summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On March 28, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Assistant Administrator Precious Beard. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Articles Through 10, section 87072 (c)(16). See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Precious Beard at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Precious Beard


state: CA

facility_name: BRIGHTER HORIZON TREATMENT CENTERS, ELM

summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Investigation Findings:
13On April 18, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Assistant Administrator Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter Article 06. Continuing Requirement, section 80078, Responsibility for Providing Care and Supervision. See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Precious Beard at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

Deficiencies:
80078: 1
2
3
4
5
6
7

report_type: Complaint Investigation

met_with: Carolyn Ruffin

complaint_status: SUBSTANTIATED

title:
(a) The licensee shall provide care and supervision as necessary to meet the client's needs.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On April 18, 2024, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Assitant Administrator Precious Bears. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter Article 06. Continuing Requirement, section 80078, Responsibility for Providing Care and Supervision. See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Presious Beard at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


summary: Complaint Investigation - Substantiated - 2 deficiencies

raw_content:
Investigation Findings:
13On March 4/18/24, Licensing Program Analysts (LPAs) Vanessa Galvan and Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for General Licensing section 80078(a) Responsibility for Providing Care and Supervision and 80064(a) See Attached LIC 9099D for additional information. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to the facility at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

Deficiencies:
80078: 1
2
3
4
5
6
7Per Administrator Carolyn Ruffin:
80064: (3)	Knowledge of and ability to comply with applicable law and regulation.

title: Responsibility for Providing Care and Supervision (a)	The licensee shall provide care and supervision as necessary to meet the client's needs.  This requirement is not met as evidenced by

title: Administrator - Qualifications and Duties		 (a)	The administrator shall have the following qualifications


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continued from Page 1... An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection.

Investigation Findings:
13On April 24, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 01/08/2024 and conducted by Evaluator Vanessa Galvan PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 04/24/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Carolyn RuffinTIME COMPLETED:12: PM 9Staff locked out minors in care from the facility. Staff attempted to fight minor in care. INVESTIGATION FINDINGS: 13On April 24, 2024, Licensing Program Analyst (LPA) Vanessa Galvan conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the above complaint allegations. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Article 06. Continuing Requirements, section Personal Rights (c)(16) and Personal Rights (c)(15), General Requirements, Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements section and one civil penalty. See Attached LIC 9099D for additional information. Continued on page 2... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: VISIT DATE: 04/24/2024

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Center-Elm and met with Precious Beard to deliver findings of investigation. CS and Investigator Ruben Munoz conducted investigation that included review of documentation, and confidential interviews. Based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained so these allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility accepted a youth for placement on 10/31/23. Paperwork for the youth was not signed until 11/1/23 and not available at the facility for review by staff. A Citation is issued on this date pursuent to CCR Title 22 division 6 section 87065.2(b) Personnel Duties and 87068. Intake procedures SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On June 6, 2024, Licensing Program Analyst (LPA) Lisa Slusher and Vanessa Galvan conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On June 6, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. On or about 1/29/ S1 was involved in a restraint with other staff of C1, S1 did not complete restraint training until 2/1/24. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter Article 06. STRTP Section . See Attached LIC 9099D for additional information. Because this staff person was included in a deficiency for this subsection on 2/23/24, no civil penalty is assessed, and this deficiency is considered cleared. An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


raw_content:
Investigation Findings:
13On June 5, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 01/16/2024 and conducted by Evaluator Lisa Slusher PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 5DATE: 06/06/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Carolyn Ruffin TIME COMPLETED:01: PM 9Staff person (S2) Threw food on client's bed (C2) INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection for the purpose of completing an investigation and delivering findings for the above allegation(s). During the course of the investigation LPA conducted confidential interviews and reviewed documentation. Investigation shows that facility has not consistently maintained adequate care and supervision. The allegation is substantiated. A citation is issued on this date pursuent to CCR Title STRTP ILS section 87072(c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


investigation_findings: 13Complaint Specialist C.K. Kinney(CS) traveled to Brighter Horizons Treatment Center-Elm and met with Precious Beard to deliver findings of investigation. CS and Investigator Ruben Munoz conducted investigation that included review of documentation, and confidential interviews. Based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained so these allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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


