raw_content:
Narrative:
found in the home. While other confidential information received by Licensing Office stated that the allegations had occurred, and that S1 had given C1 marijuana in lieu of medication, as well as smoked marijuana with C1 while in care. Confidential information received also stated that some staff will allow clients to smoke marijuana in the backyard area. Based on confidential information obtained during the course of this investigation, there is insufficient evidence to prove the conduct inimical allegation, thus the allegations that staff member # 1 (S1) gave Child # 1 (C1) marijuana in lieu of medication, as well as smoked marijuana with C1 while in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Director, Tyler Frankland to discuss the investigative findings for the above stated allegation. Special Investigator, Brittany Hudec (SI) conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on December 07, 2021. Special Investigator (SI), Brittany Hudec interviewed three staff (S1, S2, S3), six of six foster children (C1, C2, C3, C4, C5 & C6), two County Social Workers (CSW1, CSW), as well as reviewed police, client and facility records. Community Care Licensing received information on December 06, 2021 alleging that staff member # 1 (S1) gave Child # 1 (C1) marijuana in lieu of medication, as well as smoked marijuana with C1 while in care. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that S1 or any other staff had ever provided marijuana in lieu of medication, or smoked marijuana with C1 or any other children in care. Confidential interviews also denied that staff allow or encourage minors to smoke marijuana in the home. According to confidential information, staff will always confiscate marijuana if it is UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 04/28/2022

met_with: Tyler Frankland


state: CA

facility_name: ALPHA CONNECTION-ANOKA RANCH, THE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The facility is cited for California Code of Regulations (CCR) Reporting requirements (a)(1)(D)(G). See attached LIC 9099D for cited deficiency. An exit interview was conducted, appeal rights explained and a copy of this report was provided to Amy Osborn, along with the LIC 811.

Investigation Findings:
13On May 27, 2022 at Amy Osborn, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Jose Gonzalez conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Amy Osborn. LPA Jose Gonzalez conducted an inspection of the facility on September 17, 2021 at 11:11 am and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that facility staff did not report an injury that occurred with C1, to C1's authorized representative. Confidential interviews reported that on September 15, 2021, C1 was observed with a bruise/black eye on C1's right eye. Confidential interviews reported that C1 and C2 had gotten into a physical altercation, which resulted in C1 sustained a black eye. Confidential interviews reported that C1 authorized was not aware of this incident/injury, as staff did notify C1's authorized representative. Based on confidential interviews and evidence gathered that the facility staff did not report C1's blackeye to C1's authorized representative is Substantiated as the preponderance of evidence standard has been met for the allegation. This poses a potential Health, Safety, or Personal Rights risk to children in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/15/2021 and conducted by Evaluator Darlene Almaraz PUBLICCOMPLAINT CONTROL NUMBER: 19-CR- FACILITY NAME:ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: ADMINISTRATOR:EVONNDA HULLFACILITY TYPE: ADDRESS: ANOKA RDTELEPHONE: (760) 247- CITY:APPLE VALLEYSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 05/27/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Amy OsbornTIME COMPLETED:10: AM 9Facility staff did not prevent youths from engaging in physical altercations INVESTIGATION FINDINGS: 13On May 26, 2022 at 9:25am, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Jose Gonzalez conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Program Director Amy Osborn. LPA Jose Gonzalez conducted an inspection at the facility on September 17, 2021 at 11:11 am and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not prevent C1 and C2 from getting into a physical altercation. Confidential interviews reported that on September 15, 2021, C1 was observed with a bruise on the right eye. Confidential interviews reported that C1 and C2 got into physical altercation and staff did intervened. Confidential staff interviews reported that staff separated C1 and C2, however it is unclear how long staff took to respond and separate the clients. The interviews that were provided to the LPA were not consistent regarding the allegation that staff did not prevent C1 and C2 from getting into a physical altercation and interviews did not provide any further specific details. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Amy Osborn, along with the LIC 811. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: 366401649

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:

report_type: Complaint Investigation

met_with: Amy Osborn

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Additional confidential interviews revealed that S1 did not kick C3. Based on confidential interviews that staff #1 (S1) physically abused C1 while in care is Substantiated as the preponderance of evidence standard has been met for the allegation. This poses an immediate health, safety, or personal rights risk to clients in care. The facility is being cited under Short-Term Residential Therapeutic Program Interim Licensing Standards (ILS) Chapter 7. Version 4, 87072(11) Personal Rights To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, *exploitation,* infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Facility Administrator (FA), Evonnda Hull.

Investigation Findings:
13On June 3, 2022, at 10:41 am, Licensing Program Analysts (LPAs) Jose Gonzalez and Darlene Oseguera met with Alpha Connection Anoka Facility Administrator (FA), Evonnda Hull to deliver the findings for the above stated allegations. LPA conducted a safety inspection at the facility at 10:28 am on December 21, 2021, and no safety hazards were observed. LPA also reviewed six of six client's records. During the investigation, interviews were conducted with six of six clients (C1, C2, C3, C4, C5, and C6), Facility Manager (FM), Staff #1 (S1), Staff #2 (S2), Facility Director (FD), and County Social Worker #2 (CSW2). The Department received a complaint on December 17, 2021, that staff #1 (S1) physically abused C1 while in care. Confidential interviews indicate that S1 had pushed C1 and C2. Additional confidential interviews revealed that S1 had kicked C3. Confidential interviews indicate that C1 had punched S1 in the back of S1 head. Additional confidential interviews revealed that S1 admitted that S1 had pushed C1 away. Confidential interviews indicate that S1 had reported the incident to Program Director and Facility Manager. Confidential interviews indicate that S1 did not push C2.***CONTINUED on LIC C***** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: 366401649

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Based on LPA confidential interviews and observations, the facility was operating out of ratio is substantiated as the preponderance of evidence standard has been met for the allegation. This poses potential health, safety, or personal rights risk to minors in care. The facility is being cited for violating Interim Licensing Standards (ILS) 87065.5 (a)(1) Direct Care Staff/Child Ratio. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Program Director (PD), Amy Osborn..

Investigation Findings:
13On July 21, 2022, at 10:43 am/pm, Licensing Program Analysts (LPAs) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegation. LPA conducted a safety inspection on July 8, 2022, at 9:31 am, and no immediate health and safety hazards were observed. LPAs also reviewed six of six clients' records. During the investigation, interviews were conducted with four out of six clients (C6 was at school, C5 was absent without permission), Facility Manager (FM), Program Director (PD), Staff #1 (S1), and County Social Worker (CSW). On July 6, 2022, the Department received an allegation that the facility was operating out of ratio. Confidential interviews revealed that on 07/05/2022, Staff #1 (S1) had transported client #3 (C3) to school, which left the Facility Manager (FM) with five minors. Additional confidential interviews revealed that the FM was aware and had instructed S1 to transport C3 to school. Confidential interviews disclosed that it was observed by a County Social Worker (CSW) that the facility was out of ratio due to five clients left alone with the FM. ****R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: 366401649

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


raw_content:
Narrative:
Confidential interviews reported that certain minors phone calls are monitored by facility staff per court order. The Department also received an allegation that facility staff are not providing supervision to the minors (C1-C6) in care. Confidential interviews reported that the minors C1- C6 are being supervised by the facility staff. Confidential interviews indicated that the facility staff are monitoring the client's interactions to maintain a safe environment. Confidential interviews reported that facility staff conduct headcounts every 10 minutes. Confidential interviews revealed that the facility staff conduct rounds, and that the facility staff documents the clients' activities and location of the activities in the facility logbook every 10 minutes. Confidential interviews disclosed that the facility staff intervened immediately when the residents argued or fought. Other confidential interviews revealed that minor C1 has been assaulted on several occasions due to staff not providing supervision. Confidential interviews reported that minor C1 received injuries from being assaulted. Based on inconsistent confidential interviews, the allegations that facility staff are not allowing minors (C1- C6) to use a phone in care and that facility staff are not providing supervision to the minors (C1-C6) in care may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Program Director (PD), Amy Osborn

