raw_content:
Narrative:
Further review revealed an addendum for the missed dose was submitted on March 13, 2025, reporting medication and medication log were missing. Confidential interviews and record review provided conflicting information as to when the medication and log were initially found to be missing and when it was reported to CCL. Confidential interviews and record review could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation alleging facility staff did not report the incident to CCL may have occurred, however it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Facility Manager Sydney Vahle. record (MAR) log was discovered missing on or about March 9, 2025. Confidential interviews provided consistent statements that C1's medication and MAR log were unable to be located beginning March 9, through March 13, 2025. A records review conducted by LPA Perez-Diaz collaborated with the confidential interviews. All documents indicate that the medication and MAR log are missing. This is a violation of California Code of Regulations (CCR) regulation HEALTH RELATED SERVICES 80075(k)(1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. The missing log violation of Short-Term Residential Treatment Facility (STRTP) Interim Licensing Standards (ILS) Standard 87070(b)(14) CHILDREN'S RECORDS A separate log for each psychotropic medication prescribed to a child documenting all of the following. Based on confidential interviews and record review the preponderance of evidence has been met the facility is cited for violation of CCR 80075(k)(1) and ILS 87070(b)(14). A copy of the report was discussed and provided along with appeal rights to Facility Manager Sydney Vahle.

Investigation Findings:
13On April 22, 2025, at 08:57 am Licensing Program Analyst (LPA), Raina Perez-Diaz and Licensing Program Manager (LPM) Nicole Strickland met with Ettie Lee-Diamond Ranch, Facility Manager, Sydney Vahle, to deliver the finding(s) for the above stated allegations. A Health and safety inspection of the facility was conducted on March 14, 2025, and no immediate hazards were observed. The investigation included interviews with one foster Child #1 (C1) and seven Staff #1 - Staff #7 (S1-S7), and one county social workers (CSW). In addition, county records, and facility records were reviewed. On March 11, 2025, Community Care Licensing (CCL) received a complaint with two allegations alleging a minor's medication is missing and Medication log for minor in care is missing. Specifically, it was reported a client's (C1) prescribed medication and the corresponding medication administrative **Contintue on Next page** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Raina Perez-Diaz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ettie Lee Homes-diamond L. RANCHFACILITY NUMBER: 360900272

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:


state: CA

facility_name: ETTIE LEE HOMES-DIAMOND L. RANCH

summary: Facility Evaluation

raw_content:
Narrative:
On June 4, 2020 at 1: PM, Licensing Program Analysts (LPAs), Jazmond Harris and Val Wilson arrived at Ettie Lee Homes-Diamond L. Ranch to complete an annual required inspection. LPA was met at the facility by Facility Manager, Katey Garcia. There were two staff members and four clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. At 3: PM, a physical plant inspection was completed and included the following checks: The facility consists of five bedrooms, five bathrooms, a dining area, living room, kitchen, pantry, staff office, administrator office, game room, therapy room, maintenance office that is utilized for storage, storage room, conference room, recreation room and laundry room. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Pool tables, games, and gym equipment were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains more than two days' supply of perishable and seven days non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in staff office. Individual client beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms have individual beds, closet space, and drawer space for each client. The hot water in the client's bathroom was measured and deemed to be safe. Per facility staff, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator, April Hanley is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one social worker, one therapist, five facility managers and six direct care staff. Licensee has obtained National Accreditation through Council on Accreditation (COA). The Accreditation is valid through 02/29/2024. Licensing fee payments have been paid and there is currently a balance of $0. LPAs reviewed five client files. All required documents were present in the files with required dates and signatures. Client #1 and Client #2's (See Confidential Names List (LIC 811) dated June 4, 2021, needs and service plans were not up to date. LPA Harris requested that the current needs and service plan be sent to LPA Harris at the earliest convenience. Currently there are no clients on medication. LPAs reviewed five staff files. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPAs reviewed the staff's first Aid/CPR certificates and proof of TB tests. LPAs conducted staff and client interviews. Clients indicated that their basic needs are being met at the facility and core services being provided as well. Staff interviews stated there were no issues or concerns. LPA discussed the following with Facility Manager: Incident reporting, including incidents related to Assembly Bill 388, law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of facility records and observation, the Licensee appears to be meeting CFT and Core Services/Supports requirements. An exit interview was conducted. A copy of the report will be provided to the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: Facility Manager-Katey Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On March 14, 2023 at 09: AM, Licensing Program Analyst (LPA), Sarah Lo arrived unannounced at Ettie Lee Homes-Diamond L. Ranch to complete an annual required inspection. LPA was met at the facility by Administrator, April Valdepena-Hanley. There were two staff members, and six clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. At 09: AM, a physical plant inspection was completed and included the following checks: The facility consists of five bedrooms, five bathrooms, a dining area, living room, kitchen, pantry, staff office, administrator office, game room, therapy room, maintenance office that is utilized for storage, storage room, conference room, recreation room and laundry room. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Basketball court, games and gym equipment were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains more than two days supply of perishable and seven days non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in staff office. Individual client beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms have individual beds, closet space, and drawer space for each client. The hot water in the client's bathrooms were measured (105.4, 112.4, 113.9 and 110.6) and deemed to be clean and safe. Per Administrator, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. (Continues on LIC 809-C) Administrator, April Valdepena-Hanley is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one social worker, one therapist, five Facility Managers and five Residential Counselors. Licensee has obtained National Accreditation through Council on Accreditation (COA). The Accreditation is valid through 02/29/2024. Licensing fee payments have been paid and there is currently a balance of $0. LPA reviewed five client files. All required documents were present in the files with required dates and signatures. Client #2 (See Confidential Names List (LIC 811) dated March 14, 2023, is missing the signed copies of policy and procedure for the removal/transfer, discipline and complaints. Per ILS 87070 (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: (2) Signed copies of the facility's policies and procedures regarding the child's removal and/or transfer; discipline; and complaints. Client #1-#5 (See Confidential Names List (LIC 811) dated March 14, 2023, is missing Tuberculosis (TB) test result, per Administrator, the client's refused getting the TB test at the initial health screening. Administrator was told will need to provide proof with client's signature to show client refused to get a TB test. Per CCR 80069 (c) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases. LPA conducted three staff and three client interviews. The clients indicated that their basic needs are being met at the facility and core services being provided as well. The staff interviews stated there were no issues or concerns. An exit interview was conducted. A copy of the this report (LIC 809 and LIC 809-C) and appeals right is provided to the Administrator, April Valdepena-Hanley.