raw_content:
Investigation Findings:
13On June 24, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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

met_with: Carolyn Ruffin, Anthony Williams


raw_content:
Investigation Findings:
13On June 24, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


raw_content:
Investigation Findings:
13On July 1, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


investigation_findings: 13On July 1, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


raw_content:
Investigation Findings:
13On March 4/18/24, Licensing Program Analyst Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The facility is being cited for General Licensing section 80078(a) Responsibility for Providing Care and Supervision and 87065(f) and STRTP (Short Term Residential Therapeutic Program) ILS Section 87065(g) Personnel Requirements An exit interview was conducted to discuss this report and the appeal rights. A copy of this report and appeal rights were provided to the facility at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 7/15/24, Licensing Program Analyst (LPA), Lisa Slusher travelled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA and met with facility manager Precious Beard. Administrator Carolyn Ruffin was called by staff on site. The purpose of the inspection was to initiate an investigation into the above allegation. LPA conducted confidential interviews on this date, and also did a visual inspection of the facility vehicle. Upon visual inspection, LPA notes that there are two hazard lights which stay on continuously, the three seatbelts in the middle row of the vehicle are inoperable, handles are missing on the driver and passenger doors and the winshield is cracked. The vehicle was also observed to be dirty, with a large amount of trash observed. A full size tire is stored in the back of the vehicle, partially obstructing a rear view. The front license plate is not affixed to the vehicle. This allegation is substantiated and a deficiency is cited persuent to CCRR, Title 22, Division General licensing regulations section 80074(c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Carolyn Ruffin/Anthony Williams


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 7/15/24, Licensing Program Analyst (LPA), Lisa Slusher travelled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA and met with facility manager Precious Beard. Administrator Carolyn Ruffin was called by staff on site. The purpose of the inspection was to initiate an investigation into the above allegation. LPA conducted confidential interviews on this date and reviewed five client files for medication records. LPA has also reviewed other pertinant documents and information. This allegation is substantiated and a deficiency is cited persuent to CCRR, Title 22, Division STRTP interim licensing standards V5 section 87070(b)(14) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


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Investigation Findings:
13On July 30, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director Carolyn Ruffin and assistant administrator Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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

met_with: Carolyn Ruffin, Precious Beard


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Investigation Findings:
1330On 7//24, Licensing Program Analyst (LPA), Lisa Slusher travelled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA and met with facility manager Precious Beard. Administrator Carolyn Ruffin was called by staff on site. The purpose of the inspection was to initiate an investigation into the above allegation. LPA conducted confidential interviews on this date and reviewed other documentation. This allegation is substantiated and a deficiency is cited persuent to CCRR, Title 22, Division STRTP interim licensing standards V5 section 87072(c)(16) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


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Investigation Findings:
13On 7/20/ Licensing Program Analyst (LPA), Lisa Slusher travelled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA and met with facility manager Precious Beard. Administrator Carolyn Ruffin was also present and provided with findings. The purpose of the inspection was to deliver findings for the above allegation. LPA conducted confidential interviews on this date and reviewed other documentation. This allegation is substantiated and a deficiency is cited persuent to CCRR, Title 22, Division STRTP interim licensing standards V5 section 87072(c)(8)(B) A civil penalty is assessed on this date on a separate cited deficiency for the same subsection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


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Investigation Findings:
13On August 14, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director/Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


investigation_findings: 13On August 14, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director/Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


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Investigation Findings:
13On August 14, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced follow up complaint inspection at Brighter Horizon, Elm located in Clovis, CA and met with Program Director/Administrator Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, Community Care Licensing (CCL) conducted confidential interviews and review of documentation. The Department has investigated the above complaint allegations and based on information obtained, the above allegations could not be proven with a preponderance of the evidence. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Carolyn Ruffin at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/27/2024 and conducted by Evaluator Lisa Slusher PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 08/14/ UNANNOUNCEDTIME BEGAN: 10: AM MET WITH:Carolyn RuffinTIME COMPLETED:11: AM 9Personal Rights. Staff conducted an unreasonable search of client's belongings. INVESTIGATION FINDINGS: 13On August 14, 2024, LPA (Licensing Program Analyst) Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations is found to be SUBSTANTIATED The facility is being cited for Interim Licensing Standards, Short-Term Residential Therapeutic Program, Article 06. Continuing Requirements, section Personal Rights (c)(10) (See Attached LIC 9099D for additional information). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