Investigation Findings:
13On August 5, 2022, at 12:05 pm, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 10:25 am on March 25, 2022, with Facility Manager (FM) Tyler Frankland. LPA, LPM, and Facility Manager (FM) Tyler Frankland. During the inspection, LPA observed a cigarette butt outside the back door in the bushes. LPA also reviewed six out of six clients' records. During the investigation, interviews were conducted with six clients (C1, C2, C3, C4, C5, & C6), and Facility Manager (FM). The Department received an allegation on March 21, 2022, that facility staff are not allowing minors (C1- C6) to use a phone in care. Confidential interviews disclosed that the minors C1- C6 are allowed to make and receive phone calls in private. Additional confidential interviews indicated that the minors all use the house phone to make and receive phone calls. Other confidential interviews revealed that minors C1 - C6 cannot make and receive phone calls in private. R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 08/05/2022

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

met_with: Program Director (PD), Amy Osborn


raw_content:
Narrative:
Additional confidential interviews revealed that S1 transported C1 to the hospital and that C1 was introduced to and abducted by this Public Safety Advocate. Confidential interviews disclosed that C1 was in contact with C1's legal guardian during the abduction. Confidential interviews indicated that the legal guardian contacted C1's CSW and provided the Public Safety Advocate's contact information. CSW contacted law enforcement and forwarded them the contact information, which allowed them to locate C1. Confidential interviews revealed that the Public Safety Advocate and S1 were apprehended. Confidential interviews reported that C1 was returned to the STRTP home. Based on LPA confidential interviews, facility Staff #1 (S1) did not protect Client #1 (C1). Confidential information is substantiated as the preponderance of evidence standard has been met for the allegation. This posed an immediate health, safety, or personal rights risk to minors in care. The facility is being cited for violating Interim Licensing Standards (ILS) 87070(h) Children's Records. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Program Director (PD), Amy Osborn.

Investigation Findings:
13On August 23, 2022, at 11:56 am/pm, Licensing Program Analysts (LPAs) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegation. LPA conducted a health and safety inspection on March 18, 2022, at 1:24 pm, and no immediate health and safety hazards were observed. LPAs also reviewed six clients' records. During the investigation, interviews were conducted with C1, Facility Administrator (FA), Program Director (PD), and County Social Worker (CSW). The clients (C2-C6) were not interviewed because they were not involved in this incident. On March 16, 2022, the Department received an allegation that facility Staff #1 (S1) did not protect Client #1 (C1) confidential information. Confidential interviews revealed that C1's confidential information was shared with an unauthorized person that should not have been given access to C1s information. Staff #1 (S1) had shared C1's confidential information with a Public Safety Advocate that was not involved or responsible for C1's treatment plan. S1 states that she contacted a Public Safety Advocate and provided her with C1s confidential information. **R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: 366401649

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


raw_content:
Narrative:
Additional confidential interviews indicated that the facility staff contacted LE after 30 to 40 minutes after staff lost sight of C1. Other confidential interviews revealed that S1 did not report C1's AWOL in a timely manner to LE. Confidential interviews reported that S1 contacted LE two or three hours after C1 had left the home unsupervised. Additional confidential interviews indicated that S1 contacted Facility Administrator (FA) and that FA would instruct S1 on when to contact LE to report C1s absence. Based on inconsistent confidential interviews, the allegations that facility Staff #1 (S1) did not report client #1 (C1) absent without leave (AWOL) in a timely manner may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Program Director (PD), Amy Osborn

Investigation Findings:
13On August 23, 2022, at 11:33 am, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at 2:39 pm on March 18, 2022, with Facility Manager (FM) Tyler Frankland. no immediate health and safety hazards were observed. LPA also reviewed six out of six clients' records. During the investigation, interviews were conducted with five out of six clients (C2, C3, C4, C5, & C6), and Facility Manager (FM). LPA attempted to interview C1 but was unsuccessful due to C1 whereabouts being unknown. The Department received an allegation on March 16, 2022, that facility Staff #1 (S1) did not report client #1 (C1) absent without leave (AWOL) in a timely manner. Confidential interviews disclosed that S1had reported C1s AWOL to Law Enforcement (LE) in a timely manner. Additional confidential interviews indicated that S1 conducted a perimeter search to locate C1. Confidential interviews disclosed that facility staff conducted a community search to locate C1. *R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 08/23/2022

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


raw_content:
Narrative:
Other confidential interviews revealed that there is a possibility that FM handled C1 in rough manner and used inappropriate language towards C1. Based on inconsistent confidential interviews, the allegations that Facility Manager (FM) inappropriately handled Client #1 (C1) and used inappropriate language toward C1 may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Facility Manager (FM) Tyler Frankland.

Investigation Findings:
13On August 25, 2022, at 12:40 pm, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Facility Manager (FM) Tyler Frankland, to deliver the findings for the above-stated allegations. LPA conducted a health and safety inspection on July 8, 2022, at 9:08 am, and no immediate health and safety hazards were observed. LPAs also reviewed six clients' records. During the investigation, interviews were conducted with four out of six clients (C1, C2, C3, and C4), Facility Manager (FM), Staff #1 (S1), and County Social Worker (CSW). The client C5 refused to be interviewed. LPA attempted to interview C6 but was unsuccessful due to C6 whereabouts being unknown. The Department received an allegation on July 1, 2022, that Facility Manager (FM) inappropriately handled Client #1 (C1) and used inappropriate language toward C1. Confidential interviews disclosed that FM did not inappropriately handle C1. Additional confidential interviews indicated that FM did not use inappropriate language toward C1. Confidential interviews disclosed that C1 makes up fabricated stories. R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 08/25/2022

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

met_with: Facility Manager (FM) Tyler Frankland


raw_content:
Narrative:
The Department received an allegation on March 18, 2022, that facility staff are not providing supervision to the minors in care. Confidential interviews disclosed that the minors do feel safe at the home. Additional confidential interviews indicated that the facility staff interact with the minors. Confidential interviews revealed that the facility staff intervened immediately when the residents argued or fought. Confidential interviews reported that the facility staff are checking on the minors and providing supervision for the minors in care. Other confidential interviews revealed that the facility staff does not keep the minors engaged. Additional confidential interviews indicated that minors would leave staff supervision because the minors were not engaged. The Department also received an allegation that facility staff #1 (S1) is sleeping during work shifts. Confidential interviews reported that the minors are asleep and were not aware of S1 sleeping during the night shift. Confidential interviews indicated that the facility staff is not sleeping during work shifts. Confidential interviews reported that S1 and the other facility staff conduct headcounts every 10 minutes. Confidential interviews disclosed that S1 works the night shift at this home and another home. Other confidential interviews reported that S1 is sleeping during his designated time of working at the home. Confidential interviews disclosed that S1 has been observed sleeping during his designated time of working at the home. Based on inconsistent confidential interviews, the allegations that facility staff are not providing supervision to the minors in care and that facility staff #1 (S1) are sleeping during work shifts may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sydney Penate, FM.

Investigation Findings:
13On September 08, 2022, at 03: 20 pm, Licensing Program Analysts (LPA's) Joon Choi and Jessica Peete met with Facility Manager Sydney Penate (FM), to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 1:13 pm on March 18, 2022, and no immediate health and safety hazards were observed. LPA also reviewed six out of six client's records. During the investigation, interviews were conducted with six clients (C1, C2, C3, C4, C5, and C6), the Facility Manager (FM), and Staff #1 (S1). LPA attempted to interview C6 but was unsuccessful due to C6 refusing to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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

met_with: Sydney Penate, Facility Manger


raw_content:
Narrative:
The Department received an allegation on April 8, 2022, that facility staff did not prevent minor, client #1 (C1) AWOLING. Confidential interviews disclosed that facility staff encouraged C1 not to AWOL. Additional confidential interviews indicated that C1 would not follow facility staff's verbal redirection. Confidential interviews disclosed that facility staff encouraged C1 to use their coping skills. Other confidential interviews revealed that facility staff did not engage C1. Additional confidential interviews indicated that STRTP Home did not provide C1 activities to keep C1 engaged. Confidential interviews disclosed that Alpha Connections Youth and Family Services (ACYFS) did not use trauma informed care to meet C1s behavioral needs. The Department also received an allegation that facility staff did not report C1s AWOL. Confidential interviews disclosed that facility staff contacted law enforcement (LE) when C1 went absent without leave (AWOL). Additional confidential interviews indicated that facility staff notified C1s county social worker of C AWOL behaviors. Other confidential interviews revealed that C1 was allowed several hours to return to the STRTP home prior to the facility staff contacting LE and filing a missing person's report. Additional confidential interviews indicated that there is a possibility that facility staff did not notify LE of C1 leaving the STRTP Home unsupervised in a timely manner. Based on inconsistent confidential interviews, the allegations that that facility staff did not prevent minor, C1 from AWOLING, and that facility staff did not report C1s AWOL, may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sydney Penate ,FM .

