raw_content:
Narrative:
Regarding the allegation that C1 was inappropriately touched by C2 while in care. A confidential interview stated that RC1 was within a short distance from the incident. The confidential interview stated the incident happened in a flash and what RC1 observed was C1's reaction. Another confidential interview denied touching C1 but admitted attempting to touch C1. The confidential interview continued stating that RC1 was in the living room not far from where the incident occurred. However, a confidential interview maintained that C1 was touched inappropriately by C2 and RC1 did not do anything about it. In regard to the allegation that staff made an inappropriate comment to C1 in care, a confidential interview denied making an inappropriate comment to C1. Confidential interview stated RC1 was firm with C1 but C1 misinterpreted it. Another confidential interview believed RC1 was making inappropriate comment toward C1. The confidential interview stated RC1 commented that C1 should clean C1's stinking room. Additional confidential witness did not know what happened for sure. Based on confidential interviews and observations, the allegations that C1 was inappropriately touched by C2 while in care due to a lack of supervision and RC1 made an inappropriate comment to C1 while in care may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 and the appeal right was reviewed and provided to STRTP representative.

Investigation Findings:
13On August 28, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys #2, Short Term Therapeutic Residential Program (STRTP) to deliver investigative finding involving the STRTP. LPA met with facility manager, Steven Hooks. On February 8, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging minor was inappropriately touched by another minor while in care and staff made an inappropriate comment to a minor while in care. On February 12, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate investigation of the above allegations and conducted a safety inspection. There were no safety issues observed. During investigation, LPA interviewed Administrator 1 (A1), Residential Counselors 1, 2 (RC1 and 2), client 1 and 2 (C1 and C2). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 08/28/2024


state: CA

facility_name: GUIDING LIGHT HOME FOR BOYS #2

summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie began a pre-licensing relocation inspection for Short Term Residential Therapeutic Program (STRTP) license for Guiding Light Home for Boys #2. LPA met with director Adriana Vermilion who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is no child placed in the home. The applicant is applying to relocate six ambulatory, minor and non minor dependents children (NMD). The residence is a five bedroom two story house with four bathrooms. Downstairs The downstairs area consists of the following: Bedroom #1 - It will be used as staff office. It was vacant A living room family room, visitor room, storage down the stairs, a kitchen, dining area, laundry room, a bathroom, the garage, and the backyard. Upstairs Bedroom #2 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #3 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #4 - It was furnished with two twin sized beds. It would sleep two clients. It was vacant. Bedroom #5 - Master bedroom. It was furnished with a conference table and chairs/couch/therapy chair. It would be used as a conference room and mental health office. Bedrooms were arranged so that no more than two clients share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closet space for children's belongings. Towels and linens were stored in a cabinet by the clients' bathroom. The smoke detectors and carbon monoxides were checked and were working properly. The fireplace was in the family room area, and it was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients would have access. The medications and sharp objects/knives will be locked and stored in a storage box in the under the stair closet. Cleansers/chemicals were locked and stored in the laundry room. The first aid kit was in a cabinet in the kitchen area by the kitchen sink, accessible and contained all required items. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 109 degrees. There was adequate food storage supply of two days of perishable foods and a week of non-perishable food. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. There were no pool or other body of water and the backyard where clients will have access to play was completely fenced and free of hazards. Currently, the facility is appropriate for relocation of six ambulatory clients, ages fourteen to seventeen and non-minor dependents. All requirements were met at this time. Licensing Program Manager will complete a final review prior to issuing a license. Exit interview was conducted and a copy of this report was provided the director, Adriana Vermilion

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Adriana Vermilion


facility_name: GUIDING OUR YOUTH

summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Staff S2 physically blocked X2 unsuccessfully on five separate occasions. X2 attempted physical contact with X1 on five separate occasions. It was reported that physical contact, with intent to harm, was made by X2 to X1 five times, including kicks to X1 while on the ground. The physical altercation began in the clients shared bedroom and continued into the back yard area. It is unclear as to the physical contact made by either X1 or X2 prior to the arrival of staff inside the bedroom. X1 was diagnosed by a physician with a head injury requiring Sleep Monitoring. X2 required law enforcement intervention resulting in an arrest. As a result of the COVID-19 pandemic, GOY initiated a health and safety plan to honor the Center for Disease Control and California state government mandates. The order to refrain from utilizing or engage in physical intervention as outlined in the Pro-Act training became effective for staff on March 13, 2020. However, alternative safety measures were unsuccessful in maintaining the health and safety of clients in care as it relates to the aforementioned allegation. Based on the confidential interviews conducted and the information reviewed during the investigation process, the above allegation is substantiated meaning that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted. A deficiency was cited. Copy of this Report sent via email to Administrator.

