raw_content:
Narrative:
During investigation confidential interviews stated that the facility does not use restraints of any kind with children in care. Confidential interviews denied witnessing or learning that C1 was handled in a rough manner in care by program staff. Confidential interviews added that consequences such as removal of privileges, or outings are some of the ways staff handle client behaviors and denied using methods that would cause physical harm to a client. Other confidential interviews stated being handled in inappropriate manner by staff in care but could not provide details of the incidents while other confidential interviews deny being mistreated in care. A confidential interview maintained that C1's arm was twisted in care during the removal of an object but denied that the incident was done in purpose. Another confidential interview stated that when the incident of C1's alleged mistreatment was reported CSW was on the phone and added that C1's statements were inconsistent and C1 was laughing when reporting the incident. LPA received inconsistent information about whether C1 was handled in rough manner by staff in care. Based on confidential interviews the allegation that staff handled C1 in a rough manner, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Facility Manager, Justin Axieruto due to technical difficulties.

Investigation Findings:
13On July 27, 2023, at 1:00PM Licensing Program Analyst (LPA), Cynthia Urena met with All of God's Children Group Home (GH) Facility Manager, Justin Axieru to deliver the investigative finding for the above stated allegation. On February 3, 2023, at 11: AM, Licensing Program Analyst (LPA), Belinda Torres initiated the investigation at the GH and collected pertinent documents from the program staff and client files. Interviews were conducted with five staff members (S1, S2, S3, S4, S5), five clients (C1, C2, C3, C4, C5), and a County Social Worker (CSW). On January 27, 2023, Community Care Licensing (CCL) received a complaint alleging that staff handled a child in a rough manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena 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: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 07/27/2023

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

met_with: Facility Manager, Justin Axieruto


state: CA

facility_name: ALL OF GOD'S CHILDREN'S GROUP HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Regarding the allegation that staff did not prevent C1 from being bullied while in care, confidential interviews stated that C1 initiates verbal fights with peers and becomes upset when peers respond to C1's behaviors. A confidential interview maintained that C1 is being bullied by C2 in care. Other confidential interviews deny that clients are being bullied in care while other confidential interviews state that there is bullying among clients in care. Another confidential interview stated that program staff have different ways to address bullying when it becomes a problem among clients and the incidents between C1 and C2 were addressed and resolved in care. Another confidential interview stated that some staff do not do anything to address bullying in care and that other staff ignore client behaviors. A CSW could not be reached for comment. LPA received inconsistent information regarding whether staff prevented C1 from being bullied in care. Regarding the allegations that staff did not safeguard a client's personal belonging, and that staff did not prevent C1 from being threatened while in care, A confidential interview maintained that C1's personal belongings have gone missing at the facility but added that items were retrieved. Confidential interview added that C1 feels safe in care. Other confidential interviews denied threatening C1 in care. Another confidential interview stated that clients in care trade personal items amongst each other and become upset when items are not returned causing problems among clients. Other confidential interviews deny losing personal property at the facility or witnessing C1's belongings taken without permission or C1 being threatened in care by C2 or C3. Other confidential interviews stated that C1 has not expressed concerns about missing personal property or feeling unsafe in care. A CSW could not be reached for comment. LPA receive inconsistent information whether staff safeguarded C1's personal belonging in care and if staff prevented C1 from being threatened or bullied by C2 or C3 while in care. Based on confidential interviews the allegations that staff did not prevent C1 from being bullied while in care, staff did not safeguard C1's personal belonging, and staff did not prevent C1 from being threatened while 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, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Facility Manager, Justin Axieruto due to technical difficulties.

Investigation Findings:
13On July 27, 2023, at 1: PM Licensing Program Analyst (LPA), Cynthia Urena met with All of God's Children Group Home (GH) Facility Manager, Justin Axieru to deliver the investigative finding for the above stated allegations. On February 3, 2023, at 12: PM, Licensing Program Analyst (LPA), Belinda Torres initiated the investigation at the GH and collected pertinent documents from the program staff and client files. Interviews were conducted with five staff members (S1, S2, S3, S4, S5) five clients (C1, C2, C3, C4, C5). A County Social Worker (CSW) could not be reached for an interview after multiple attempted made by LPA for an interview. On January 31, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent a client from being bullied while in care, staff did not safeguard a client's personal belonging, and staff did not prevent a client from being threatened while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena 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: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 07/27/2023

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

report_type: Complaint Investigation

met_with: Facility Manager, Justin Axieru

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On August 21, 2023 at 2: PM Licensing Program Analyst (LPA) arrived at All of God's Children's Group Home. LPA arrrive to amend documents concerning the finding. LPA met with LaCobra Curry and a copy of the amended documents was provided. SubstantiatedEstimated 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 3

met_with: La Cobra Curry,Administrative Assisant

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
On June 29, 2023, Community Care Licensing (CCL) received a complaint alleging that staff left minors unattended in the facility. It was specified that a staff arrived at 10PM and observed that the clients were in the facility unattended. Furthermore, it was indicated that the facility manager was contacted to unlock the door because the clients were sleeping. Confidential interviews reported not witnessing clients being alone at night. Other confidential interviews did not have any knowledge of the allegation. One confidential interview reported getting up to drink water and did not observe any night staff in the facility. The same interview added that someone started to knock on the door. Another confidential interview disclosed that clients were left unsupervised approximately one to two minutes because a staff was running late to their shift and the staff that was supposed to wait left the facility premise. It was added that the staff that arrived late contacted facility manager (S1) who came within a few minutes to open the door due to the clients were already in bed. Based on confidential interviews, the preponderance of evidence standard has been met, therefore, the allegation that staff left minors unattended in the facility is substantiated. The facility is being cited for the violation of General Licensing Requirements Responsibility for Providing Care and Supervision 80078(a) on the attached LIC 9099D. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Clerical Veronica Manzo. Regarding the allegation that facility does not store an adequate amount of food, it was alleged that the facility does not store enough food with no further details. Confidential interviews reported that there was enough food at the facility and clients were fed all their meals. One confidential interview indicated the food was nasty at times and only a little was offered. Other confidential interviews stated every Monday the food was stocked, and menu was prepared for the week. Another confidential interview stated if clients do not like the food a peanut butter and jelly sandwich will be the alternative. On July 6, 2023, LPA conducted facility inspection and took photographs of food pantry, storage, and refrigerators. Concerning the facility storing expired food allegation, it was indicated that the facility stores expired bread. LPA did not observe expired food or any bread during LPA's inspection on July 6, 2023. Confidential interviews did not disclose that the facility stores expired food. LPA didn't have enough information. Based on confidential interviews and observations, the allegations that the facility did not store an adequate amount of food and was storing expired food may have occurred, however, there was not a preponderance of evidence to support or deny these allegations. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights were provided to Veronica Manzo.