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Investigation Findings:
13On November 22, 2024, Licensing Program Analysts (LPAs) Reyna Martinez and Danny Macias conducted a complaint inspection and met with Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Client was threatened by staff person; Staff person yelled at client, and staff person kept client from entering the facility. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216


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Investigation Findings:
13On 7/15/24, Licensing Program Analyst (LPA), Lisa Slusher travelled to Brighter Horizon Treatment Center, Elm, Short-Term Residential Therapeutic Program located in Clovis, CA and met with Administrator Carolyn Ruffin. The purpose of the inspection was to initiate an investigation into the above allegation. Initial report regarding personnel and staff contracting a contagious disease outbreak was reported on 6/25/24 and 6/26/24. Interviews and information conducted during investigation verifies that staff and youth were not provided direction or information regarding protocols to prevent the spread of illness. A citation is issued to the facility persuant to CCR title 22, Division 6 section 80064(a) Administrator Qualifications SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

Deficiencies:
80064: (2) Knowledge of the requirements for providing the type of care and supervision needed by clients, including ability to communicate with such clients.

title: Administrator - Qualifications and Duties   (a) The administrator shall have the following qualifications


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher travelled to Brighter Horizons Treatment Center-Elm and met with Carolyn Ruffing to deliver findings of investigation. LPA Slusher conducted investigation that included review of documentation, and confidential interviews. On or about 5/14/24, C3 was involved in an altercation in the front of the facility with other clients, sustaining minor injuries including a bloody nose. Client did not receive medical attention for the minor injuries. Based on inconsistencies in the information obtained a preponderance of the evidence to conclusively verify a lack of supervisioncould could not be obtained so these allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/14/2024 and conducted by Evaluator Lisa Slusher PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: ADMINISTRATOR:DAVID VAYNTRUBFACILITY TYPE: ADDRESS: GRIFFITH AVETELEPHONE: (323) 449- CITY:CLOVISSTATE: CAZIP CODE: CAPACITY:6CENSUS: DATE: 09/10/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Carolyn Ruffin TIME COMPLETED:12: PM 9Responsibility for Providing Care and Supervision. Facility lacked appropriate supervision resulting in a physical altercation between clients. INVESTIGATION FINDINGS: 13On September 10, 2024, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced complaint inspection at Brighter Horizon Elm located in Clovis, CA, and met with Program Director Carolyn Ruffin. The purpose of the inspection was to deliver the findings for the above complaint allegation. On or about 5/14/24 an altercation occurred between four clients at the facility. Three staff were present at the time. Two clients had 1:1 staffing and were involved in the altercation with two additional clients. Two staff were present outside, while one staff person remained inside with the two other youth. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews, reviewed files, and obtained pertinent documentation. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations is found to be SUBSTANTIATED The facility is being cited for IGeneral Licensing Standards, Responsibility for Providing Care and Supervision, section 80078(a) (See Attached LIC 9099D for additional information) and one civil penalty was issued. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

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


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Investigation Findings:
13Licensing Program Analyst (LPA) Lisa Slusher travelled to Brighter Horizons Treatment Center-Elm and met with Carolyn Ruffing to deliver findings of investigation. LPA Slusher conducted investigation that included review of documentation, and confidential interviews. Based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained so these allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


investigation_findings: 13Licensing Program Analyst (LPA) Lisa Slusher travelled to Brighter Horizons Treatment Center-Elm and met with Carolyn Ruffing to deliver findings of investigation. LPA Slusher conducted investigation that included review of documentation, and confidential interviews. Based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained so these allegations are deemed Unsubstantiated. Copy of this report, LIC Confidential Names and LIC Appeal Rights left at facility at conclusion of inspection UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lisa Slusher 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