Investigation Findings:
13On July 1 , 2021 at 8: AM, Out of State Certification Analyst (AGPA), Ron Leslie conducted a a follow-up complaint investigation via telephone with Melissa Kagan, Administrator, to discuss complaint allegations. During investigation of the allegations; youth engaged in physical altercation while in care resulting in injury, the AGPA conducted interviews, reviewed serious incident reports, medical reports and law enforcement contact reports. Although the staff directly involved were not available to be interviewed, the documents outlining the incident along with interviews conducted confirmed that staff did not de-escalate the event appropriately. X2 was noted to have been the agressor and was alotted multiple opportunities to physically engage X1. Staff utilized their person to block X2 from X1 after assaults from X2 to X1 had occurred. The use of physical intervention as a result of failed attempts to re-direct or verbally de-escalate was not initiated. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Ronald Leslie 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 31-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, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 07/01/2021

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 7

report_type: Complaint Investigation

met_with: Melissa Kagan, Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was alleged that Client #1 (C1) provided methamphetamines (meth) to Client #2 (C2) who ultimately had to be taken to the Emergency Room due to an overdose [see LIC811, dated 10/14/2021]. Interviews conducted revealed C1 denied distributing meth to any of the clients at the facility. C1 acknowledged using meth prior to being placed at the facility. However, C1 denied possessing meth during the time C1 was placed at the facility except for one occasion at a party C1 attended during a time C1 was AWOLed (absent without permission). Other clients denied using any illegal drugs at the facility or having any knowledge of any of the clients possessing or using illegal drugs. However, C2 admitted to using meth at the facility that was given to C2 by C1. Interviews revealed both C1 and C2 used meth in their room they shared at the facility. Interviews further revealed that meth was difficult to detect by the facility staff because there is no distinct odor. It was revealed that it is difficult for staff members to always detect drugs used at the facility in general due to their facility policy of not being able to search the client's personal belongings or their person for contraband. It was revealed while staff members do what they can according to facility policy, staff are not always able to recover contraband from the clients because the clients must consent to the searches. Clients admitted they do not always consent to the searches. Interviews further revealed staff members perform routine unannounced room checks at the facility. However, the clients acknowledged that the staff are not always able to find contraband because the clients hide it very well. A review of incident report dated 03/28/2021 reveals reported substance abuse, harm to self and hospitalization concerning C2 occurring during a home pass as C2 admitted to having plans with C1 to obtain meth with the intent to smoke enough to overdose. C2 was taken to the hospital for evaluation and released to a higher level of care. On 04/06/2021, a 14-day notice of removal was issued for C1. During the investigation there was no active criminal case by the local Police Department regarding the alleged distribution of meth at the facility. Information obtained revealed former resident C1 was cited for possession of meth following C1's placement at the facility. Based on information obtained during the investigation, the finding for neglect/lack of supervision is deemed Unsubstantiated meaning, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove a violation occurred. There were no deficiencies cited at this time. Exit interview conducted. Copy of this Report sent via email to Dr. Sultanian, Head of Service.

Investigation Findings:
13On October 14, 2021 at 3: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Facility Representative, Robyn Castillo, Clinical Intern MFT to discuss the investigative outcome. The investigation was conducted by Investigator Dennis Douglas of the Community Care Licensing (CCL) Investigations Bureau. On April 19, 2021, CCL received complaint allegations concerning neglect/lack of supervision as staff members reportedly failed to supervise clients by allowing residents to have illegal drugs in the facility and one minor reportedly overdosing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin 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 31-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, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 10/14/2021

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

met_with: Robyn Castillo, Clinical Intern MFT

complaint_status: unsubstantiated


raw_content:
Narrative:
Interviews reported that Client#1 (C1) had a pattern of running away from the facility to drink alcohol, smoke marijuana or do drugs. Interviews reported that C1 would engage in drug use while being away from the facility. Interviews revealed that C1 social media was not active in social media. LPA Rosas was not able to verify Instagram post or account. All persons interviewed denied the allegation, of facility allowing youth to use drugs while in care in the facility. Facility uses verbal prompts, therapeutic services, and safety plans for residents to encourage them not to runway or use drugs. Residents are searched (visually) upon their return to the facility and room searches are done to check for contraband. LPA Rosas conducted interviews with clients and facility staff that provided information on staff schedules, therapy resources and policies and procedures for care and supervision for clients. The facility has a zero smoking policy and drug use. The instagram post was when C1 was out of the facility in unknown location. There was not enough evidence and information to corroborate the allegations of Neglect and lack of supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect/Lack of Supervision and Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On January 12, 2023, at 1:00pm, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 01/12/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation that minor is using drugs while in care to be unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 01/12/2023

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

met_with: Staff#1 (S1)