Investigation Findings:
13On October 25, 2023, at 9:32AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with All of God's Children STRTP Clerical Veronica Manzo to discuss the investigative findings for the above stated allegations involving clients in the facility identified on the Confidential Names List (811). On June 29, 2023, Community Care Licensing received information alleging that the facility does not store an adequate amount of food in the facility and facility is storing expired food. LPA was unable to interview the County Social Worker. On July 6, 2023, at 8:15AM, LPA initiated the investigation at the facility. LPA conducted collateral visits to interview clients (#1-#5). On October 23, 2023, LPA conducted inspection at the facility to interview four staff, facility Administrator, and client #6. LPA Caballero obtained client and staff rosters. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE This is an official report of an unannounced visit/investigation of a complaint received in our office on 06/29/2023 and conducted by Evaluator Adaleyci Caballero PUBLICCOMPLAINT CONTROL NUMBER: 19-CR- FACILITY NAME:ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: ADMINISTRATOR:CHERYL WILLIAMSON-JONESFACILITY TYPE: ADDRESS: CARILLO COURTTELEPHONE: (951) 488- CITY:MORENO VALLEYSTATE: CAZIP CODE: CAPACITY:8CENSUS: 6DATE: 10/25/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Clerical-Veronica ManzoTIME COMPLETED:10: AM 9Staff left minors unattended in the facility. INVESTIGATION FINDINGS: 13On October 25, 2023, at 9:32AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with All of God's Children STRTP Veronica Manzo to discuss the investigative findings for the above stated allegation involving clients in the facility identified on the Confidential Names List (811). LPA arrived at the STRTP on July 6, 2023, at 8:15AM, to initiate the investigation and conduct a safety inspection. There were no immediate hazards observed. During the investigation, LPA A. Caballero interviewed Facility Administrator, Clients (#1-#6), and five staff. LPA was unable to interview County Social Worker. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/25/2023

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

met_with: Clerical-Veronica Manzo


raw_content:
Narrative:
In regard to the allegations that staff handled clients in a rough manner and staff threatened clients it was alleged that STRTP staff members normally grab clients and throw them to the ground. Furthermore, it was indicated that a staff member was seen grabbing client #2(C2) after (C2) ran outside at a Child and Family Services (CFS) office. It was also reported that on a different occasion a staff member ran after C1 and grabbed C1 by the shirt and threatened to throw C1 against a tree. During investigation, confidential interviews denied witnessing any form of physical abuse at the STRTP to any client. One confidential interview disclosed witnessing staff grab clients by the back of their shirts. Other confidential interviewers denied witnessing staff grab clients. A confidential interview indicated witnessing a staff grab a client by the arm for no reason. Additional confidential interviewers denied witnessing staff members threatening clients. LPA received conflicting information. Regarding the allegation that staff inappropriately restrain clients, it was specified that staff restrain clients down to the ground, "police style." Confidential interviews denied that clients get restrained unnecessarily. Another confidential interview stated the facility staff use Therapeutic Crisis Intervention (TCI) to avoid clients getting hurt. Additionally, confidential interviews disclosed that staff will use nonphysical interventions before clients are physically grabbed; however, when clients run towards cars, staff will attempt to grab the clients to prevent from being hit cars causing injuries. LPA received inconsistent information regarding this allegation. In regard to the allegation that staff did not provide adequate supervision resulting in client being hit by another client causing injury, it was specifically alleged that C1 was hit by another client (unknown) causing a black eye with no details. Confidential interviews stated that clients at the STRTP are aggressive, but staff try to prevent altercations. Other confidential interviews reported that C1 is the aggressor and usually starts the altercations with other clients in care. One confidential interview disclosed that an altercation happened because C1 initiated the altercation and staff would take privileges away for discipline. Finally, it was alleged that C1 is not afforded privacy. Specifically, it was reported that C1 was afraid to talk to C1's therapist because the therapist told staff what C1 discussed with the therapist. Confidential interviews mentioned that C1's sessions with the therapist were confidential and they were not discussed within the facility. One confidential interview stated that C1's school called staff about C1's behavior and staff must inform the facility Administrator about the situation. Another confidential interview indicated that the school reported that C1 made self-harm threats, and the facility Administrator reported it to the therapist for communication purposes. Based on confidential interviews and witness statements, the allegations that staff handle clients in a rough manner, staff threatened client #1(C1), staff inappropriately restrained clients, staff did not provide adequate supervision resulting in client #1(C1) being hit by another client (unknown) causing injury, and client #1 (C1) was not afforded privacy may have occurred, however, there was not a preponderance of evidence to support or deny these allegations. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Veronica Manzo.

Investigation Findings:
13On October 25, 2023, at 10:34AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with All of God's Children STRTP Facility Manager Justin Asieru to discuss the investigative findings for the above stated allegations involving clients in the facility identified on the Confidential Names List (811). On September 29, 2023, Community Care Licensing received information alleging that staff handled clients in a rough manner; staff threatened client; staff inappropriately restrain clients; staff did not provide adequate supervision resulting in client being hit by another client causing injury; and a client is not afforded privacy. On October 9, 2023, at 4:18PM, LPA Caballero initiated the investigation at the facility and a safety inspection was conducted. There were no immediate hazards observed. During the investigation, LPA interviewed six clients, four staff, and the Facility Administrator. County Social Worker was interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/25/2023

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


raw_content:
Narrative:
In regard to the allegation that staff handle client #1 in a rough manner, it was alleged that STRTP staff members normally grab clients and throw them to the ground. It was indicated that a staff member was seen grabbing client #2(C2) after (C2) ran outside at a Child and Family Services office (CFS). Furthermore, it was reported that staff pick clients up from their shirts and lift clients up towards staff face or grab clients by their arms. During the investigation, confidential interviews denied witnessing any form of physical abuse at the STRTP to any client. One confidential witness disclosed that a staff grabbed clients by the back of the clients' shirts. Other confidential interviewers denied that staff grabbed clients or exhibiting any aggressive intervention. A confidential witness indicated observing a staff grabbing a client by the arm for no reason. Additional confidential interviewers denied witnessing staff members threatening clients. LPA received conflicting information. Based on confidential interviews, the allegation that staff handle clients in a rough manner, may have occurred, however, there was not a preponderance of evidence to support or deny this stated allegation. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Veronica Manzo

Investigation Findings:
13On October 25, 2023, at 11:00AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with All of God's Children STRTP Clerical Veronica Manzo to discuss the investigative finding for the above stated allegation involving a client in the facility identified on the Confidential Names List (811). On October 13, 2023, Community Care Licensing received information alleging that staff handled a client in a rough manner. On October 23, 2023, at 1:37PM, LPA Caballero initiated the investigation at the facility and a safety inspection was conducted. There were no immediate hazards observed. During the investigation, LPA interviewed six clients, four staff, and the Facility Administrator. LPA interviewed County Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/25/2023

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


raw_content:
Narrative:
Regarding to the allegations that staff physically and mentally abuses a minor in care, during investigation, a confidential interview disclosed that staff are nice and when client is having a bad day staff will talk to client which makes client feel better. The confidential interview added not witnessing a staff physically or mentally abusing C1 or any other clients while in care. Another confidential interview disclosed that when a client is upset, staff will talk with the client one on one or recommends the client to talk to the facilities on site therapist. Multiple confidential interviews disclosed that C1 has never reported to staff that another staff member physically or mentally abused C1. LPA didn't receive any additional information due to C1 being unable to be interviewed. In regard to the allegation that staff did not prevent a minor from abusing another minor, a confidential interview disclosed that when C1 would get upset, staff would immediately separate other clients from C1 to prevent any altercations but C1 would provoke clients no matter age or size. Multiple interviews disclosed that when two clients at the facility begin to argue or get into a physical altercation, staff will first try to verbally de-escalate the situation and redirect clients, but if that doesn't work then staff will physically get in between clients to separate clients from one another. A confidential interview stated that when a client is getting bullied by another client, staff will protect the client. In addition, multiple confidential interviews disclosed that when clients were involved in altercation, staff will ask clients to stop and separate the clients then give consequences accordingly. A confidential interview disclosed that staff closely monitor all clients and always try to prevent any clients from abusing one another. LPA received conflicting information. Based on interview and record review, the allegations that staff physically and mentally abuses C1 in care and staff does not prevent C2 from abusing C1 in care may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Mental Health Specialist, Araceli Bedolla.