Investigation Findings:
13On September 08, 2022, at 03:20 pm, Licensing Program Analysts (LPA's) Joon Choi and Jessica Peete met with Facility Manager (FM), Sydney Penate, to deliver the findings for the above-stated allegations. LPA conducted a health and safety inspection on April 14, 2022, at 1:07 pm, and no immediate health and safety hazards were observed. LPAs also reviewed six clients' records. During the investigation, interviews were conducted with six out of six clients (C1, C2, C3, C4, C5, and C6), Staff #1 (S1), Facility Manager (S2), Facility Administrator (S3), and County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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

met_with: Sydney Penate, Facility Manager


raw_content:
Narrative:
The Department received an allegation on July 11, 2022, that Facility Staff (FS) are smoking marijuana in the presence of minors, FS are smoking marijuana with minors in care, and that (FS) are allowing minors to smoke substances while in care. Confidential interviews disclosed that FS do not smoke marijuana in the presence of minors in care. Additional confidential interviews indicated that FS do not smoke marijuana with the minors in care. Confidential interviews disclosed that the STRTP home is a nonsmoking and smoke free environment. Additional confidential interviews indicated that C1 makes up fabricated stories. Other confidential interviews revealed that there is a possibility that FS do smoke marijuana in the presence of minors in care. Additional confidential interviews indicated there is a possibility that FS does smoke marijuana with the minors. Confidential interviews revealed that there is a possibility that FS allows the minors to smoke substances while in care. Additional confidential interviews disclosed that C1 is asthmatic and C1s asthma flares when people are smoking. The Department also received an allegation that the clients are not being provided a safe and healthful environment while in care. Confidential witness denied the allegations. Additional confidential interviews indicated that clients are provided a healthful and safe environment. Confidential interviews disclosed that facility staff (FS) intervene and separate clients during an argument or fight. Additional confidential interviews indicated that FS are proactive with the clients and keep the clients engaged. Confidential interviews disclosed that clients do not feel safe because a person can climb through the window and hurt them. CSW also stated that their client needs a lot of supervision due to their assaultive and unsafe behaviors. Based on inconsistent confidential interviews, the allegations that Facility Staff (FS) are smoking marijuana in the presence of minors, FS are smoking marijuana with minors in care, FS are allowing minors to smoke substances while in care, and that minor is not being provided a safe and healthful environment while in care, may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sydney Penate FM.

Investigation Findings:
13On September 08, 2022, at 03:20 pm, Licensing Program Analysts (LPA's) Joon Choi and Jessica Peete met with Facility Manager (FM), Sidney Penate, to deliver the findings for the above-stated allegations. LPA conducted a health and safety inspection on July 15, 2022, at 12:18 pm, and no immediate health and safety hazards were observed. LPAs also reviewed five clients' records. During the investigation, interviews were conducted with four out of five clients (C1, C2, C3, and C4), Facility Manager (FM), Staff #1 (S1), and County Social Worker (CSW), client C5 refused to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/08/2022

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

met_with: Sydney Penate Facility Manager


raw_content:
Narrative:
An additional allegation alleging minor's medication is not properly stored was also received by CCL. Specific information was not provided as to whose medication was improperly stored or when the incident occurred. Confidential interviews provided consistent statement on how medication is to be stored at the facility however additional confidential interviews reported a retraining on proper medication storage was provided after a unknown staff member had been disciplined for leaving medication out on staff's desk in the staff office. Confidential interviews could not confirm or dispute that this was a one time incident. LPA observed the medications to be locked during the time of the health and safety inspection. CCL received an additional allegation alleging Staff allowing minors to bully other minors. Confidential interviews confirmed that all residents in the home tease and bully each other. Confidential interviews provided conflicting accounts on how staff address the bullying of residents. Confidential interviews reported as soon as staff hear any resident teasing or bullying another resident the staff redirects the aggressor and puts a stop to it. Additional confidential interviews reported some staff just tell residents to stop and do not take any additional action to limit the teasing/bullying, while other staff do not address the teasing/bullying at all. An allegation that staff are not treating minors with respect was also received by CCL. Specific information as to which staff or which minor was not provided to CCL. Confidential interviews provided conflicting statements of respect towards minors in the facility was reported. Confidential interviews reported that staff (unnamed) will yell and use profanity at the minors when they are not following house rules or doing what staff want. Additional confidential interviews deny any yelling or cussing at the minors occurs. CCL received an additional allegation alleging lack of supervision resulting in minors AWOLing. Specifically, it was reported that overnight staff would fall asleep during their shift resulting in minors leaving the facility for long periods of time. LPA received inconsistent statements regarding whether or not minors were AWOLing during the overnight shifts. Based on record review and confidential interviews the allegations of minors have access to drugs and alcohol while in care, minors medication is not properly stored, staff allowing minors to bully other minors, staff are not treating minors with respect, and lack of supervision resulting in minors AWOLing, may or may not have occurred, however they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Alpha Connections - Anoka Ranch Administrator (ADM), Amy Osbornl.

Investigation Findings:
13On September 22 2022 at 12:00 pm Licensing Program Analyst (LPA's), Darlene Almaraz-Oseguera and Joon Choi, met with Alpha Connections - Anoka Ranch Administrator (ADM), Amy Osborn to deliver the findings for the above stated allegations. A health and safety inspection of the facility occurred on March 25, 2022 and no immediate safety concerns were observed. The investigation included interviews with, ADM, Administrator #2 (ADM2), eight residents (Child #1 [C1], Child #3 [C3], Child #4 [C4], Child #6 [C6], Child #7 [C7], Child #8 [C8], Child #9 [C9], and Child #10 [C10]), five staff members (Staff #1 [S1] Staff #2 [S2] Staff #3 [S3], Staff #4 [S4], and Staff #5 [S5]). In addition, county records and facility records were reviewed. On March 15, Community Care Licensing (CCL) received an allegation alleging minors have access to drugs and alcohol while in care. Confidential interviews provided conflicting statements regarding the drug and alcohol use of the minors residing in the facility. Confidential interviews reported most of the minors participate in drug and/or alcohol use, while other confidential interviews denied the use of drugs and/or alcohol by the minors. Confidential interviews could not confirm or dispute where, when, or how the minors get access to the drugs and alcohol. Other confidential interviews disclosed that the drug and/or alcohol use occurs away from the facility while minors are absent without leave (AWOL). Continued on page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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


raw_content:
Narrative:
no health or safety violations were observed at the time on inspection. It was alleged that on or around 07/07/22, staff confiscated C1's belongings and staff spit on C1. It was reported staff spit on C1 and staff took C1's belongings. Several witness statements corroborate that staff do not confiscate facility client's belongings, however, several witnesses also corroborate staff will confiscate drug or alcohol paraphernalia when client's AWOL and then return to the facility and are observed with these things. Other witnesses corroborate that staff might sometimes take away things like cell phones as consequences, however, all witnesses corroborate the items are returned in a timely manner and not simply "taken away". Several other witnesses corroborate they have never had their personal property confiscated by staff and not returned to them. Additionally, while one witness maintains a staff did spit on a client, no details were provided as to which staff or which client were involved in this incident, or when it occurred. Several witnesses deny any staff ever spitting on any clients. All staff interviewed deny these allegations. While another witness maintains the allegations are true, several witnesses deny ever observing these allegations occur. Based on interviews conducted, the allegations that staff confiscated C1's belongings and staff spit on C1 may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to FM, Nancy McCarthy, for original signature. Signed report will be placed in facility file.

