raw_content:
Narrative:
Meeting Referral dated 1/2/24, permanent release slips for two clients, Law Enforcement reports dated 1/10/24, 1/19/24, and 1/20/24, and the 2/22/ Daily Onsite Report, Daily Offsite Report, Daily Temporary Release Report and Permanent Releases 4-Day Report. LPA conducted interviews on 1/18/24, 1/22/24, 1/31/24, and 3/5/24 with the reporting parties, nine staff and three clients and LPA attempted to interview a fourth client . Eight out of thirteen confidential interviews reported the clients are allowed privacy and staff knock before entering a client's room. Nine out of thirteen confidential interviews reported they have not heard other staff speak inappropriately to clients in care and the reporting party could not provide specific details to the Department. Eight out of thirteen confidential interviews reported staff provide dignity in client's relationships with others. Based on LPA's interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No title 22 regulations were cited during today's inspection. Exit interview conducted and a copy of this report was left with LaKeisha Carter Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) Jean Stidman conducted an unannounced inspection to the facility on 3/8/24 at 3:40pm to deliver complaint allegation findings. LPA met with LaKeisha Carter, Administrator, and discussed the above allegations. During the investigation of clients are not allowed privacy, staff speak inappropriately to clients, and staff do not allow dignity in relationships with others, LPA toured the facility with Joyce Aubin Shelter Supervisor II on 1/18/24, Jason Eala Shelter Supervisor II on 1/22/24 and 1/31/24, Aneyde Torres, Shelter Supervisor II on 2/22/24, and Kim Robinson Assistant Director on 3/5/24. On these inspections, LPA inspected the physical plant inside and out, reviewed four clients files and obtained documentation for the complaint investigation of Admission Report, Pre-Placement Questionnaire, Intake Behavior & Risk Assessments dated 12/28/23, House Rules, an email from one staff to a BHS worker dated 1/2/24, Daily Behavior & Risk Assessment dated 1/1/24-1/22/24 , Child Family Team UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jean Stidman 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 03/08/2024

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

met_with: LaKeisha Carter Administrator


state: CA

facility_name: MARY GRAHAM CHILDREN'S SHELTER

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews were conducted with two children C2 and C3 and five staff S1, S2, S3, S6, AD and attempted with one reporting party and one county social worker, during the period of 6/19/25 to 8/20/25. LPA's interviews conducted, and records reviewed were inconsistent however, the video footage shows C1 standing pushing the gate closed with their hands and knee pressed against the gate, then S1 pushed open the gate causing the child to fall down, C1 was not injured. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is cited violation of Title 22, Division 6, Chapter 5, Article 06. Continuing Requirements, 84072(D)(33) Personal Rights. An exit interview was conducted, and a copy of this report and appeal rights were provided to LaKeisha Carter, Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) Jean Stidman conducted an unannounced complaint inspection with the above facility on 9/5/25 at 12:30pm and met with LaKeisha Carter, Administrator. The purpose of the inspection was to deliver complaint findings for the above allegations of Staff used excessive force with child in care. On 6/25/ Licensing Program Analyst (LPA), Jean Stidman and Licensing Program Manager (LPM) Dara Campos, initiated a complaint investigation related to the above allegation. LPA & LPM met with Joseph Flores, Assistant Director. LPA obtained the following documents for review: Daily Onsite Report for 6/13/25, and two children's Needs and Services Plan, Incident Reports for June, Group Master Lists for 6/6/25-6/13/25 and 6/25/25, Admission Report, Intake and Behavior & Risk Assessment, Pre-Placement Questionnaire, Behavior & Risk Assessment, medical documentation, and one child's special Incident Report, facility video recording footage. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jean Stidman 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 09/05/2025