met_with: April Valdepena-Hanley, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's) Jacqueline Garcia and Rachel Vanegas on March 12, 2025 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's met with Program Manager, April Valdepena. LPA's inspected the facility inside and out with Facility Manager, Sydney Vahle and did not observe any deficiencies. LPA's reviewed 1 child records and 5 staff personnel files on site at the facility. LPA's reviewed 1 of 1 child's psychotropic medications and medication records. LPA's interviewed 2 of 5 staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed 1 of 1 youth currently prescribed psychotropic medication. During the inspection LPA's did not observe any violations therefore no deficiencies are being cited at this time. LPA's conducted exit interview with Program Manager, April Valdepena and a copy of this report, LIC 811 dated 03/12/25 were provided to Program Manager, April Valdepena.

visit_type: Case Management

met_with: April Valdepena-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On May 1, 2025 at 09: AM, Licensing Program Analyst (LPA), Jason Dalton and Licensing Program Manager (LPM) Nicole Strickland arrived unannounced at Ettie Lee Homes-Diamond L. Ranch to conduct an annual random inspection. LPA was met at the facility by Interim Administrator, Sydney Vahle. There were two staff members, and nine clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. At 02: PM, a physical plant inspection was completed and included the following checks: The facility consists of five bedrooms, five bathrooms, a dining area, living room, kitchen, pantry, staff office, administrator office, game room, therapy room, maintenance office that is utilized for storage, storage room, conference room, recreation room and laundry room. Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Basketball court, games and gym equipment were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguishers are properly charged and serviced. Licensee maintains more than two days supply of perishable and seven days non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Individual client beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms have individual beds, closet space, and drawer space for each client. The hot water in the client's bathrooms were measured (105.0, 105, 107.8 and 105.0) and deemed to be clean and safe. Per Administrator, no firearms or weapons are allowed in the facility. Facility appears to be meeting the terms and conditions of their license. (Continues on LIC 809-C) Interim Administrator, Sydney Vahle is present at the facility a minimum of 20 hours a week, as verified by staff schedule. Appropriate staff/client ratios were verified during this inspection. The facility employs one social worker, one therapist, five Facility Managers and five Residential Counselors. Licensing fee payments have not been paid and there is currently a balance of $2,040.00. LPA reviewed five client files. All required documents were present in the files with required dates and signatures. LPA reviewed five staff files (S1-S5). Review revealed S2 had an expired First Aide CPR Card therefore the facility will be cited for violation of Interim Licensing Standard (ILS) 87065.1 (d)(6)(A). Review further revealed documentation of 40 hours annual training for S4 is missing from file. This is a violation of ILS 87065.1(e)(1). Due to time constraints inspection was not able to be completed. LPA will return at a future date to complete inspection. An exit interview was conducted. A copy of the this report (LIC 809 and LIC 809-C and 809-D) and appeals rights were provided to the Interim Administrator, Sydney Vahle.

met_with: Sydney Vahle, Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
**This is an Amended Report for the Report dated 5/1/25 to reflect the corrected end time of 2: PM** On May 1, 2025, at 09: AM, Licensing Program Analyst (LPA), Jason Dalton arrived unannounced at Ettie Lee Homes-Diamond L. Ranch to continue an annual random inspection that was conducted on 5/1/2025. LPA was met at the facility by Interim Administrator, Sydney Vahle and Alisha Yglesias-Guzman, Facility Manager. There were five staff members, and three clients present at the time of the inspection. Appropriate staff/client ratios were verified during the inspection. During the inspection, annual fees were not current. LPA reviewed and completed the remaining CARE Tools questions, one of two client interviews and two of two staff interviews at 1: PM on this date. Two Clients declined to interview. The facility has obtained accreditation through Council On Accreditation, The facility does not have the current certificate, however, the facility was able to provide proof of current accreditation. LPA also reviewed medication logs, and medication for Client #1 through Client #5. Please refer to Confidential names list LIC 811. LPA discussed the need for updating Transitional Independent Living Program information for Clients #1 and Client #2 with Interim Administrator. No deficiencies were cited. An exit interview was conducted. A copy of this report and appeal rights were discussed and provided to Facility Manager Alisha Yglesias-Guzman.

met_with: Alisha Yglesias-Guzman


facility_name: FATHER'S HEART RANCH

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews and record review revealed that there was one incident where C1 and C2 were in the living area of their house playing the tickle game, which consisted of the two clients tickling each other in areas like the arms. Interviews revealed C1 moved and C2 accidentally touched C1 across C1's private area. Some interviews revealed there was no staff or other clients around to see the incident while other interviews and record review revealed S1 and S2 were present in the house, S1 in the same room as the clients and S2 in the hallway. Interviews with staff revealed that staff observed C2 tickling C1 and staff reminded C2 of boundaries and not to touch C1. These interviews further revealed neither staff actually saw C2 touch C1 in the private area however, S2 heard C1 say that C2 touched C1 in C1's private part. Interviews revealed S2 spoke with each client after the incident and C1 and C2 are not allowed to be near each other. Confidential interviews revealed C2 touching C1 in the private area was an isolated incident and an accident. CSW revealed there have been no prior disclosures of inappropriate touching between C1 and C2 or any other clients and no prior concerns of lack of supervision in the STRTP. Based on confidential interviews and conflicting statements of what occurred, the allegation C1 was inappropriately touched by C2 in care due to lack of supervision may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811 and appeal rights were explained and provided to Administrator Christina Torres.

Investigation Findings:
13On February 3, 2022 at 10:35 am, Licensing Program Analyst (LPA), Jessica Rubio met with Father's Heart Ranch (STRTP), Administrator, Christina Torres to discuss the investigative finding of the allegation listed above. On December 28, 2021 at 2:50 pm, LPA Rubio conducted a safety inspection of the facility. No safety hazards were observed and no deficiencies were cited. During the investigation, confidential interviews were conducted with staff 1 and 2 (S1, S2) and two of two clients (C1, C2) involved in the complaint. LPA Rubio obtained copies of the facility staff and client roster and the needs and services plans for C1 and C2. On December 20, 2021, a complaint was received alleging minor was inappropriately touched by another minor in care due to lack of supervision; specifically, that C2 touched C1 on C1's private part. (Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Jessica M Rubio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 02/03/2022