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. Facility staff denied the allegations. During the investigation, it was reported that overnight staff member was sleeping during their shift. The allegations were reported anonymous. Client#1 (C1) might of witness Staff#2 (S2) sleeping but resident refused to be interviewed by LPA Rosas. LPA Rosas was not able to confirm the dates or obtained further information as S2 the staff is no longer employed in the facility. Administrator reported S2 to upper management. LPA Rosas reviewed Special Incident Report (SIR) and Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed that NOC staff is awake and checks rooms every 15 minutes. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Neglect and Lack of Supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Neglect and Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegations of lack of supervision resulted in minors AWOLing (eloped) and facility staff sleeping while on duty are unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/19/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported that on 06/07/ Client#1 (C1) and Client#2 (C2) went to near by park for community outing. Staff#2 (S2) contacted the facility to report C1 and C2 had eloped from the park. C1 and C2, returned to the facility walking and did not disclose additional information. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to intervene, but residents ignored staff directives about returning to the car at agreed time. LPA Rosas conducted interviews with residents and staff that describe the internet use and access in the facility. Residents can use their cell phone that has internet access, and school internet hot spots. The school internet hot spots are given to each resident to use with their school computer (Chrome books). The facility applies reasonable and prudent parent standard to residents in care when allowing the use of internet access. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Personal Rights. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegations of staff abandoned minors while in care and staff did not provide minors internet access is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported that Client#1 (C1) entered the facility with five psychotropic medications but not an active prescription. LPA Rosas conducted file review on C1 and obtain copies of JV-220 dated 05/07/2022, Psychotropic Medication Administration Record (MAR) and Special Incident Reports (SIR). On 08/22/2022, C1 refused to attend Behavior Health appointment and was rescheduled to 09/21/2022. Between 08/14/2022 to 09/12/2023, C1 was admitted to Simi Valley Hospital due to 5150 holds. Upon resealed from Simi Valley Hospital, the facility was not able to obtain refills on medication due to medical not being active when released from Simi Valley Hospital. On 09/14/2022, facility was able to obtain prescription and administer medication. The facility made all possible attempts to obtain medication for C1 but was difficult as resident missed scheduled Mental Health appointment and was taken to the hospital and receiving new medication. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to provide medication. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Medication. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Medication are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of facility did not administer medication as prescribed is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegations. During the investigation, it was reported on 10/03/ Client#1 (C1) and Client#2 (C2) absconding from the facility. C2 reported, they were in the park. Upon return to the facility the residents denied medical attention. Residents reported that C1 took unknown drug from a homeless person. C1 reported "hallucinating cars" and staff monitored C1 closely through the evening. C1 took PM medications and went to bed. On 10/04/2022, C1 was admitted to emergency room under 72-hour hold. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to intervene on letting clients eloped from the facility, although the incident did happen. Facility staff did take measures to prevent future incidents. Interviews disclosed how clients are provided daily therapy services, individual therapy, and rehabilitative services. Clients interviewed did not indicate that staff failed to provide care and supervision. Confidential statements obtained produced no witnesses or corroborating evidence to corroborate the allegation of Personal Rights. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 11:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/23/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of Staff are not providing a safe environment for minor while in care is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Investigation Findings:
13On June 6,2023 at 9:22 am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced case management visit to Guiding Our Youth (565801693) Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation and to deliver findings on the above allegation. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Wilson concluded the allegation: Staff did not prevent youths from having access to marijuana in the home is unsubstantiated. Although there have been reports of tobacco use at the facility, the use of marijuana could not be verified, and a lack of supervision by facility staff could not be substantiated, even if marijuana use were confirmed to be used at the facility. The allegation may have happened, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the finding is unsubstantiated. There are no deficiencies to be cited, at this time, regarding the above allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Facility Manager (FM)


summary: Facility Evaluation

raw_content:
Narrative:
On 04/15/2026 at 10:00am, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo, Kevin Sauk, Licensing Program Manager (LPM), Licensing Program Analyst (LPA) Olivia Rosas and Licensing Program Analyst (LPA) Andrew Upshaw met with GOY and FTF management: Andrew Lang, Licensee, Paulette Poutre, Facility Administrator (GOY-Casarin), Melissa Kagen, Head of Services. Maral Sultanian, Clinical Director-COO, Madison Hall, Facility Administrator (GOY-Cutler), Kathleen Burrell, Case Manager-LCSW and On-Call management, Tessa Koziol, Facility Administrator (For the Future), and Salpy Boyajian,Chief Executive Office (CEO) for the purpose of conducting an informal meeting. The meeting was held at the Children's Residential local unit office located at Ventura Blvd, Suite Woodland Hills, Ca 91364. Introductions were conducted and LPM Sauk provided a copy of the meeting agenda to all who were in attendance. The following topics were addressed: Law Enforcement (LE) Contact, LE statistics, Runaway Plan, Emergency Intervention Plan and "Hands Off" Policy, transportation after an unauthorized absence. CCL Inspection Authority and access to client records upon demand during normal business hours. LPM Sauk provided general information about the applicable regulations related to aforementioned topics and obtained clarification on facility policies and procedures. Facility staff provided responses to all topics addressed and agreed to provide information requested by the Department, update the facility program statement as needed and adhere to regulatory requirements. Licensing Staff inquired about Status of MHPA CCLD informed staff that reports would be generated and sent for review and signature

met_with: Andrew Lang, Licensee, Paulette Poutre, Facility Administrator (GOY-Casarin), Melissa Kagen, Head of Services. Maral Sultanian, Clinical Director-COO, Madison Hall, Facility Administrator (GOY-Cutler), Kathleen Burrell, Case Manager-LCSW and On-Call management, Tessa Koziol, Facility Administrator,Salpy Boyajian,CEO


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Investigation Findings:
13On 02/24/26, at 10:00am, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo made an unannounced inspection to the above-listed facility for the purpose of concluding a follow-up investigation on a complaint investigation on the above allegation and deliver the findings. LPA spoke with Kathleen Burrell, Lead Licensed Clinical Social Worker (LCSW) and together, discussed the investigative finding. During the investigative process by Licensing program Analyst (LPA), Moodie-Naranjo, all relevant parties have been accounted for. During the investigative process, LPA obtained information regarding all staff working within the facility and organization. Statements obtained did not support clear evidence that staff refused to pick up minor(s) to be transported to the facility after unauthorized absence. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and an electronic copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Wendely Moodie-Naranjo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Kathleen Burrell-LCSW


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Narrative:
continued from AGPA reviewed special incident reports that were generated around 2020 (during time of complaint allegations), past client's records and one current client record. The investigation revealed that client's medications are logged properly, and it indicates on the form when a client has refused their medication. Staff training records indicate staff were trained in medication handling. A review of daily communication logs indicate that documentation is done for AM, PM, and NOC shifts. Staff complete incident reports right away and/or prior to leaving their shift. Client statements were not conclusive, or they declined to be interviewed. Based on interviews, file review, and review of supportive documentation, AGPA Woodard has determined there wasn't any evidence to support the allegations, and the preponderance of evidence standard has not been met to prove that staff were neglectful in dispensing medication as prescribed, or record keeping, therefore the allegations are found to be unsubstantiated.

