summary: Facility Evaluation

raw_content:
Narrative:
On 6/24/2021 at 2:52PM, Licensing Program Analyst (LPA) David Hiett conducted an unannounced annual inspection for Greenacre Homes STRTP - . LPA met with Counselor Vicki MacNab and inspected the facility inside and out. The STRTP is licensed to serve 7 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 107F degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a lock cabinet. Toxic chemicals are locked in a cabinet located and secured in the kitchen. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted a review of 2 client files and 3 staff files. All files reviewed were complete and in compliance. As of June 25, 2021, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time.

met_with: Vicki MacNab


state: CA

facility_name: GREENACRE HOMES, INC. NO 1 (JOYCE DRIVE)

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an annual/required inspection at the above facility. LPA McCambridge met with Administrator, Tim Dimick. The facility has not been operating since August of 2021, so the facility has been vacant. Therefore, LPA McCambridge did not use the Inspection Tool during today's inspection. Please note that the facility has been in communication with CCL regarding their current status, and the department is working closely with the facility. LPA McCambridge toured the facility inside and out and found the facility to be safe, clean, and in good repair. The refrigerator and freezer were empty due to the facility closure. LPA toured the upstairs, and there were a total of 5 bedrooms. All bedrooms were empty except for dressers, mattresses, and bed frames. The Administrator confirmed that their maintenance person visits the facility to ensure it remains in good standing. An exit interview was conducted and a copy of the report was left with the Administrator.

report_type: Facility Evaluation

visit_type: Annual

met_with: Tim Dimick


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Clinical Director Robin Hausserman at the facility for the purpose of completing an Annual/Required Inspection. Prior to the inspection a COVID pre-screening call was made, and there were no current cases, known exposures, or symptomatic persons at the facility. The facility is currently inactive and has no placements or staff. Greenacre Homes is in the process of hiring staff and will accept placements as soon as they meet the staffing requirements. Due to their inactive status, only the inspection of the facility and the Physical Plant section were completed (per LPM Isabel Mendoza). No Title 22 deficiencies were observed. An exit interview was completed and a copy of this report was left with the facility. Due to technical difficulties, the original signed copy of this report was deleted in error and a second copy was sent for signature.

met_with: Robin Hausserman


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Administrator Timothy Dimick. The purpose of the visit was to confirm closure of the Short-Term Residential Therapeutic Program (STRTP). The Request for Closure, written confirmation there being no STRTP youth remaining, and license were received by CCL. LPA Bertoli inspected the facility at 2:30pm and confirmed that no youth were present. The licensee is in the process of selling the property. Closure of the STRTP will be effective June 1, 2023. An exit interview was conducted with the Administrator to confirm the closure

visit_type: Case Management

met_with: Timothy Dimick


summary: Facility Evaluation

raw_content:
Narrative:
On 6/24/202 at 2:26PM, Licensing Program Analyst (LPA) David Hiett conducted an unannounced annual inspection for Greenacre Homes STRTP - Eddie Lane. LPA met with Facility Manager Luis Luna and inspected the facility inside and out. The STRTP is licensed to serve 6 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 107F degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a lock cabinet. Toxic chemicals are locked in a cabinet located and secured in the laundry room. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted a review of 2 client files and 3 staff files. All files reviewed were complete and in compliance. As of June 25, 2021, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time.

met_with: Luis Luna


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) David Hiett made an unannounced visit to initiate a required annual inspection. LPA met with Clinical Director Robin Hausserman at the main program office at the Eddie Lane facility. 5 staff files and 3 client files were reviewed and found to be complete. Interviews and physical plant inspection will be completed on a subsequent visit. No deficiencies were cited and a copy of this report was with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2022, Licensing Program Analyst (LPA) David Hiett continued an annual inspection for Greenacre Homes STRTP - Hurlbut. LPA met with Facility Manager Javier Martinez and inspected the facility inside and out. The STRTP is licensed to serve 6 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 111 degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a locked cabinet. Toxic chemicals are locked in a cabinet located and secured in the laundry room. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted interviews with1 staff. No other staff or clients were present. As of June 23, 2022, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time

met_with: Javier Martinez


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Deputy Director Timothy Dimick. The purpose of the visit was to confirm closure of the Short-Term Residential Therapeutic Program (STRTP). The Request for Closure, confirmation of no STRTP youth remaining, and license were received by CCL. LPA Bertoli inspected the facility at 9:00am and confirmed that no youth were present. The licensee is in the process of selling the property. Closure of the STRTP will be effective July 8, 2023. An exit interview was conducted with the Deputy Director to confirm the closure. A copy of this report was given to the Deputy Director.


facility_name: GREENACRE HOMES, INC. NO 4 (EDDIE LANE)

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 05/20/ Licensing Program Analyst (LPA) Cheyenne McCambridge conducted a follow-up complaint investigation at the facility and met with Administrator Timothy Dimick. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation LPA McCambridge conducted staff and client interviews. During the interviews there were conflicting statements with the initial report. According to RP and staff, staff knew nothing about the incidents that occurred, but have ensured that staff will intervene and provide adequate supervision to ensure clients safety. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that there was inappropriate interactions between children in care; therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed with staff and no deficiencies were cited. Exit interview was conducted and a copy of the report was left with the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13On 03/18/2025 at 10: AM, Licensing Program Analyst (LPA) Jasmine Cardeno and LPA Celeste Aparicio made an unannounced visit to the Facility listed above. LPAs met with Deputy Director, Timothy Dimick, who facilitated the inspection. LPA Cardeno informed Deputy Director that the purpose of the inspection is to deliver findings for the allegations listed above. Based on records review and confidential interviews, LPA Cardeno determined that the allegations: "Facility staff are not properly trained," and "Facility staff are not administering medication as prescribed," had inconsistent support. Although the allegations may have happened or is valid, the preponderance of evidence has not been met and there is no consistent evidence to support the allegations listed above. Therefore, the allegations are Unsubstantiated. An exit interview was conducted with Deputy Director and a copy of this report was left with Deputy Director, Timothy Dimick, whose signature on this form confirms receipt. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Jasmine Cardeno 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: 0

met_with: Deputy Director, Timothy Dimick


summary: Facility Evaluation

raw_content:
Narrative:
On 6/24/2021 at 12:45PM, Licensing Program Analyst (LPA) David Hiett conducted an unannounced annual inspection for Greenacre Homes STRTP - Eddie Lane. LPA met with Deputy Director Tim Dimick and inspected the facility inside and out. The STRTP is licensed to serve 9 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 105F degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a locked cabinet. Toxic chemicals are locked in a cabinet located and secured in the laundry room. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted a review of 2 client files and 5 staff files. All files reviewed were complete and in compliance. As of June 25, 2021, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time

met_with: Tim Dimmick


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Cheyenne McCambridge and Carolyn Flynn on 08/31/2021 at 10: AM. During the inspection, LPAs McCambridge and Flynn met with Tim Dimick, Deputy Director and Robin Hausserman, Clinical Director in the main office. LPAs reviewed zero of child's records on site at the facility at due to both clients being over the age of eighteen. LPAs reviewed zero of child's psychotropic medications and medication records. LPAs interviewed zero of children currently taking psychotropic medication. LPAs interviewed four of staff on site starting at 10: AM. LPAs reviewed four of staff personnel files on site at the facility starting at 12: PM. Brook Leone, Facility Manager escorted LPAs on a tour of the facility inside and out at 1: PM LPA provided the Summary Report to Robin Hausserman, Clinical Director upon completion. No deficiencies are being cited at this time. LPAs conducted exit interview with Robin Hausserman, Clinical Director at 1: PM