Investigation Findings:
13On 09/20/2024, at 12:10PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to All of God's Children Group Home Short-Term Therapeutic Residential Program (STRTP) and met with Mental Health Specialist, Araceli Bedolla to deliver the investigative finding for the allegations listed above involving the STRTP and clients (C1, C2 and C3) as listed on the Confidential Names List (LIC 811) dated 09/20/2024. On 01/19/2024, Community Care Licensing (CCL) received a complaint that staff physically and mentally abuses a minor in care and staff does not prevent a minor from abusing another minor in care. On 01/25/24, LPA K. Beal met with Administrator Assistant LaCobra Curry to initiate an investigation of the above allegation. Lpa K. Beal conducted a health and safety inspection, and no immediate deficiencies were observed. In addition, LPA M. Chavez conducted interviews with staff (S1-S5) and clients (C3-C6). Lpa M. Chavez was unable to conduct interviews with C1 & C2 and attempted to conduct interviews with County Social Workers (CSW). (See LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 09/20/2024

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

met_with: Mental Health Specialist- Araceli Bedolla


raw_content:
Narrative:
Regarding to the allegation that staff did not prevent minor from being bullied by another minor, it was specifically stated that C1 is being bullied by a peer at the facility and that staff was informed but C1 still does not feel safe at the facility. During investigation, a confidential interview disclosed that when a client says inappropriate language towards another client, staff will not do anything about it. In addition, a confidential interview disclosed that when clients try to argue or fight with other clients that staff will tell the clients to stop. Multiple interviews disclosed that when two clients at the facility begin to argue or get into a physical altercation, staff will first try to verbally de-escalate the situation and redirect clients but if that doesn't work then staff will physically get in between clients to separate clients from one another. Multiple interviews disclosed that staff were not aware about another client at the facility bullying C1. In regard to the allegation that staff did not prevent inappropriate interactions between clients, confidential interviews disclosed that they shared a bedroom with C4 and one time when they were in the bedroom alone, C4 exposed their private parts to C1 and when the client told staff, staff did not believe the client or move C4 to another bedroom. In addition, the interview disclosed that on a second occasion while in the bedroom alone with C4, C4 said inappropriate things to the client and staff overheard it which resulted C4 being removed to another bedroom. Furthermore, a confidential interview disclosed that C6 exposes their private parts to another client and staff said that the client was lying. Multiple confidential interviews disclosed that C1 or any clients at the facility have not reported to staff that another client exposed their private parts or staff witnessing a client exposing their private parts. LPA received conflicting information. Based on interview and record review, the allegations that staff did not prevent C1 from being bullied by C4 and staff did not prevent inappropriate interactions between clients may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Mental Health Specialist, Araceli Bedolla.

Investigation Findings:
13On 09/20/2024, at 12:10PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to All of God's Children Group Home Short-Term Therapeutic Residential Program (STRTP) and met with Mental Health Specialist, Araceli Bedolla to deliver the investigative finding for the allegations listed above involving the STRTP and clients as listed on the Confidential Names List (LIC 811) dated 09/20/2024. On 01/29/2024, Community Care Licensing (CCL) received a complaint that staff did not prevent minor from being bullied by another minor and staff did not prevent inappropriate interactions between minors. On 02/07/ LPA K. Beal met with Veronica Manzo, clerical staff to initiate an investigation of the above allegations. Lpa K. Beal conducted a health and safety inspection, and no immediate deficiencies were observed. In addition, LPA M. Chavez conducted interviews with staff (S1-S5), clients (C1 & C5-C8), and C1's County Social Worker (CSW). Lpa M. Chavez was unable to conduct interviews with clients (C2-C4) and attempted to but was unable to conduct interviews with C3-C5's County Social Workers (CSW). (See LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 09/20/2024

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


raw_content:
Narrative:
A review of the supporting documentation shows that C4 was relatively new to the facility at the time of the incident and, according to confidential statements, was still adjusting to the placement. Other confidential interviews indicated that C4's refusal to return to the Group Home was not due to concerns about their safety or well-being but rather was a result of C4 feeling "triggered" by personal issues. Regarding the overall environment of the group home, a confidential interview mentioned that there had been instances where a staff member (S4) yelled at C4 and other clients. However, the LPA could not obtain additional information to support this claim, as additional confidential interviews consistently reported that staff maintain professionalism and appropriate boundaries when interacting with clients. It was also noted that, in addition to being trauma-informed, the Group Home provides a structured environment where all clients are treated fairly. Trauma-informed Care is integrated into the daily functions of the facility, including creating a positive and flexible environment to ensure clients feel safe when interacting with staff. Furthermore, the LPA did not receive any statements indicating that C4 or other clients have been victims of any type of abuse or felt unsafe while in care. Based on confidential interviews and pertinent documentation, the allegation that staff did not provide a safe environment for a minor (C4) is unsubstantiated. The allegation may have happened or be valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the Confidential Names List, LIC 811, dated December 19, 2024, and appeal rights, was explained and provided to Facility Manager, Justin Asieru.

Investigation Findings:
13On May 15, 2025, at 11: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to All God's Children Group Home (GH) to deliver the investigative findings for the allegation listed above. LPA Peete initiated the complaint at the Group Home on December 19, 2024. The complaint investigation included interviews with the clients in care (C2, C3, C4, and C6), the Group Home Staff (S1-S4), and the County Social Worker (CSW). LPA attempted to interview C1 and C5, but both declined the request for an interview. On December 11, 2024, Community Care Licensing received an allegation that staff did not provide a safe environment for a minor (C4) in care. The Special Incident Report submitted to Community Care Licensing indicated that on December 10, 2024, C4 experienced a behavioral episode while off-site and refused to be transported back to the Group Home, stating that they (C4) did not feel safe in care, but did not provide a reason. (Continued on LIC 9099C) UnsubstantiatedEstimated 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 05/15/2025

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

met_with: Justin Asieru Facility Manger


summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/21 at 9: AM, Licensing Program Analyst (LPA) Belinda Torres met with Cheryl Williamson-Jones, Administrator, for the purpose of conducting a post licensing inspection of the facility. Cheryl led the physical inspection of the facility with the LPA. The inspection included the facility's building and grounds, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and facility vehicle used to transport clients. The facility grounds were clean and free of debris and observable hazards. Sports equipment/toys/books/games/bicycles were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility carbon monoxide detector was in appropriate working order. Licensee maintains an adequate supply of perishable and non-perishable foods and the menu was posted. The facility license and personal rights posters were posted. Medications are double locked and centrally stored inside a rolling storage container. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All bedrooms have individual beds and drawer space for each client. One client room does not have a closet but the facility ordered an armoire which was scheduled to be delivered on 10/20/22 but the delivery status is showing in transit. The hot water in the client's bathrooms was measured to be between 79 degrees but the staff were doing laundry. The LPA had Cheryl turn up the setting on the water heater and advised to test water temperature later tonight. Per Cheryl, no firearms or weapons are allowed in the facility. Chemicals and/or poisons are locked in an additional rolling storage container. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report was provided to Cheryl.

report_type: Facility Evaluation

met_with: Cheryl Williamson-Jones


summary: Facility Evaluation

raw_content:
Narrative:
On 10/28/21 at 11: AM, Licensing Program Analyst (LPA) Belinda Torres met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the post licensing inspection of the facility. During the inspection, the LPA completed a review of one client record and completed a partial review of the remaining five clients. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report was provided to Cheryl.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On 11/04/21 at 9: AM, Licensing Program Analysts (LPAs) Belinda Torres, Leslie Covarrubias and Lisi Leon met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the post licensing inspection of the facility. During the inspection, the LPAs completed partial review of two client records and partial review of ten staff records. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report was provided to Cheryl.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/19/21 at 11: AM, Licensing Program Analysts (LPAs) Belinda Torres, Leslie Covarrubias and Lisi Leon met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the post licensing inspection of the facility. During the inspection, the LPAs completed a partial review of the staff records and a partial review of the client records. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report was provided to Cheryl.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/03/22 at 2: PM, Licensing Program Analysts (LPAs) Belinda Torres and Lisi Leon met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the post licensing inspection of the facility. During the inspection, the LPA Leon completed a partial review of three client records. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report was provided to Cheryl.