Investigation Findings:
13On March 25, 2022 at 10: AM, Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard conducted a follow-up complaint inspection at the above facility for the purpose of delivering findings. Upon arrival, AGPA was greeted by Darlene Flores, Case Manager. The initial 10-day complaint inspection was conducted as a tele-inspection on September 30, 2020 by Licensing Program Analyst (LPA) Rosslyn Gray. Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard was assigned the complaint on December 10, 2021 and conducted subsequent complaint inspections at the facility to continue the investigation into the above allegations. AGPA conducted confidential interviews with four current staff members and four current clients. Past clients were not available at time of investigation. A review of CWS/CMS history shows client's last known whereabouts are unknown. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Tonya Barnes-Woodard 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 31-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, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/25/2022

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

met_with: Darlene Flores


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Narrative:
continued from AGPA reviewed special incident reports that were generated around 2020 (during time of complaint allegations), and past client's records. The investigation revealed that clients have a history of drug and alcohol abuse. There were incidents reported where staff have caught clients smoking and drinking. Staff followed protocol and clients are redirected, the house rules are reiterated, and paraphernalia was disposed of properly. Staff will then complete an incident report right away. Staff deny having inappropriate interactions with clients. Client statements were not conclusive; either declined to answer, stated it wasn't true, or a male staff will say weird stuff. Based on interviews, file review, and review of supportive documentation, AGPA Woodard determined that although clients are smoking marijuana and drinking alcohol in the facility, the preponderance of evidence standard has not been met to prove neglect/lack of supervision or personal rights violations, therefore the allegations are found to be unsubstantiated.

Investigation Findings:
13On March 25, 2022 at 10: AM, Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard conducted a follow-up complaint inspection at the above facility for the purpose of delivering findings. Upon arrival, AGPA was greeted by Darlene Flores, Case Manager. The initial 10-day complaint inspection was conducted as a tele-inspection on August 10, 2020 by Licensing Program Analyst (LPA) Rosslyn Gray. Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard was assigned the complaint on December 10, 2021 and conducted subsequent complaint inspections at the facility to continue the investigation into the above allegations. AGPA conducted confidential interviews with four current staff members and four current clients. Past clients were not available at time of investigation. A review of CWS/CMS history shows client's last known whereabouts are unknown. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Tonya Barnes-Woodard 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 31-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, FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/25/2022

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


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Narrative:
This amended report supersedes report dated 10/27/22. LPA Rosas conducted interviews with clients and facility staff that provided information on staff schedules, therapy resources and policies and procedures for care and supervision for clients. Facility denied the allegations of Neglect/Lack of Supervision. Facility reported that Client#1 (C1) upon arrival to the facility would runway to smoke marijuana. C1 would also contraband marijuana to smoke and facility staff would confiscate it. Facility reported by C1 receiving therapeutic services and following the program and C1 has attempting to be sober. Interview with C1 detail how is in the path to recovery and admitted of running away to the park to smoke marijuana. All persons interviewed reported how facility encourages clients to stay in the facility. All persons interviewed denied the allegation, reported illegal drugs are not permitted in the facility, and employees strictly enforce the no drug policy. Residents are searched (visually) upon their return to the facility and room searches are done to check for contraband. On 10/11/2022, C1, Child#2 (C2), Child#3 (C3), Child#4 (C4) were inside of the garage watching a movie and C1, and C2 started to kiss each other. The facility encourages residents no to have relationships within the residents. Facility addressed the situation and closed off the garage to prevent residents from engaging in inappropriate behaviors. There was not enough evidence and information to corroborate the allegations of Neglect and lack of supervision. During the course of the investigation the allegation of facility does not have available staff to transport clients to medical appointments. LPA Rosas conducted confidential interviews and based on the information collected. The facility reported making all the possible attempts to transport residents to medical appointments, and outside activities. Facility reported medical appointments are reschedule if clients refuse to attend or runway from the facility. In addition, if staff calls out sick, they do have to reschedule appointments or make outings shorter to accommodate the resident appointments. The facility took C2 to county of origin for medical appointment but had to reschedule follow up appointment due to resident running away. There was not enough evidence and information to corroborate the allegations. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Neglect/Lack of Supervision and Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13This amended report supersedes report dated 10/27/22. On November 15, 2022, at 8:30am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated November 15, 2022. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation that Youth is smoking marijuana at the facility and inappropriate sexual activity between clients. In addition, the allegation of facility does not have available staff to transport clients to medical appointments. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 10/27/2022