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Investigation Findings:
13Complaint Specialist C.K. Kinney (CS) and Licensing Program Analyst Reyna Martinez(LPA) traveled to the facility and found the facility has moved to new address, CS and LPA traveled to the new facility location to close complaints. CS and LPA met with Precious Beard to deliver findings. CS and LPA conducted investigation that included review of documentation and confidential interviews. based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained, Without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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


investigation_findings: 13Complaint Specialist C.K. Kinney (CS) and Licensing Program Analyst Reyna Martinez(LPA) traveled to the facility and found the facility has moved to new address, CS and LPA traveled to the new facility location to close complaints. CS and LPA met with Precious Beard to deliver findings. CS and LPA conducted investigation that included review of documentation and confidential interviews. based on inconsistencies in the information obtained a preponderance of the evidence could not be obtained, Without a preponderance of the evidence the allegation is deemed Unsubstantiated. No deficiencies observed or cited during this inspection. Copy of this report LIC Confidential Names and LIC Appeal Rights left at the facility at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney 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


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13On November 18, 2024, Licensing Program Analyst (LPA), Vanessa Galvan traveled to Brighter Horizon Elm located in Fresno, CA to conduct an unannounced complaint inspection and met with Facility Representative Shireka Williams and Shaniqua Ray . The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the above complaint allegation. During the course of the investigation, LPA conducted confidential interviews and a file review. Based on information obtained and confidential interviews, it was determined that the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The agency is being cited for Interim Licensing Standards, STRTP Article 06. Continuing Requirements, Personal Rights 87072(c)(16). See Attached LIC 9099D for further information. An exit interview was conducted discussing this report and the appeal rights. A copy of this report and appeal rights were provided to Shaniqua Ray at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Vanessa Galvan 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTERS, ELMFACILITY NUMBER: 107207216

met_with: Shireka Williams and Shaniqua Ray


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Reyna Martinez and Danny Macias conducted a complaint inspection and met with Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff do not provide adequate supervision to minors in care. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez 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


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Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Reyna Martinez and Danny Macias conducted a complaint inspection and met with Precious Beard. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff inappropriately restrained minor in care. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez 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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Reyna Martinez and Danny Macias conducted a complaint inspection and met with Precious Beard, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging Staff used an inappropriate restraint on a minor. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez 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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Reyna Martinez and Danny Macias conducted a complaint inspection and met with Precious Beard, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department has investigated the complaint alleging Staff do not provide adequate supervision resulting in minors; and Staff do not prevent the minors from having access to vape pens. LPAs conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna Martinez 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


facility_name: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIA

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Investigation Findings:
On June 19, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with Direct Care Staff, Rachel Lucio. On February 23, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator via telephone on April 27, 2021 and April 28, 2021. The LPA observed the following documents: The LPA reviewed five Incident Reports.. The investigation revealed that the client (see Confidential Names, LIC Ref. #1 dated June 18, 2021) in question regarding the awol is not placed at this facility, but at the facility's other licensed location. The Administrator informed the LPA that reports of awol should be written in incident reports and in the client's notes. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to Ms. Lucio. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Rachel Lucio