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

report_type: Complaint Investigation

met_with: Christina Torres

complaint_status: unsubstantiated


raw_content:
Narrative:
allegation had occurred, and that C2 had also inappropriately touched C1 on at least one occasion. There were no other known witnesses to this allegation. Based on confidential information obtained during the course of this investigation, the allegation that Staff did not prevent inappropriate touching between minors in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Administrative Director, Christina Torres to discuss the investigative findings for the above stated allegation. Licensing Program Analyst (LPA), Erika Lopez conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on December 12, 2022, at 10:45am. No immediate hazards observed. LPAs Erika Lopez and Cynthia Urena interviewed Facility Administrator (FA), two staff (S1 & S2), three foster children (C1, C2 and C3), as well as reviewed client and facility records. Community Care Licensing (CCL) received information on December 09, 2022, alleging that Staff did not prevent inappropriate touching between minors in care. Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. LPAs Lopez and Urena obtained conflicting information during confidential interviews. Confidential interviews denied a lack of supervision and stated that on one occasion when C1 attempted to touch C2 in their groin area during bedtime, Staff # 1 (S1) immediately intervened and redirected C1, as well as closely monitored C1 for the remainder of the night. Incident was said to have occurred after C1, C2 and C3 were allowed to sleep in hall/living room area by S1 after they refused to go to bed. According to confidential information, S1 reported this incident to administrative staff. While other confidential information received by CCL stated that this UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 11/13/2023

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


raw_content:
Narrative:
C1's ankle. Confidential interviews and records reviewed revealed a physical altercation between several residents occurred during a football game on October 14, 2023; during which time S1 attempted to de-escalate the situation. Confidential interviews provided varying accounts of how S1 ended up landing on C1's ankle causing the fracture and whether it was intentional. Confidential interviews and records review revealed that once C1's injury became known to staff, medical attention was provided to C1. Based on records review and confidential interviews the allegation alleging staff member (S1) caused an injury to minor (C1) while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) Facility Manager, Gloria Thomas.

Investigation Findings:
13On November 17, 2023 at 10:36 am Licensing Program Analyst (LPA), Nicole Strickland met with Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) Facilitiy Manager Gloria Thomas to deliver the findings for the above stated allegation. A Health and safety inspection of house "C" was conducted on October 23, 2023, and no immediate hazards were observed. The investigation included interviews with five foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4] and Child #5[C5]), ADM, two staff (Staff #1[S1] and Staff #2 [S2]), Riverside County Social Worker (CSW#1), Riverside Out of Homes Institutions (OHI) investigator. In addition, county records, facility records, and medical records were reviewed. On October 18, 2023, Community Care Licensing (CCL) received an allegation alleging staff member (S1) caused an injury to minor (Child #1 [C1]) while in care. Specifically, it was reported S1 fell on C1 fracturing UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 11/17/2023

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

met_with: Facility Manager, Gloria Thomas


raw_content:
Narrative:
knee into C1's back during a restraint. Confidential interviews provided conflicting statements regarding staff using excessive forms of restraints with some statements reporting staff are quick to restrain and residents occasionally are left with marks and/or bruises or soreness from the excessive forced used by staff during the restraint. Conflicting statements reported staff use a variety of de-escalation techniques prior to initiating a restraint on a resident and when restraints are used staff follow Pro-Act training. Confidential interviews could not confirm or dispute the allegations of excessive forms of restraint or C1 being handled in a rough manner. An additional allegation alleging Staff (unnamed) speaks inappropriate to minor (C1) in care was also received by CCL on July 24, 2023. Specifically, it was reported C1 was called slow, dumb, and stupid by unnamed staff. Confidential interviews and records reviewed revealed conflicting reports of staff speaking inappropriately to C1. Confidential interviews reported C1 claimed C1 was called slow on an unknown date by a staff member. Confidential interviews reported C1 interpreted this to mean C1 was stupid and dumb; however conflicting statements reported C1 was being told C1 was moving slow as the residents were transitioning from one activity to another. Confidential interviews could not confirm or dispute that the way the word slow was used was in an inappropriate manner. Based on record review and confidential interviews the allegations alleging Staff (unnamed) uses excessive forms of restraint on minor (C1) in care, staff (unnamed) handles minor (C1) in a rough manner and Staff (unnamed) speaks inappropriate to minor (C1) in care may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) Facility Manager Gloria Thomas.

Investigation Findings:
13On November 17, 2023 at 9:51 amLicensing Program Analyst (LPA), Nicole Strickland met with Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) Facilitiy Manager Gloria Thomas to deliver the findings for the above stated allegations. A Health and safety inspection of the facility was conducted on July 31, 2023, and no immediate hazards were observed. The investigation included interviews with five of five foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4] and Child #5 [C5]), four Facility Staff, San Bernardino County Social Worker (CSW#1). In addition, county records and facility records were reviewed. On July 24, 2023, Community Care Licensing (CCL) received two allegations alleging Staff (unnamed) uses excessive forms of restraint on minor (C1) in care and staff (unnamed) handles minor (C1) in a rough manner. Specifically, it was reported staff (unnamed) pulled both of C1's arms outward and placed a UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 11/17/2023

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

met_with: Gloria Thomas


raw_content:
Narrative:
Additionally, the confidential interviews stated that putting pressure on the neck and the back of a client during restraint is not the usual protocol and the staff would never do that to the client. Furthermore, a confidential interview stated that the staff are well trained on how to utilize restraints and have never seen or heard of a staff placing extra pressure on a client's neck during a restraint. The Department received another allegation that stated the staff (S1) handled youth (C1) in a rough manner while in care. Specifically, it was stated that S1 slammed C1's head on the floor. Confidential interviews revealed conflicting statements: Confidential interviews stated that S1 slammed C1's head on the floor in the cafeteria for no apparent reason, there were no witnesses, and no staff was notified of this incident. Additionally, the confidential interviews stated that they have never seen S1 slammed C1's head on the floor or any other clients at the facility. Based on inconsistent confidential interviews, the allegations that the S3 inappropriately restrained C1 while in care and S1 handled C1 in a rough manner while in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP), Gloria Thomas, Facility Manager.