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

report_type: Complaint Investigation

met_with: LaKeisha Carter, Administrator

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 3/11/ Licensing Program Analyst (LPA) met with staff Kim Robinson Shelter Supervisor II (SSII) for the purpose of conducting a case management inspection regarding Incident Reports. LPA discussed the facility appears to contact Law Enforcement (LE) within a few minutes after a client is reported missing or staff have lost sight of the client. SSII stated the facility is in the process of re-examining their LE contact procedures and the facility calls LE immediately under certain circumstances based upon the clients needs. LPA discussed the facility's incident reports regarding the clients use of illegal substances. LPA stated the incident reports should specify if staff are asking the clients to conduct a self search for contraband or illegal substances as specified in the facility's Runaway Plan in their Program Statement. LPA discussed the facility's policy on searching a client's room after they have been observed using illegal substances or having contraband. SSII stated this was discussed on 3/9/22 with the Leadership Team. It was clarified that a room search is acceptable and expected to be conducted by staff under these circumstances. SSII stated the facility will include any client self searches or room searches in their incident reports.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Kim Robinson Shelter Supervisor II


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Jean Stidman and Cecilia Warren met with Stephanie McCoy, Director, for the purpose of an Exemption Denial. Stephanie McCoy confirmed that staff S1 is not working or present in the facility.

met_with: Stephanie McCoy, Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Jean Stidman and Cecilia Warren met with Stephanie McCoy, Director, for the purpose of an Annual Inspection. LPA's inspected facility inside and outside, and reviewed five staff files and three client files. LPAs observed one Cottage and a new clothing storage, laundry room, and infant bedroom. LPAs observed three broken windows that are boarded up. Staff stated the windows have been ordered. No deficiencies cited.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On July 22, 2022, at 11:30AM Licensing Program Analysts (LPA) Yuvi Diaz conducted an unannounced visit to Mary Graham Children's Shelter for the purpose of conducting a collateral visit. LPA Diaz met with Kimberli Robinson, Assistant Director and requested to interview Client #1 and Client #2 regarding an investigation related to the client's previous placement. Licensing Program Analyst interviewed Client #1 and Client #2 during the visit and took client's statement regarding the allegations on the client's previous placement. Exit interview was conducted Kimberli Robinson, Assistant Director and a copy of this report will be e-mailed to the Facility Program Director.

met_with: Kimberli Robinson, Assistant Director


summary: Facility Evaluation

raw_content:
Narrative:
On 8/22/ Licensing Program Analyst (LPA) Jean Stidman met with Kim Robinson Assistant Director for the purpose of conducting a Case Management Inspection for an incident that occurred on 8/17/22 involving eight clients. LPA and Assistant Director discussed the incident. As of this report all the clients have returned to the facility except for three clients that are still in Juvenile Justice Center. Exit interview conducted and a copy of this report was left with Kim Robinson Assistant Director.

met_with: Kim Robinson Assistant Director


summary: Facility Evaluation

raw_content:
Narrative:
On 9/1/ Licensing Program Analyst (LPA) Jean Stidman met with Stephanie McCoy Executive Director (ED) for the purpose of conducting a Case Management Inspection. LPA discussed several incident reports are not being submitted according to regulation time frames. Such as: On 8/25/ LPA received one 7-day incident report dated 8/21/22 but a 24-hour/next business day report was not submitted. On 8/31/ LPA received one 7-day incident report dated 8/17/22 that should have been submitted by 8/29/22. On 8/31/ LPA received four 7-day incident reports dated 8/18/22 (2), 8/12/22, and 8/20/22 that should have been submitted by 8/29/22, 8/23/22 and 8/30/22 respectively. LPA discussed the facility is not following their Plan of Operation (POO) for House Rules regarding room inspections. The facility failed to conduct room searches for incidents on: 8/20/22 when four clients refused to hand over suspected contraband for approximately two hours. 8/24/22 when seven clients refused to hand over suspected contraband for approximately 6.5 hours 8/29/22 when staff suspected one client was using illegal substance while holding another client's child. LPA & ED reviewed the facility's Runaway Management Policy regarding when to contact Law Enforcement when supervision of a client is lost. ED stated this policy has been updated and will send the update to LPA. LPA discussed the incident reports need to be more specific on how client supervision was lost. LPA discussed incident reports need to specify how staff were supervising the clients. Incident on 8/17/11 regarding eight clients fighting and on 8/23/22 between one client and their significant other with the client's child present failed to specify how the staff were supervising the clients. LPA discussed an incident report dated 8/11/22 when a client was restrained for trying to leave the facility by climbing over the fence. LPA stated this restraint was not warranted due to the client's safety was not at risk. Exit interview conducted and a copy of this report was left with Stephanie McCoy Executive Director .