raw_content:
Narrative:
It was reported the facility stored expired medications from previous placements incase a current placement's medication prescription was not refilled timely. The facility staff denied the allegation. Statements obtained from interviews conducted with staff indicated expired medication is taken to a pharmacy to be disposed and if a client's placement is terminated, their respective County Social Worker will pick-up left-over medication. Statements obtained from confidential interviews conducted revealed two clients did not have a prescription filled on one occasion each. One of the reported incidents was due to the facility being unable to obtain documentation from the client's home county. It was reported the facility lost a client's medication. The facility staff denied the allegation. Statements obtained from interviews conducted with staff did not reveal knowledge of, or incidents related to a client having medication lost or stolen. Statements obtained from confidential interviews conducted indicated that current clients placed in the facility have not had medication lost or stolen. It was reported medication was accessible to clients in care. The facility staff denied the allegations. Statements obtained from staff indicate that medication is kept in a secured lock box and inaccessible to clients. Statements obtained from confidential interviews conducted provided conflicting statements. One client reported that medication is inaccessible to clients while another client reported that medication was accessible to clients. Statements obtained from confidential interviews conducted indicated previous facility staff would allow multiple clients to enter the staff office while administering medication and create the opportunity for clients to access another client's medication. However, this client further reported that current staff implemented a new system and allow only one client in the office at a time during medication administration. It was reported the facility billed a county for providing 1:1 staff to client ratio and did not provide the client the 1:1 supervision. This allegation was disproved by statements obtained from an interview conducted with the clients SCSW, who reported the facility did not bill the respective county for 1:1 supervision while the client was in placement. Based on information obtained through interviews conducted and records reviewed the allegations were found unsubstantiated. Although the allegations may have happened or are valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited during this inspection.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/30/21 at 2: PM. During the inspection, LPA Larios met with Mia Maniaci, Direct Care Staff. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with two clients on 6/28/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, one Supervising County Social Worker (SCSW) on 6/24/21, two staff on 6/24/21, others were interviewed on 5/16/21 and 6/23/21. One client was hospitalized during the investigation and a statement was not obtained, another client was unable to be located via the CSW or by their placement history. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, medication records and special incident reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 06/30/2021

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

met_with: Mia Maniaci


raw_content:
Narrative:
It was reported the facility failed to prevent drug use at the facility. The facility staff denied the allegation. Statements obtained from confidential interviews conducted revealed that staff do not allow clients to use drugs in the facility. Furthermore, confidential interviews conducted revealed that staff take preventative measures such as conducting searches, confiscating contraband and also offering clients substance abuse counseling if needed. Statements obtained from interviews conducted with CSWs indicated there were no concerns related to the allegation. Based on information obtained through interviews conducted and records reviewed the allegation was found unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. Exit interview conducted no deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/30/21 at 2: PM. During the inspection, LPA Larios met with Mia Maniaci, Direct Care Staff. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with three clients on 5/12/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, two staff on 6/24/21, others were interviewed on 2/25/21 and 5/13/21. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, allowance logs, special incident reports and food service menus. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 06/30/2021

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
It was reported the food service at the facility was not adequate. Staff denied that allegations. A records review revealed that on 3/5/21 staff conducted a review of the food supply at the facility. Staff reported observing expired food, food stored in containers without a lid and an incomplete posted food menu with a scheduled meal that had not been prepared. Statements obtained from confidential interviews conducted revealed clients with concerns related to food service. Clients reported they were served chicken that was burned and served the same food weekly. It was reported that staff did not give youth a proper allowance. Statements obtained from interviews conducted with staff confirmed clients were not allowed to handle their cash allowance. Statements obtained from confidential interviews conducted revealed that facility staff did not allow clients to handle their cash allowances and instead, had staff make purchases for clients. Furthermore, statements obtained from confidential interviews conducted revealed that clients had their allowance reduced to $21.00 after being able to earn between $30.00 to $50.00. A record review indicated that there were no Child Family Team Meetings conducted and CSWs were not notified of the changes to client's allowances. Based on information obtained form interviews conducted and records reviewed, the allegations were substantiated, the facility did not afford the clients there personal rights as required by the Interim Licensing Standards. Facility cited for violation of Interim Licensing Standards, Section 87072(d)(11) Personal Rights. Record review and statements obtained from confidential interviews indicated the facility food service was inadequate. The facility is additionally cited for violation of Interim Licensing Standards, Section 87072(d)(7) Personal Rights. Statements obtained from confidential interviews conducted and staff statements indicated staff did not allow youth to handle their own cash resources. Exit interview conducted and a copy of the LIC9099 and LIC9099D were provided to the administrator. Appeal rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/26/21 at 3: PM. During the inspection LPA Larios met with Administrator Princess Wesley. The purpose of the inspection was to deliver findings for the above mentioned complaint allegations. During the course of the investigation LPA Larios conducted telephone interviews with three clients on 5/12/21, three County Social Workers (CSWs) on 6/14/21 and 6/18/21, two staff on 6/24/21, others were interviewed on 2/25/21 and 5/13/21. LPA Larios obtained copies of the following documents while conducting a record review on 2/25/21: facility sketch, staff roster, client roster, allowance logs, special incident reports and food service menus. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/26/2021