Investigation Findings:
13On September 21, 2022, at 3: PM, Licensing Program Analysts (LPAs) Carmen Escobar and Erika Lopez arrived at the short term residential therapeutic program (STRTP) facility and met with Facility Manager (FM), Nancy McCarthy. LPA Escobar conducted a facility risk assessment with FM and LPA Lopez proceeded to continue with the facility inspection to issue the investigative findings for the above allegations. During the investigation, LPA Jose Gonzalez requested documents from client 1 (C1's) file including placement agreement, copy of C1's most recent needs and service plan, special incident reports involving C1, one on one contract between C1 and facility, children and family team meeting notes, 14 day notice, and memo regarding C1 from facility. LPA Gonzalez also obtained a copy of the STRTP client roster and staff roster. LPA Escobar conducted interviews with three staff members, C1, C2, C3, C4, C1's county social workers (CSW1 and CSW2), C1's probation officer, and another involved party. LPA Gonzalez conducted an in-person inspection of the STRTP on 07/08/22 at 10: AM, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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

met_with: Facility Manager-Nancy McCarthy


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 2


raw_content:
Narrative:
Other confidential witnesses stated that C1 and C2 were involved in a physical altercation at the facility in which C1 was very upset and threatening to assault C2 after C2 slammed C1. LPA received inconsistent information regarding the allegation. Based on confidential interviews and record review, the allegation that client #1 was punched in the eye by client #2 may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report was explained and provided to Amy Osborn.

Investigation Findings:
13On September 22, 2022, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Joon Choi met with Amy Osborn to issue the finding for the above stated allegation. The complaint investigation was jointly conducted by LPA Almaraz, LPA Leslie Covarrubias, and LPA Jose Gonzalez. On July 15, 2022, at 11: AM LPA's Gonzalez and Covarrubias arrived at the facility to initiate the investigation and conduct a safety inspection. Additionally, LPAs conducted interviews with two county social workers, four staff, and five of six clients. One of six clients is absent without leave (AWOL) and could not be located for LPA interview. On July 11, 2022, the Department received a complaint alleging minor hit another minor while in care. More specifically, it was alleged that on July 8, 2022, client #1 (C1) (see confidential names list LIC 811) was punched in the eye by client #2 (C2). County social workers stated that they were not informed by their clients that they were struck by other clients in care. County social worker added that they did not notice any injuries on his client to suggest that they were involved in physical altercations. Confidential witnesses stated that facility staff supervised the clients properly and they addressed any altercations immediately. Furthermore, confidential witness denied that C1 was involved in a physical altercation with C2 or any other client. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 09/22/2022

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


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on confidential interviews and record review the allegation Staff did not create a safety plan for minor (Child #4 [C4]) is substantiated. The preponderance of evidence standard has been met. This is a violation of Interim Licensing Standards (ILS) standard 87072(c) PERSONAL RIGHTS (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Sections 16001.9 as applicable. Resolved due to expiration of the STRTP license, as outlined in the September 2022 settlement agreement. A copy of the report and appeal rights were given to a facility representative. Original signature placed on file.

Investigation Findings:
13Community Care Licensing is delivering the finding(s) for the above stated allegationThe investigation was conducted by Special Investigator (SI) Georgina Tallagua and LPA Strickland and included interviews with San Bernardino County Sheriff's Department, ADM, Administrator #2 (ADM2), eight residents (Child #1 [C1], Child #3 [C3], Child #4 [C4], Child #6 [C6], Chile #7 [C7], Child #8 [C8], Child #9 [C9], and Child #10 [C10]) four staff members (Staff #1 [S1] Staff #2 [S2] Staff #3 [S3] and Staff #4 [S4]). In addition, county records and facility records were reviewed. On March 21, Community Care Licensing (CCL) received an allegation alleging Staff did not create a safety plan for minor (Child #4 [C4]). Specifically, it was reported C4 had been harassed, bullied, threatened and assaulted. Confidential interviews and record review revealed consistent concerns of C4's safety prior to and after the assault were presented to the facility. Record review and confidential interviews were unable to provide evidence the facility created a safety plan for C4 addressing the concerns. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 11/08/2022

met_with: Facility Representative


raw_content:
Narrative:
interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews providing conflicting statements regarding who and how items in the facility have gone missing, including alleging staff and/or other residents have stolen items. Confidential interviews provided conflicting statements regarding the allegation of S1 failing to interview during an incident. Specifically, it was reported S1 failed to intervene during an incident in which C2 was verbally harassing and attempting to touch C1 in an inappropriate manner. According to confidential interviews, comments made by C2 towards C1 were not serious and were said in a joking manner and it was stated that S1 soon after hearing the comments intervened and redirected C2. While other confidential Information received by Licensing Office stated that these allegations had occurred. There are no other know witnesses to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegations that Staff steal resident's personal belongings as well as did not intervene during an inappropriate interaction between residents, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Administrator, Evonnda Hull to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on February 24, 2025. No immediate hazards were observed. LPA Mena interviewed three of four foster children [Child # 1 (C1), Child # 2 (C2) & Child # 3 (C3)], four staff members [Staff # 1 (S1), Staff # 2 (S2), Staff # 3 (S3) & Staff # 4 (S4)], Program Administrator (AD), as well as reviewed facility and client information. LPA Mena was unable to speak to Child # 4 (C4) regarding complaint allegations due to their refusal to be interviewed by LPA Mena. Community Care Licensing received information on February 24, 2025, alleging that Staff steal resident's personal belongings as well as did not intervene during an inappropriate interaction between residents. Information obtained in confidential Continues on next page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Daniel Mena 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 04/29/2025

met_with: Evonnda Hull


raw_content:
Narrative:
regarding the allegation of staff not intervening during arguments and altercations involving C1 and C2. According to confidential interviews, staff always intervene, de-escalate or physically separate clients whenever there are any physical altercations or arguments between clients. While other confidential Information received by Licensing Office stated that these allegations had occurred, and that staff do not always intervene in a timely manner during arguments and altercations involving C1 and C2. Based on interviews and confidential information obtained during the course of this investigation, the allegation Staff does not intervene when a minor physically assaults another minor, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analysts (LPAs), Daniel Mena & Matthew Dorantes met with Group Home (GH) Administrator, Evonnda Hull to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on September 03, 2025. No immediate hazards were observed. LPA Mena interviewed four of four foster children [Child # 1 (C1), Child # 2 (C2), Child # 3 (C3) & Child # 4 (C4)], three staff members [Staff # 1 (S1), Staff # 2 (S2) & Staff # 3 (S3)], Program Administrator (AD), as well as reviewed facility and client information. Community Care Licensing received information on August 27, 2025, alleging that Staff does not intervene when a minor physically assaults another minor. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews provided conflicting statements Continues on next page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Daniel Mena 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-ANOKA RANCH, THEFACILITY NUMBER: VISIT DATE: 10/01/2025


summary: Facility Evaluation

raw_content:
Narrative:
On June 15, 2021 at 11:00am, an unannounced case management inspection was conducted by Licensing Program Analysts (LPAs) Kendal Zirbes and Jose Gonzalez. The purpose of the case management was to discuss an information the Department received. During this inspection LPA's competed a safety inspection of the facility at 12:00pm with Administrator Evonnda Hull. No deficiencies to be cited at this time. In addition, LPA completed confidential interviews with youth and staff. Due to the need gather additional information this case management is being extended. A copy of this report was reviewed and emailed to Program Director Amy Osborn.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator Evonnda Hull


summary: Facility Evaluation

raw_content:
Narrative:
On June 15, 2021 at 12:00pm, an unannounced case management inspection was conducted by Licensing Program Analysts (LPAs) Kendal Zirbes and Jose Gonzalez. The purpose of the case management was to discuss information the Department received. During this inspection LPA's competed a safety inspection of the facility at 12:00pm with Administrator Evonnda Hull. No deficiencies to be cited at this time. In addition, LPA completed confidential interviews with youth and staff. Due to the need gather additional information this case management is being extended. A copy of this report was reviewed and emailed to Program Director Amy Osborn.