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


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Narrative:
Facility reported that on 01/20/2022, at approximately 12:00AM, Client#1 (C1), Client#2 (C2), Client#3 (C3) decided to leave the facility out the front door. Staff#2 (S2) jogged to catch up to them but any re-direction from staff was ignored. As residents continued to quickly walk towards avenue towards the directions to an Uber/Lyft that they order. Facility contacted Simi Valley Police Department to notify the runway away. On 1/21/2022, facility was notified by Ventura County Police Department that they had found C2 and C3 at Paloma Elementary School. They were picked up by law enforcement by facility staff. C1 returned to the facility and complied with self-search and did not turn in any contraband. Facility reported that on 1/23/2022 at approximately 3:00pm C1, C2, C3 runaway from the facility. Facility contacted Simi Valley Police Department to notify the runway away. At 2:50am C1 retuned to the facility alone and no contraband was found, and resident refused any medication attention. On 1/24/2022, C2 and C3 returned to the facility. The residents complied with self-search and did not turn in any contraband. Residents appeared to be either under the influence or coming down from something. Residents disclosed that had drunk alcohol and decline needing medication attention. Facility staff provided supervision to ensure safety. On 1/27/2022, residents disclosed to staff sensitive information about possible Commercially Sexually Exploited Children (CSEC) activity from C2 and C3 during the last time they runaway. On 02/03/2022, facility called Simi Valley Police Department was contacted to report C2 statements. C2 was taken to Safe Harbor by Simi Valley Hospital or further investigation. On 2/3/2022, C2 bed was closed from the facility and returned to County of origin. Interviews reported that C1, C4 was not involved in CSEC activity. Based on disclosed information C2 reported that C3 forced CSEC activity during when they runway from the facility. Facility uses verbal prompts, therapeutic services, and safety plans for residents to encourage them not to runway or use drugs. Residents are searched (visually) upon their return to the facility and room searches are done to check for contraband and offer medication if needed. There was not enough evidence and information to corroborate the allegations of Neglect and lack of supervision. The incidents happen when residents when they runaway from the facility. Report continues on LIC9099-C Page 2 out of Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect/Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility. Page 3 out of 3.

Investigation Findings:
13On January 12, 2023, at 9:30am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 01/12/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation that minors are involved in human trafficking while in care to be unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C. Page 1 out of 3. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 01/12/2023

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


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Narrative:
Records indicate on January 24, 2022, facility reported suspected contraband located in C1's bedroom. Items were located and confiscated. A second incident report dated February 22, 2022, indicates C1 brought narcotics into the facility upon return from a reported AWOL (absent without permission). Law enforcement was notified and C1 was cited for possession of narcotics. Confidential statements obtained produced no witnesses or corroborating evidence to support the alleged as statements indicate denial of said allegations. Facility staffs report illegal drugs are not permitted in the facility and facility staffs strictly enforce the no drugs policy. Based on records review and confidential statements obtained, the allegations are determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies cited at this time. Exit interview conducted. A copy of this Report is provided to Facility Case Manager during visit.

Investigation Findings:
13On March 7, 2023 at 4: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Facility Case Manager Darlene Flores to discuss the investigative outcome. The investigation was conducted by Investigator Douglas Real of the Community Care Licensing (CCL) Investigations Bureau. On February 3, 2022, CCL received complaint allegations concerning neglect/lack of supervision as Client #1 (C1) was reportedly distributing illegal drugs to other minors in care. It was further reported that the facility did not report the incident to law enforcement. Records reviewed including facility incident reports and review of Simi Valley Police Department reports revealed a lack of evidence to support the alleged. (Continued on page LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/07/2023

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

met_with: Facility Representative


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Narrative:
Interviews were conducted with facility residents, facility employees and related parties. Interviews disclosed how clients are provide group therapy and individual therapy services. Facility reported, psycho-educational efforts are geared toward creating a psychotherapeutic milieu through which the client in care activates and hears their own voice and choice in the matter. Interviews reported that clients receive mental health services including individual psychotherapy, psychiatric screening, and psychotropic medication management and support through Ventura County Behavioral Health contract. LPA Rosas conducted interviews with clients and facility staff that provided information on staff schedules, therapy resources and policies and procedures for care and supervision for clients. There was not enough evidence and information to corroborate the allegation of Personal Rights. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Personal Rights is unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 9:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Personal Rights allegation that minor's mental health needs are not being met while in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