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

met_with: Princess Wesley


raw_content:
Narrative:
Information obtained through confidential interviews revealed that during a recent power outage clients were taken to a nearby hotel where they resided for the night due to the power being out for an extended period. Staff and clients denied all allegations further indicating that no client in the facility have been denied access to the facility phone, nor has any staff member smoked marijuana on the facility premises. Staff and clients indicated that the facility has two to three staff members present during the day shift meeting the required (1:3) ratio and one staff member at night pending circumstances. Staff and clients indicated that the facility vehicles are in good working condition and are serviced when needed. As to the allegations of staff driving without a valid driver's license and facility Administrator not being present at the facility for a minimum of twenty hours, staff denied the allegations and further indicated that all staff members at both facilities have valid drivers licenses and that the Administrator is present at the facility well over twenty hours. As to the allegation of staff not providing activity for clients, staff and client's denied the allegation stating that clients conduct various activities such as swimming, movie nights, the roller-rink and other small activities like making slime and bracelet's at the facility. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 1:00 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Magnolia) and met with Princess Wesley facility Administrator. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 18, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff did not follow emergency plan; Minors denied access to phones; Facility staff smoking marijuana on premises; Facility operated out of capacity; Staff drive without valid licenses; Administrator present in facility less than 20 hours per week; Facility does not have operational vehicle and Staff not providing activities for minors. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with three staff S2, S3 on 2/26/21, S1 on 7/22/2021 and 5 of 5 clients on 7/22/21. (Reference Confidential Names Form LIC 811, dated July 28, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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

met_with: Princess Wesley - Administrator


raw_content:
Narrative:
Information obtained through confidential interviews revealed that the above facility is adhering to their program statement and are training staff according to the Short-Term Residential Therapeutic Interim Licensing Standards Chapter 7.5. Furthermore, a review of current staff and client files contained all appropriate documents. Staff and C1 indicated that the facility mental health is on site Monday through Friday or as needed. Staff and C1 indicated that all resident are provided an abundance of linen and that cleaning chemicals are stored in a locked cabinet away from clients in the staff office. Staff denied leaving food out for long periods of time and further indicating that all left over food is placed in containers and get stored in the refrigerator marked with the date it was made. As to the allegation of staff not providing a safe and healthy environment for residents, Staff denied the allegation further stating the client's safety and the completion of their programs is priority and will assist the clients with what they can to make the clients succeed. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 11:40 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Magnolia) and met with Princess Wesley Facility Administrator. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 25, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the above allegations. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, staff files and interviews with three staff S1, S2, S3 on 6/28/21, C1 on 6/28/2021 and 2 attempted contacts with C2 and C3. (Reference Confidential Names Form LIC 811, dated July 28, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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


raw_content:
Narrative:
Information obtained from confidential interviews revealed that the facility abides by the Interim Licensing Standards and maintains a (1:3) staff-to-client ratio. Staff further disclosed that at times they feel short-handed due to not having enough workers to cover when staff call off and at times feel overworked. S2 however further disclosed that management is continuously accepting applications however are having a difficult time finding qualified applicants and due to COVID-19 slowing the process down. As to the allegation of the facility not being prepared for a power outage, staff and clients denied the allegation indicated that the proper hotel accommodations were made once it was determined that the power was going to be out much longer than expected due to the recent high temperatures. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Direct Cares Staff. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Direct Care Staff.