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPA) David Hiett and George Karkazis made an unannounced visit to initiate a required annual inspection. LPA met with Deputy Director Time Dimick. 5 staff files and 3 client files were reviewed and found to be complete. All files were found to be complete and compliant with relevant regulations. Interviews and physical plant inspection will be completed on a subsequent visit. No deficiencies were cited and a copy of this report was with the facility. On June 23, 2022, Licensing Program Analyst (LPA) David Hiett continued an annual inspection for Greenacre Homes STRTP - Eddie Lane. LPA met with Facility Manager Brook Leone and inspected the facility inside and out. The STRTP is licensed to serve 9 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 109 degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a locked cabinet. Toxic chemicals are locked in a cabinet located and secured in the laundry room. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There is a pet cat at the facility. LPA conducted interviews with 2 clients and 1 staff. As of June 23, 2022, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Cheyenne McCambridge on 03/07/2024 at 10: AM. During the inspection, LPA McCambridge met with human resources Shonna Kuhner in the main office. LPA reviewed zero of child's records on site at the facility at due to client not being on Psychotropic Medication. LPA reviewed zero of child's psychotropic medications and medication records. LPA interviewed zero of children currently taking psychotropic medication. LPA interviewed three of staff on site starting at 10: AM. LPA reviewed three of staff personnel files on site at the facility starting at 12: PM. Brook Leone, Facility Manager escorted LPA on a tour of the facility inside and out at 1: PM No deficiencies are being cited at this time. LPA conducted exit interview with Shonna Kuhner and a copy of the report was sent to the facility.

met_with: Shonna Kuhner


summary: Facility Evaluation

raw_content:
Narrative:
On 12-2-24 10:15PM, Licensing Program Analyst George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA met with Timothy Dimick, Administrator and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 9 clients. Present during the inspection were 3 staff and 2 clients. At 10:30AM LPA Karkazis reviewed client and staff files. All staff and client files are up to date and in good order. At 1:15PM, LPA Karkazis toured the facility. LPA Karkazis observed 9 bedrooms and 4 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 112 degrees which is in range. The thermostat read 68 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the staff office in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 3 staff and 2 clients. At 2:33PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Timothy Dimick, Administrator

met_with: Timothy Dimick, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/25 at 10: AM, Licensing Program Analyst (LPA) Jasmine Cardeno and LPA Celeste Aparicio conducted an unannounced visit to the facility listed above. The purpose of the visit is to conduct the required SB Psychotropic Medications inspection. LPAs met with Deputy Director, Timothy Dimick, and Direct Care Staff, Isaiah Wisdom, who both facilitated the inspection. At the time of the inspection, two clients in care were present. The facility had one client that met the criteria for the SB Psychotropic Medication Inspection. LPAs reviewed 1 of child's records and 6 of staff personnel files on site at the facility. LPAs reviewed 1 of child's psychotropic medications and medication records. LPAs interviewed 3 of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 1 of the children currently prescribed psychotropic medication. No deficiencies are being observed or cited at this time. The SB Psychotropic Medications inspection is complete. LPAs conducted an exit interview with Deputy Director and a copy of this report was left with Deputy Director, Timothy Dimick, whose signature on this form confirms receipt.


facility_name: GREENACRE HOMES, INC. (OCCIDENTAL)

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Brian Bertoli met with Director of Residential Services Tim Dimick regarding a complaint investigation. The purpose of the meeting was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Bertoli reviewed records and conducted confidential interviews, which did not indicate that the above allegation occurred. There is a lack of evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegation, and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that there was a Lack of supervision resulting in inappropriate activities by the youth; therefore, the above allegations are Unsubstantiated. Appeal Rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was given to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: Brian Bertoli LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3


summary: Facility Evaluation

raw_content:
Narrative:
On 6/24/202 at 3:45PM, Licensing Program Analyst (LPA) David Hiett conducted an unannounced annual inspection for Greenacre Homes STRTP - Eddie Lane. LPA met with Facility Manager Charles Andrew and inspected the facility inside and out. The STRTP is licensed to serve 6 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 108F degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a lock cabinet. Toxic chemicals are locked in a cabinet located and secured in the kitchen. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted a review of 2 client files and 3 staff files. All files reviewed were complete and in compliance. As of June 25, 2021, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time.

met_with: Charles Andrew


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Brian Bertoli on the above date. During the inspection, LPA Bertoli met with Tim Dimick, Deputy Director, at the administrative office on Eddie Lane, and was assisted by facility manager Charles Andrews at the facility. LPA reviewed two children's records and psychotropic medications and medication records at the administrative office at 9:30AM. LPA reviewed four staff personnel files on at the administrative office starting at 10: AM. LPA interviewed four staff on site starting at 1: PM. LPA interviewed two children at the facility at 3:00PM that are currently taking psychotropic medication. Facility Manager Charles Andrews escorted LPA on a tour of the facility inside and out at 1: PM and demonstrated medication practices and pill counts at 3:45PM LPA provided the Summary Report to Deputy Director Dimick upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Charles Andrews at 4: PM


summary: Facility Evaluation

narrative: On the above date, Licensing Program Analyst (LPA) David Hiett made an unannounced visit to initiate a required annual inspection. LPA met with Clinical Director Robin Hausserman at the main program office at the Eddie Lane facility. 5 staff files and 3 client files were reviewed and found to be complete. Interviews and physical plant inspection will be completed on a subsequent visit. No deficiencies were cited and a copy of this report was with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On June 23, 2022, Licensing Program Analyst (LPA) David Hiett continued an annual inspection for Greenacre Homes STRTP - Hurlbut. LPA met with Facility Manager Charles Andrews and inspected the facility inside and out. The STRTP is licensed to serve 6 ambulatory male clients, ages 6-17. An inspection of the facility was conducted, and the following was observed: Hot water temperature measures 112 degrees Fahrenheit. Individual beds were observed with appropriate clean linens and are in good repair. Centrally stored medications are maintained in a locked cabinet. Toxic chemicals are locked in a cabinet located and secured in the laundry room. LPA observed all required documentation posted in the facility, to include: Facility license, Emergency Disaster Plan, LIC 610 and evacuation plan, Menu, Weekly Activity Schedule, Client's Rights, OSHA signs. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris and observable hazard. Adequate indoor and outdoor activity space and materials observed. All facility smoke detectors are in appropriate working order, fire extinguisher is properly charged and serviced. Facility has an active waiver to associate all personnel to the main file. There are no weapons at the facility. There are no pets at the facility. LPA conducted interviews with 2 staff and 3 clients As of June 23, 2022, all facility staff are associated to the facility and received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of the report was left at the facility. There are no deficiencies to be cited at this time

