals during the period of 12/13/2022 to 01/05/2023. LPA's observations, interviews conducted, and records reviewed were inconsistent whether facility staff did not prevent a youth in care from using or having access to an illegal substance, did not ensure a youth attended school, and did not properly address a threat made by a youth in care. Based on interviews, FC1 refused to attend school, and refrain from using an illegal substance while in care at the facility, although staff prompted them to and gave reminders of the facility rules and policies regarding illegal substances not being consumed or allowed on campus and attending school. Interviews with additional individuals also stated that staff and youth are aware of the facility rules, and staff educate and encourage youth to not use or possess illegal substances but youth will often continue to possess or engage in illegal substance use while in care at the facility. There was a lack of information to determine staff did not properly address a threat made by a youth in care, however based on interviews conducted FC1 had also made threats to FC2, and the threat made to FC1 was reported to multiple facility staff who were aware of the threat(s). Additionally, both youths were counseled by CM regarding following agency rules and policies and not making threats to ensure safety of all youth in care, and CM stated the FC1's authorized representative was informed of the threat. The department has conducted a complaint investigation regarding the allegations: Facility staff are not preventing youth in care from using marijuana, Facility staff are not preventing youth in care from possessing marijuana, Facility staff are not ensuring that youth in care attends school, and Facility staff did not properly address a threat made by a youth in care. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on February 23, 2023 at 11: AM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegations. On 11/21/22, Licensing Program Analysts (LPAs), Jessica Caplinger and Kim Pawlowicz, conducted an unannounced inspection for the purpose of opening a complaint with the above allegations. LPA met with Joelida Brown, administrator, and a walk through was conducted. During the course of the investigation, the following documents were gathered and reviewed: Needs and Services Plans for one youth, Youth face sheet, Incident Reports for one youth, Facility policy and agreements for one youth, SOC154A for one client, Substance Abuse Support Education (SAPE) Group Sign-In sheets for one youth, and Education Documentation for one youth. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 02/23/2023

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


raw_content:
Narrative:
Based on interviews conducted, statements given were consistent regarding whether or not staff speak inappropriately to clients, where the majority of youth interviewed corroborated statements made that staff speak inappropriately to clients and do not treat clients with dignity. The department has conducted a complaint investigation regarding the allegation: Staff speak inappropriately to clients. Based on LPA observations, documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being cited for a personal rights violation of the STRTP ILS Regulations section 87072(10). An exit interview was conducted with and a copy of this report and appeal rights were provided to Joelida Brown, Residential Director. LPA's observations, interviews conducted, and records reviewed were inconsistent regarding if: the facility provides necessary clothing to clients, staff treat clients differently, staff give clients inappropriate consequences, and the facility failed to report a serious incident. Documentation reviewed including clients' personal belongings inventory log, and facility Purchase Orders, documented that client clothing needs were addressed by the facility. Statements made during interviews, however, were inconsistent on whether or not the facility provided necessary clothing to clients. Statements made by individuals during interviews were also inconsistent regarding whether or not staff disparately treat clients and give clients inappropriate consequences. Multiple staff interviewed stated that clients have individualized plans and goals that other clients are not aware of. Some client goals may have rewards tied to them, and other clients may perceive rewards as favoritism. Additionally, interviews were consistent that clients are not given consequences for their behavior, and that staff instead remind them of the facility rules, and the importance of safety. A number of clients stated that clients are not allowed to go on outings, however multiple staff and clients stated being able to attend a community outing is based on a clients' willingness to attend, being present, and exhibiting safe behavior. There are times when clients may not attend a community outing if they are exhibiting unsafe behavior such as using illegal substances, being absent without permission, and physically aggressive or assaultive toward staff or peers. Lastly, based on LPA's review of Incident Reports and SCAR reports for one youth, and interviews conducted, there was insufficient information to determine whether or not the facility failed to report a serious incident. A SCAR report for the youth was located and reviewed, and was documented to have been submitted by a facility staff. Facility staff interviewed stated they are aware of the reporting requirements and process, and one facility staff stated they do not recall being informed of the serious incident. The department has conducted a complaint investigation regarding the allegations: Facility does not provide necessary clothing to clients, Staff disparately treat clients, Staff give clients inappropriate consequences, and Facility failed to report a serious incident. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on March 09, 2023 at 2: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On 11/21/22, Licensing Program Analysts (LPAs), Jessica Caplinger and Kim Pawlowicz, conducted an unannounced inspection for the purpose of opening a complaint with the above allegations. LPA met with Joelida Brown, administrator, and a walk through was conducted. During the course of the investigation, the following documents were gathered and reviewed: Delta Cottage Shopping Purchase Orders, Client Personal Property Log for clients, Cottage goals/points earned documentation for clients, Incident Reports for clients, Needs and Services Plans for clients, Cottage Daily logs, Client face sheets, Facility policy and agreements for clients, Facility Program Statement, SOC154A for clients; and Suspected Child Abuse Reports for one client. Confidential interviews were conducted with fourteen individuals during the period of 11/01/2022 to 01/25/2023. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 03/09/2023