summary: Facility Evaluation - 6 deficiencies

raw_content:
Narrative:
On 06/17/22 at 10: AM, Licensing Program Analyst (LPA) Belinda Torres met with Melanie Rodas, Clerical, for the purpose of completing the post licensing inspection of the facility that was initiated on 10/22/21. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate closet and storage space for clients belongings. All clients beds were found to have adequate mattress and linens. Drawers were found to be neat with adequate clothing. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. The client bathroom water temperature was tested and determined to be at a safe temperature. All hazardous items have been properly made inaccessible to areas where clients will have access. The facility was found to be in clean and sanitary condition. Both perishable and non-perishable food supply was observed to be adequate. Medications, cleansers/ chemicals and knives are inaccessible and stored in locked containers. The facility outside grounds were also inspected. Passageways were free from obstructions. The following posted items were observed in the facility: Facility License, Personal Rights, Ombudsman Form, Food Menus, Grievance Procedures, and Emergency Disaster Plan. Ten staff files and six out of six client files were reviewed. The following deficiencies were observed: Ten staff files were missing a record of each work performance evaluation and any correspondence with the employee. Four staff files did not have duties of the employee. *** *** C1's record did not the results of an examination for communicable tuberculosis and other contagious/infectious diseases. Six client records did not have accurate records of accounts of cash resources, personal property, and valuables entrusted to his/her care. The records were inconsistent. There were no records for 2020, 2021 only 07/23/21. Six client records were missing amount spent or withdrawn, balance, no receipts and no facility representative signature. Six client records were missing issue dates preventing the LPA from determining if provision of an allowance to all children no less frequently than once per month was being met. Bedroom sharing arrangement assessments were not conducted or in practice. During interviews, it was reported to the LPA that staff were monitoring the clients telephone calls without a court order. The needs and services plans for the six clients were not updated at least every 30 days. Based on record review, the licensee did not ensure the facility was in compliance with Emergency Intervention Staff Training and Staffing Requirements. The facility is cited under Interim Licensing Standards, Short Term Residential Therapeutic Program Articles 1 through 10, Staffing Records 87066(b)(6), 80066(a)(8), Client Records 80026(h), 80026(h)(1), 87077(a)(2), 87087(e), 87072(d)(8) and 87068.3. A copy of this report and the appeal rights was provided to Melanie.

Deficiencies:
87065(f): Personnel Requirements

(f) The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present
87065.5(b): Direct Care Staff/Child Ratios

(b) In a facility with a licensed capacity of seven or more children, there shall be coverage by direct care staff as follows
80026(h): Safeguards for Cash Resources, Personal Property, and Valuables

(h) Each licensee shall maintain accurate records of accounts of cash resources, personal property, and valuables entrusted to his/her care, including, but not limited to the following
87087(e): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in six out of six client files which poses/posed a potential health, safety or personal rights risk to persons in care.
87068.2(b): Needs and Services Plan

(b) The needs and services plan shall be trauma informed, culturally relevant, and age and developmentally appropriate and shall identify the child's needs in the following areas
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

title:
Buildings and Grounds

(e) In every situation where children share a bedroom, the licensee shall document that the bedroom sharing arrangement ensures the health and safety of each child and that the children are compatible. When considering compatibility, a licensee shall consult with children in their care, in an age and developmentally appropriate manner, regarding the child's sexual orientation and gender identity and what information the child wishes to disclose and to whom. A licensee shall not disclose information about the child's sexual orientation and/or gender identity against the child's wishes, unless compelled to do so by law or court order. This documentation shall be maintained in the child's record.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 12/21/22 at AM, Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator, for the purpose of conducting an annual required inspection of the facility. A physical plant inspection was completed with Cheryl. The facility grounds are clean and free of debris. The LPA observed an open in ground circular drain, with a six inch circumference, in the backyard next to the water faucet which presents a tripping hazard. There are two air conditioning units that are accessible to clients. One unit is on the northwest side of the backyard and the other is on the southeast side of the backyard. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in operating order. Licensee maintains an adequate supply of perishable and non-perishable foods. The menu was posted and food items were present for the listed lunch and dinner meals for 12/21/22. All required forms are posted. The Foster Care Ombudsman poster was outdated (2015 version). The LPA provided Cheryl with information on how to obtain a current version. The LIC 613B Personal Rights was posted completed and posted during this inspection. Medications are double locked and centrally stored in a locked storage bin and the locked tool chest. The hot water was tested in a client restroom at the reading was 109. F degrees. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Each bedroom had a dresser for each client that provides more than three drawers of storage and a closet/portable storage for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. No room is commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. The LPA observed a 12 inch horizontal tear on living room window screen. Deficiencies in the following bedrooms: #2 six inch crack on door by door knob. Window blind slat broken on the side window. # Window blind slats missing and broken in the two side windows. # One dresser drawer missing, 13 inch crack on door. *** *** The LPA conducted two client and two staff interviews. The LPA also completed the core therapeutic services domain of the inspection tool. Based upon the LPA's observation, the facility is cited under the CA Code of Regulations Title 22, Division 6, Chapter Buildings and Grounds 80087(a) and Furniture, Fixtures, Equipment and Supplies 80088(b); Interim Licensing Standards Article Outdoor Activity Space 87087.2(a) and Fixtures, Furniture, Equipment and Supplies 87088(j). The licensee shall send a current LIC Administrative Organization to the LPA by 12/23/22. Due to time constraints, the inspection will have to be completed on a subsequent day. A copy of this report, LIC Proof of Correction and the appeal rights were provided to Veronica Manzo.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 12/22/22 at 9: AM Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the annual/required inspection which was initiated on 12/21/22. During the inspection, the LPA completed a review of the facility's disaster preparedness and partial review of operational requirements. The LPA started reviewing two out of six client records. The remaining four client records were reviewed during the facility's post-licensing inspection which was initiated on 10/22/01. The following deficiencies were observed: No documentation of staff training on disaster and mass casualty plan, no documentation of the facility's annual review, disaster drills missing names of staff. No documentation of drills for the first quarter of 2022. Disaster plan missing: provision for emergency power, storage and preservation of medicine including those that require refrigeration. Missing each client's authorized representative's contact information, name of physician and physician's contact information. The staff are monitoring the client's confidential calls without a court order and the restriction for monitored calls is not documented on client #1 (C1), client #2's (C2) and client #3 (C3) Needs and Services Plan. Based on record review, the licensee did not ensure the facility was in compliance with the emergency disaster plan. The facility is cited under the Health and Safety Code 1565(a), 1565(c), and 1565(e)(4). The licensee did not ensure the clients' rights to confidential telephone calls. The facility is cited under the Interim Licensing Standards Article Personal Rights 87072(c)(8), which is a repeat violation, and 87072(c)(8)(B). A civil penalty in the amount of $250 is being assessed for 12/22/22 and a civil penalty of $100 a day shall be assessed until the violation is corrected. A copy of this report, LIC Proof of Correction, appeal rights, LIC 421FC Civil Penalty Assessment and LIC Confidential Names were provided to Cheryl.