met_with: Charles Andrews


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli made an unannounced visit to the facility and met with Deputy Director Timothy Dimick. The purpose of the visit was to confirm closure of the Short-Term Residential Therapeutic Program (STRTP). The Request for Closure, confirmation of no STRTP youth remaining, and license were received by CCL. LPA Bertoli inspected the facility at 3:35pm and confirmed that no youth were present. The licensee is in the process of selling the property. Closure of the STRTP is effective 03/11/2024. An exit interview was conducted with the Deputy Director to confirm the closure. A copy of this report was given to the Deputy Director.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced visit to the facility for the purpose of a Case Management Investigation. LPA met with Deputy Director Tim Dimick Based on Incident report dated 01/10/23, staff S1 (see LIC 811 dated 1/26/23) was wrestling with youth C1 and impeded the youth's ability to breathe and caused neck pain. LPA is issuing a citation from Title 22 (see LIC 809-D dated 1/26/23) for Personal Rights. Appeal Rights were discussed and a copy was provided to the facility. An exit interview was conducted with Tim Dimick and a copy of this report was given to the facility.


facility_name: GREENWAY ORCHARD

summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by LPA (Licensing Program Analyst) Lidia Tinoco on at Greenway Orchard STRTP. LPA met with Brandi Boehme and inspected the facility, inside and out. Currently the facility is inactive and has been inactive since August 2019. All facility smoke detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged. The facility currently keeps their food supply at an off site warehouse where they store non-perishables, fresh foods, and dairy that would be ready to be transported to the home would they choose to become active again. Individual beds were observed with appropriate clean linens and are in good repair. The facility is maintained at 72 degrees. No bodies of water were observed. No firearms or weapons are allowed in the facility. Licensee has obtained Mental Health Certification Including the following: Mental Health Program Approval valid through 9/24/21, Medi-Cal site certification issued on January 1, 2019 and a county contract through June 30, 2022. Licensee has obtained National Accreditation through CARF. The Accreditation is valid through September 30, 2023. Due to the facility being inactive no records of personnel/ staff members were reviewed and no records of clients were reviewed. There were no deficiencies to be cited on this date. A copy of this report was left with Brandi Boehme

met_with: Brandi Boehme


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Greenway Orchard House STRTP in Turlock, California for the purpose of conducting an unannounced Annual Inspection. LPA met with Program Director Brandi Boehme and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility keeps some canned foods and non-perishables in the home, there is no perishable food in the house at this time but has access to a full pantry located at Merced Ranch where they can stock the facility should they chose to open the house again. All required forms are posted. Facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: The Facility has the Mental Health Certification valid through September 24, 2022. Licensee has obtained National Accreditation through CARF valid through September 30, 2023. The facility has a county contract valid through June 30, 2022. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Currently the facility is inactive, therefore no children or staff are in placement therefore no files were reviewed. No Deficiencies were cited on today's visit. A copy of this report was left with Brandi Boehme.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Lidia Tinoco traveled to the Greenway Orchard House STRTP in Turlock, California for the purpose of conducting an unannounced Annual Inspection. LPA met with Assistant Executive Director Lisa Jacobs and inspected the facility, inside and out. A physical plant inspection was completed and included the following checks. Facility grounds are clean and free of debris. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 75 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. Facility keeps some canned foods and non-perishables in the home, there is no perishable food in the house at this time but has access to a full pantry located at Berkeley Lodge where they can stock the facility should they chose to open the house again. All required forms are posted. Facility has the ability to keep medications locked and centrally stored. Individual beds were observed with appropriate clean linens and are in good repair. Licensee has obtained Mental Health Certification Including the following: The Facility has the Mental Health Certification valid through September 24, 2023. Licensee has obtained National Accreditation through CARF valid through September 30, 2023. The facility has a county contract valid through June 30, 2023. No firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Currently the facility is inactive, therefore no children or staff are in placement therefore no files were reviewed. No Deficiencies were cited on today's visit. A Technical Assistance was discussed. A copy of this report was left with Lisa Jacobs.

met_with: Lisa Jacobs


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Lidia Tinoco arrived at the Greenway Orchard for the purpose of conducting a Case Management inspection. LPA met with Aaron Holloway. On May 28, 2024, LPA Tinoco was notified by Administrator Brandi Boehme that an Agency decision was made to relinquish the license for the Greenway Orchard Home. On June 4, 2024, LPA Tinoco received the electronic documents including the reason for closure, board of director letter, and the facility license. On June 6, 2024, the original documents were received at the Fresno Office. On June 7, 2024, LPA Tinoco arrived at the Greenway Orchard house in order to conduct a final walk through of the facility. There have not been clients in placement at this home since August 2019. LPA Tinoco confirmed that there are no clients in placement on this date. No deficiencies were observed on this date. A copy of this report was provided to Aaron Holloway.

met_with: Aaron Holloway


facility_name: GUIDING LIGHT HOME FOR BOYS INC.

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
interviews confirmed C1 slept in the loft of the facility on 10/11/2021 due to fear of sharing a room with C2. Confidential interviews reported when C1 woke up a gun was being held to C1's head. Confidential interviews and record review confirmed C1 sleeping in the loft. Confidential interviews and record review revealed C2 was removed from the facility on 10/11/2021 after which C2 contacted residents looking for a backpack which was found a few days later with a handgun in it. Record review and confidential interviews reported the handgun was turned into the local police department. CCL received and additional allegation that Minor (Child #1 [C1]) was being bullied by another minor (Child #2 [C2]) in care. Confidential interviews provided consistent statements of C2 intimidating residents and bullying residents. Confidential interviews confirmed C1 sleeping in the loft on the morning of 10/11/2021 due to C1's fear of sharing a room with C2. Confidential interviews provided consistent statements of the facility environment being hostile while C2 resided in the facility due to C2's bullying and intimidating the residents and staff. Based on confidential interviews the allegations Minor (Child #2 [C2]) threatened another minor (Child #1 [C1]) with a firearm and Minor (Child #1 [C1]) was being bullied by another minor (Child #2 [C2]) in care are substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 87072 (d) The licensee shall ensure that each child, regardless of whether the child is in foster care is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9 as applicable, and ILS standard 87072 (d)(11) To be free of physical, sexual, emotional, or other abuse, and form corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including , but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. A copy of the report was discussed and provided along with appeal rights to Guiding Light Home for Boys Administrator (ADM) Cathy Gooden.