met_with: Program Director


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On September 9, 2021, Licensing Program Manager (LPM) Christina Barnes, and Licensing Program Analysts (LPAs) Jose Gonzalez and Jazmond Harris arrived at Alpha Connection-Anoka Ranch Short Term Residential Therapeutic Residential Program (STRTP). LPM and LPA's, were met and granted access by and Facility Manager Tyler Frankland. The purpose of the visit is to conduct an annual inspection of the facility. At 9: AM, Program Director Amy Osborn and Administrator Evonnda Hull, led the physical inspection of the facility with LPM Barnes and LPA's Gonzalez and Harris. A physical plant inspection was completed and included the facility's, activity center, gaming room, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee does not maintain an adequate supply of perishable and non-perishable foods and the menus were not posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathrooms was measured to be between 102 and 120 degrees. Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a dining area, kitchen area, living room, open common area/formal living room, a clinician's office for therapeutic services, an entertainment room, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. ******CONTINUED on C***** Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPM and LPA's reviewed the facility's disaster and mass casualty plan. The facility currently has two children sharing each bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did not provide the bedroom sharing document to clients which poses a personal rights risk. The facility will be cited. The facility is also required to ensure medications are not transferred between containers. LPM and LPA's observed medication in cups on the desk in the staff office. This is a violation of licensing standards, which will also be cited. The facility is required to provide the clients access to food. LPM and LPA's observed their requirements for food were not available for the six clients in care. The facility did not have monthly restraint log for review. LPA advised Administrator that a monthly log regarding manual restraints is required. LPA requests that Administrator provides LPA Gonzalez with the document by the requested date. LPA also informed Administrator that all staff members needs to complete the required 40 hour training as noted in ILS standards by October 2021. An exit interview was conducted and a copy of this report, LIC 9099-D, LIC 9102, and appeal rights were provided to Administrator.

Deficiencies:
87076(c): Food Service

(c) The licensee shall meet the following food supply and storage requirements

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Margaret Lentner conducted a case management inspection on November 9, 2021, at 10:05am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 3 out of Direct Care Staff and 5 out of 5 youth files as identified on the LIC 811 confidential names dated 11/9/2021, were reviewed. 3 out of Direct Care Staff and 1 out of 5 youth were interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Evonnda Hull, Administrator.

met_with: Evonnda Hull - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 17, 2021 at 11: AM, Associate Governmental Program Analyst (AGPA) Kim Robinson met with the Short Term Residential Therapeutic Program (STRTP) Program Director, Amy Osborn, to assess an Enhanced Civil Penalty (ECP). On July 29, 2021, the Department concluded a complaint investigation alleging that Child Care Staff neglected to provide care and supervision to minors, resulting with a twelve-year-old child #1 (C1) sustaining serious physical abuse. (See the Confidential Names List, LIC 811, dated November 17, 2021). The allegations were substantiated and the STRTP was cited under the Title Regulations, Section 80078(a) Responsibility for Providing Care and Supervision. The investigative evidence gathered shows multiple clients engaging in physical altercations, both inside and outside the STRTP, without staff making any attempts to intervene and meet the needs of the children in care. Based on the analysis of the interviews and video footage, the Department has determined that an enhanced civil penalty is warranted for STRTP staff neglecting to provide the care and supervision for children in care as required in the General Licensing Requirements. Section 11165.2 of the Penal Code defines severe neglect as negligent treatment or maltreatment of a child when a person responsible for the child's welfare permits any child to suffer unjustifiable physical pain. This section describes a number of more or less direct and (always) willful acts that constitute physical abuse. Pursuant to the Enhanced Civil Penalty law, Health and Safety (H&S) code section 1548 (f)(1)(A), the Department will be issuing an immediate civil penalty of $2,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, Appeal Rights, and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the program director.


summary: Facility Evaluation

raw_content:
Narrative:
On November18, 2021 at 1:30pm an Informal Office Conference was held with the Alpha Connection Youth and Family Services Inc. (ACYFS) Corporation via Microsoft Teams. The following people were in attendance: Regional Manager (RM) LaCresha Cook, Licensing Program Manager (LPM) Christina Barnes, Licensing Program Analyst (LPA) Jose Gonzalez, Law Enforcement Contact Review Unit, (LPM) Angela King, (LPA) Margaret Lentner, Department of Health Care Services (DHCS) David Gutierrez, Alexandria Andrews, San Bernardino Behavioral Health Representatives Melissa Graham, San Bernardino Behavioral Health, Diane Wolkenhauer, System of Care (SOC) Stacie Kinney, Dianna Wagner, , San Bernardino County Children and Family Services Amy Guisa, Heather Copeland and Griselda Marron, Rose Collins, and Michele Meza. ACYFS Administrative staff, Barron Wilson, Amy Osborn, Evonnda Hull, Dr. Maurizio Assandri, Board Member, Mary Jane Jones, This conference was held to discuss the following concerns: Lack of oversight by Management and lack of supervision: Drug paraphrenia was found in client's room. Clients are being bullied and assaulted by other clients and staff are not aware of it. An increase of rounds in the facility need to be conducted by executive management to ensure that the staff are following the program statement and supervising the clients to ensure safety of the clients in care. The need for Administrative staff and facility staff to use trauma informed therapeutic approach in encouraging clients to attend school. ****CONTINUED on C**** Lack of information/or incomplete Special Incident Reports/Law Enforcement: Reports are not being submitted to required agencies, not including interventions that are being conducted, shadowing, de-escalation techniques being used. Staff to be trained on descriptive incident report writing. Additional items discussed included: Clarification of specialty mental health services. How are medication services provided for the clients? Psychiatrist services are provided for the client's thorough community resources. Needs to be more trauma informed, de-escalation and behavioral interventions. System of Care explained Harm Reduction process and accessible services were discussed. Regional Manager L. Cook provided the Licensee with Harm Reduction contact information kelley.hartman@dss.ca.gov The Technical Support Program (TSP) was recommended to the licensee and accepted. A TSP referral will be submitted by LPM Barnes. It was recommended that the licensee assign additional support staff for Program Director, Amy Osborn to assist with her duties, as she also is the Administrator of one of the STRTPs. Licensee, Barron Wilson, agreed to complete the recommendations in order to bring the facility into compliance by December 9, 2021. An exit interview was conducted, a copy of this report was emailed to Barron Wilson. A copy of the signed report will be placed in the facility file. Clinicians to coach the facility staff in trauma informed care approach in working with the clients. Clinicians to inform the clients of trauma informed care approach. A specific trauma informed care approach plan in addressing the bullying of clients occurring at the facility. Staff to be trained in trauma informed care approach focus in reviewing the client's needs and services plan. Staff to be trained in trauma informed care approach focus of the interventions described in the client's needs and services plan. Staff to be trained on the secondary trauma informed care approach resources for direct care staff and how it is being documented and updated in the client's needs and services plans. Core Services - Lack of Trauma Informed Milieu: Activities need to be provided for clients which include trauma informed therapeutic approach. An activity log needs to be sent to Community Care Licensing (CCL) with the activities that were provided for the last 90 days. A description of how trauma informed activities are provided to the clients and a list of trauma informed activities for the rest of the year shall be provided to CCL. Continues Quality Improvement (CQI): Review bi-annually or as needed to identify specific problems that need to be addressed for compliance. How are facility incident reports being reviewed by facility management? How are Needs and Service plans being reviewed by facility management? Staffing according to client need, not client ratios: Administrative staff to assess daily need of additional staff outside of required ratios to ensure safety of clients and staff. Emergency Intervention Plan: Staff to be trained on the secondary trauma informed care approach resources for direct care staff and how it is being documented and updated in the client's needs and services plans. *******CONTINUED on 809C********