met_with: Stephanie McCoy Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On 9/1/ Licensing Program Analyst (LPA) Jean Stidman met with Stephanie McCoy Executive Director (ED) to discuss the facility's late fees. LPA shared documentation of the facility fees that have not been paid for 2021 and 2022 and that a late fee for each year was also charged. ED stated she will scan the documentation and email it to the accounting department in Human Services Agency (HSA) in Stockton so it can be paid. Exit interview conducted and a copy of this report was left with Stephanie McCoy Executive Director .


summary: Facility Evaluation

raw_content:
Narrative:
On 10/3/ Licensing Program Analyst (LPA) Jean Stidman and Attorneys Gina Moyles and Laura Delucchi met with Stephanie McCoy Director for the purpose of inspection of the facility. LPA and Attorneys inspected the facility inside and outside. No deficiencies were cited. LPA provided a copy of this report to Stephanie McCoy Director on this date.

met_with: Stephanie McCoy Director


summary: Facility Evaluation

raw_content:
Narrative:
On Saturday , October 22, 2022 at 1: PM Licensing Program Analyst (LPA) Cecilia Warren made a visit at Mary Graham Shelter and met with Jason Eala, Shelter Supervisor II. LPA walked through the facility including three the cottages and spoke with three clients and three staff. No deficiencies were cited during this visit. A copy of this report was left with Jason Eala, Shelter Supervior II.

met_with: Jason Eala, Shelter Supervior II


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Robyn Word made a visit to the facility and met with Nancy Stewart- Supervisor 2. Ledenilla Manlogon- Supervisor 1. LPA walked through the facility including A-West Cottage, A-East Cottage, and B-West Cottage. The LPA spoke with staff and residents. No deficiencies were cited during this visit.