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:


raw_content:
Narrative:
Confidential interviews were conducted with twelve individuals, and attempted with one individual, during the period of 01/05/2022 to 02/27/2022. Based on LPA's observation, interviews conducted, and records reviewed, there was a lack of evidence to prove that a staff pushed a minor in care. The exact date and time of the alleged incident could not be identified through interviews and documentation reviewed, therefore video footage could not be viewed to corroborate or disprove the allegation. Additionally, statements given by potential witnesses were consistent that they were not present during the alleged incident or have not seen or heard of S1 pushing FC2 or a minor in care. There was one witness to the alleged incident who stated S1 did not push FC2 and they instead had observed FC2 push their way through S1 upon entry to the cottage and observed FC2 make contact with S1's hand who was out in front of them. FC2 then made a comment out loud about S1 having just pushed them. FC2 refused to give a statement to LPA Verna. The department has conducted a complaint investigation regarding the allegation: Facility staff pushed minor. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on April 20, 2023 at 12: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. The facility's current census is 15. On January 06, 2022 at 11: AM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director and gathered documents related to the complaint investigation. During the course of the investigation, the following documents were gathered and reviewed: Staff Roster, Client Roster, Incident Reports for one client pertaining to property destruction/Law Enforcement involvement (December 2022), and Staff training records, duty statement, and signed facility policies and procedures. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 04/20/2023

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


raw_content:
Narrative:
Based on LPA's observation, interviews conducted, and records reviewed, there was a lack of evidence to prove that staff conducted an unreasonable search of minor's personal belongings. Interviews were consistent that searches of youth's belongings are completed when there is a reasonable suspicion or it is known that a youth is in possession of contraband, including weapons, drugs and alcohol. Upon review of documentation, including Incident Reports, there was also a lack of documentation to prove that an unreasonable search was conducted by facility staff of FC1's or other youth's personal belongings. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on May 24, 2023 at 2: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On January 06, Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director. During the course of the investigation, the following documents were gathered and reviewed: Staff Roster, Client Roster, Incident Reports for one client pertaining to property destruction/Law Enforcement involvement, and Staff training records, incident reports, duty statement, and signed facility policies and procedures. Confidential interviews were conducted with eleven individuals, and attempted with three individuals, during the period of 01/18/2023 to 04/20/2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 05/24/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with thirteen individuals and attempted with eight individuals during the period of 03/23/2023 to 07/11/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent regarding whether staff are not providing adequate supervision to minors in care. Based on a review of documentation, including cottage logs, reports and incident reports, facility staff document youth room checks, and follow and report youth who leave the facility without permission. Staff observed FC2 in a cottage they were not assigned to and verbally redirected them to exit, but FC2 refused and entered FC1's bedroom, causing property damage prior to complying to staff's direction. Multiple interview statements given reported that staff supervise youth in care and lock youth bedroom doors when requested, however, regarding the incident which occurred at the facility on 03/17/2023, the Department was unable to confirm that there was an absence of supervision or that FC1 had requested their bedroom to be locked by staff, prior to FC1 leaving the facility without permission and FC2 entering their bedroom and causing damage to their personal property. The department has conducted a complaint investigation regarding the allegation: Staff did not provide adequate supervision to minors in care. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on 7/19/2023 at 2: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On March 23, 2023 at 02: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director. LPA conducted an inspection of the facility and gathered supporting documentation. During the course of the investigation, the following documents were gathered and reviewed: Staff and client roster, Face sheets for all youth, Assistant Program Manager (APM) reports, Shift Lead Reports, Resource Officer Report, Support Specialist Report, Needs and Services Plans for multiple youth in care, email correspondence pertaining to facility contact with three youth's Authorized Representatives, and video recording regarding incidents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 07/19/2023