Investigation Findings:
13On December 10, 2021, at 1:12 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to Brighter Horizon Treatment Center (Magnolia) and met with Facility Direct Care Staff Minga Allen. The purpose of the inspection was to deliver the findings for the above complaint allegations. On July 15, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility not meeting staffing ratio and Facility not prepared for a power outage. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, and interviews with Staff members (S1, S2, S3) on 7/29/21 and Clients (C1, C2, C3, C4) on 7/26/21. (Reference Confidential Names Form LIC 811, dated December 10, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/10/2021

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

met_with: Minga Allen - Direct Care Staff


raw_content:
Narrative:
Information obtained from confidential interviews with staff and clients confirmed that stated allegations are unsubstantiated. Per interviews, the following information was obtained: Tobacco products are not allowed in the facility and staff stated that if tobacco is discovered, it will be confiscated and disposed of. Clients stated that tobacco products are brought in by the clients after returning from AWOL's, as during self-search procedures, clients do not surrender it. Both staff and clients denied that inappropriate interactions occur between the minors in care and further denied any knowledge of that allegation. As to staff handling minors in care in a rough manner, threatening minors in care, and speaking inappropriately to minors in care, both staff and clients denied said allegations. Staff stated that respect is given to clients in care and that staff utilizes a proper verbal redirection approach with clients per procedure. Clients stated that they have not witnessed or personally experienced staff interacting with clients in an inappropriate manner by threatening clients, speaking inappropriately, or acting in a rough manner with clients. As to the allegation of staff not providing adequate food service to minors in care, staff denied said allegation. Staff stated that they provide a well-balanced diet consisting of three meals a day with snacks in between and a varied home-cooked menu that provides nutritious foods from all of the food groups. Clients stated that they do not like the menu provided by the facility and would prefer to eat fast-food. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the above staff. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with Ms. Allen.

Investigation Findings:
13On December 10, 2021, at 1:12 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to Brighter Horizon Treatment Center (Magnolia) and met with Facility Direct Care Staff Minga Allen. The purpose of the inspection was to deliver the findings for the above complaint allegations. On July 26, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minors have access to tobacco products while in care, Inappropriate interactions between minors in care, Staff handle minor in care in a rough manner, Staff threaten minor in care, Staff speak inappropriately to minor in care and Staff did not provide adequate food service to minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/10/2021

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


raw_content:
Investigation Findings:
On January 28, 2022 at 2:30 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the agency. The LPA met with Case Manager, Alex Danese. On August 11, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: the Administrator at the facility on August 14, 2021. The LPA reviewed the Administrator's investigation that was conducted on August 8, 2021 and the Special Incident Reports. A review of documents revealed that Client Ref. #1 was transported to the hospital on August 7, 2021 by a facility staff. It revealed that Ref. #1 became frustrated at the length of time from 10:50 a.m. to 4 p.m., it was taking to be treated at the hospital emergency room and wanted to leave. It revealed that the staff that accompanied Ref. #1 informed hospital personnel that if Ref. #1 left that the staff had to follow Ref. #1. Ref. #1 left the hospital. The investigation revealed that Ref. #1 agreed to return to the hospital the following day. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Alex Danese


raw_content:
Narrative:
Staff denied the allegations. There were rumors about similar allegations from a minor in placement but when staff followed up with the minor, the minor recanted and explained that minor made up the allegations. Current and former staff were able to explain procedures when minors engage in substance abuse and when they AWOL. Based on information obtained during the investigation, there is insufficient evidence found to support the allegations, so the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this signed report, the Confidential Names form and Appeal Rights forms were provided to the facility representative. No deficiency citation was issued.

Investigation Findings:
13On February 4, 2022 at 11:35AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Maria Barragan and the undersigned LPA. They conducted confidential interviews with minors, staff and other related parties. Pertinent records were reviewed such as, but not limited to, Incident Reports, Needs and Services Plans, Staff Communication Logs and other staff records. It was alleged that staff provided drugs to minors in care and marijuana is accessible to minors in care. Confidential interviews obtained from current and former minors in placement did not support the allegations; they denied any staff provided minors with drugs but admitted to obtaining marijuana and engaging in substance abuse when they are AWOL. One minor refused to address the allegations. LPA made attempts to interview another minor, but attempts were unsuccessful. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 02/04/2022

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

met_with: Angela Wright, Direct Care Staff