Investigation Findings:
13On 02/28/2024 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo met with Gloria Thomas, Facility Manager, to deliver the finding for the above complaint allegations at Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP). On 10/23/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff members (S1-S4), five clients (C1-C5) and County Social Worker (CSW). Clients' Needs and Services Plans and case notes were reviewed. On October 16, 2023, Community Care Licensing received an allegation that stated the staff (S3) inappropriately restrained youth (C1) while in care. Specifically, it was stated that S3 had inappropriately restrained C1 by putting extra pressure on the neck. A confidential interview stated that S3 did not put extra pressure on C1's neck but did put extra pressure on C1's arm. (continued on LIC 812c) *this is an amended 9099 to the orginal signed on 02/28/24* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 02/28/2024

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

met_with: Gloria Thomas, Facility Manager


raw_content:
Narrative:
Other confidential interviews stated that staff do not grab clients in a rough manner and have never seen any staff grabbing clients in a rough manner. Based on inconsistent confidential interviews, the allegation that a staff grabbed resident (C1) in a rough manner may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP), Gloria Thomas, Facility Manager.

Investigation Findings:
13On 02/28/2024 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Gloria Thomas, Facility Manager, to deliver the finding for the above complaint allegation at Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP). On 09/26/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff members (S1-S4) and eight clients (C1-C8). Clients' Needs and Services Plans and case notes were reviewed. On September 22, 2023, Community Care Licensing received an allegation that a staff grabbed resident (C1) in a rough manner. Specifically, it was stated that a staff went into C1's room and grabbed C1 by the arm and twisted it. A confidential interview stated that an unknown staff went into C1's room and grabbed C1 by the arm and twisted it. (continued LIC 812c) *this is an amended 9099 to the original signed on 02/28/24* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 02/28/2024

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

met_with: Gloria Thomas, Faciliity Manager


raw_content:
Narrative:
During the investigation there was no corroborating evidence to support the allegation. Although CCL received information stating that C1 was inappropriately restrained in care following an incident involving another client in care. The Investigator received inconsistent statements that supported a violation of neglect by staff during a restraint performed on C1 during a behavioral episode that posed a threat to C2 in care. Confidential interviews stated that staff members are trained in the usage of Professional Assault Crisis Training (Pro-ACT) and denied restraining C1 inappropriately during the incident in care. It was indicated that a restraint was used because C1 was choking C2 in care and after multiple verbal redirections by staff C1 refused to stop and staff intervened by using an appropriate Pro-ACT restraint on C1 during the incident. There were no other known witnesses to the allegation. Based on confidential interviews, and record review the allegation that staff inappropriately restrained C1 in care, 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 was provided to Director, Christina Torres.

Investigation Findings:
13On March 21, 2024, at 12: PM, Licensing Program Analyst (LPA), Cynthia Urena met with Father's Heart Ranch Short Term Residential Therapeutic Program (STRTP) Director, Christina Torres to deliver the investigative finding for the above stated allegation. On December 8, 2023, Investigator Shawniece Poinsette with the Community Care Licensing Division (CCLD) Investigations Branch (IB) initiated the investigation at the STRTP. During the investigation process Investigator Poinsette conducted interviews with five staff members, two clients (C1, C2,) and a Sheriff Deputy. Additionally, medical and country reports were reviewed by Investigator Poinsette. On December 4, 2023, Community Care Licensing (CCL) received a complaint alleging staff inappropriately restrained youth in care. It was specifically reported to CCL that C1 was inappropriately restrained by staff following an incident involving another client in care. (**Continued on LIC C**) 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: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 03/21/2024

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

met_with: Director, Christina Torres


raw_content:
Narrative:
In regard to the allegation that due to lack of supervision, a minor was assaulted by other minors, it was specifically reported that four clients and one of the bigger clients jumped C1 at the STRTP resulting in C1 being hit on the face, the head, the left arm, and the leg. During investigation, it was disclosed that staff was present during the incident with the appropriate staff to client ratio. Another confidential interview stated staff tried to deflect the incident from progressing but the incident among clients escalated quickly. Additionally, a confidential interview mentioned that staff didn't say anything to prevent C1 from being assaulted. Other confidential interviews denied that the assault was due to a lack of supervision. LPA was unable to gather additional information. Regarding the allegation that staff did not report the incident to authorized representatives, confidential interview stated that the incident was reported. A confidential interview stated that the incident was not reported to C1's relative. However, the facility staff indicated that the incidents were not to be reported to the C1's relative; they were reported to all authorized representatives in a timely manner. Based on interview and record review, the allegation that C1 was assaulted by C2, C3, and C4 due to lack of supervision and staff did not report incident to the authorized representatives may have happened, 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. A copy of this report and appeal rights were explained and given to Office Manager, Sylvia Luna.

Investigation Findings:
13On 07/09/2024, at 12:45PM, Licensing Program Analyst (LPA) Maya Chavez arrived at Father's Heart Ranch Short-Term Residential Therapeutic Program (STRTP) and met with Office Manager, Sylvia Luna to deliver the investigative finding regarding the allegations involving Client #1 (C1) and the facility staff. On June 3, 2024, Community Care Licensing (CCL) received a complaint alleging that due to lack of supervision, minor was assaulted by other minors and staff did not report the incident to authorized representatives. On June 12, 2024, at 9:30AM, LPA Chavez arrived unannounced to Father's Heart Ranch STRTP to initiate the investigation with Administrator Director. LPA conducted a health and safety inspection with (S1). There were no immediate safety hazards observed at this time of inspection. In addition, LPA Chavez obtained client roster, copies of Special Incident Reports (SIR's), other documents and interviewed clients 1-7 (C1, C2, C3, C4, C5, C6 & C7) and staff 1-5 (S1, S2, S3, S4, & S5) as listed on the Confidential Names List (LIC811). 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: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 07/10/2024