Investigation Findings:
13On January 26, 2022 at 10:20am Licensing Program Analyst (LPA), Nicole Strickland, met with Guiding Light Home for Boys Administrator (ADM) Cathy Gooden, to deliver the findings for the above stated allegations. LPA conducted an inspection of the facility on October 20, 2021 at approximately 12:30 pm and no immediate deficiencies were observed. The investigation was conducted by LPA Strickland and included interviews with five of six foster youth (Child #1 [C1], Child #3 [C3], Child #5 [C5], and Child #7 [C7]), two Staff (Staff #1 [S1] and Staff #2 [S2]), Riverside Out of Home Institutions (OHI) investigator, and County Social Worker (CSW). One confidential witness did not respond to LPA's multiple requests for an interview and therefore was not interviewed. In addition, county records and facility records were reviewed. On October 12, 2021, Community Care Licensing (CCL) received an allegation alleging Minor (Child #2 [C2]) threatened another minor (Child #1 [C1]) with a firearm. Confidential interviews provided consistent statements of C2 making threats to residents in care and C2's statements of having a gun. Confidential SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 01/27/2022

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

met_with: Cathy Gooden

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Regarding staff not adequately maintaining minors' medication records allegation, a confidential interview denied staff does not adequately maintain clients' medication records. Confidential interview stated that medication administration records were checked and audited daily. Another confidential interview denied staff does not adequately maintain minors' medication records. Confidential interview disclosed that a staff member did not complete the medication record and resigned the same day. Additional confidential interview did not provide information regarding medication records being adequately maintained. LPA was unable to contact an additional witness due the phone being disconnected. Regarding staff are not administering medication as prescribed, a confidential interview denied staff were not administering medication as prescribed. Confidential interview disclosed that medications were administered in the morning and evening time and all medications were administered as prescribed. Another confidential interview stated that all staff were trained on how to administer medications. Additional confidential interview received medication but was not sure if it was administered as prescribed. A confidential witness stated not witnessing a prescribed medication not being administered. LPA was unable to verify whether medications were given without prescription due to a confidential witness not being available. Based on confidential interviews and record review, the allegation that the staff does not adequately maintain minors' medication records, staff are not administering medication as prescribed may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, these allegations are unsubstantiated at this time. A copy of the report was discussed and provided along with LIC 811 to Guiding Light Home for Boys Clinical Director (CD).

Investigation Findings:
13On March 16, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys to deliver investigative findings for the above allegation involving the group home (GH) and clients listed in the Confidential Names List (LIC 811) dated 03/16/2023. LPA met with of the group home Clinical Director (CD). On August 18, 2022, a complaint report was referred to Community Care Licensing (CCL) alleging staff does not adequately maintain minors' medication records, staff are not administering medication as prescribed. On August 24, 2022, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the GH to initiate investigation and met with Clinical Director (CD) Adri Vermilion. LPA interviewed clinical director (CD) and staff 1 (S1). On February 8, LPA interviewed Facility Administrator (FA), clients 1, and 2 (C1 and C2). Additionally, on March 6, LPA interviewed clients 3 and 4 (C3 and C4). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 03/16/2023

met_with: Clinical Director


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
Regarding facility is operating out of ratio, it was specifically stated that "S1 has been left alone in charge of five residents". A confidential interview agreed that facility operated out of ratio but for a short period of time. Confidential interview added that there were some difficulties with staffing. Another confidential interview disclosed that five clients were left with one staff on September 25, 2023 from 8: AM to 2: PM. Confidential interview added that clients became uncontrollable after a misunderstanding. Additional confidential interview maintained that there were five clients to one staff in the facility. A confidential witness disclosed there was only one staff at the home with five or six clients and could not remember the exact number of clients. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility was operating out of ratio Therefore, the allegation is substantiated. The facility is being cited for violation of the Interim Licensing Standards (ILS) standard 87065.5 (a)(1). Direct Care Staff/Child Ratios (see LIC D). A copy of the report was discussed and provided along with appeal rights to Guiding Light Home for Boys Clinical Director (CD).

Investigation Findings:
13On March 16, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys and met with Clinical Director (CD) to deliver investigative finding for the above allegation involving the group home (GH) and clients listed in the Confidential Names List (LIC 811) dated 03/16/2023. On September 27, 2022, a complaint report was referred to Community Care Licensing (CCL) alleging facility was operating out of ratio. On October 3, 2022, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the GH to initiate investigation and met with Clinical Director (CD) Adri Vermilion. LPA interviewed clinical director (CD) and staff 1 (S1). On February 8, LPA interviewed Facility Administrator (FA), clients 1, and 2 (C1 and C2). Additionally, on March 6, LPA interviewed clients 3 and 4 (C3 and C4). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 03/16/2023

Deficiencies:
87065.5: Direct Care Staff/Child Ratios (a) In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum.1
2
3
4
5
6
7Facility immediately hired additional direct care staff and hired on-call staff with ability to respond in a timely manner when needed. Facility will continue to ensure there is adequate staff at 7 am to 10 pm and all hours that need coverage.
8
9
10
11
12
13
14

title: (a)(1)


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Guiding Light Home for Boys Inc., STRTP to initiate the complaint and met with Teresa Lara, Floor staff (S1) who granted LPA access into the facility. A health and safety inspection were conducted, and no immediate health or safety concerns were observed. Additionally, LPA interviewed one staff and one client, and gathered documents from clients' files. On March 23, 2023, at 10: AM (LPA) Beal met with Administrator Cathy Gooden to continue an investigation of the above allegations. LPA reviewed the clients and staff files. LPA Beal interviewed one staff and four clients at the facility. On April 11, 2023, LPA Beal conducted one interview and review client and staff files for STRTP #2. In regard to facility emotionally abused minors while in care, confidential interviews did not provide any information that staff would emotionally abuse the clients. Facility staff denied abusing clients. LPA received inconsistent information. In regard to facility staff yelled at a client, made inappropriate comment and threaten a client in care, it was disclosed that a staff made a comment in reference to a court date, threatened a client and it was heard staff screaming in the background during a phone call. Confidential interviews revealed there were no inappropriate comments made to clients. LPA didn't receive additional information. LPA was unable to interview a witness. Facility staff denied these allegations. Regarding the facility staff are not adequately supervising clients, confidential interviews stated that staff were always around, however, it was indicated that a client goes to someone else's room in the group home to hang out and that is against the group home policy. LPA was unable to receive additional information. In regard to facility staff did not ensure that minors had access to the internet at the facility, it was specified that staff cut the WIFI in the home for one client while the other clients can access to the interview from their devices directly. Confidential interviews revealed the internet was always assessable to all clients and majority of the clients have their own devices with internet access. LPA wasn't unable to verify the information. In regard to the facility is odoriferous, confidential interviews state the facility only smells when a client decides to smoke in the facility. Other confidential interviews denied the house was odoriferous. LPA was unable to verify this information during safety inspection. Based on confidential interviews, the allegations that facility staff emotionally abused clients while in care, facility staff made an inappropriate comment to C6 while in care facility staff threatened C6 while in care, facility staff yelled at C6 while in care, facility staff are not adequately supervising clients while in care, facility staff did not ensure that clients had access to the internet at the facility and facility is odoriferous, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, these allegations are Unsubstantiated at this time. Exit interview was conducted. A copy of this report and Appeal Rights were discussed and given to Administrator Georgina Doyle.