met_with: Barron Wilson


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2022, at 1:00pm an Informal Office Conference was held with the Alpha Connection Youth and Family Services Inc. (ACYFS) Corporation via Microsoft Teams. The following people were in attendance: Community Care Licensing (CCL) Regional Manager (RM) LaCresha Cook, Licensing Program Manager (LPM) Christina Barnes, Licensing Program Analysts (LPA) Jose Gonzalez, Joon Choi, Law Enforcement Contact Review Unit, (LPM) Angela King, Department of Health Care Services (DHCS) David Gutierrez, San Bernardino Behavioral Health Representatives Melissa Graham and Diane Wolkenhauer, System of Care (SOC) Marjana Jackson, Social Services Practitioner (SSP) San Bernardino County Children Family Services (CFS) Deborah Baeza and Heather Martinell, Supervisor CFS San Bernardino County Hannah Gutierrez, San Bernardino County Consultant Jamie Richter, Case Management Supervisor at Far Northern Regional Center (FNRC) Katherine Bogue, FNRC Lisette Leyva, FNRC Service Coordinator Mary Cardin, Inland Regional Center Consumer Service Coordinator Sierra Meza, Alta Regional Center Service Coordinator Lindi Houser, California Alliance for Child and Family Services Ric Weisgal, Laveenya Young. ACYFS Administrative staff, Chief Executive Officer Barron Wilson, Program Director/ Facility Administrator Amy Osborn, Facility Administrator Evonnda Hull, Clinician Muarizo Assandri, Clinician, Mark Daniels, Clinician Herberth Valle, and Dan Thorne. The following information was discussed: · Administrative oversight · Trauma Informed Care, Services and Approach · Law enforcement service calls · Absence Without Leave (AWOLS) · Poor school attendance procedures · Ongoing client substance abuse (alcohol and drugs) *****CONTINUED on LIC C***** · Provision of varied, enrichment and individual activities · Staff Supervision · Shared room agreements · Supervision of clients · Administrative Rounds · Lack of detail in Special Incident Reports (SIRs), under-reporting (minimizing), and failure to report · Lack of reporting to CCL, authorized representatives, Inland Regional Services, and San Bernardino Behavioral Health contract consultant The meeting included a discussion regarding the above concerns. During the discussion RM Cook, LPM Gonzalez and LPM Barnes discussed CCL's concerns regarding the above-mentioned issues and requested input from the various oversight agencies participating in the meeting discussion. The Department recommended the licensee take full advantage of the System of Care support service recommendations, Law Enforcement Contact Review Unit advice for submitting law enforcement incident reports, San Bernardino Behavioral Health contract consultants' recommendations for the Head of Service to increase the amount of Specialty Mental Health services provided to clients and ensuring incident reports for presumptive transfers are sent to San Bernardino Behavioral Health, and Department of Health Care Services request to ensure that the facilities therapy sessions notes and policies include accurate documentation of all therapeutic services provided to clients. RM Cook emphasized the importance of following the actual policies and procedures written in the program statement, corrective action and facility oversight. The facility was given until 04/29/2022 to submit a plan of correction to Community Care Licensing for approval. The licensee agrees to the following: 1. The licensee will submit proof of daily administrative rounds completed by Administrator or administrative staff. Overnight rounds shall be included between the hours of 9pm and 6am to check on the well-being of clients and staff. The visits shall be at various hours, a minimum of 15 minutes, and shall be documented in the daily logbook and the administrative rounds sheet. The visiting Administrator or administrative staff and the facility staff member on shift shall sign the administrative rounds sheet, logbook, state the time and date of arrival, time and date of departure, and any unusual observations.****Continued Lic809c**** 2. The licensee will submit a plan on how incident reports are reviewed by administration, including the facility's plan of action/correction and how the facility will ensure the appropriate agencies are receiving the incident reports. 3. Within 24 hours of an incident, Administrator will submit an incident report to placement agencies, authorized representatives, Inland Regional Services, and San Bernardino Behavioral Health contract consultant. This shall include SIRs with client-involved aggression/assaults, regardless of the location of the incident, when a client refuses to go to school, drug use, drug paraphernalia, and contraband found in placement. Provide full details describing the incident and the disposition including the facility's plan of action/correction. 4. The licensee shall submit the activity calendar of 2022 of the enrichment planned activities from January through April 31, 2022. The calendar needs to be specific for the facility to include the dates, times, and location of each activity, the names of clients who participated in each activity, and to include the names of clients who did not participate and the reasons why. This will continue through December 2022. 5. The licensee will provide documentation of individualize enrichment activities for each client for the month and continue to submit this documentation through December 2022. 6. The licensee shall increase individual specialty mental health services as recommended by San Bernardino Behavioral Health consultant. 7. The licensee shall submit a plan on how bedroom sharing agreements are being assessed, reviewed and updated by the administration/ administrator. This plan will include, the facility's plan of action/correction and how the facility will ensure the that clients are compatible. This form will be updated when a new client is placed into an existing client's bedroom. 8. The licensee shall submit a plan to reduce AWOLs. 9. The licensee shall submit a plan to address smoking and drug use at the facility. LPA Jose Gonzalez reviewed and discussed the report with CEO, Barron Wilson. A copy of this report was emailed to Barron Wilson for signature. A copy of the signed report will be placed in the facility file.

met_with: Chief Executive Officer Barron Wilson


summary: Facility Evaluation

raw_content:
Narrative:
On 06/03/2022 at 10:56 am, Licensing Program Analysts (LPA) Jose Gonzalez and Darlene Oseguera met with Alpha Connection Youth and Family Services Short Term Residential Therapeutic Program (STRTP) Anoka Home Facility Administrator (FA), Evonnda Hull to amend LIC 9099D created and provided to the STRTP on 04/11/2022. Exit interview conducted. A copy of this report and the amended report were provided to Facility Administrator (FA), Evonnda Hull

met_with: Facility Administrator (FA), Evonnda Hull.


summary: Facility Evaluation

raw_content:
Narrative:
On July 28, 2022, at 8: AM Licensing Program Analyst (LPA), Jose Gonzalez and Licensing Program Manager (LPM) Christina Barnes met with Program Director (PD), Amy Osborn to issues civil penalties and capture PD signature. The civil penalties were from compliant dated 07/06/2022 that was delivered to ALPHA CONNECTION-ANOKA RANCH, THE 366401649 complaint # 19-CR-20220706123307 on 07/212/2022. At 9: AM, a safety inspection was conducted of the facility and no immediate health and safety hazards were observed. LPA and LPM delivered the civil penalties to the Alpha Home to capture PD signature and issue the civil penalty. An exit interview was conducted and a copy of this report, was provided to Amy Osborn.

met_with: rogram Director (PD), Amy Osborn


summary: Facility Evaluation

raw_content:
Narrative:
On July 28, 2022 at 2: PM, Associate Governmental Program Analyst (AGPA) Kim Robinson met with the Short Term Residential Therapeutic Program (STRTP) administrator, Evonnda Hull, to assess an Enhanced Civil Penalty (ECP). On April 11, 2022, the Department concluded a complaint investigation with allegations of STRTP staff neglecting to provide care and supervision to minors, resulting with one minor sustaining serious bodily injury from the assault of another minor. (See the Confidential Names List, LIC 811, dated July 28, 2022). The allegations were determined substantiated. The STRTP was cited for the violation of Personal Rights from the Interim Licensing Standards (ILS), Section 87072(c)(11). Based on the police report and the confidential interviews, the Department has determined that an enhanced civil penalty is warranted for STRTP staff neglecting to provide the care and supervision for children in care, resulting with serious bodily injuries. Penal Code Section 11165.2 defines severe neglect as negligent treatment or maltreatment of a child when a person responsible for the child's welfare permits any child to suffer unjustifiable physical pain. This section describes a number of more or less direct and (always) willful acts that constitute physical abuse. Pursuant to the Enhanced Civil Penalty Law, Health and Safety (H&S) code section 1548 (f)(1)(A), the Department will be issuing an immediate civil penalty of $2,500.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, Appeal Rights, and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the administrator.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 17, 2022, at 11:42 am, Licensing Program Analyst (LPA) Jose Gonzalez and San Bernardino County Children Family Services (CFS) Amy Guisa made an unannounced case management visit to Alpha Connections Anoka (STRTP) regarding the STRTP staff/ client ratio. LPA and CFS conducted a health and safety inspection. During the health and safety inspection, LPA and CFS did not observe any immediate deficiencies. LPA and CFS observed two staff and no clients present during the visit. A copy of the report was discussed and provided to Alpha Connection Facility Administrator (FA) Evonnda Hull.