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Narrative:
On 02/27/2022, the Facility reported to the Department that approximately 6:00PM, Client#1 (C1), and Client#2 (C2) ignored staff redirection and eloped from the facility. Facility contacted Simi Valley Police Department (SVPD) to locate and report missing persons report. C1 and C2, returned to the facility at 6:45pm. Staff conducted self-check for contraband. C1 denied any contraband and showed a backpack full of stolen makeup from Target. C2 ignored staff inquiry for a self-check and walked directly to bedroom with backpack that appeared to have something heavy weighing it down. C2 was using both hands to hold up backpack. C1 came into the living room with a gun magazine and showed it to staff. Staff informed C1 that residents are not allowed to have weapons in the facility. C1 returned to bedroom and ignored staff request. SVPD was notified and arrived at the facility and confiscated the gun magazine and star blade weapon. On 02/28/2022, SVPD arrived at the facility to speak with C1, and C2. SVPD reported that residents were involved in a burglary and that there was a gun missing from that location. C1 and C2, denied the knowledge of the weapon. SVPD search resident's bedroom with their approval. SVDP found shot gun that was found between the bed and wall and ammunition in makeup box in C1 bedroom. C1 and C2, were arrested under breaking and entering. Facility informed related parties that beds will be closed to the severity of their actions and brining a gun into the facility and placing their safety, resident's and staff safety at risk. After clients were detained by the police the facility conducted a room search and found items that were confiscated and were disposed of properly. Interviews disclosed that facility uses verbal prompts, therapeutic services, and safety plans for residents to encourage them not to runway or use drugs. Residents are searched (visually) upon their return to the facility and room searches are done to check for contraband and offer medication if needed. The residents were eloped when they stole the gun and facility attempted to self-search residents. SVPD was contacted upon C1 having the gun magazine. There was not enough evidence and information to corroborate the allegation of Neglect and lack of supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect/Lack of Supervision and Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 9:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation child was in possession of a weapon in the group home is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Narrative:
LPA Rosas conducted interviews with residents, staff, and pertinent parties regarding to allegation. The staff and clients described the care and supervision of the facility. LPA Rosas ensured to thoroughly review the records of the primary active staff. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for clients in placement. LPA Rosas during inspections observed adequate day and NOC staff ratio followed regulations. Confidential interviews and documentary evidence did not indicate that staff failed to supervise residents. The facility always has two to three staff to supervise residents in the facility and staff ratios based on the need of the residents. The facility encourages residents to not elope from the facility. Client#1 (C1) had multiple elopements from the facility and when retuned the facility found an envelope with large amount of money. Law enforcement was notified of C1 elopements from the facility and the large amount of money found. Law enforcement interview C1 for possible Sexual Exploitation of Children (CSEC) activity. Confidential statements obtained produced no witnesses or corroborating evidence to to corroborate the allegation of Neglect and lack of supervision. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegation of Neglect/Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On March 21, 2023, at 9:00am, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Guiding Our Youth- Short Term Residential Therapeutic Program (STRTP) for the purpose of concluding the investigation on the above allegation and to deliver the finding. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/21/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the Neglect/Lack of Supervision allegation facility staff did not adequately supervise minor while in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the findings are unsubstantiated. Report continues LIC-9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: GUIDING OUR YOUTHFACILITY NUMBER: VISIT DATE: 03/21/2023

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


raw_content:
Investigation Findings:
13On 04/10/2026, at 10: AM, Licensing Program Analyst (LPA) Wendely Moodie-Naranjo and Licensing Program Manager (LPM) Kevin Sauk made an unannounced inspection to the above facility for the purpose of concluding a follow-up on a complaint investigation on the above allegation and deliver the findings. Licensing staff spoke with Christjen Harmon-Facility Manager, (FM), and together, discussed the investigative finding. Statements obtained did not support clear evidence that 1) Staff allow minors in care to engage in sexual interactions with adults and 2) Staff did not prevent minor from harming another minor in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and an electronic copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Wendely Moodie-Naranjo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Christjen Harmon-Facility Manager


facility_name: HALCYON HOUSE

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

raw_content:
Narrative:
Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, four clients stated that the staff member did share marijuana and nicotine vape pens within the facility/facilities - three of the interviewed claimed that this was done specifically within Halcyon House. The accused staff member denies sharing the vape pens, but during their interview with Law Enforcement stated that they had not reported all of the times that they found youth using vape pens or after confiscating vape pens. Based on the recorded first-hand accounts, the allegations that staff member brought vape pens into the facility and the allegation that a staff member shared their vape with clients have met the preponderance of doubt and this allegation are substantiated. LPA delivered a citation for STRTP Interim Licensing Standards Version 4 87065.2(b) Personnel Duties (see LIC9099D). LPA delivered appeal rights and devised a Plan of Correction with Britteny Raynor, Program Manager. LPA conducted an exit interview with Britteny Raynor, Program Manager, at 12:50PM, whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/3/2022 at 1:30PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Joetsna Jocy Vidal. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 11/03/2022

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: Based on record review and confidential interviews, staff member allowed for youth to smoke within the facility and shared marijuana and nicotine vape pens with clients in care.

Deficiencies:
87065.2(b): Direct care staff shall...  Supervision, protection, and care of children at all times... duties that may be necessary to ensure the health and safety of children in the facility.

met_with: Jeotsna Jocy Vidal

title: Personnel Duties


raw_content:
Narrative:
Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, one client alleges that they had an inappropriate, romantic and sexual, relationship with a staff member. Two clients allege that they had heard about inappropriate conduct done by the staff member, but none of the interviewees had viewed inappropriate behavior. Based on interviews, there was an allegation that the staff member gave a client a "hickey" during an outing in January 2022. This coincides with a movie outing that both the staff member and client attended. In daily log notes, staff documented seeing a red "hickey"-like mark on the client, but at the time client would not disclose how they received the mark. The accused staff member denies an inappropriate relationship during the internal investigation and an interview with Law Enforcement. Based on record review and confidential interviews, there is only one first-hand account of the relationship. Based on the information available at the time, the allegation that a staff member had an inappropriate relationship with a minor may or may not have occurred. This allegation has not met the preponderance of doubt and is therefore deemed unsubstantiated. LPA conducted an exit interview with Britteny Raynor, Program Manager, at 12:50PM, whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/3/2022 at 1:30PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Joetsna Jocy Vidal. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 11/03/2022

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


raw_content:
Narrative:
Based on confidential interviews, five out of six interviewees state that staff prevent youth from physically fighting in care. The allegations that staff did not react in trauma-informed manner in emergency intervention situation, a staff member offered weed to a minor in care, and that staff do not prevent youth from fighting in care may or may not be true. The allegations have not met the preponderance of doubt, and therefore the allegations are unsubstantiated. LPA conducted and exit interview with Jocey Vidal, Residential Counselor, at 1:50PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 12/14/2022 at 1:20PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegations. During the course of the investigation, LPA conducted six confidential interviews. LPA reviewed training records, staff background clearance, clients files, facility Program Statement, and incident reports. Based on record review and confidetnial interviews, staff is trained in and consistently utilizing trauma-informed practicies during emergency situations. Based on confidential interviews, the staff alleged to offer weed to minor in care denies the allegations and explained that the youth discussed marijuana with them, but they declined the conversation. The reporting party declined to say which client this was, but the staff involved said they were aware of the situation at hand and the allegation may have been a misunderstanding. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 12/14/2022