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


raw_content:
Narrative:
When clients display unsafe behaviors, such as verbal threats or physical aggression, staff redirect clients with verbal cues, remind clients of the program rules and goals, and offer coping skills or alternative activities to engage the clients to make positive choices. In the instance of known threats made to FC1 by peers, including FC2, the facility attempted to initiate a conflict resolution meeting between the clients involved, but FC2 refused to engage. Youth personal rights do not afford staff access to their personal phones and staff would not be aware of threatening messages sent or received unless reported to staff by the client, however on one occasion FC1 reported a threatening message they had received from another client in care to staff and requested staff contact Law Enforcement on their behalf, but their request was denied. Additionally, due to the threats received and being fearful, FC1 refused to enter the facility and slept in a facility vehicle and other undesignated sleeping areas for multiple nights while in care at the facility. Based on LPA observations, documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being issued one citation regarding deficiencies to STRTP ILS Regulations, section 87072(c)(11), Personal Rights. An exit interview was conducted with and a copy of this report and appeal rights were provided to Joelida Brown, Residential Director. Confidential interviews were conducted with thirteen individuals, and attempted with eight individuals, during the period of 03/23/2023 to 07/11/2023. The department has conducted a complaint investigation regarding the allegations: Minors are forcing another minor to engage in inappropriate sexual behavior, and Minors are threatening another minor while in care. LPA's observation, interviews conducted, and records reviewed were consistent that minors are threatening another minor and minors are forcing another minor to engage in inappropriate sexual behavior in the facility. Based on multiple interview statements, clients' personal rights were violated due verbal and written threats of physical violence received from client(s) in care. Multiple statements given during interviews were consistent that multiple clients at the facility engage in inappropriate sexual activities and recruit or force other clients to participate as well. While some clients refuse to participate when asked, such as FC1, confidential interviews revealed they are fearful of other clients in care and what they were being asked or told to do. The facility offers clinical sessions and support groups for youth as part of client services and all youth are required to attend. FC1 and FC2 attended some of these groups and met individually with their assigned Clinician while in care at the facility. Additionally, the staff encourage youth to make safe decisions, including not leaving the facility premises or engaging in inappropriate sexual behavior while absence without permission from the facility, and proactively create safety and runaway plans with all youth, especially when the youth is at risk for sexual exploitation. Based on a review of documentation and statements given during interviews, when youth leave the facility, the staff follow their facility policies and procedures related to runaway youth. continued on 9099-c Confidential interviews were conducted with thirteen individuals, and attempted with eight individuals, during the period of 03/23/2023 to 07/11/2023. The department has conducted a complaint investigation regarding the allegations: Staff do not prevent minors from attacking another minor while in care LPA's observation, interviews conducted, and records reviewed were inconsistent that staff did not prevent minors from attacking another minor while in care, however consistent regarding the interventions utilized by staff to ensure youth safety. Based on multiple interview statements, when clients display unsafe behaviors, such as physical aggression, staff redirect clients with verbal cues, remind clients of the program rules and goals, and offer coping skills or alternative activities to engage the clients to make positive choices. If a client engages in a physical altercation with a client, staff who is present will intervene and place their body between the youth and separate clients and de-escalate unsafe behavior with additional interventions as necessary to ensure the safety of youth in care. During instances of imminent danger to self or others, staff contact additional staff for support, as well as Law Enforcement for support and/or utilize physical interventions. Based on a review of documentation, including Incident Reports, the facility submitted Incident Reports regarding physical altercations of clients in care, as well as Law Enforcement Reports when Law Enforcement was contacted to assist staff in de-escalating clients in a physical altercation with staff or peers. In the instance of a physical assault on FC1 and FC3 on 03/17/2023, staff immediately physically intervened to ensure the safety of the youths, Law Enforcement and Emergency Medical Services was contacted and FC2 was cited for battery and was discharged from the facility 03/20/2023. Other clients identified as not following the facility policies or to be a danger to self or others, have been discharged (FC6 and FC9) due to their unsafe or assaultive behaviors. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on 7/19/2023 at 1: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegations. On March 23, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Joelida Brown, Residential Director. LPA conducted an inspection of the facility and gathered supporting documentation. During the course of the investigation, the following documents were gathered and reviewed: Staff and client roster, Face sheets for all youth, Assistant Program Manager (APM) reports, Shift Lead Reports, Resource Officer Report, Support Specialist Report, Medical Records for one youth, Incident Reports, Police Reports, Needs and Services Plans for multiple youth in care, and email correspondence pertaining to facility contact with youth's Authorized Representatives. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 07/19/2023