summary: Facility Evaluation - 9 deficiencies

raw_content:
Narrative:
On 01/11/23 at 9: AM Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator, for the purpose of continuing the annual/required inspection which was initiated on 12/21/22. During the inspection, the LPA completed a partial review of operational requirements and partial review of two out of six client records. The remaining four client records were reviewed during the facility's post-licensing inspection which was initiated on 10/22/01. The following deficiencies were observed: Client Records - Type B: 80070(b) - Missing name, address and telephone number of physician, dentist, and other medical and mental health providers, if any. Missing documentation of how family members are integrated into the treatment process for the child, including post-discharge and how sibling connections are maintained. Missing documentation of steps taken to facilitate outreach to the family members of the child, including siblings. Client Records - Type B: 87070(b) - C1 missing medical and dental insurance coverage C1 medical consent/LIC 617B not signed by authorized representative, C2 missing copy of current court order for each psychotropic medication, C1 standard appraisal form incomplete. C2 missing standard appraisal form. C1 & C2 missing name, address, and telephone number of all adults with whom the child was living immediately prior to the current placement. C2 missing educational records. C1 missing placement agency's list of persons who should or should not be allowed to visit. C1 & C2 missing inter-agency placement committee's written determination and the qualified individuals assessment of the child. *** *** Client Records - Type B: 87070(c) - C1 original needs and services plan dated 05/01/22, authorized rep did not sign and approve plan until 09/15/22. C1 missing modified needs and services plans for 06/01/22, 07/01/22, 08/01/22, 09/01/22, 10/01/22 & 12/01/22. C2 was placed on 10/27/22 and and had no modified needs and services plans. Client Records - Type B: 80069(a) - C1 & C2 no documentation of initial medical assessment in files. Client Records - Type B: 80026(h) - C1 & C2 no accounting of disbursements of clients cash resources. Missing store receipts for purchases made from the client's accounts. Client Records - Type B: 87078(c) - C1 no record for current school year. C2 no records, date of placement 10/27/22. Client Records - Type B: 87087(e) - C1 & C2 share a bedroom, bedroom sharing agreement missing for both. Client Records - Type B: 87068.2(b) - Needs and Services Plans: reason for placement missing for C1, education missing for C1 & C2, C1 plan for determining needs specified in Section 87070(b)(4) child's present academic level, including their grade or performance level, and any previous school-related problems. C1 & C2 ability to manage their own money, including the maximum amount of money the child can possess at any time, C1 & C2 visitation, C1 & C2 other specified services, including services to the child's parent(s) or guardian(s). C1 & C2 crisis management plan and behavioral interventions. Client Records - Type B: 87068.2(c) - Needs and Services Plans: C1 & C2 description of services to be provided to meet short and long term goals of child as assessed by the Qualified Individual. C1 & C2 types of services necessary, including the core services specified in 87078.1, supports, physical and mental health, substance abuse services, permanency and transition services; facility's ability to provide the necessary services based upon the following information provided in the plan of operation: facility's purposes, program methods, and goals; facility's admission policies and procedures, services to be provided by the facility in cooperation with community resources, anticipated duration of treatment and placement, including the transfer plan. Client Records - Type B: 87068.2(a) - Needs and Services Plans: C1 & C2 missing anticipated duration, plan & time frame for transitioning to less restrictive family environment. *** *** Client Records - Type B: 87068.2(d) - Needs and Services Plans: C1 & C2 no documentation of the licensee ensuring the child, authorized representative and the child and family team were offered the opportunity to participate in the development. Client Records - Type B: 87068.2(f) - Needs and Services Plans: Licensee shall obtain written approval from child...and the child's authorized representative prior to implementing the plan. C1 original needs and services plan dated 05/05/22 was not signed by authorized representative until 09/15/22. Client Records - Type B: 87068.3(a) - The Needs and Services Plans shall be updated at least every 30 days. C1 missing modifications for 06/01/22, 07/01/22, 08/01/22, 09/01/22, 10/01/22, and 12/01/22. C2 no updates, date of placement is 10/27/22. Based on record review, the facility is cited under the Interim Licensing Standards listed above. A copy of this report, LIC Proof of Correction, appeal rights and LIC Confidential Names were provided to Veronica Manzo.

Deficiencies:
87070(b): Children's Records

(b) The following information regarding the child shall be obtained and maintained in the child's record
87070(c): Children's Records

(c) If it is determined that the facility can provide the services necessary to meet the child's needs, the following additional information shall be maintained in the child's record
80026(h): Safeguards for Cash Resources, Personal Property, and Valuables

(h) Each licensee shall maintain accurate records of accounts of cash resources, personal property, and valuables entrusted to his/her care, including, but not limited to the following
87078(c): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in two out of two clients which poses/posed a potential health, safety or personal rights risk to persons in care. C1 no record for current school year. C2 no records, date of placement 10/27/22.
POC Due Date: 02/13/2023
Plan of Correction
1
2
3
4Copies of educational records will be sent to the LPA.
87087(e): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in two out of two clients which poses/posed a potential health, safety or personal rights risk to persons in care. C1 & C2 share a bedroom, missing for both.
POC Due Date: 01/25/2023
Plan of Correction
1
2
3
4Copy of bedroom sharing agreement for C1 & C2 will be sent to the LPA.
87068.2(b): Needs and Services Plan

(b) The needs and services plan shall be trauma informed, culturally relevant, and age and developmentally appropriate and shall identify the child's needs in the following areas
87068.2(c): Needs and Services Plan

(c) The needs and services plan shall include a description of the services to be provided or arranged to meet the short- and long-term needs and goals of the child as assessed by the Qualified Individual, pursuant to Sections 4096 and 11462.01 of the Welfare and Institutions Code. The needs and services plan shall also include the following information regarding services necessary to meet the child's needs, consistent with the case plan prepared by the placing agency, if provided, and consistent with the Qualified Individual's assessment
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
80070(b): Client Records

(b) Each record must contain information including, but not limited to, the following

title:
Responsibility for Providing Care and Supervision

(c) The licensee shall ensure each child's attendance at an educational program in accordance with state law.

This requirement is not met as evidenced by


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 01/13/23 at 8: AM Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator, and Veronica Manzo, Clerical, for the purpose of continuing the annual/required inspection which was initiated on 12/21/22. During the inspection, the LPA completed the review of the emergency intervention plan, operational requirements, two out of six client records and a partial review of staff records. The remaining four client records were reviewed during the facility's post-licensing inspection which was initiated on 10/22/01. Client #1 (C1) and client #2 (C2) are identified on the LIC Confidential Names. The following deficiencies were observed for C1 and C2's prescription medication records: The medication logs did not have the expiration dates. The signed, dated written order from a physician on a prescription blank, maintained in the client's file, and a label on the medication containing: specific symptoms which indicate the need for the use of the medication, the exact dosage, minimum number of hours between doses and the maximum number of doses allowed in each 24-hour period were missing for C1 & C2. The log did not indicate the time of the dose, only, "AM," or, "PM." The following deficiencies were observed for the Emergency Intervention Plan (EIP): Per Cheryl, the last training was completed on 06/10/22. The six child care workers hired after that date have not completed the training. The documentation provided did not show David Finkelstein #9472 had a current certification when he provided the EIP training in June of 2022. Cheryl initially provided the LPA with a certificate that expired on 10/11/14. Cheryl then provided a letter dated, 11/23/22, from Cornell University which indicated the certification was granted for a period of two years (11/02/22-11/02/24). The licensee did not have the staff training records which prevented the LPA from reviewing them. Licensee did not have a copy of the training curriculum which prevented the LPA from reviewing it. *** *** Based on record review and interview, the licensee did not ensure the facility was in compliance with the emergency intervention plan, health related services and children's records. The facility is cited under the CA Code of Regulations Title 22, Division 6, Chapter 1 sections 80075(k)(7)(F), 80075(b)(6)(D) and the Short Term Residential Therapeutic Program Article 10.6 sections 87095.65(c), 87095.65(d), 87095.66(b), 87095.65(b) and Article 6 section 87070(b)(13)(F). A copy of this report, LIC Proof of Correction, LIC Confidential Names and the appeal rights were provided to Cheryl.