summary: Facility Evaluation

raw_content:
Narrative:
On August 31, 2022, at 10:00 am a virtual meeting was held with the Alpha Connection Youth and Family Services Inc. (ACYFS) Corporation via Microsoft Teams. The following people were in attendance: Community Care Licensing (CCL) Regional Manager (RM) LaCresha Cook, Licensing Program Managers (LPMs) Christina Barnes, Cheraki Davis, Natasha Dunlop, Licensing Program Analysts (LPAs) Jose Gonzalez, Darlene Oseguera, Nicole Strictland, Joon Choi, California Department of Social Services Rates Oversight Manager Michael Ford, Foster Care Rate's Analyst Tera Tapp, CDSS Department of Health Care Services (DHCS) David Gutierrez, San Bernardino Behavioral Health Representative Diane Wolkenhauer, Social Services Practitioner (SSP) San Bernardino County Children Family Services (CFS) Amy Guisa, Andria Innerbichler, Supervising Social Services Practitioner (SSP) San Bernardino County Children Family Services (CFS) Nakila Hill, PSW San Diego County Residential Placement Ruth Cisneros, Fresno County Department of Behavior Health Lesby Flores, Sr DPO Riverside County Probation Juan Bretado, Imperial County Probation Raul Manriquez, Imperial County Children & Family Services Donald Fulton, Yuba County Child and Adult Protective Services Social Worker Jean Hobbs, Mendocino County Social Worker Supervisor Lindsey Coke, California Alliance for Child and Family Services Rich Weisgal, ACYFS Administrative staff, Chief Executive Officer Barron Wilson, Program Director/ Facility Administrator Amy Osborn, Facility Administrators Evonnda Hull, Guy Williams, Anthony Riley, Clinician Muarizo Assandri, Clinician, Mark Daniels, Cameron Wilson Special Assistant to the Executive Director. The following information was discussed: · Substantiated complaints for all four Short Term Residential Therapeutic Programs (STRTPs) · Current client census for all four STRTPs · Application Denial Letter for STRTPs · Appeal Rights for the denial of the applications · Request for a Closure Plan · STRTPs reverting back to Group Homes The facility was given 09/30/2022 as the date to close their STRTP program. Mr. Wilson is advised that a closure plan is needed which will include the following: 1. The licensee will notify all placing agencies of ACYFS closure. 2. The licensee will work with all placing agencies in a safe transition of all clients to other programs. 3. This plan will include the facility's plan of action and how the facility will work with the placing agencies to ensure that all clients are transitioned in a respectful and safe manner. 4. The licensee will notify their employees of ACYFS closure. 5. The closure date will be September 30, 2022. LPA Jose Gonzalez and LPM Cheraki Davis reviewed and discussed the report with CEO, Barron Wilson. A copy of this report was emailed to Barron Wilson for signature. A copy of the signed report will be placed in the facility file. Mr. Wilson refused to sign the LIC 809 document. Mr. Wilson was informed that the document will be recorded and placed in the facility file. During the discussion RM Cook expressed concerns regarding eight substantiated complaints against the STRTPs since the previous informal office conference held on April 12, 2022. RM Cook discussed that the department had met and communicated with the licensee to resolve concerns about the operation of the STRTP programs, to ensure that the programs could meet the high-level requirements for STRTPs. However, despite the outcome of those interactions, Alpha Connection has demonstrated an inability to comply with the operative statutes and regulations. RM Cook explained the denial of the applications are based upon the licensee's failure to provide satisfactory evidence that they can meet or conform to the licensing requirements in the Health and Safety Code, Title California Code of Regulations, and CDSS Short-Term Therapeutic Program Interim Licensing Standards ("ILS"). RM Cook also explained that the decision is based on the evidence set forth in the reports, statements, and other documentary evidence contained in the official files compiled by the department. RM Cook informed Alpha Connections Youth and Family Services (ACYFS) Chief Executive Office Barron Wilson and all participants on the virtual meeting that the department will be issuing ACYFS an application denial letter for all four of the Alpha Connections Youth and Family Services STRTP facilities that includes an allowance of adequate time to submit a closure plan to Community Care Licensing and the County placing agencies, and for appropriate placements for the youth to be assessed. Chief Executive Officer (CEO) Barron Wilson expressed his disdain for RM Cook, his disappointments, frustrations, and concerns with the denial decision. RM Cook asked CEO Wilson if he wanted to convert back to Group Home operations once the applications are denied and CEO Wilson stated yes. RM Cook then explained the department would also begin the revocation process for the Group Home facilities once the STRTPs converted back to group homes. There was additional discussion from the STRTP representatives regarding their disdain for RM Cook and their opinions and frustrations regarding the complaint investigations, the effects on the clients in placement, and concerns with the denial decision. ACYFS and California Alliance consultant, Yuba County and Imperial County representatives voiced their positive reflections of working with ACYFS. RM Cook concluded the meeting by requesting the licensee to submit a closure plan in writing for all four ACYFS STRTP programs as soon as possible to Community Care Licensing. *******CONTINUED on LIC 809C*******