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

met_with: Office Manager- Sylvia Luna


raw_content:
Narrative:
Regarding the allegation that staff did not prevent a minor from being kicked while in care, it was specifically reported that C1 does not like the STRTP because C1 has been kicked at the STRTP, however it was unknown if C1 has been kicked by staff or clients. During the investigation, multiple confidential interviews disclosed that neither staff nor clients have witnessed anyone kick C1. In addition, multiple confidential interviews disclosed that staff recognize when C1 gets escalated and will remove C1 to prevent C1 from getting physical towards another client and vice versa. Additionally, a confidential interview disclosed that they have never witnessed anyone hurt C1 and that staff protect C1. However, one confidential interview disclosed that they have witnessed clients fight with C1 and hit C1, but not specifically kick C1, and staff just watched and laughed. Another confidential interview disclosed that they have never witnessed anyone kick C1, that C1 is the one usually hitting other clients. During the investigation, LPA received conflicting information. Regarding the allegation that staff failed to prevent a minor from engaging in self-harm, it was reported that during an incident at the STRTP, C1 became upset, broke a glass window, and was observed chewing on what appeared to be glass. During the investigation, multiple confidential interviews indicated that C1 has a history of self-injurious behaviors and that staff routinely make efforts to de-escalate such behaviors. One interview disclosed that during this specific incident, C1 was already escalated when staff observed behavior consistent with chewing on glass. However, it remains unclear at what point C1 may have obtained the glass, as the situation unfolded rapidly. It was also uncertain whether the glass originated from the broken window or from a broken hourglass used in a game. Additional information obtained through confidential interviews indicated that staff promptly notified paramedics of the concern that C1 may have ingested or chewed glass and made efforts to clean up the broken materials as quickly as possible. Another interview stated that staff did not directly observe C1 picking up or chewing glass but inferred this may have occurred due to bleeding observed in C1's mouth. Furthermore, other confidential interviews revealed that it could not be definitively confirmed whether C1 had actually chewed glass or another object. Paramedics were also reportedly unable to confirm this but transported C1 for further evaluation as a precautionary measure. LPA received conflicting accounts during the course of the investigation. Based on interviews, the allegations staff did not prevent a minor from being kicked while in care and staff did not prevent a minor from engaging in self-harm may have occurred, however, there was not a preponderance of the 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 Gloria Thomas, Program Director.

Investigation Findings:
13On 04/29/2026, at 2:30PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Father's Heart Ranch short term residential therapeutic program (STRTP) and met with Gloria Thomas, Program Director to deliver the investigative finding for the allegations listed above. This complaint concerns staff at the STRTP and client 1 (C1). On 08/13/2025, Community Care Licensing (CCL) received a complaint that staff did not prevent a minor from being kicked while in care and staff did not prevent a minor from engaging in self-harm. On 08/14/2025, LPA M. Chavez conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. In addition, LPA obtained documents pertinent to the investigation and interviewed staff 1-3 (S1-S3) and clients 2-7(C2-C7). LPA was unable to conduct interviews with C1 or C1's county social worker (CSW) after multiple attempts. 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: FATHER'S HEART RANCHFACILITY NUMBER: VISIT DATE: 04/29/2026

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

met_with: Gloria Thomas- Program Director


facility_name: FERREE'S GROUP HOME #3

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

raw_content:
Narrative:
***This is an amendment to a report that was issued on September 23, 2021:*** However, FA stated that they reviewed facility cameras located in the common areas and they didn't observe or noticed anything that showed a lack of supervision. Confidential witness statement revealed that clients were left unsupervised for approximately 25 minutes. Another confidential witness corroborated that facility staff were outside the facility during C1 and C2's inappropriate interaction. Confidential witness' statements disclosed that the inappropriate interactions only occurred between C1 and C2. Other confidential interviews didn't provide information regarding the allegation due to not being present during the incident. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff did not properly supervise C1 and C2 resulting in an inappropriate interaction. The allegation is therefore substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87065.2 (b) (1) Personnel duties. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On September 23, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with shift manager, Pat Prior, to issue the finding for the above stated allegation. On May 6, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with four of five clients and two staff. Additionally, LPA interviewed one client, two county social workers and five staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 09/23/2021

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

Deficiencies:
87065.2: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Pat Prior

complaint_status: SUBSTANTIATED

title:
Personnel Duties.
(b) Direct care staff shall perform the following duties


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
to transport C1 to a therapy appointment. A confidential interview revealed that staff didn't transport C1 to an appointment due to C1 informing facility staff the day of the appointment and the facility had already planned other activities for the other clients at the facility. Confidential witness' statements revealed that they had not witnessed facility staff refusing to transport C1 or any other clients. County social worker (CSW) stated that she was informed that facility staff denied transporting C1 to health-related services. CSW added that she had contacted facility staff to inform of upcoming appointments but on the day of the appointment CSW would be notified that C1 was not transported by facility staff. Other confidential witness' statements revealed that facility staff had not been transporting C1 to C1's anger management appointments and therapist appointments. Another confidential interview stated staff not providing transportation for C1's appointments was not necessarily due to the facility not having enough facility staff to transport C1. Based on confidential interviews, the preponderance of evidence standard has been met that the facility failed to ensure that C1 was transported to health-related services. This poses a potential Health, Safety, or Personal Rights risk to residents in care. The facility is being cited for violation of Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87074 (c) (1) Transportation. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On September 23, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with shift manager, Pat Prior, to issue the finding for the above stated allegation. On May 6, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with four of five clients and two staff. Additionally, LPA interviewed one client, two county social workers and five staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 09/23/2021

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


raw_content:
Narrative:
SFM added that the wall had been cut open for a week as the facility was waiting for the supplies they ordered to arrive. SFM stated that they had neither smelled nor had been approached by any clients about the existence of a mold. Other Confidential witnesses stated that they did not smell mold or any other unpleasant odor and had not experienced headaches. Additional confidential witness statements maintained that the facility smelled moldy which had caused clients and staff to experience headaches. During LPA inspection of the facility LPA did not smell mold or any unpleasant odor. Based on confidential interviews and record reviews, the allegation that the facility smells like mold which lead to clients and staff having headaches may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On October 7, 2021, Licensing Program Analysts (LPA) Michael Almaraz and Lisi Leon arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the finding for the above stated allegation. On May 27, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with two of four clients and five staff. Additionally, LPA interviewed two clients and one staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 10/07/2021

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

met_with: Michael Barnett


raw_content:
Narrative:
Additionally, confidential witnesses stated that facility staff was always checking on the clients and engaging with them by asking them questions and conversating with the clients. Confidential witness' statements revealed that some clients smoke marijuana at the facility but it was not allowed or condoned by facility staff. Supervising facility manager (S1) disclosed that staff always try to supervise clients by keeping line of sight and conducting room checks. S1 stated that several clients smoked marijuana, and some have smoked in the facility even though it was not allowed. S1 stated that clients were counselled and advised about the dangers and negative impact of drugs, but the clients continued to smoke marijuana. Other Confidential witnesses stated that on May 5, 2021, they witnessed clients smoking marijuana outside the facility at approximately 10: PM. Additionally, when the confidential witness contacted the facility but staff was not aware of clients being outside. Based on confidential interviews and record reviews, the allegations that clients were outside of the facility at night without staff knowledge and lack of supervision resulted clients smoking marijuana at the facility may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On October 20, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the findings for the above stated allegations. On May 17, 2021, at 10: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed client's records and conducted interviews with three of five clients and one staff. Additionally, LPA interviewed two county social workers and five staff. Two of five clients were unavailable for interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 10/20/2021

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


raw_content:
Narrative:
Confidential witnesses also stated that while C2 was attacking C1, S2 walked over "slowly" and did nothing to stop or prevent C2 from attacking C1. Confidential witness stated that S2 was laughing at C1 while C2 was striking C1 several times on the face and body. LPA was provided a video of the incident and in the video C1 is being attacked by C2. LPA observed in the video surveillance that S2 does not show a sense of urgency and does not attempt to redirect the clients. LPA observed C1 attacked twice once in the game room and another time outside the facility. During the attacks, S2 did not attempt to get C1 to a safe place or separate C1 from the attacker. Other confidential witness statements revealed that S2 walked over and attempted to stop the attack but C2 would not listen. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff did not prevent a physical altercation between C1 and C2. The allegation is therefore substantiated which poses a health, safety, and personal rights risk to clients in care. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, and Subchapter 7.5, Version 3.1 87072 (c) (11) Personal Rights. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett.