Deficiencies:
87095.65(b): Emergency Intervention Staff Training

(b) The emergency intervention training curriculum must address the following areas


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 01/18/23 at 9: AM Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator, and Veronica Manzo, Clerical, for the purpose of continuing the annual/required inspection which was initiated on 12/21/22. During the inspection, the LPA completed the review of two staff records that were hired after 06/17/22, as a review of staff records was previously completed on 06/17/22 during the facility's post licensing inspection. Staff #1 (S1) and staff #2 (S2) are identified on the LIC Confidential Names. The following deficiencies were observed: A dated employee time schedule was not displayed conveniently for employee reference; and containing the name, job title, hours of work. Staff files for S1 & S2 were missing a record of each work performance evaluation and any correspondence with the employee, signed statement that they are at least 21 years of age, and documentation of hours worked. S1's file was missing documentation of initial 8 and 16 hour training and documentation of education. S1's file had an unofficial transcript in file which does not show degree awarded. No proof of Bachelor's Degree for S1. No completion of or enrollment in a related education or training program for the planned activities designee which is Cheryl. A review of staff records and time reporting were reviewed for the week of 12/18/22-12/24/22. The facility was out of ratio during the hours of 7 am to 10 pm and 10 pm to 7 am. *** *** Employee training handbook missing emergency and disaster response procedures, law enforcement contact procedures, STRTP ILS and reporting requirements. Annual training was not in the training handbook or the program statement that was provided to the LPA for review. A technical violation is issued for 80066(a)(8) - Duties of employee not present in S2's file. Based on record review, the facility is cited under Title CA Code of Regulations General Regulations Staffing Records 80066(f), Interim Licensing Standards, Short Term Residential Therapeutic Program Articles 1 through 10, Staffing Records 87066(b)(3), 87066(c)(1), 87065(e)(1)(A), 87065(f)(6), 87065(g)(5), 87065.1(d), 87065.1(d)(2), and 87065.1(e)(3). The facility is also cited under the Interim Licensing Standards Short Term Residential Therapeutic Program Articles 1 through Direct Care Staff/Child Ratios 87065.5(b)(1), 87065.5(b)(2) and Staffing Records 87066(b)(6), which are repeat violations. A civil penalty in the amount of $250 is being assessed for 01/18/23 and a civil penalty of $100 a day shall be assessed until the violation is corrected. A copy of this report, LIC Proof of Correction, appeal rights, LIC 421FC Civil Penalty Assessment, Technical Violation and LIC Confidential Names were provided to Cheryl.

Deficiencies:
87065.1(d): Supervision, Evaluation And Training Requirements

(d) Notwithstanding California Code of Regulations, Title 22, Section 80065(f)(1) through (6), new direct care staff shall complete a minimum of 24 hours of initial training comprised of the 8 and 16 hour training as specified in (1) and (2) below


summary: Facility Evaluation

raw_content:
Narrative:
On 03/24/23 at 10: AM, Licensing Program Analyst (LPA) Belinda Torres met with La'Cobra Curry, Administrative Assistant, for the purpose of providing consultation on insufficient and incorrect proof of corrections, submitted by the licensee, for the annual inspection completed on 01/18/23. The LPA also went over the outstanding proof of corrections that have not been received by Community Care Licensing (CCL). All outstanding proof of corrections and the corresponding LIC Proof of Correction(s) will be submitted to Community Care Licensing by 04/03/23. There are no deficiencies to be cited at this time. A copy of this report was provided to La'Cobra Curry.

met_with: La'Cobra Curry


summary: Facility Evaluation

raw_content:
Narrative:
On March 4th, 2024, at 12:45pm, Licensing Program Analyst (LPA) Cynthia Robinson, conducted an unannounced inspection at the All of God's Children Group Home STRTP for the purpose of conducting a required two-year inspection. LPA met with the Facility Manager, Justin Asieru. Upon arrival, LPA conducted a physical plant inspection with Facility Manager at 1:05pm, the inspection was completed and included the following checks: facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space, including an outdoor full basketball court. All facility smoke detectors and carbon monoxide detectors were tested and are in appropriate working order. Fire extinguisher was in working order with a full charge and last checked January 2024. Menu was available and posted on the refrigerator for the week. All required forms were available. Medications and cleaning supplies are locked inside combination lock box trunk located in the kitchen area. Knives are also located in the lock trunk box with medications. LPA observed one carbon monoxide located in the hallway and all smoke detectors were operable during the time of visit. The First Aid Kit is located in the staff station and contained all required supplies. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, and Visitation policies. LPA observed to have enough foods of perishables and non-perishables required in the fridge and pantry and Facility Manager stated grocery shopping is completed every Monday. There are four bedrooms: all rooms have two twin beds. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good condition. Each bedroom has a dresser for each client that provides drawers for storage and a closet for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. There are 2 and a half bathrooms in the home. (Continued...) The water in the kitchen measured to be 107.02 degrees. There are currently four clients in care. Client files are locked in a cabinet in the clinician room. Staff files are located offsite at their additional facility. Files were provided to LPA upon request. LPA completed file review of Physical Plant, Operations and Disaster Preparedness files and found all files were complying per regulations. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. Due to time restraints, LPA will return to complete the annual inspection at a later date. LPA reviewed this report and provided a copy to Clerical Staff, Veroniza Manzo.

met_with: Facility Manager, Justin Asieru


summary: Facility Evaluation

raw_content:
Narrative:
On March 12th, 2024, at 9:20am, Licensing Program Analyst's (LPA's) Cynthia Robinson and Cynthia Velasquez, conducted an unannounced inspection at the All of God's Children Group Home STRTP for the purpose of conducting a required two-year inspection continuation. LPA met with the Clerical Staff, Veronica Manzo. Upon arrival, LPA's continued Annual Inspection and requested five Staff files and three Client Files. LPA's received files and help from Staff, Veronica Manzo and Staff, La'Cobra Curry with client and staff files. All documentation pertaining to this area of the inspection was provided. LPA's completed Staffing and Client Domain in Care Tools. LPA's interviewed two staff that were present during time of inspection to go over the facility policies and procedures. All staff were able to provide sufficient information in relation to the facility's Program Statement, Emergency Intervention Plan, and Reporting Requirements. Based on interviews with staff, the facility appears to be meeting Core Services/Supports requirements. LPA's conducted one client interview, no concerns were found. A copy of this report along with appeal rights were provided and discussed with Clerical, Veronica Manzo.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michael Almaraz conducted a collateral visit at the facility listed above and met with facility manager, Justin Asieru. The purpose of the inspection was to conduct an interview of a client (see Confidential Names form LIC 811) regarding a prior placement of that client. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Justin Asieru.

met_with: Justin Asieru


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on November 14, 2024 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Facility Manager, Justin Asleru and conducted a health and safety inspection of the facility; no immediate deficiencies were observed. LPA reviewed three of child's records and two of staff personnel files on site at the facility. LPA reviewed three of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA no children that are currently prescribed psychotropic medication, were present in the facility at the time of the visit. LPA will attempt to interview two clients at their school. During the inspection, no deficiencies were observed. LPA provided a copy of this licensing report to Facility Manager, Justin Asleru.

met_with: Justin Asieru, Facility Manager


raw_content:
Narrative:
Additional statements reported that staff consistently follow the facility's crisis intervention policy and the therapeutic crisis intervention model when managing clients who require emergency intervention. It was also reported that C1 displayed aggressive behaviors toward staff and peers while in care and therefore had a safety plan in place. Other confidential interviews could not confirm or deny whether staff make threats to clients, As a result, LPA received conflicting information. Based on confidential interviews, and record review the allegation that staff threatened C1 may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager Justin Asieru.