Investigation Findings:
13On May 11, 2023, Licensing Program Analyst (LPA) Karen Beal arrived at Guiding Light for Boys #2 (STRTP) and met with Administrator Georgina Doyle to deliver the finding for the allegations stated above involving clients (C1, C2, C3, C4, C5 and C6) and the STRTP staff as listed on the Confidential Names List (LIC 811) dated on March 23, 2023. On February 17, 2023, Community Care Licensing (CCL) received a complaint alleging facility staff emotionally abused clients while in care, facility staff made an inappropriate comment to a client while in care facility staff threatened a client while in care, facility staff yelled at a client while in care, facility staff are not adequately supervising clients while in care, facility staff did not ensure that clients had access to the internet at the facility and facility is odoriferous. On February 24, 2023, at 8: AM Licensing Program Analyst (LPA) Beal arrived unannounced to  UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 05/11/2023

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

met_with: Georgina Doyle, Administrator


raw_content:
Narrative:
Regarding facility staff calling youth inappropriate names allegation, a confidential interview denied staff called youth inappropriate names. The confidential interview stated that staff had a good rapport with C1 and was not certain staff called C1 inappropriate names. Another confidential interview disclosed being called inappropriate names by staff. Confidential witness did not hear staff called C1 inappropriate names, however, confidential witness was unable to tell if the allegation occurred or not. In regard to staff threatening C1. It was specifically alleged that staff member had threatened C1 with a gun. Confidential interview denied hearing S1 threatening C1. The confidential interview disclosed that S1 had good rapport with C1 but was not sure about the conversation between S1 and C1. A confidential interview disclosed that S1 mentioned being a gun holder and did not use it to threaten. A confidential witness did not hear C1 being threatened by S1. The confidential witness did not receive any reports of a threat to C1 hence, could not tell if the allegation was valid. Finally, it was alleged that S1 wanted C1 to sell marijuana for them and in exchange C1 to have marijuana to smoke. Confidential interview denied engaging with C1 a marijuana conversation. The confidential interview disclosed that C1 did not know if the alleged allegation happened. Another confidential interview stated that S1 mentioned selling marijuana in exchange for free marijuana. Confidential interview disclosed that C1 was not sure if S1 was joking or not. A confidential witness did not hear a conversation between S1 and C1 to sell marijuana. Confidential witness disclosed that S1 had good rapport with clients and was not sure such conversation occurred. Based on confidential interviews and record review, the allegation that S1 called C1 inappropriate names, S1 threatened C1, S1 wanted C1 to sell marijuana for them and in exchange provide C1 with marijuana to smoke, may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, these allegations are unsubstantiated at this time. A copy of the report was discussed and provided along with LIC 811 to Guiding Light Home for Boys administrator Georgina Doyle.

Investigation Findings:
13On October 19, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys to deliver investigative finding for the above allegations involving the Short Term Residential Therapeutic Program (STRTP) and clients listed in the Confidential Names List (LIC 811) dated 10/19/2023. LPA met with the STRTP's administrator Georgina Doyle. On December 19, 2022, a complaint report was referred to Community Care Licensing (CCL) alleging facility staff called youth inappropriate names, facility staff threatened youth, facility staff wanted youth to sell marijuana for them and in exchange provide youth with marijuana to smoke. On December 22, 2022, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the GH to initiate investigation and met with Clinical Director (CD) Adri Vermilion. LPA conducted a safety inspection, interviewed CD, and staff 1 (S1). On February 8, 2023, LPA interviewed Facility Administrator (FA), clients 1, 2, 3, and 4 (C1, C2, C3, and C4). LPA was unable to interview the County Social worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 10/19/2023

met_with: Georgina Doyle


raw_content:
Narrative:
Confidential interviews also reported that S1 did not redirect the minors or confiscate the substance. In addition, S1 admitted to being in the backyard while the clients engaged in marijuana use and acknowledged they (S1) did not dispose of the marijuana. Instead, S1 reported they (S1) passed the marijuana back to the client smoking and provided no reason for their (S1's) inaction. Additionally, the investigation revealed that staff informed the Administrator of S1's conduct, but the Administrator did not immediately report the incident to the Program Director. Information from confidential interviews further reported the STRTP conducted an internal investigation; after a review of the facility cameras, screen shots of those images were provided to LPA, a client was observed smoking, not S1. The internal investigation noted staff (S1-S3) violated the facility policy regarding "appropriate supervision of youth" and failed to submit a Special Incident Report. Furthermore, a confidential interview reported that S1's employment was terminated when another client at the other facility located at Middlebrook Way, Moreno Valley, CA 92555, alleged and later recanted that S1 provided clients with pills and marijuana. Based on confidential interviews and pertinent documentation, the allegation staff was contributing marijuana to the delinquency of minors is substantiated; the preponderance of the evidence standard has been met. The facility is cited with a violation of Interim Licensing Standards (ILS )87065.2 (b)(1) Personnel Duties (b) Direct care staff shall perform the following duties (1) supervision, protection, and care of children at all times, individually and in groups. An exit interview was conducted. A copy of this report, appeal rights, and the deficiencies report LIC 9099-D were explained and given to Administrator Georgina Doyle.

Investigation Findings:
13On July,1 2024, at 11: AM, Licensing Program Analyst (LPA) Jessica Peete made an unannounced visit to Guiding Light Home for Boys Short Term Residential Therapeutic Program (STRTP) and met with Adminstrator Georgina Doyle to deliver the investigative finding for the allegation mentioned above. On 03/04/ LPA Peete initiated the investigation at the STRTP and collected pertinent documents to assist with the investigation process. The investigation was conducted by Special Investigator (SI) Marlon Williams of the Community Care Licensing (CCL) Investigations Bureau. SI Williams interviewed three clients (C1-C3), five staff members (S1-S5), and three neighbors near the STRTP. On February 29, 2024, Community Care Licensing (CCL) received a complaint alleging that Staff (S1) is contributing marijuana to the delinquency of minors. During the investigation, multiple confidential interviews, including S1, denied smoking or providing marijuana to clients. However, it was reported that staff (S1-S3) were working Sunday, February 11, 2024 and a confidential witness interview reported seeing S1 follow clients into the backyard and smoke marijuana with them. Continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 07/01/2024

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

met_with: Administrator Georgina Doyle


raw_content:
Narrative:
Based on interview and record review, the preponderance of evidence standard has been met, and the Department has determined that the facility had bed bugs. Therefore, the allegation is substantiated. The facility is being cited for violation of the Title General Licensing Requirements Section 80087(a)(1) Building and Grounds. See LIC 9099D page. An exit interview was conducted, and a copy of this report along with the appeal rights were provided to Shamarjee Cosby, Residential Counselor.