met_with: Nancy Stewart- Supervisor 2.-and Ledenilla Manlogon- Supervisor 1


summary: Facility Evaluation

raw_content:
Narrative:
On 11/3/ Licensing Program Analyst (LPA) Jean Stidman met with Stephanie McCoy, Director and Kim Robinson Assistant Director for the purpose of a Case Management Inspection regarding an incident that occurred on 10/23/2022 where two clients engaged in a sexual inappropriate behavior. LPA discussed the incident and interviewed Stephanie McCoy Director, reviewed two client's files and collected copies of each client's checkoff list, admission report, pre-placement questionnaire, personal rights, house rules, resident grievance procedure, discharge/removal procedure, cell/phone electronic policy, behavior & risk assessment, and court report documents from these files. LPA collected a copy of one client's Individual Plan. No client interviews conducted due to neither client was on-site during the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Margo Castaneda, Regional Manager, Dara Campos, Licensing Program Manager, Tamara Hill, Licensing Program Analyst (LPA), and Jean Stidman, LPA, called a Noncompliance Conference in the Licensing office on 11/9/22 at 1: PM. The purpose of the meeting is to discuss some serious concerns related to recent complaint findings and other compliance concerns identified. In addition to the aforementioned individuals in attendance were: Community Care Licensing staff including Angela Carmack, Program Office - Assistant Program Administrator, Michelle Moran, Supervising Attorney, Lisa Murillo, Assistant Chief Counsel. Children and Family Services Division Representatives included Marjana Jackson, Staff Services Manager I and Amanda Andrews, Bureau Chief. San Joaquin County Representatives included Hilary Crowley, Deputy County Administrator, Loc Nguyen, Child Welfare Consultant, and Kimberly Johnson, Interim County Counsel. San Joaquin Human Services Agency representatives included Chris Woods, Director, Sam Kaisch, Assistant Director, and Akkia Pride-Polk, Deputy Director. Mary Graham Representatives included Stephanie McCoy, Director, Kimberli Robinson, Assistant Director, Michelle Deville, Shelter Supervisor II, Joyce Aubin, Shelter Supervisor II, and Jason Eala, Shelter Supervisor II. Operation of the facility was discussed and additional documentation related to the operation of the facility and compliance plan is documented on the LIC9111. This document was provided to the Director for signature and return on 11/10/22.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/2/ Licensing Program Analyst (LPA) Jean Stidman and Kim Pawlowicz met with Kim Robinson Assistant Director for the purpose of conducting a Case Management Inspection regarding an incident that occurred on 11/17/2022 with two clients that left the facility and due to unsafe behaviors one client was detained by law enforcement and was taken to the hospital for a psychiatric evaluation.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/2/ Licensing Program Analyst (LPA) Jean Stidman and Kim Pawlowicz met with Kim Robinson Assistant Director for the purpose of conducting a Case Management Inspection regarding an incident that occurred on 11/27/22 where a staff was assaulted by a client. The staff was transported by ambulance to the hospital. Law Enforcement was notified of the incident and the client was arrested.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 12/15/22 at 12: PM and met with Stephanie McCoy, Director. LPA Hill discussed an incident where LPA was leaving the facility and encountered C1 (see LIC811 dated 12/15/22). LPA discussed C1's familial issues and then returned into the facility. LPA observed C2 and C3 also walking toward the facility from the hospital area. LPA observed these youth return to the facility and were on grounds during the walk-through. LPA returned to the facility and turned in an item removed from a mask and conducted a walk-through of the facility to ensure supervision. LPA observed that the facility is in compliance with the plan of correction plan that includes two staff to every four youth in the facility. No citations were issued and document provided to Ms. McCoy.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/29/ Licensing Program Analyst(s) LPAs Jean Stidman and Kim Pawlowicz met with Kim Robinson Assistant Director (AD) a case management regarding an incident report that occurred on 12/4/22 for a client that was restrained. LPA Stidman recommended the facility list the total amount of time for each restraint, if there is more than one restraint, in the incident report in addition to the specific time(s) of the restraint. LPAs and AD discussed the incident reports for restraints in December 2022 where staff used a MABPRO restraint. AD stated the staff have completed the de-escalation in TCI restraint training this month. AD stated after the trainer has completed the training in January 2023 the staff will be trained in the restraint physical containment using TCI.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Regional Manager, Margo Castaneda, LicensingProgram Manager, Dara Campos, Licensing Program Analyst, Jennifer Baca, and Systems of Care, Marjana Jackson arrived on site for an unannounced inspection regarding the Plan of Correction which resulted from a Non-Compliance Conference on November 9, 2022. A tour of the facility was taken, three staff were interviewed, and documentation was reviewed and copied. The inspection was halted for approximately 30 minutes as a fire alarm went off in one of the cottages. No damage, fire or injuries were reported. No citations were issued at this time. Further investigation is needed.

met_with: Nancy Stuart


summary: Facility Evaluation

raw_content:
Narrative:
On 1.12. Licensing Program Regional Manager Margo Castaneda and Licensing Program Analyst Jennifer Baca arrived at the facility for a continuation Plan of Correction (POC) inspection which resulted from a Non-Compliance meeting on November 9, 2022. LPA Baca interviewed the Director and a Supervisor II. RM Castaneda reviewed eight youths files, bed check forms, staff schedules, Behavior Risk Assessment forms, Individualize Plan and Executive and Leadership reports. LPA toured the cottage with the Director. No deficiencies were issued at this time. A copy of this report was left with Supervisor II, Joyce Aubin. Further investigation is needed to complete POC inspection.