Investigation Findings:
13On December 2, 2021, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Facility Manager, Michael Barnett, to issue the finding for the above stated allegation. On May 17, 2021, at 11: AM LPA Almaraz conducted a safety inspection and interviews. During the inspection, LPA reviewed children's records and conducted interviews with three of five clients and one staff. Additionally, LPA interviewed one client, one county social workers and five staff. One of five clients was unavailable for interview. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 12/02/2021

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


raw_content:
Narrative:
Regarding minors consuming alcohol in the facility, it was specified that night shift staff fell asleep and minors in the home brought alcohol in the facility and consumed it. During the investigation, confidential interviews denied that minors had consumed alcohol in the facility while staff was sleeping. A confidential interview reported that minors will come back to the facility from a pass under the influence of drugs or alcohol. Another confidential interview stated that they did not witness minors consuming alcohol. Other interviews did not have any information regarding minors' consuming alcohol in the premises. For the allegation regarding minors' needs were not met, it was specified that staff are supposed to take minors to their medication appointment after crisis, but they don't. A confidential interview indicated that when a client is going through a crisis, staff contacted facility Therapy for advice and sometimes clients will be scheduled for Doctor's appointment. Another interview reported that medication appointments are scheduled upon placement, but they were not aware medication appointments needed to be scheduled after crisis. Other confidential interviews declined to provide information regarding the staff failing to take clients to appointments. Other confidential interviews stated that they have not witnessed clients going through crisis. Based on confidential interviews, the allegations that C1, C2, C3, C4 and C5 were consuming alcohol in the premises due to lack of supervision and staff failed to meet C1, C2, C3, C4 and C5 needs may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Supervising Facility Manager Michael Barnett.

Investigation Findings:
13On December 15, 2021 at 1:20PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home Supervising Facility Manager Michael Barnett to discuss the investigative findings for the above stated allegations for the clients in the facility. On June 2, 2021, Community Care Licensing received information alleging that minors consumed alcohol in the facility premises and staff fell to meet minors' need. On June 14, 2021 at 10:40AM, LPA Michael Almaraz initiated the investigation at the facility and interviewed three staff and five clients. On December 8, 2021, LPA Adaleyci Caballero interviewed Facility Administrator and one staff. Additionally, LPA Adaleyci Caballero obtained copies from three clients' records. 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 CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 12/15/2021

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

met_with: Supervising Facility Manager- Michael Barnett


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

raw_content:
Narrative:
Moreover, confidential witnesses disclosed that the facility did not have a current Order on Application of Psychotropic Medication (JV-223). During client file review, LPA confirmed that C1 did not have a current JV-223. For the allegation that staff was not reporting incidents to the Department, it was reported that C1 had AWOLed several times and the facility didn't report them to the Department. Confidential interviews confirmed that C1 would AWOL on a daily basis during C1's placement. During LPA's review of special incident reports (SIR) from the facility, LPA noted the facility did not report all of C1's AWOL incidents. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the Department has determined that facility staff administered medication to C1 without the proper documentation, and staff was not reporting incidents involving C1. The allegations are therefore substantiated. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program (ILS) Sections: 87075(c) Health Related Services and 87061(b)(4) Reporting Requirements. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Michael Barnett. sessions. LPA was unable to verify if those sessions of therapy were appropriate for C1. Regarding staff not preventing a minor from AWOL allegation, confidential witness' stated that staff always address clients when they are attempting to leave the facility on AWOL and staff inform clients on the dangers of going AWOL. LPA received inconsistent information regarding this allegation. In reference to the allegation that staff allowed unauthorized visits. Confidential witnesses denied that staff allowed unapproved visits to individuals while in care. A confidential interview maintained that unauthorized visitors were allowed to leave the facility with C1. Regarding the allegation that staff did not provide adequate supervision to minors while in care. It was disclosed that facility staff slept while on duty and client would leave the facility without supervision. Confidential witnesses denied that staff would sleep while on duty. Based on confidential interviews and record reviews, the allegations that C1 was not being provided appropriate therapy, C1 was not prevented from going absent without leave, C1 was allowed to have an unsupervised visits with unapproved individuals and staff do not provide adequate supervision to minors while in care may have occurred, however, they are not supported or proven by evidence. 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 Michael Barnett.

Investigation Findings:
13On March 7, 2022, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with supervising facility manager, Michael Barnett, to issue the finding for the above stated allegations. On June 14, 2021, at 12: PM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. Additionally, LPA reviewed children's records and conducted interviews with five of five clients (C1, C2, C3, C4 and C5) and three staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 03/07/2022

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

Deficiencies:
87061: (4) Any unusual absence or failure of a child to1
2
3
4
5
6
7Per supervising facility manager (SFM) the facility staff will be trained on ILS 87061(b)(4) Reporting requirements. SFM stated that the POC will be provided to LPA by POC due date.