Investigation Findings:
13On 10/17/2025 at 11: AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at Guiding Light Home for Boys Inc and met with Shamarjee Cosby, Residential Counselor to deliver the finding on the above stated allegation. On August 22, 2025, LPA Aborchie initiated the investigation and conducted a health and safety inspection. No immediate deficiencies were observed. In addition, LPA Aguilera collected pertinent documents and interviewed two staff, four clients, and Program Director. Regarding the allegation that staff did not ensure facility was free from pests, the Program Director reported that in April 2025 a client reported being bitten by something overnight. The facility hired an exterminator and invoice records confirmed that bed bugs were present in two bedrooms of the facility. The entire facility was pestified however it took approximately five weeks for the facility to be in compliance and free of pests. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Claudia Aguilera LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Guiding Light Home for Boys INC.FACILITY NUMBER: VISIT DATE: 10/17/2025

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

met_with: Shamarjee Cosby, Residential Counselor


summary: Facility Evaluation - 4 deficiencies

raw_content:
Narrative:
On July at 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted an annual inspection. The facility name is Guiding Light for Boys Inc. Short Term Therapeutic Program (STRTP). LPA was met by Facility Administrator Georgina Doyle. On July at 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted an annual inspection. The facility name is Guiding Light for Boys Inc. Short Term Therapeutic Program (STRTP). LPA was met by Facility Administrator Georgina Doyle. A physical plant inspection was completed at 10: AM and included the following checks: The facility is a two- story home with 5 bedrooms with one bedroom converted to the mental health office, 2 bathrooms. Also, on the second level there is a loft area that is used as a lounging area. Downstairs is the family room, living room, bathroom, laundry, kitchen, and an office space, The clients' bedrooms consist of two people per bedroom which include closet space for each client and a dresser for each client. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Facility grounds are clean and free of debris and no observable hazards. There is adequate indoor and outdoor activity space. A basketball court is outside the facility for the client use.All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. Some required forms are posted including the Grievance Procedures, Personal Rights form, menu, and Foster Care Ombudsman poster. Continued on LIC 809-C Continued from LIC Medications and sharp items are locked and centrally stored in locked closet next to the kitchen. The hot water in the client's bathroom was measured to be 110 degrees. Four staff files were reviewed. One staff has an expired CPR/1st Aid certification. The certification expired 11/30/2022. Six client files were reviewed, and all client files are missing Needs and Services plans from March 2023 to July 2023. Facility appears to be meeting the terms and conditions of their license. A copy of this report was reviewed and copy was provided to Administrator Georgina Doyle.

Deficiencies:
87068.22(d): Deficient Practice Statement
1
2
3
4Based on client file reviews, the licensee did not ensure the Needs and Services Plan shall be signed by a nonminor dependent, the placement agency, and the administrator or social work staff within 30 calendar days as stated in the section cited above which pose a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2023
Plan of Correction
1
2
3
4
87068.22(f): Deficient Practice Statement
1
2
3
4Based on client file reviews, the licensee did not comply with having a copy of the needs and services plans for the clients as mentioned in the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2023
Plan of Correction
1
2
3
4
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following
87068.2: (2)

title:
Needs and Services Plan For Nonminor Dependents

(d) The Needs and Services Plan shall be signed by a nonminor dependent, the placement agency, and the administrator or social work staff within 30 calendar days of placement of a nonminor dependent in the facility.

This requirement is not met as evidenced by

title:
Needs and Services Plan For Nonminor Dependents

(f) The original signed Needs and Services Plan shall be maintained in the records for the nonminor dependent as specified in Section 87070.1.

This requirement is not met as evidenced by


facility_name: GUIDING LIGHT HOME FOR BOYS #2

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

raw_content:
Narrative:
Confidential interviews also confirmed that the door was nailed shut because the licensee did not want clients out on the balcony due to a possible liability to the facility. Confidential interviews also disclosed that the balcony was stable but there was a possibility someone could get hurt. LPA observed pictures of facility maintenance removing the screw from the track of the sliding glass door on 03/10/2021 and the door being opened. In addition, LPA conducted a health and safety tele-inspection via Microsoft Teams on 03/18/2021 and staff demonstrated that the sliding glass door in the master bedroom was able to be opened and closed. Based on confidential interviews, the preponderance of evidence standard has been met and the Department has determined that the facility did not ensure the sliding glass door in C1's bedroom was free from obstruction. The allegation is therefore substantiated. The facility is being cited for violation of Title 22, Division 6, Chapter 1, Article Section 80087(c): Building and Grounds: All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. This poses immediate and potential health, safety or personal rights risk to children in care. An exit interview was completed and a copy of this report and appeal rights were provided to facility manager. In regard to the allegation that the facility lacks sufficient food for clients, on 03/05/2021 it was alleged that the facility only had butter and condiments in the refrigerator and frozen corndogs and banquet meals for weekend staff in the overflow freezer. Confidential interviews resulted in conflicting information being provided to LPA. Confidential interviews disclosed that the facility did not lack food and there were additional refrigerators and freezers full of food; whereas another confidential interview disclosed the facility did lack food sometimes. Confidential interviews also disclosed to LPA that the facility would advise ADM when food was low, ADM would do an Insta-Cart order and food would be delivered in approximately one to two days. Confidential interviews also disclosed that the facility also had an overflow refrigerator and freezer at Site 1, located at Saffron Cir, Moreno Valley, CA 92555 due to that site having more space for the extra refrigerators and freezers. LPA observed pictures were taken at the facility showing the refrigerators and cabinets lacked food and receipts of the food purchased that same day. LPA Hamilton conducted a health and safety tele-inspection via Microsoft Teams on 03/18/2021 and observed additional refrigerators and freezers with plenty of food. Furthermore, on 03/18/ County of San Bernardino Open Complaint Investigator (OCI) conducted an unannounced facility inspection and did not observe any shortage of food according to their Investigative Narrative. In regard to the allegation that the facility does not provide a comfortable environment for C1, it was alleged that C1's bedroom had no ventilation and was stuffy due to the sliding glass door being nailed shut. Confidential interviews resulted in conflicting information being provided to LPA. Confidential interviews disclosed that all clients were comfortable in the facility and there were no complaints regarding the environment; whereas another confidential interview disclosed that both staff and clients are uncomfortable in the facility due to the heat. In regard to the allegation that the facility windows lack screens, it was alleged that on 03/08/2021 there were no window screens on any of the facility's upstairs windows. Confidential interviews resulted in conflicting information being provided to LPA. Confidential interviews disclosed that the screens staying on the client windows was an issue due to the clients going out on the roof to smoke; whereas other confidential interviews disclosed to LPA that all the facility windows have screens. LPA also observed a picture that was taken of a window at the facility that did not have a screen. LPA Hamilton conducted a health and safety tele-inspection on 03/18/2021 and did not observe any missing window screens. Moreover, on 03/18/ County of San Bernardino Open Complaint Investigator (OCI) conducted an unannounced facility inspection and observed screens on all bedroom windows and a sliding glass door. Based on confidential interviews, observations and document review, the allegations that the facility lacks sufficient food for residents, facility does not provide a comfortable environment for C1 and the facility windows lack screens, may have occurred, however they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. A copy of this report, LIC 811, and appeal rights were provided to facility manager.