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

met_with: Brianda Chavez


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The Santa Cruz County District Attorney accepted the case and there is currently a criminal case pending regarding the staff member in question. The staff member was previously found to allow vape pens in the facility, which was previously substantiated and cited on in Complaint: 26-CR-20220217124844. Based on the MDI and the acceptance of the criminal case, the allegations that a staff member had inappropriate contact with a client has met the preponderance of the doubt and the allegation is substantiated. LPA delivered a Type A citation for Health and Safety Code 1568.092 (see LIC 9099D). LPA conducted an exit interview and provided appeal rights to Britteny Raynor, Program Manager at 2:35PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 3/1/2023 at 2:25PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed agency. The purpose of this visit is to deliver findings for the listed allegation. LPA met with Program Manager, Britteny Raynor. The findings for these allegations were initially delivered as unsubstantiated on 11/3/2022. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. A Multi-Disciplinary Child Interviews (MDI) was conducted by the Santa Cruz County Sheriff's Department with the client involved. The testimony in the MDI was congruent with the interview LPA Hood conducted with the involved client, and there was more inculpatory testimony delivered during the MDI. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. FACILITY NAME: HALCYON HOUSEFACILITY NUMBER: VISIT DATE: 03/01/2023

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

met_with: Britteny Raynor


raw_content:
Investigation Findings:
13At 10: AM on 9/11/ Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to Abeona House to inform them of the findings for the above listed allegations. LPA met with Emma Spillner. Based on confidential interviews conducted it was determined that the allegations listed above are Unsubstantiated. Based on witnesses interviewed, it was determind that the facility used the prudent parenting standard when denying phone call and extracurricular activities to client. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to Emma Spillner UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Emma Spillner


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michelle Kyane and Licensing Program Manager Angela King conducted a case management inspection on September 22, 2021 at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 4 of 16 direct care staff and 6 of 6 youth files as identified on the LIC 811 confidential names dated September 22, 2021, were reviewed. 2 of 16 direct care staff and 5 of 6 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Noelle Kinder, Administrator."

visit_type: Case Management

met_with: Noelle Kinder


summary: Facility Evaluation

raw_content:
Narrative:
On October 26, 2021, at 10: AM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Residential Counselor (RC) - Annie Sampson. RC and LPA toured the facility, inside and out. The facility is licensed to serve six clients, ages 12-17 years. Currently in placement are six clients. All six of the clients were at school during the inspection. This facility is a two story house that consists of 4 client bedrooms and 3 bathrooms. LPA Oquendo observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. This LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Kitchen Sink - 105, downstairs bathroom 105, and upstairs bathroom 106 degrees). Facility has no firearms or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on October 26, 2021 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. The annual inspection for this facility will continue on another date.

visit_type: Annual

met_with: Annie Sampson


summary: Facility Evaluation

raw_content:
Narrative:
On October 27, 2021, at 10: AM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Residential Counselor (RC) - Brianda Chavez. RC and LPA toured the remainder the facility. The facility is licensed to serve six clients, ages 12-17 years. There are currently six clients in placement. Some clients were present at the facility and preparing to go to school. LPA conducted interviews with clients and staff. At the time of this visit one Technical Violation was cited as per Interim Licensing Standards (ILS), Title 22, Division 6. An exit interview was conducted, and a copy of this report was left with RC, whose signature is on this form.


facility_name: HANNA CENTER

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia scheduled a Technical Assistance (TA) meeting, via Teams, on above date and time. Attendees to the meeting were: Isabel Diego, Marjana Jackson, Ansar Muhammad, Scott Singer, Jeremiah Presinal, Noeli Zamora and Dan Thorne. The Notice of Incomplete Application sent to Hanna Center on June 19, 2024, was discussed. The following sections were provided with specific clarification. Plan of Operation: Section A - Purpose and Goals (LPA to send copy to SOC analyst) Program Statement: 12 - Participation of Family Members on Treatment and Outreach to Family - standards met 21 - Mental Health Program Approval - specific clarification 22 - Nursing Services - specific clarification Any questions will be directed to LPA Monica Pavia. The estimated re-submission of the Plan of Operation/Program Statement is Friday, July 12, 2024. A copy of this report will be emailed to Scott Singer with a request for signature and to be sent back for the file.