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena and Licensing Program Manager, Natasha Dunlap conducted a teleconference meeting with Alpha Connection, Program Director, Amy Osborn, Clinician, Lindsay Baston and Consultant, Dan Thorne to discuss and review the probationary conditions that go into effect once Alpha Connections STRTP reverts back to a Group Home on January 01, 2023. On December 31, 2022, the STRTP applications for Alpha Connection Group Home For Children, License No. 366412000, Pine Ridge, Apple Valley, CA 92307; ACYFSAnoka Ranch, License No. 366401649, Anoka Road, Apple Valley, CA 92308; ACYFS-Shoshonee Place, License No. 366402331, Shoshonee Road, Apple Valley, CA 92307; and ACYFS Nisqually Nest, License No. 366403207, Chief Joseph Road, Apple Valley, CA 92308 (collectively the "facilities") are terminated and Alpha will transition/convert back to its group home licenses subject to a three (3) year probationary term with the following conditions: 1. Alpha shall operate each facility in substantial compliance with the regulations and statutes governing the operation of a group home. 2. During the period of Probation, the Department in its sole discretion may conduct unannounced site visits for the purpose of determining whether there is substantial compliance with the regulations and statutes governing the operation of the group home. 3. Alpha will submit an updated group home plan of operation and program statement for each group home to the Department within 30 days of the effective date of this Settlement Agreement and Mutual General Release including but not limited to: administrator pursuant to California Code of Regulations, Title 22, Regulation 84064. 2. No exceptions shall be made to these requirements during probation. 7. Alpha shall ensure that a qualified and certified administrator is present and available on premises of each facility, a minimum of 20 hours a week. In the administrator's absence, a designated substitute as defined in the California Code of Regulations, Title 22, Regulation 84064(d) shall be present and available on the premises of the facility. Alpha shall timely notify the Department of any change in administrator and the name, address, date of hire, background, qualifications, and certification of the new administrator. 8. Alpha shall develop a comprehensive training curriculum for all new and current staff who provide direct care services to children in care. The content of the training shall include, but not be limited to, the following: supervision of youth, reporting requirements to the Department and reporting requirements as a mandated child abuse reporter, personal rights, crisis prevention, and emergency intervention, including Alpha's runaway plan, and all applicable licensing laws and regulations. Training shall be mandatory for all employees. A detailed description of the in-service training and a record of all staff who attended the trainings shall be maintained and made available to the department upon request. a. Training to include (ii) Trauma Informed Interventions and Treatment Practices. Two (2) hours of instruction in the physical and psychosocial needs of the children, including behavior management, de-escalation techniques, and trauma-informed crisis management planning, including the use of emergency interventions. The training plan shall be designed to ensure the provision of trauma-informed services and be appropriate for the population and shall consider the training needs and skill level of staff b. All outstanding training, including but not limited to the training listed above, shall be completed by staff within 45 days of the group home transition. a. A description of trauma-informed and evidence-based intervention and de-escalation techniques that will be used to promote the safety of all individuals in the facility, including but not limited to children or nonminor dependents who have a propensity for behaviors that result in harm to self or others. b. A runaway plan that includes a continuum of non-physical interventions and strategies to de-escalate a situation where a child has indicated his /her intent to run away, that will be utilized by staff to prevent and Alpha to runaway behaviors. 4. Alpha shall ensure that all children are supervised 24 hours per day, 7 days per week, in accordance with its Program Statement and Plan of Operation and licensing regulations. 5. There shall be coverage by direct care staff as follows: a. During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum b. During the hours of 10pm to 7am, there shall be one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum. c. In addition to staff required in paragraph 1 or 2, when one or more children are present at the facility, at least one direct care staff shall be on call and capable of arriving at the facility within 30 minutes. d. If a child requires special care and supervision because of age, behavior or other factors, the number of awake and on-duty care staff shall be increased. 6. Any administrator employed by Alpha to operate the facility shall have, at minimum, the education and experience specified in California Code of Regulations, Title 22, Regulation 84064 and shall be certified as a group home c. Additional staff hired after the transition to the group home must complete the trauma informed training within 45 days of hire and any additional training must be completed within the time frames outlined in the California Code of Regulations, Title 22, Regulation 84065. In the Matter of Alpha Connections Youth & Family Services, Inc. v. CDSS Case No. CVR Settlement Agreement and Mutual General Release 9. Alpha shall adhere to the reporting requirements as defined in California Code of Regulations, Title 22, Regulations 80061, 84061, in the regulations and statutes governing the operation of a group home. Alpha shall report to the Licensing office the following: any unusual incident, including, but not limited to, client death or injury which requires medical treatment, any suspected physical plant changes, and all unexplained absences. These incidents must be reported by the next working day, and a written report of the incident must be submitted within seven days following the occurrence of the incident. All unusual incident reports shall be complete, including addendums and follow-up information. 10. Alpha shall ensure compliance with California Code of Regulations, Title 22, Regulations 84068.1, 84068.2, 84068.3 and 84068.4 regarding Intake Procedure, Needs and Services Plans and Modifications, and Removal and/or Discharge Procedures. Prior to and during placement Alpha shall determine whether it can provide the services necessary to meet the child's needs and to effect discharge if it is determined that Alpha cannot provide the services necessary to meet the child's needs. Further, Alpha shall ensure that an appropriate assessment of a child's compatibility with other children in care is conducted during the intake process and is re-evaluated on a continuance basis when individual needs dictate. Alpha agrees that it shall not accept or retain, and will promptly discharge with written notice to the authorized representative, any child for whom it cannot adequately and safely provide care, any child who requires a higher level of care, and any child who would cause the Alpha to violate laws and regulations, or the conditions of Settlement Agreement and Mutual General Release. 11. Alpha shall ensure the personal rights of all children in its care including the right to be provided safe, healthful, and comfortable accommodations to meet their needs, and shall be free from corporal or unusual punishment, pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other action of a punitive nature. 12. Alpha shall ensure that each child in care receives first aid and medical services, including arrangements and transportation. Further Alpha shall ensure that medications and any other toxic products are properly stored and kept in a safe and locked place that is not accessible to children in care or other persons other than employees responsible for the supervision of the centrally stored medication pursuant to California Code of Regulations, Title 22, Regulation sections 80075 and 84075. Employees of Alpha shall immediately document on the medication log any refusals of medication by a child in care and shall follow-up with proper notification to the child's physician. 13. Alpha's Board of Directors shall be active in ensuring accountability and ensuring that Alpha complies with all applicable regulations, by reviewing, on a quarterly basis Alpha's operation and documents as specified in Health and Safety code section 1520. 1(f), including a review of special incident reports and all licensing reports issued by the Department. 14. For the duration of the probationary period, Alpha shall provide all current and prospective parents or responsible parties of children in the facility with a copy of the settlement terms, as outlined in the Settlement Agreement and Mutual General Release. Proof of Acknowledgement shall be kept in the respective child's record and available for inspection by the Department. 15. Alpha will work collaboratively with the Department to comply and fully implement all Plan of Corrections and agreements. This Settlement Agreement and Mutual General Release supersedes any Compliance Plan or Corrective Action Plan that has previously been submitted by the Alpha to the Department. A copy of this report was provided and emailed for signatures.

met_with: Amy Osborn


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena and Licensing Program Manager, Natasha Dunlap conducted a technical assistance meeting virtually via Teams with Alpha Connection Chief Executive Officer, Barron Wilson, Program Director, Amy Osborn, and Consultant, Dan Thorne to discuss and review the following pending Program Statement revisions: 3. PURPOSE, METHODS, AND GOALS Pg. Is highlighted placement agency wording correct because is s now a Group Home? Elaborate on the type of placements facility will take if regional, and plans to become vendorized. Pg. Are there case workers in private placements. Is working correct? Pg. Is there an assigned social worker in private placements? 5. SPECIAL SERVICES/PROGRAMS OFFERED Pg. How many hours per day is the training? Specify Pg. How many hours per class/training? 6. MEDICAL/DENTAL Pg. Medical Liaison (Who is this specifically) • LPA Mena did not see the procedures for handling and assisting children with self-administered medications. • LPA Mena did not see the procedure and staff positions(s) identified who are responsible for dispensing and destroying medications. 8. ADMISSION/INTAKE Pg. Does highlighted portion need to be updated or corrected. Is this still accurate as a Group Home? 9. NEEDS AND SERVICES PLAN/ASSESSMENT Pg. Should highlighted portion read... and or parent/legal guardian since it is a GH? Pg. Is highlighted Social Worker statement accurate since it is now a GH? 11. VISITATION RULES & POLICY Pg. Where exactly do they take place in the home, supervision, ratios etc. How do you ensure that no contraband is provided by the visitor? Pg. How is transportation provided, are they searched for contraband upon return, who and when do they do it? · What types of visits are NOT permitted 12. HOUSE RULES AND POLICIES Pg. Entertainment Equipment - What are the times when they can be used? What about usage of facility's common use equipment? 13. DISCIPLINE POLICIES Pg. Make clear that withholding of allowances specifically, is not permitted as a form of discipline. 14. EMERGENCY INTERVENTION PLAN Pg. Typo Pg. Under Justification of restraints. Who would typically be the designee? 15. RUNAWAY PLAN Pg. Initially Define Acronym (AWOL) Pg. Define Acronyms (PO, CSW) · Did not observe mention of staff training Plan. · Did not specify actual time frames when determining when a child is absence without permission, depending on age ro developmental level etc. 16. CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES Pg. Under Filing Complaints- Where is that exactly is a copy of the complain-grievance policy posted/located? Living room? Kitchen area Pg. Under Procedure for External Complaint- Where is the information/procedure on how to file a complaint with licensing located and available to the client? • Child/authorized representative needs to understand the difference between a grievance & filing a formal complaint with Licensing against facility. 19. NUTRITION/SAMPLE MENU Pg.118 (CNIPS) define acronym. • Include procedure for which all staff (including new & substituting) are aware of dietary restrictions or allergies for all clients. 20. Clothing and Incidentals Pg.137/138 - What is the procedure that ensures that toiletries & personal hygiene products are always available and in stock. How often is shopping done? Who does the shopping? Etc. 22. STAFF QUALIFICATIONS • Attachment # Nicole Amy Squillace/Osborn. What is her title or position? • Attachment # Genesis Duran. What is her title or position? • Attachment # Guy Williams. What is her title or position? • Attachment # Evonda Hull. What is her title or position? 23. JOB DESCRIPTIONS Pg. 142 -Strtp? No longer a Short Term Residential Therapeutic Program Pg.142- GAAP What is this acronym? Pg.159- State's Interim Licensing Standards (Group Home Regulations?) Pg. CCL (define acronym for the reader) 24. INSERVICE TRAINING FOR STAFF Pg.164- "ACYFS complies with the staffing ratios required by the Interim Licensing Standards (ILS)" (Is this wording correct since it's now a GH?) Pg.165- ILS (is this correct since it is now a GH?) 28. FACILITY SKETCH • Did not see indication of number of children in each bedroom on facility sketch. Program Director, Osborn stated that corrections would be provided to Licensing Office by December 16, 2022.