8
9
10
11
12
13
14return or inform the facility that they are not returning for a specified period of time.

title:
REPORTING REQUIREMENTS.
(b) The licensee shall ensure that the child's authorized representative is notified no later than the next business day if the following circumstances have occurred without the authorized representative's participation


raw_content:
Narrative:
For the allegation regarding that staff did not protect a client during a mental health, it was specified that client 1 (C1) told staff that C1 wanted to commit suicide with a gun. It was added that C1 was depressed, and C1 medication was making C1 suicidal. Furthermore, it was indicated that facility staff took C1 to San Gorgonio hospital due to C1 being incoherent. A confidential interview reported that when clients are in crisis, staff will immediately act to get clients in a safe place and C1 was taken to the San Gorgonio hospital when C1 was in a health crisis. The confidential interview disclosed that C1 was only placed at the facility for one week and C1 was constantly leaving the facility without permission. Other confidential interviews did not provide any information regarding this matter. Regarding the child accessing illegal substance, a confidential interview stated that C1 used marijuana often and it was immediately addressed when observed to be under the influence. Facility staff denied child had access to marijuana while at the facility. It was reported that C1 was constantly AWOL (absent without leave). Two clients refused to interview. LPA Caballero was unable to interview C1 at C1's current placement due to C1's AWOL. Based on confidential interviews, the allegations that client #1 was not protected by staff during a mental health crisis and C1 had access to an illegal substance may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Facility Representative Phillip Ferree gave Shift Manager Pat Prior verbal authorization to sign this report. A copy of this report was provided to Shift Manager Pat Prior.

Investigation Findings:
13On April 22, 2022 at 10:52AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Ferree's Group Home # Shift Manager Pat Prior to discuss the investigative findings for the above stated allegations involving a client in the facility. On August 18, 2022, Community Care Licensing received information alleging that a staff did not protect child during a mental health crisis and the child had access to an illegal substance. On August 30, 2021 at 10:42AM, LPA Almaraz initiated the investigation at the facility and interviewed one staff and two clients (clients) refused to provide any information. On April 1, 2022, LPA Caballero visited the facility for additional interviews but LPA was unable to interview clients. LPA Caballero obtained client roster dated August 26, 2021 and updated client roster dated March 17, 2022. On April 13, LPA Adaleyci Caballero interviewed Facility Administrator. On April 22, 2022, LPA Caballero conducted interviews with two clients at the facility. 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 CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: FERREE'S GROUP HOME #3FACILITY NUMBER: VISIT DATE: 04/22/2022

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

met_with: Shift manager- Pat Prior


facility_name: FERREE'S GROUP HOME, INC. #5

raw_content:
Narrative:
Confidential witnesses added that C1 and C2 had conflict, but they had not seen clients inappropriately touching one another. Confidential witnesses added that facility staff increased supervision of C1 after being made aware of the conflict C1 had with C2. County social worker (CSW) stated that she was informed that C2 had poked C1, but it was not in a sexual manner. County social worker 2 (CSW2) stated that he felt that the supervision that staff provided was appropriate. Other confidential witness stated that C2 walked in on C1 while he was changing and pushed C1. Furthermore, it was disclosed that C2 had bothered C1 often, but facility did not do anything to prevent or stop C2's behavior. Based on confidential interviews and record reviews, the allegation due to lack of supervision C2 walked in on C1 while C1 was changing clothing and inappropriately touched C1 may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On February 8, 2023, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility manager, Pat Prior, to issue the finding for the above stated allegation. On November 1, 2022, at 10: AM LPA Almaraz initiated the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed one facility staff, interviewed one of the four clients as listed on the confidential names list (LIC 811) dated February 8, 2023, and reviewed four client records. Additionally, LPA conducted interviews with three county social workers, one staff, two clients, and Riverside Out of Home Investigations (OHI). One of four clients was unavailable for LPA interview. On October 26, 2022, the Department received a complaint that alleged minor inappropriately touched another minor in care. It was specified that due to lack of supervision client 2 (C2) walked in on client 1 (C1) while C1 was changing clothing and inappropriately touched C1. Confidential witnesses stated that staff positioned themselves in the hallway of the facility to supervise the clients when the clients were in their bedroom.(continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/08/2023

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


raw_content:
Narrative:
During the investigation, confidential witnesses stated that S1 treated all clients equally and S1 did not demonstrate favoritism. County social worker (CSW) stated that she was not informed that C1 was treated differently than other clients. County social worker 2 (CSW2) stated that he was not informed that some clients were treated better than others. Other confidential witnesses stated that S1 treated client 2 (C2) better than other clients and they felt that S1 mistreated C1. Regarding the allegation that S1 called C1 names confidential witnesses stated that they had not heard S1 call C1 any names and that it was C1 who called S1 names. CSW stated that she was not informed that S1 called C1 names. Other confidential witnesses stated that they had heard S1 call C1 names. LPA receive inconsistent information. In regard to the allegation that C1 was not accorded dignity and respect and S1 would tell other staff and clients that S1 did not like C1. Confidential witnesses stated that they had not heard S1 say to C1, staff, and clients that S1 did not like C1. CSW stated that she was not told that S1 or any staff had said they disliked C1. Other confidential witnesses stated that they heard S1 saying that S1 did not like C1. LPA received conflicting information. Based on confidential interviews and record reviews, the allegations that S1 did not treat clients equally, S1 spoke inappropriately to C1, and S1 did not accord C1 dignity and respect while in care, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Pat Prior.

Investigation Findings:
13On February 8, 2023, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with facility manager, Pat Prior, to issue the finding for the above stated allegations. On August 23, 2022 at 10: AM, LPA Almaraz initiated the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed two facility staff and reviewed three client records (see confidential names list LIC 811) dated February 8, 2023. Additionally, LPA conducted interviews with three county social workers, one staff, and two of three clients. One of three clients was unavailable for interview. On August 15, 2022, the Department received a complaint that staff do not treat minors in care equally, staff do not speak appropriately to minor in care and staff did not accord minor in care dignity and respect. It was specified that staff #1 (S1) demonstrated favoritism to certain clients, S1 called client #1 (C1) inappropriate names, and S1 would tell C1, other clients and staff that S1 did not like C1. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/08/2023

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


raw_content:
Narrative:
Regarding the allegation that staff did not ensure minor attended school, it was specified that the facility has allowed C1 to miss 52 days of school. During investigation, confidential interview stated that facility has many in-house incident reports about C1's lack of school attendance. It was added that C1 and other client would procrastinate then be late to school. Additionally, it was stated that the facility would make multiple trips to school so no client would be late due to others taking to long to get ready. Confidential interview stated staff would encourage clients to get ready earlier so they could arrive to school on time. Additional confidential interview stated that C1 would always be late to school by choice. It was added that staff would encourage C1 to be on time and explained the importance of being at school and on time. Another confidential interview stated that it was staff's fault C1 was late to school because staff would take C1 to school late. It was added that sometimes the staff would take too long and so C1 would refuse to go to school rather than be late. LPA received conflicting information. In regard to the allegation that staff did not ensure minor attended appointment, it was specifically alleged that C1 had driver's training and staff wouldn't get C1 up after informing staff about the appointment in the same morning. Confidential interviews disclosed that messages would be received over the weekend for appointments for the following day, but the problem was that only facility managers have access to the voicemail box. It was added that drivers training was never confirmed with staff. Additionally confidential interview stated that staff ensured they went to their appointments and got them there on time. Another confidential interview stated that C1's mother called and left a message over the weekend about drivers training but that the day of the training staff did not wake C1 up and C1 missed the appointment. LPA received conflicting information. Based on confidential interviews, the allegations that staff did not ensure C1 attended school and staff did not ensure C1 attended appointment may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to facility representative.