met_with: Scott Singer


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia conducted a pre-licensing inspection on August 1, 2024, 10:00am, at the address listed above. Hanna Boys Center STRTP, Bldgs 403 and 404, has submitted an application for a Short-Term Residential Therapeutic Program (STRTP), to be licensed for a capacity of 16 ambulatory children ages 14-17, plus nonminor dependents (NMDs). This site inspection was conducted with Scott Singer. The following was observed: The entire Hanna Center campus is sprawled over 100 plus acres, with several multi-use buildings. The campus also includes a swimming pool, soccer field, outdoor basketball court, baseball field, tennis court, kitchen and dining hall, school/classrooms, recreation building, gymnasium, administration offices, health center, staff buildings, along with many congregate care/residential buildings. Building 403 (Carmel House), will be the initial house that receives STRTP placements. Bldg 403 has 10 total bedrooms. There will be an initial 6, single occupancy client bedrooms and 4 staff bedrooms, to be modified if needed for a maximum capacity of 8 clients for bldg 403. There is one dormitory style client bathroom with 4 toilet stalls, 3 urinals and 4 individual private showers. Four staff bedrooms each have a private bathroom. Medications will be kept in a lock box, locked in the staff office. Washer, dryer and cleaning supplies are kept locked in the laundry room. There is a large living room area with several couches, chairs, a television and closet of games. The clients will eat meals in the dining hall and meals will be prepared for them. There is a kitchenette in bldg 403 with a sink, dishwasher, stove, microwave, standard size refrigerator and cupboards. Perishable and nonperishable foods will be kept in bldg 403, along with food in the main kitchen and dining hall. Food for bldg 403 will be stocked, once clients are placed. New dishware, utensils and other kitchen cook ware for bldg 403 was ordered on 7/31/24. Sharps will be kept locked in the office. Individual beds and accommodating furniture were observed in each bedroom. Extra bedding and linens are housed in a warehouse on campus and will be moved into bldg 403, once clients are placed. First aid kit is in the office. Fire extinguishers are throughout the building. This building has been empty (no residents) for many years and the pilot light was turned off. Hot water to be tested prior to placements. Building 404 (Alverno House), is the exact same floor plan as building 403. Bldg 404 currently has live in staff in this building. Staff will be moved to a different building, once applicant is ready to accept additional 8 clients, after bldg 403 is at full capacity. Staff and client files are kept in a locked filing cabinet, in a locked office, in the administration building on campus. All signs and required forms to be posted, prior to placements. The following items listed below were discussed and need to be completed. Applicant will notify LPA Pavia when completed. 1. Submit a waiver request for Naloxone (Narcan), to LPA Pavia. 2. Bathrooms and kitchen will have paper towels. (Use of common towels is prohibited.) 3. All trash and recycle bins are required to have secure lids. 4. Facility will post foster child's rights (2021) in common area of each building. 5. Add specific information to grievance/complaint policy on how/where a complaint form is to be submitted to staff. 6. Add Ombudsperson information to grievance/complaint policy. LPA Pavia will email instructions to request Narcan waiver. LPA will email medication forms. Reporting requirements were reviewed. An initial report for all reportable incidents is to be made by the next working day, either verbal or written. A full written report is to be remitted within 7 days via email to crpincsantarosa@dss.ca.gov. The submitted STRTP Plan of Operation/Program Statement (POO/PS) is under review. A copy of this report was given Scott Singer.


summary: Facility Evaluation

raw_content:
Narrative:
At 11:30AM, Licensing Program Analyst (LPA) Mariah Hawkins conducted a visit to the facility for a post-licensing inspection. LPA met with Director of Residence Jeremiah Presinal and Director of Transitional Programs Trisha Goodwin Directors informed LPA that the STRTP is not currently in operation. There is no set opening date at this time. There are no STRTP clients in care and none who have been served since licensure. There are no STRTP staff designated at this time. As such, no client or staff files were reviewed, and no interviews were conducted. LPA toured the facility sites. Based on LPA's observations, the facility sites are maintained in safe condition and the environment provides multiple options for recreation. Using the CARE Inspection Tool, no deficiencies were observed. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Director of Residence, whose signature on this form confirms receipt.

met_with: Director of Residence Jeremiah Presinal; Director of Transitional Programs Trisha Goodwin


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Kimberly Hall and Brian Bertoli conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. Due to the facility not being currently active, the first part of the care tools were completed for the physical plant domain only. Others sections were not completed. LPAs met with Jerimah Presinal,Sr. Director of Residence and Penn Chourre, Group Home Administrator. LPAs toured the facility, inside and out. Adequate indoor and outdoor activity space was observed. The house has eight client bedrooms, single occupancy. Personal rights are posted in the hallway. Facility has one communal restroom for client use, two client rooms each have a private bathroom. Each staff bedroom has a private bathroom. Cameras are installed throughout the property (inside and outside). There are currently no clients in care. They are working with the County on the Mental Health Program approval, accreditation will follow. Advisory note was issued for 80087(g), 80087(g)(1) and 87009(a). Facility is aware these will need to be addressed prior to having clients. Exit interview conducted and a copy of the report was left at the facility.

met_with: Jerimiah Presinal, Penn Chourre


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Senior Director of Residence Jeremiah Presinal. The purpose of the inspection was to confirm that the facility is not operating as a Short-Term Residential Treatment Program and has no youth in placement. On April 20, 2026 the facility informed the department that they would be closing and no clients were present. The facility has been licensed since December 13, 2024, but no youth have been placed there during that time. LPA inspected the facility and confirmed no youth were present and removed the license. LPA will process the closure as requested.

met_with: Jeremiah Presinal


facility_name: HARMONY HOUSE

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Creative Alternatives-Mereced office due to Harmony House being closed and met with Program Director, Brandi Boehme to deliver the findings on this complaint. During the course of investigating the allegations, LPA conducted file reviews and interviews. The interviews revealed inconsistencies in explanations of the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the above allegations occurred as reported, therefore the above allegations are unsubstantiated at this time. No deficiencies were cited. A copy of the report was left with Brandi Boehme. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

met_with: Brandi Boehme