Investigation Findings:
13On 12/03/2025 at 01:49PM Licensing Program Analyst (LPA) Claudia Aguilera arrived at All of God's Children's Group Home and met with Facility Manager Justin Asieru to deliver the finding regarding the above stated allegation. On 07/17/ Community Care Licensing received a complaint that staff threatened a minor. On 07/23/ LPA A. Caballero initiated the investigation and conducted a health and safety inspection; no immediate deficiencies were observed. In addition, LPA C. Aguilera interviewed six clients (C1-C6), three staff (S1, S2, S3) and collected pertinent documents. Regarding the allegation that staff threatened a minor, it was specifically reported that a staff member threatened to hit C1. During investigations, confidential interviews indicated that no staff member had ever threatened any client while in care. UnsubstantiatedEstimated 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 12/03/2025

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


raw_content:
Narrative:
Additional statements reported that staff consistently follow the facility's crisis intervention policy and the Therapeutic Crisis Intervention (TCI) model when managing clients who require emergency intervention. Further confidential interviews indicated that the facility maintains video surveillance for the safety of both clients and staff. Other confidential interviews were unable to confirm or deny whether staff handled minors in a rough manner. As a result, the LPA received conflicting information. Based on confidential interviews and record review, the allegation that staff handled minors in a rough manner may have occurred or may be valid; however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is determined to be unsubstantiated at this time. An exit interview was conducted and a copy of this report along with the appeal rights was provided to Administrative Assistant La'Cobra Curry.

Investigation Findings:
13On 12/19/2025 at 10: AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at All of God's Children's Group Home and met with Administrative Assitant, La'Cobra Curry to deliver the finding regarding the above stated allegation. On 08/26/ Community Care Licensing received a complaint that staff handled minors in a rough manner. On 09/03/ LPA A. Caballero initiated the investigation and conducted a health and safety inspection; no immediate deficiencies were observed. In addition, LPA C. Aguilera interviewed four staff (S1-S4) and six clients (C1-C6) and collected pertinent documents. Regarding the allegation that staff handled minors in a rough manner, it was specifically reported that staff grabbed and pushed Client 1 (C1). During confidential interviews, it was initially stated that staff had grabbed and pushed clients. However, during the investigation, confidential interviews indicated that no staff member had handled any client in a rough manner while in care. UnsubstantiatedEstimated 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 FACILITY NAME: ALL OF GOD'S CHILDREN'S GROUP HOMEFACILITY NUMBER: VISIT DATE: 12/19/2025

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

met_with: Administrative Assistant, La'Cobra Curry


summary: Facility Evaluation

raw_content:
Narrative:
On 06/03/22 at 10: AM Licensing Program Analyst (LPA), Belinda Torres, met with Cheryl Williamson-Jones, Administrator. During this inspection, the LPA conducted a review of personnel records. The LPA observed the following deficiencies: Staff Ronnie Wiggins started working at the facility on 05/29/22. The facility sent the LIC Criminal Background Clearance Transfer Request to the Department on 06/02/2022, after he started working. Staff Crystal Plakaio started working at the facility on 04/10/22. The facility sent the LIC Criminal Background Clearance Transfer Request to the Department on 05/23/2022, after she started working. Based upon the LPAs observations and record review, the facility is cited for violation of Title 22, Division 6, Chapter 1 80019(e)(2) Criminal Record Clearance. An immediate civil penalty in the amount of $1,000 has been assessed for 06/03/22. A civil penalty shall be assessed for a maximum of 5 days for the first violation. For subsequent violations within 12 months, a civil penalty shall be assessed for a maximum of 30 days. A copy of this report, the LIC 421BG Civil Penalty Assessment-Background Check, LIC Proof of Correction and appeal rights were provided to Cheryl.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/26/22 at 11: AM, Licensing Program Analyst (LPA), Belinda Torres, conducted an unannounced case management inspection to address deficiencies that occurred at the facility. The LPA met with Cheryl Williamson-Jones, Administrator. Client #1 (C1) was placed at the facility from 04/03/21-06/30/21. During a review of C1's medication logs, the LPA observed the following: April 2021 log for AM dose- The entries started on the 10th and ended on the 30th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the 23rd. May 2021 log for PM dose- The entries started on the 1st and ended on the 31th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the 30th. June 2021 log for AM dose_ The entries started on the 1st and ended on the 30th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the 27th. June 2021 log for PM dose: The entries started on the 1st and ended on the 30th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the following days: 27, 29 & 30. *** Continued on the next page *** June 2021 log for AM dose- The entries started on the 9th and ended on the 30th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the 27th. June 2021 log for PM dose- The entries started on the 1st and ended on the 30th. The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the following days: 1, 10, 12, 13, 15, 24, 25, 27 and 30. Log for PM dose- The month/year field was blank, it appeared it was for April 2021 . The entries started on the 4th and ended on the 28th. The entry on the 4th was "arrived". The staff initials for each time the medication was taken by the child, as an indication that they supervised the child were not documented for the following days: 26, 29, 30. Based upon document review, the staff failed to document staff initials for each time the medication was taken by C1, as an indication that they supervised C1 self-administering their psychotropic medication. The facility is cited for violation of the Interim Licensing Standards Article 6 87070(b)(13)(H) Children's Records on the next page. A copy of this report, the LIC Confidential Names, LIC Proof of Correction and appeal rights were provided to Cheryl Williamson-Jones.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Leslie Covarrubias and Eduardo Barragan on September 15, 2022 at 9: AM. During the inspection, LPAs Covarrubias and Barragan met with Administrator, Cheryl Williamson-Jones and inspected the facility inside and out. LPAs reviewed five of five child's records on site at the facility at 9: AM. During the review of children's records, LPA Covarrubias and LPA Barragan observed all five children did not have current Needs and Services Plans. LPA Covarrubias and LPA Barragan observed that one of C1's medication was popped out of the bubble pack and then taped back into to bubble pack. LPA's observed that five of five clients Psychotropic Medication Administration Record (PMAR) were missing the start and end dates. LPA's also observed that there was an extra pill retained from a prior refill in C3's medication bag. LPAs reviewed two of two staff personnel files on site at the facility at 11: AM. LPA interviewed two of five children currently taking psychotropic medication at 2:05 pm LPA interviewed one of two staff on site at 2: PM. LPA conducted exit interview with Cherly Williamson-Jones, Administrator at 2:50 pm LPA provided the Summary Report to Cherly Williamson-Jones, Administrator upon completion. Three deficiencies were observed (refer to LIC 809D) and cited from the California Code of Regulations, Iterin Licensing Standards, Title 22, and Health & Safety Codes during the inspection.

met_with: Administrator, Cherly Williamson-Jones


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Leslie Covarrubias and Joon Choi on April 25, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Covarrubias and Choi met with Facility Manager, Justin Asleru and inspected the facility inside and out. LPA's reviewed five of child's records and three of staff personnel files on site at the facility. LPA's reviewed five of child's psychotropic medications and medication records. LPA's interviewed three of staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed zero of children currently prescribed psychotropic medication. LPA's will interview clients at school. During the inspection LPA's observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Facility Manager, Justin Asleru.

met_with: Facility Manager, Justin Asleru


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jose Gonzalez on February 25, 2026, at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Gonzalez met Administrator, Cheryl Williams and Facility Manager Justin Asieru, and conducted a tour of the facility. During the visit there were three staff present at the facility. LPA reviewed six client records and two of staff personnel files on site at the facility. LPA reviewed six client psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA interviewed six children (C1, C2, C3, C4, C5, C6) on site that are currently prescribed psychotropic medication. During the inspection the LPA observed no deficiencies. LPA provided a copy of this licensing report to Facility Manager Justin Asieru.