met_with: Joyce Aubin, Supervisor II


summary: Facility Evaluation

raw_content:
Narrative:
On 1.18. Licensing Program Regional Manager (RM), Margo Castaneda arrived at the facility for a continuation Plan of Correction (POC) inspection which resulted from a Non-Compliance meeting on November 9, 2022. RM Castaneda reviewed 19 client files, the Child Family Team (CFT) binder, and the 24-hour Assessment binder. RM Castaneda requested multiple copies of documents of the above as well as missing documents from the previous inspection on 1.12.2022. These copies included Behavior and Risk Assessments, Individualized Plans, and pages missing from the Group Master List previously copied. It should be noted that MGCS has developed a Daily Behavior and Risk Assessment form which captures a weeks worth of data. No deficiencies were issued at this time. A copy of this report was left with Stephanie McCoy, Director. Further investigation is needed to complete the POC inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 2/1/23 at 11: AM and met with Stephanie McCoy, Director to discuss the inspection. LPA interviewed two staff during the inspection and obtained documentation during the inspection. Ms. McCoy informed LPA that she had been at the facility for the last couple of days late and that she needed to return in the early morning hours so left prior to completing the interview. LPA met with Joyce Aubin, Supervisor II for document signature. Exit interview was conducted and document was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 2/2/23 at 10: AM and met with Stephanie McCoy, Director to discuss the inspection. LPA interviewed two staff and attempted additional interview with Ms. McCoy but she left the facility for an appointment at 1: PM so further interview was not possible. LPA met with Joyce Aubin, Supervisor II for document signature. Exit interview was conducted and document was provided.


summary: Facility Evaluation

raw_content:
Narrative:
Regional Manager (RM), Margo Castaneda made an unannounced Plan of Correction (POC) inspection on 2/6/23 at 9:37AM with the intention to meet with Joseph Flores, primary trainer to gather information regarding new staff training for on boarding, updating the training calendar, sign in sheets, training's missed by staff, evaluation follow up and training curriculum. Joseph was off today, but I was able to have an informal discussion with Akkia Pride-Polk, Deputy Director, CWDS and Director, Stephanie McCoy. to discuss training related issues. I reviewed and obtained copies of training schedules, onboard training, Independent and Individualized plans. The documents requested are for a continuation Plan of Correction (POC) inspection, which resulted from a Non-Compliance meeting on November 9, 2022. No deficiencies were issued at this time. A copy of this report was left with Supervisor II, Nancy Stuart. Further investigation is needed to complete the POC inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Regional Manager (RM), Margo Castaneda made an announced Plan of Correction (POC) inspection on 2/9/23 at 7:00AM and met with primary trainer, Joseph Flores to gather information regarding new staff training for on boarding, updating the training calendar, sign in sheets, makeup trainings, and additional training for staff. I reviewed and obtained copies of current training schedules, onboard training, training curriculum and the Mary Graham Handbook. The documents requested are for a continuation Plan of Correction (POC) inspection, which resulted from a Non-Compliance meeting on November 9, 2022. No deficiencies were issued at this time. A copy of this report was left with Primary Trainer, Joseph Flores. Further investigation is needed to complete the POC inspection.