Investigation Findings:
13On July 8, 2021 at 1:48 p.m., Licensing Program Analyst (LPA) Cindy Hamilton met with Guiding Light Home for Boys (STRTP) Facility Manager Martin Morales to deliver the findings for the above stated allegation. During the investigation, LPA Hamilton conducted interviews with three of six clients, five staff, County Social Worker (CSW) and Administrator (ADM). LPA Hamilton conducted a health and safety tele-inspection of the STRTP on March 18, 2021 via Microsoft Teams due to COVID-19 and no safety concerns were noted. LPA obtained and reviewed the facility's 15-minutes log, placement agreements, facility menus, and staff schedules. LPA Hamilton attempted to interview Client #3 (C3) and Client #6 (C6) but both clients declined to interview. Also, LPA attempted to reach Client #1 (C1) for interview and C1 did not return LPA's telephone calls. On March 15, 2021, Community Care Licensing (CCL) received an allegation that C1's door is nailed shut. It was alleged that the sliding glass door in C1's bedroom was nailed shut. Confidential interviews confirmed the licensee and several staff were aware that the sliding glass door in C1's bedroom was nailed shut. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cindy Hamilton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 07/08/2021

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

Deficiencies:
80087(c): (c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.

met_with: Martin Morales, Facility Manager

title: Building and Grounds


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Narrative:
that "a kid yelled and C1 was scared for no reason" and was scared to fight clients back. LPA was provided with conflicting information regarding the allegation, the information received disclosed C1 was scared for no reason; whereas confidential interviews disclosed C1 had not disclosed that C1 felt unsafe or was scared at the STRTP. Confidential interviews disclosed that facility is safe and staff does rounds and checks to ensure facility is safe for clients; whereas other information received stated the facility is not equipped to be STRTP and additional staff is needed to handle certain types of clients. Confidential interviews disclosed that none of the clients in the STRTP ever expressed feeling unsafe at STRTP. CSW disclosed to LPA that CSW spoke with C1 on April 4, 2021 via email and C1 advised CSW that everything was fine, C1 felt safe and C1 did not want to be moved from the STRTP. Confidential interviews disclosed that staff does safety checks of the STRTP every 15 minutes. In regard to the allegation that C1 was physically assaulted by other minors while in care, it was alleged that C1 was jumped by a client and punched in the face and could not remember what happened. It was also alleged that that a client tried to fight C1 but C1 was scared to fight back. Confidential interviews resulted in conflicting information being provided by confidential interviews and document review disclosed that C1 was punched in the face by C2 on March 19, 2021 after C1 and C2 had a disagreement. Confidential interview and document review also revealed staff intervened by separating the clients and debriefing with clients. Confidential interview and document review also revealed medical attention was declined by both clients. Document review disclosed to LPA that C1 was conscious and repeatedly refused medical attention. Confidential interview also disclosed that the incident was not witnessed by any of the clients in care. CSW stated CSW had no issues or concerns with the care and supervision provided by STRTP. Based on confidential interviews and document review, the allegation that the facility does not provide a safe environment for C1 and C1 was physically assaulted by other minors while in care, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. A copy of this report, LIC 811, and appeal rights were provided to Administrator, Georgina Doyle.

Investigation Findings:
13On September 03, 2021 at 10:10 a.m., Licensing Program Analyst (LPA) Cindy Hamilton met with Guiding Light Home for Boys #2 (STRTP) Administrator Georgina Doyle to deliver the findings for the above stated allegations. During the investigation, LPA Hamilton conducted interviews with zero of six clients, three staff, county social worker, and previous Administrator (ADM). LPA Hamilton conducted a health and safety tele-inspection of the STRTP on April 15, 2021 at and no safety concerns were noted. LPA obtained and reviewed the facility's 15-minute log, placement agreements, needs and services plans, special incident reports and staff schedules. LPA was unable to interview Client #1, Client #2, Client #3, Client #4, Client #5 and Client #6 due to all clients declined to be interviewed. LPA attempted to conduct interviews with Staff #1 regarding this investigation, but Staff #1 did not return LPA's calls. On April 5, 2021, Community Care Licensing (CCL) received information stating that facility does not provide a safe environment for Client #1 (C1) and C1 was physically assaulted by other minors while in care. In regard to the allegation that the facility does not provide a safe environment for C1, it was alleged UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cindy Hamilton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 09/03/2021

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


raw_content:
Narrative:
CSW disclosed that she had not been notified of C1's AWOL status prior to arriving at STRTP. CSW also disclosed to LPA on April 14, 2021 that CSW still had not received a copy of the Special Incident Report (SIR) regarding C1's AWOL. Records review revealed that the SIR was prepared by STRTP staff on April 09, 2021 and reviewed and approved by previous Administrator (ADM) on April 1 ,2021. Confidential interviews disclosed that the staff who prepared the report did not follow the STRTP's protocol to notify the client's authorized representative directly or call the county's hotline. ADM disclosed the SIR was sent to CSW and CCL on the morning of April 15, 2021. CSW also advised LPA that CSW was not notified of C1's return to the STRPT on April 6, 2021 until CSW contacted the STRTP via telephone on April 12, 2021. Confidential interviews disclosed the STRTP's protocol is for staff writing the SIR to make notifications to CCL, CSW/authorized representative, law enforcement and STRTP management. CSW added that the facility has previously failed to notify CSW timely of C1's AWOL status. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff did not properly report C1's AWOL to C1's authorized representative. The allegation is therefore substantiated. The facility is being cited for violation of Title 22, Division 6, Chapter 1, Article Section 80061(g): Reporting Requirements. The facility failed to report to C1's CSW/authorized representative that C1 had AWOL'd from the STRTP within the timeframes outlined in Title Regulations. This poses a potential health, safety or personal rights risk to children in care. An exit interview was completed and a copy of this report and appeal rights were provided to Administrator Georgina Doyle.

Investigation Findings:
13On September 3, 2021 at 10: AM, Licensing Program Analyst (LPA) Cindy Hamilton met with Guiding Light Home for Boys #2 (STRTP) Administrator Georgina Doyle to deliver the finding of the above allegation. On April 15, 2021, a safety tele-inspection of the facility was conducted, and no deficiencies were noted at the time. During the investigation, LPA Hamilton conducted interviews with previous Administrator, County Social Worker (CSW), zero of six clients and four staff. LPA obtained and reviewed the facility's 15-minute log, placement agreements, needs and services plans, special incident reports, and staff schedules. LPA was unable to interview C1, C2, C3, C4, C5 or C6 as all clients declined to be interviewed by LPA. On April 9, 2021, Community Care Licensing (CCL) received an allegation that facility staff did not properly report Client #1's (C1) AWOL to C1's authorized representative. It was alleged that on April 7, CSW went to the STRTP and was advised that C1 had AWOL'd on April 2, 2021 and had not returned to STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cindy Hamilton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 09/03/2021

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


raw_content:
Narrative:
During investigation, LPA gathered pertinent documents and interviewed the Administrator. On April 6, 2023, LPA interviewed four staff and three clients (C1, C2 and C3). On April 11, 2023, LPA conducted a phone interview with a staff. In regard to cannabis is used by the youth in care on facility premises, confidential interviews stated that cannabis was not observed on the facility premises. Other confidential interviews indicated seeing clients smoking marijuana There was inconsistent information regarding the allegation. Facility staff denied observing youth smoking marijuana inside the facility. In regard to facility staff yell at the youth in care, Facility staff denied yelling at the clients, however, staff may use firm voice or a higher tone to redirect clients in they were misbehaving. LPA was unable to obtain additional information regarding this allegation due to a client not being available for interview. There was inconsistent information regarding the allegation. Regarding the allegation that facility staff speak inappropriately to youth in care, facility staff disclosed that staff will repeat after clients to correct inappropriately language that was said to them. Staff will continue to redirect clients not use inappropriate language because they are disrespectful. There was inconsistent information regarding the allegation. Based on confidential interviews, the allegations that cannabis is used by the clients in care on the facility, facility staff yell at clients in care, and facility staff speak inappropriately to clients in care, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted. A copy of this report and Appeal Rights were discussed and given to Administrator Georgina Doyle.