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:


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews were conducted with thirteen individuals, and attempted with five individuals, during the period of 04/04/2023 to 07/11/2023. The department has conducted a complaint investigation regarding the allegation: The facility is not maintaining the required direct care staff to child ratios. LPA's observation, interviews conducted, and records reviewed were consistent that the facility is not maintaining the required direct care staff to child ratios. Based on LPAs record review, including review of Incident Reports and Support Specialist Reports, where the facility documented numerous occasions staff were "single-staffed" and out of the required ratio. Multiple statements given during interviews also corroborated that the facility did not maintain the required direct care staff to child ratios, that there are multiple unplanned vacant staff positions, and on multiple occasions facility staff was "single-staffed" with multiple clients in care for durations between ten minutes to one hour. Based on LPA observations, documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being issued one citation regarding deficiencies to STRTP ILS Regulations, section 87065.5(b), Direct Care Staff/Child Ratios. An exit interview was conducted with and a copy of the STRTP ILS section 87065.5, this report and appeal rights were provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on 7/19/2023 at 02: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On April 04, 2023 at 11: AM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director. LPA conducted an inspection of the facility and gathered supporting documentation. During the course of the investigation, the following documents were gathered and reviewed: Cottage Logs, Youth roster, Staff roster and Staff schedules, including Support Specialist schedules, Support Specialist Reports, and APM reports: for the months of March and April 2023. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 07/19/2023