met_with: Facility Manager Justin Asieru


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2026, at 10: Am, Licensing Program Analyst (LPA) Julian Lucas, conducted an unannounced inspection at the All of God's Children Group Home STRTP for the purpose of conducting an annual random inspection. LPA met with the Administrator, Cheryl Williamson-Jones. Upon arrival, LPA conducted a physical plant inspection with Facility Manager at 10:15 am the facility grounds were clean and free of debris and hazards. There is an administrative office left of the entrance and a dayroom with adequate space, which includes the kitchen which overlooks the dayroom. The entrance has required postings including the complaint procedures, personal rights, and Foster Care Ombudsman poster, and a CARF Accreditation Certificate. The facility smoke detectors and carbon monoxide detectors are in operation. There is a dining room with two tables and four chairs. The kitchen has a menu that is posted on the refrigerator and kitchen cabinets have adequate supply of perishable and non-perishable foods. The kitchen sink reads at 114.8 degrees Fahrenheit. There was food items that are present are in accordance with the menu. Knives are also located in the lock box. There are two and one has bathrooms. The sink temperature readings are 114.8 degrees Fahrenheit. Fire extinguishers are in working order with a full charge and last checked in January 2026. Medications and cleaning supplies are locked inside combination lock box located in the kitchen area. (Continued 809-C) LPA observed first aid kit is in the staff office and and they contain all required supplies, including scissors and tweezer. There are four bedrooms, all rooms have two twin beds. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses and mattresses covers which is in good condition. All bedrooms include a dresser for each client that provides drawers for storage and a closet for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. There is a laundry room with washer and dryer. The laundry rooms leads into the garage. The garage is used for storage and includes two refrigerators that contains additional food. LPA reviewed four client records, and four personnel records. LPA interviewed four staff members and four clients. Based on the annual random inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator Cheryl Williamson-Jones and a copy of this report was given to the Administrator, Cheryl Williamson-Jones. Exit interview conducted. A copy of this report was provided to the Administrator, Cheryl Williamson-Jones.

met_with: Cheryl Williamson-Jones, Administrator


facility_name: AMALI

raw_content:
Narrative:
Confidential interviews indicated the food provided is not healthy. Confidential interviews indicated dinner is not being made and clients are told to cook leftovers. Confidential interview indicated there is barely food in the refrigerator only deli ham and vegetarian frozen food that is for a specific client. Confidential interview indicated a client ate a sandwich for the past 3 days because of limited food options. Confidential interview indicated food that is wanted is not always available, such as eggs. Confidential interviews indicated an alternative meal is not being provided. Confidential interview indicated staff are not following the meal menu and staff provide what is easier for them. Confidential interview indicated a client (C4) makes their own meal and staff provide it to the rest of the clients. Confidential interview indicated clients make themselves a bowl of cereal or find something in the refrigerator. Confidential interview indicated there are food items for sandwiches clients can make for lunch. Confidential interview indicated staff assist in making lunch; however, it is typically a meal that doesn't require a lot of cooking or cleaning. During LPA's visit to the facility, LPA observed that the facility has a lot of meat for making sandwiches, but not much of other types of food. Based on confidential interviews, the allegation that staff are not providing adequate meals to the minors is SUBSTANTIATED because the preponderance of the evidence has been met. This posed potential health, safety, or personal rights risk to youth in care. The facility is being cited for violation of Title 22, Interim Licensing Standards, Article 06. Continuing Requirements 87072(c)(2) Personal Rights. [See Lic9099d]. An exit interview was conducted and plan of correction was developed with Rosalyn Milner, Facility Manager. A copy of this signed report, LIC 9099D, and appeal rights were provided to Rosalyn Milner, Facility Manager. It was reported that there is concern that C1 has a history of experiencing headaches and a history of head injuries. It was reported that the client was supposed to have an appointment unrelated to the headaches and the client refused to go to the appointment. Record review indicated C1 absconded from the facility on 6/15/2024, and on 6 /16/2024, facility staff sent a text message to C1 reminding C1 of their medical appointment the following day. According to confidential interview, C1 did not return to the facility until 6/18/2024 at approximately 8: PM. Record review indicated C1 attended several medical appointments scheduled on 4/3/2024, 5/1/2024, and 5/7/2024. It was reported that staff do not seek timely medical attention for a minor. It was reported that there is concern that C1 has a history of experiencing headaches and a history of head injuries. It was reported that C1 has expressed to the facility staff they continued to have headaches and a nosebleed due to the headaches. It was reported that C1 asked staff to schedule a doctor's appointment and staff refused. It was reported to be unknown whether C1 is provided with medication to alleviate the headaches. Confidential interview indicated facility staff don't schedule client's medical appointments. Confidential interview indicated an outside source schedules C1's medical appointments. Confidential interviews indicated clients have attended medical appointments. Confidential interview indicated medication is available. Confidential interview indicated C1 refuses to take over the counter medication for pain. It was reported that staff do not provide a comfortable temperature for the minors. It was reported that staff do not put on the air conditioner when the home becomes too warm. Confidential interviews indicated the air conditioner is not being turned on. Confidential interviews indicated the temperature in the facility is hot and nothing is being done by staff. During LPA's visit to the facility, the thermostat showed the temperature to be 77 degrees Fahrenheit indoors. Based on confidential interviews and records reviewed, the allegations that staff do not address a minor's change in medical condition, staff do not seek timely medical attention for a minor, and staff do not provide a comfortable temperature for the minors may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Rosalyn Milner, Facility Manager.

Investigation Findings:
13On March 4, 2025 at 12: PM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Rosalyn Milner, Facility Manager to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on June 19, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed four clients (C1-C4) and one staff (S4). Pertinent documents were obtained. On June 13, 2024, Community Care Licensing (CCL) received an allegation that staff are not providing adequate meals to the minors. It was reported that there appears to be food available, however it is not liked what is being provided. It was reported the client is told they can eat what is given or will not eat at all. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: AMALIFACILITY NUMBER: VISIT DATE: 03/04/2025

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

met_with: Rosalyn Milner, Facility Manager


raw_content:
Narrative:
It was reported that C1 told the staff to leave and C1 was unclothed from the waist down using the toilet when the alleged incident occurred. Confidential interview indicated that on October 29, 2024, C1 went to use the restroom at 5: AM. Confidential interview indicated the overnight staff, S1, was cleaning the facility and was aware C1 went to use the restroom. Confidential interview indicated, while in the restroom, C1 coughed and sneezed, and S1 opened the door and asked C1 what they were doing. Confidential interview indicated C1 told S1 they were using the restroom and told S1 to get out. Confidential interviews indicated when clients have their door closed, staff knock prior to entering the room. Confidential interviews denied having their privacy invaded. Confidential interview denied such incident occurred, and there were no witnesses to the alleged event. Based on confidential interviews, the allegation that staff did not accord minor privacy, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this signed report and appeal rights were provided to Llasmine Diaz, Facility Representative.

Investigation Findings:
13On June 4, 2025 at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Llasmine Diaz, Facility Representative to discuss the investigative finding for the allegation noted above. LPA Jauregui conducted an inspection of the facility on November 20, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed three clients (C1, C3-C4), and one staff (S1). LPA attempted to interview one client (C2) and one CASA worker, however, after numerous attempts LPA was unsuccessful. Pertinent documents were obtained. On November 15, 2024, Community Care Licensing (CCL) received allegation that staff did not accord minor privacy. It was reported that a staff member saw C1 enter the restroom that doesn't have a lock.It was reported that the staff was aware C1 was using the restroom and the staff opened the door and proceeded to have a conversation with C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: AMALIFACILITY NUMBER: VISIT DATE: 06/04/2025

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

met_with: Llasmine Diaz, Facility Representative