Investigation Findings:
13On May 11, 2023, Licensing Program Analyst (LPA) Karen Beal arrived at Guiding Light for Boys #2 (STRTP) ) and met with Administrator Georgina Doyle to deliver the finding for the allegations stated above involving clients and the STRTP staff as listed on the Confidential Names List (LIC 811) dated on March 30, 2023. On March 28, 2023, Community Care Licensing (CCL) received a complaint alleging cannabis is used by the youth in care on the facility premises, facility staff yells at the youth in care, and facility staff speak inappropriately to youth in care. On March 30, 2023, at 10: AM, Licensing Program Analyst (LPA)Karen Beal arrived unannounced to Guiding Light Home for Boys # STRTP to initiate the complaint. LPA met with the Administrator who granted access into the facility. A health and safety inspection were conducted, and no immediate health or safety concerns were observed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 05/11/2023

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


raw_content:
Narrative:
In regard to the allegation that due to lack of supervision, minors physically assaulted another minor in care, a confidential interview denied the allegation and disclosed that staff was within distance, but clients barricaded the door during the incident. Another confidential interview denied C2 and C3 assaulting C1 due to lack of supervision. The confidential interview disclosed that S1 was right by the room when C2 and C3 went to C1's room but did not know the intention. Other confidential interviews didn't know if this incident occurred. LPA received a conflicting information. Based on confidential interviews and record review, the allegation that due to lack of supervision, C2 and C3 physically assaulted C1 in care, may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, this allegation is unsubstantiated at this time. A copy of the report was discussed and provided along with LIC 811 to Guiding Light Home for Boys administrator Georgina Doyle.

Investigation Findings:
13On October 19, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys #2 to deliver investigative finding for the above allegation involving the Short Term Residential Therapeutic Program (STRTP) and clients listed in the Confidential Names List (LIC 811) dated 10/19/2023. LPA met with the STRTP's administrator Georgina Doyle. On January 5, 2023, a complaint report was referred to Community Care Licensing (CCL) alleging due to lack of supervision, minors physically assaulted another minor in care. On January 13, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the STRTP to initiate investigation and met with facility administrator (FA) Georgina Doyle. LPA interviewed (FA), staff 1 (S1) clients 1 and 2 (C1 and C2). On October 13, 2023, LPA interviewed Facility manager (FM). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 10/19/2023


raw_content:
Narrative:
Regarding the allegation that staff do not ensure that C1 in care was enrolled in school, a confidential interview denied the allegation and disclosed that staff ensured C1 was enrolled in school, but the process took longer than usual due to C1's past record at former school. Another confidential interview maintained that staff did not ensure C1 was enrolled in school and did not know reasons why C1 had not been enrolled in school. Additional confidential interview denied staff did not ensure C1 was enrolled to school. Additional confidential interview was aware that C1's history at former school was delaying the process of admission into C1's new school. Regarding the allegation that staff did not safeguard C1's personal possessions, a confidential interview denied staff did not safeguard C1's personal possessions. Confidential interview revealed that C1 was selling C1's new clothes, accusing the facility of not safeguarding C1's personal possessions. A confidential interview stated that staff did not take measure to prevent other clients accessing C1's personal possessions and stated other clients in care stole C1's personal belongings. Another additional confidential interview reiterated that C1 sold new clothes with the tags and used the money to buy drugs. LPA received a conflicting information. In regard to the allegation that staff verbally abused C1 while in care. It was specifically stated that staff called C1 "crackhead". A confidential interview denied that staff or witnessed anyone calling C1 crackhead. Confidential interview stated that C1 was told not to be a crackhead during a conversation. Another confidential interview believed to be called a crackhead but did not give any specific reason why C1 was being called a crackhead. Additional confidential interview denied staff verbally abused C1. Confidential interview stated there was cordial relationship between staff and C1. Other confidential interviews didn't provide any relevant information regarding the allegation. Based on confidential interviews and record review, the allegations that staff do not ensure that C1 in care was enrolled in school; staff did not safeguard C1 in care's personal possessions and staff verbally abused C1 while in care, may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated at this time. A copy of the report was discussed and provided along with LIC 811 to Guiding Light Home for Boys #2 facility manager.

Investigation Findings:
13On July 12, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys #2 and met facility manager, Steven Hooks to deliver investigative finding for the above allegations involving the Short Term Residential Therapeutic Program (STRTP) and clients listed in the Confidential Names List (LIC 811) dated 07/12/2024. On August 11, 2023, a complaint report was referred to Community Care Licensing (CCL) alleging staff do not ensure that minor in care is enrolled in school; staff did not safeguard minor in care's personal possessions and staff verbally abuse minor while in care. On August 21, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the STRTP to initiate investigation and met with administrator (A1) Georgina Doyle. LPA interviewed (A1), staff 1 (S1) and clients 1, 2 and 3 (C1, C2, C3). LPA was unable to contact county social worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 07/12/2024

met_with: Steven Hooks


raw_content:
Narrative:
Regarding the allegation that staff does not pick C1 up from school on a timely basis, it was specifically reported that sometimes C1 had to walk home from school which is two hours away from the facility. During investigation, a confidential interview denied the allegation. Confidential interview stated that staff was always on time to pick up C1 from school. Another confidential interview maintained that C1 was not being picked up on time from school, however, confidential interview did not confirm that C1 walked from school to the home. Additional confidential interview stated C1 was always picked up on time and the distance from school to the home was not a walking distance. In regard to the allegation that staff does not ensure that a youth is adequately fed, a confidential interview denied staff did not ensure C1 was adequately fed. Confidential interview stated there was always food in the home. Another confidential interview stated there was no food in the home when C1 wanted to eat. Additional confidential interview revealed food was thrown all over the home and facility was in disorder. A confidential witness observed clients being disruptive and throw food all over the place. LPA received inconsistent information. Based on confidential interviews and observations, the allegations that staff does not pick C1 up from school on a timely basis and staff does not ensure that C1 is adequately fed, may have occurred, however, they were not a preponderance to support the alleged violation. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 and the appeal right was reviewed and provided to STRTP representative.

Investigation Findings:
13On August 28, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Guiding Light Home for Boys #2, Short Term Therapeutic Residential Program (STRTP) to deliver investigative finding involving the STRTP. LPA met with facility manager, Steven Hooks. On January 17, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging staff does not pick a youth up from school on a timely basis, and staff does not ensure that a youth is adequately fed. On January 25, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted interviews with Facility Manager (FM) and client 1 (C1). Additionally, LPA interviewed Administrator 1 (A1), Client 2 (C2). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GUIDING LIGHT HOME FOR BOYS #2FACILITY NUMBER: VISIT DATE: 08/28/2024

met_with: Facility Manager