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
LPA's observation, interviews conducted, and records reviewed were consistent that while a minor had a physical altercation with another minor while in care, the altercation did not occur at the facility. All confidential interviews revealed that youth left the facility without permission to a community location where the physical assault to FC1 occurred. Additionally, confidential interviews and review of documentation were inconsistent that staff were not present and staff did not intervene or take actions to prevent altercations between minors in care. Documentation, including incident reports and police reports, revealed that staff encouraged FC1 to remain on campus on multiple occasions for their safety, and when FC1 was unreceptive to prompting, two facility staff monitored FC1 at the community location. Once staff observed FC1 being assaulted by a peer they ran toward them and removed them to a safe area, contacted Emergency Medical Services to treat FC1's injuries, and contacted Law Enforcement to report the assault upon which FC2 was cited. FC1 then received medical treatment at a local community hospital for their injuries. The facility held a meeting on 04/03/2023 regarding the physical and unsafe behaviors of FC2. FC2 was issued a 14-day notice due to their physical and unsafe behaviors and was discharged from the facility on 04/20/2023. The department has conducted a complaint investigation regarding the allegation: Minor had a physical altercation with other minors while in care. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to Shelyn Rodriguez-Joufi, Relief Services Supervisor.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on August 01, 2023 at 12: PM and met with Shelyn Rodriguez-Joufi, Relief Services Supervisor. The purpose of the inspection was to deliver complaint findings for the above allegation. On April 04, 2023 at 2: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director. LPA conducted an inspection of the facility and gathered documentation relevant to the investigation. During the course of the investigation, the following documents were gathered and reviewed: Cottage Logs, Youth roster, Staff roster and Staff schedules, Staff Reports, Incident Reports, Youth Needs and Services Plans, Medical records for one youth, and Police Report. Confidential interviews were conducted with nine individuals, and attempted with twelve individuals, during the period of April 04, 2023 to July 28, 2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 08/01/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with five individuals, and attempted with six individuals, during the period of 05/24/2023 to 08/22/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent that facility staff did not prevent minor from consistently going AWOL (absent without permission) from placement. Upon review of Incident Reports, law Enforcement Reports, and correspondence records, it was determined that FC1 had prior and known history of engaging in unsafe behaviors prior to being placed at the facility, including leaving placement without permission. When youths leave the facility without permission, including FC1, the staff follow their facility policies and procedures related to runaway youth. When a youth is observed preparing to leave, or leaving the facility, staff encourage youth to remain on facility premises and offer alternative activities. When FC1 left the facility premises, staff followed them and attempted to encourage youth to return to the facility. Additionally, facility staff informed FC1's Authorized Representative of the runaway incidents as required and reported FC1 as a runaway youth to local Law Enforcement, sharing their last known whereabouts and other identifying information. The department has conducted a complaint investigation regarding the allegation: Staff did not prevent minor from consistently going AWOL from placement. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on August 22, 2023 at 01: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On May 24, Licensing Program Analyst (LPA) Stephannie Verna arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director. LPA conducted an inspection of the facility and gathered documentation related to the complaint investigation. During the course of the investigation, the following documents were gathered and reviewed: Client roster, Needs and Services Plan, Cottage Logs, Support Specialist Reports, Incident Reports and Law Enforcement Reports, correspondence/email documentation with CSW2 regarding FC1, Police Reports, Child Placement History, CFT notes, and CMS/CWS documents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 08/22/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with twelve individuals, and attempted with ten individuals, during the period of 05/31/2023 to 08/22/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent regarding the allegations Facility staff did not prevent minor(s) from AWOLing and interacting in inappropriate activities, a minor was sexually assaulted by another minor while in care, and a minor is recruiting other minors in care to engage in inappropriate activities. Statements given during interviews, as well as records reviewed, including Incident Reports and CFT meeting notes, revealed that youth do AWOL from the facility without permission, however staff follow their procedures related to the facility's runaway plan and reporting requirements pertaining to reporting allegations of sexual assault. Multiple confidential interviews revealed that individuals were not aware of a youth being sexually assaulted or youth being recruited to engage in inappropriate activities by other youth. Six out of twelve confidential interviews revealed that there were known incidents of sexual assault and recruitment in the facility, however the incidents were either unknown to staff because they occurred in private or off facility premises; or were known of and addressed by staff and/or Law Enforcement. Staff educate youth on the dangers of engaging in unsafe behaviors in the community, offer groups and individual therapy, create safety plans with youth, and verbally encourage youth to remain on campus, not follow or listen to other youth who may encourage or threaten them to leave with them. Continuously refusing to engage in program services or comply with program rules and engaging in unsafe behaviors resulted in youth involved being issued citations from Law Enforcement and/or discharge from the facility. Additionally, multiple youth who were reported to be involved in engaging in inappropriate activities refused to be interviewed regarding the investigation, including FC2 and FC15, and information reported to the Department could not be corroborated. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Michael Sequeria, Senior Administrative Assistant.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on September 14, 2023 at 02: PM and met with Michael Sequeria, Senior Administrative Assistant. The purpose of the inspection was to deliver complaint findings for the above allegations. On May 31, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Shelyn Rodriguez-Jouhfi, Relief Service Supervisor. LPA conducted an inspection of the facility and gathered documents related to the investigation. During the course of the investigation, the following documents were gathered and reviewed: Client roster, client face sheets, Needs and Services Plans, Assistant Program Manager (APM)/Support Specialist (SS) staff Reports, Police Reports, SCAR reports, HOPE (CSEC) group sign-in sheets, CSEC safety plans for youth, Email correspondence, Incident Reports and Law Enforcement Reports regarding multiple youth in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 09/14/2023