met_with: Joseph Flores


summary: Facility Evaluation

raw_content:
Narrative:
Regional Manager (RM), Margo Castaneda made an announced Plan of Correction (POC) inspection on 3/13/23 and met with primary trainer, Joseph Flores from 10:45am -1pm . This was a follow up visit from 2/9/23 regarding all training's, the training calendar, the training tracking sheet, and the training policy and procedures. This writer had conversation with two Supervisors, one Social Worker and the Director, reviewed five client files and three staff files. Also obtained copies of executive meeting agenda and minutes, all-staff and community meetings, Director's tracking on the floor, three youths independent plans, three behavior risk assessments, three daily child evaluation forms, hourly documentation forms, bed check forms and the activity schedule for February 20th through March 19th. Leadership meeting agenda and minutes will be emailed to this writer. The documents requested are for a continuation Plan of Correction (POC) inspection, which resulted from a Non-Compliance meeting on November 9, 2022. No deficiencies were issued at this time. A copy of this report was left with Supervisor II Nancy Stuart.

met_with: Nancy Sturart


facility_name: NEW ALTERNATIVES #16

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On April 15, 2022, the Department received a complaint report, with the allegations that staff caused injury to C1, staff physically assaulted C1 and staff made inappropriate comments to C1. Confidential interviews revealed that C1 was involved in a restraint due to C1's safety however there is inconsistency if C1 received bruises on C1's foreman due to the restraint. Confidential information revealed inconsistency that a staff kicked C1 in the back which resulted in bruising on C1's back. Confidential interviews revealed that there were no witnesses that heard staff making an inappropriate comment to C1 however there was inconsistency on who made the comment to C1. Based on record reviews and confidential interviews, staff caused injury to C1, staff physically assaulted C1 and staff made inappropriate comments to C1 are unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to APD Bond.

Investigation Findings:
13On February 28, 2023, at 2: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on April 20, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated February 28, 2023) special incident reports, staff contact information, and county report. LPA Meza-Gonzalez interviewed five clients (C1, C2,m C3, C4, C5) and six staff (S1, S2, S3, S4, S5, S6). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: NEW ALTERNATIVES #16FACILITY NUMBER: VISIT DATE: 02/28/2023

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

met_with: Shomari Bond

complaint_status: unsubstantiated


raw_content:
Narrative:
On April 22, 2022, the Department received a complaint report, with the allegation the facility does not have a working phone. Confidential interviews revealed inconsistency regarding the telephone in the unit not being available because it was broken. Additional interviews revealed that some clients were not able to receive or make calls from the unit's telephone due to the phone not working however other interviews revealed that the clients were able to use another phone in the staff office. Based on record reviews and confidential interviews, the facility does not have a working phone is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to CD Bond.

Investigation Findings:
13On March 23, 2023, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Co-Director (CD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Meza-Gonzalez conducted an inspection of the facility on April 27, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1) and Client #2 (C2)'s (see confidential name list, LIC 811, dated March 23, 2023) face sheet, special incident reports, medical documentation for C1 and C2, staff contact information. LPA Meza-Gonzalez interviewed five clients (C1, C2, C3, C4, C6) and three staff (S1, S2, S6) and Court Appointed Special Advocate. C5 declined to be interviewed. S3, S4, and S5 did not respond after three attempts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: NEW ALTERNATIVES #16FACILITY NUMBER: VISIT DATE: 03/23/2023

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


summary: Facility Evaluation

raw_content:
Narrative:
On 11/2/2021 at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an announced inspection. The purpose of the inspection is to pre-licensing the facility as an emergency temporary shelter care facility (E-TSCF). LPA Meza-Gonzalez met with Program Director (PD) Matt Jaeger and Assistant Program Director (APD) Shomari Bond. LPA Meza-Gonzalez inspected the facility along with PD Jaeger and APD Bond. The facility is set up as follows: Bedroom #1 has two twin beds with bedding and two chests. Bedroom #2 has two twin beds with bedding and two chests. Bedroom #3 has two twin beds with bedding, two chests and a bathroom. Bedroom #4 has two twin beds with bedding and two chests. Bedroom #5 has two twin beds with bedding and two chests. Bedroom #6 has two twin beds with bedding and two chests. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate space for client's belongings. There is a ½ bathroom next bedroom #1 and four full bathrooms next to bedrooms #2, 4, 5 and 6. The bathrooms were clean and in good repair. There is an emergency door between bedroom #3 and 4. There are two closets for linen, one next to bedroom #1 and next to the staff office. The facility has a dayroom with a couch and a TV. There is also a TV in the main living areas with couches. The medication closet is locked and located next to the dayroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The food is prepared by the cafeteria on campus. The facility has seven days of perishable and two days of non-perishable food. Emergency exits were free from obstruction. There are no bodies of water. Based on LPA Meza-Gonzalez's observation of the facility, the clean, sanitary and in good repair. Exit interview was conducted and a copy of the report was provided to the group home APD Bond.