Investigation Findings:
13On February 16, 2023, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Ferree's Group Home and met with Supervising Facility Manager Tina Willis to deliver the finding for the allegations stated above involving the GH staff (S1 & S2) and clients (C1 & C2) as listed on the Confidential Names List (LIC 811) dated February 16, 2023. On June 27, 2022, Community Care Licensing (CCL) received a complaint alleging that staff did not ensure minor attended school and that staff did not ensure minor attended appointment. On July 06, 2022, at 10: AM, LPA Almaraz initiated the investigation at the GH and obtained documents from the files and conducted a safety inspection. There were no immediate hazards observed. LPA interviewed S1, S2, and C2. LPA was unable to contact the County Social Worker. On February 02, 2023, LPA Almaraz conducted collateral interview for C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 02/16/2023

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

met_with: Supervising Facility Manager- Tina Willis


raw_content:
Narrative:
Confidential witness stated that clients had not been provided with marijuana or cigarettes from staff. Confidential witnesses added that they had not witnessed or been informed that staff were smoking at the facility. County social worker 7 (CSW7) stated that she was not informed that staff provided clients with contraband or staff smoked at the facility. County social worker 3 (CSW3) stated that he did not suspect staff were providing the clients with contraband. Additionally, CSW3 reported that he was never told that staff smoked at the facility and CSW3 never observed signs that staff were smoking at the facility. Other confidential witnesses maintained that staff provided clients with marijuana and cigarettes and staff smoked at the facility. Based on confidential interviews and records review, the allegations staff gave C1 marijuana and cigarettes, and that facility staff would smoke at the facility may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On July 20, 2023, at 3: PM Licensing Program Analyst (LPA), Michael Almaraz, arrived at the facility and met with facility manager, Tina Willis, to issue the finding for the above stated allegations. On April 18, 2023, at 9: AM LPA Almaraz arrived at the facility to initiate the investigation and conducted a safety inspection. During the safety inspection, LPA interviewed two facility staff, interviewed two clients, and reviewed six client's records. Additionally, LPA conducted interviews with six of seven clients (C2, C3, C4, C5, C6, and C7) listed on the confidential names list (LIC 811) dated July 20, 2023, two county social workers, and one additional staff. LPA Almaraz was unable to interview one of seven clients due to the client's parents declining the interview. On April 10, 2023, the Department received a complaint that alleged staff were providing marijuana to children in care, staff were providing cigarettes to children in care, and staff were smoking in the facility. More specifically, it was alleged that staff gave client #1 (C1) marijuana and cigarettes, and facility staff would smoke at the facility. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 07/20/2023

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

met_with: Tina Willis


raw_content:
Narrative:
Confidential witnesses stated that on the evening of the incident, the clients at the facility were rowdy and not following staff directives. In addition, it was disclosed to LPA that C2 had a broom and entered C1's bedroom while C1 slept and poked C1 with the broom handle. It was reported to LPA that staff was present, and C2 did this against the staff's orders not to enter C1's room. Confidential interviews stated that the County Social Worker (CSW) was informed that the clients were joking around, and CSW was never told that C1 did not feel safe at the facility. Furthermore, CSW stated that facility staff always provided suitable client supervision. Other confidential witnesses stated that when the incident occurred, staff were not present, and staff did not attempt to redirect C2. LPA received conflicting information regarding the staff supervision surrounding the incident. Based on inconsistent confidential interviews and record reviews, the allegation that staff did not prevent an inappropriate sexual interaction between minors (C1 and C2) while in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tina Willis.

Investigation Findings:
13On January 26, 2024, at 10: AM, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Supervising Manager, Tina Willis, to issue the finding for the above stated allegation. On August 16, 2023, at 11: AM, LPA Almaraz conducted a health and safety inspection, and no immediate health and safety hazards were observed. During the inspection, LPA reviewed six clients' (C1-C6) records (see confidential names list LIC 811 dated January 26, 2024) and conducted interviews with two (C4 and C5) of the six clients, a County Social Worker (CSW5), and one staff (S4). Additionally, LPA interviewed three clients (C2, C3, C6) two County Social Workers, and three staff members. One of six clients (C1) refused to participate in the LPA interview. On August 7, 2023, the Department received a lack of supervision complaint alleging that staff did not prevent an inappropriate sexual interaction between minors (C1 and C2) while in care. More specifically, due to a lack of supervision on August 4, 2023, C2 inappropriately touched C1 with an object. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 01/26/2024

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


raw_content:
Narrative:
Additionally, confidential witnesses revealed that facility staff did refuse to accept C1 back to the facility. LPA was provided with copy of the policy that prohibits weapons on facility grounds. LPA received other information that C1 was not arrested, and it was unknown if C1 ever had the gun at the facility. LPA received conflicting information regarding the allegation. Based on confidential interviews and record reviews, the allegation that C1 was not allowed to return to the facility after being arrested with a gun may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Alisha Jones.

Investigation Findings:
13On May 1, 2024, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz met with facility administrator, Alisha Jones, to issue the finding for the above stated allegations. On September 18, 2023, at 10: AM, LPA Almaraz initiated the investigation and conducted a safety inspection, no deficiencies were noted. During the inspection LPA interviewed one facility staff and reviewed two of six client's records (see confidential names list LIC 811 dated May 1, 2024). Additionally, LPA conducted interviews with four clients, three county social workers, and four staff. Two of four clients were not interviewed due to LPA being unable to locate one client who was absent without leave (AWOL) and LPA being unable to contact another client. On September 8, 2023, the Department received a complaint that staff are not allowing youth to return to the facility after being arrested. It was specified that client #1 (C1) was not allowed to return to the facility after being arrested with a gun. Confidential witnesses informed LPA that C1 had gone AWOL, stolen a car, and was arrested with a gun in the stolen car. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Ferree's Group Home, INC. #5FACILITY NUMBER: VISIT DATE: 05/01/2024

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

met_with: Alisha Jones