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


raw_content:
Narrative:
Confidential interviews were conducted with six individuals and attempted interviews with eleven individuals during the period of 06/20/2022 to 09/18/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent that FC1's boyfriend was present at the facility and the incident was not reported to FC1's Authorized Representative. Interviews conducted revealed that the facility submits incident reports to FC1's Authorized Representative and there was no known report or disclosure made of FC1's boyfriend being at the facility. Additionally, FC1 refused to speak with LPA pertaining to the investigation and the allegations were unable to be refuted or corroborated. The department has conducted a complaint investigation regarding the allegations: Facility staff allowed a minor's adult boyfriend to be at the facility and Facility staff did not follow reporting requirements. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report were provided to Michael Sequeria, Senior Administrative Assistant.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on September 19, 2023 at 03: PM and met with Michael Sequeria, Senior Administrative Assistant. The purpose of the inspection was to deliver complaint findings for the above allegations. On 6/16/23 at approximately 9:37 a.m. Licensing Program Analyst (LPA), Jacqueline Carmona, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Shelyn Rodriguez-Jouhfi, Relief Service Supervisor, requested and reviewed documentation related to the investigation and conducted an inspection of the facility. LPA requested and reviewed the following documents: Client Roster, Client Face Sheet, Needs and Services Plan, Cottage Logs, Facility APM Reports, and Incident Reports and Law Enforcement Reports pertaining to one youth. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 09/19/2023

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


raw_content:
Narrative:
LPA's observation, interviews conducted, and records reviewed were inconsistent regarding the allegation that the facility staff are not adequately supervising minors resulting in minors selling drugs to other minors. Confidential interviews and documentation, including incident reports and facility reports, revealed that facility staff continuously educate and verbally prompt youth of the facility rules regarding drugs and contraband, the negative effects of drug use and supervise youth who are in placement, inside and outside of the facility. Additionally, instances of allegations of minors selling drugs to other minors in the facility were reported by facility staff and drugs and contraband were confiscated from the bedrooms of multiple minors in care, including FC2, FC7, and FC8. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Joelida Brown, Residential Director.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on October 12, 2023 at 02: PM and met with Joelida Brown, Residential Director. The purpose of the inspection was to deliver complaint findings for the above allegation. On June 28, 2023 at 1: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Joelida Brown, Residential Director and requested documents for review and completed an inspection of the facility. During the course of the investigation, the following documents were gathered and reviewed: Youth roster, Staff Roster, Facility Reports, Youth Needs and Services Plans, SCAR report and Incident Reports for multiple youth in care. Confidential interviews were conducted with five individuals, and attempted with eight individuals, during the period of 06/28/2023 to 10/02/2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S HOME OF STOCKTON TRI-PLEXFACILITY NUMBER: VISIT DATE: 10/12/2023

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