visit_type: Prelicensing

met_with: Matt Jaeger, Shomari Bond and Michelle Jenks


summary: Facility Evaluation

raw_content:
Narrative:
On 2/28/2022 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection. The purpose of the inspection is to post-licensing the facility as an emergency temporary shelter care facility (E-TSCF). LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. LPA Meza-Gonzalez inspected the facility along with APD Bond. The unit has five bedrooms, four ½ bathrooms, dayroom room, staff office, and communal area. The facility is set up as follows: Bedroom #1 has two twin beds with bedding and two chests. Bedroom #2 has two twin beds with bedding and two chests. Bedroom #3 has two twin beds with bedding, two chests and a bathroom. Bedroom #4 has two twin beds with bedding and two chests. Bedroom #5 has two twin beds with bedding and two chests. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate space for client's belongings. There is a ½ bathroom next bedroom #1 and four full bathrooms next to bedrooms #2, 4, 5 and 6. The bathrooms were clean and in good repair. There is an emergency door between bedroom #3 and 4. The closet next to the bedroom #1 has extra linen and board games. The closet next to the staff office is and has lockers for client to storage their belongs for safe keeping. The facility has a dayroom with a couch and a TV. There is also a TV in the main living areas with couches. The medication closet is locked and located next to the dayroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The food is prepared by the cafeteria on campus. The menu was posted. The facility has seven days of perishable and two days of non-perishable food. Emergency exits were free from obstruction. See LIC809C page The water temperature measured at 112 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. The exterior of the facility has a basketball court and exercise equipment. There are no bodies of water. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu. Based on LPA Meza-Gonzalez's observation of the facility, the clean, sanitary and in good repair. Exit interview was conducted and a copy of the report was provided to the group home APD Bond.


summary: Facility Evaluation

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Narrative:
On May 29, 2022 at 2:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting collateral interviews with two clients that are currently residing at the facility. LPA met with Jared Farmer, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted one interview and the other client was on a weekend pass and was not able to be interviewed. LPA toured the facility with Jared Farmer, Facility Manager, and Darrell Williams, Facility Manger, the facility was in compliance with Title 22. Chapter 5, therefore no deficiencies were cited.

met_with: Jared Farmer, Facility Manager


summary: Facility Evaluation

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Narrative:
On June 7,2022 at 12:06PM, Licensing Program Analyst (LPA) Carol Anderson made an unannounced to the facility to interview Client 1 (C1). LPA interviewed C1.


summary: Facility Evaluation

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Narrative:
On July 1, 2022 at 9:50 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting a collateral interview with one client that is currently residing at the facility. LPA met with Michelle Jenks, Assistant Program Director, and explained that the complaint investigation is not on their facility. LPA was unable to conduct interview as client was at school. LPA toured the facility and facility was in compliance with Title 22. Chapter 5, therefore no deficiencies were cited.


summary: Facility Evaluation

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Narrative:
On July 22, 2022 at 1:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting collateral interviews with two clients that are currently residing at the facility. LPA met with Jared Farmer, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted one interview and one client was unable to be interviewed.. No safety issues were observed,, therefore no deficiencies were cited.


summary: Facility Evaluation - 1 deficiency

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Narrative:
On September 2, 2022, at 11:45 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jared Farmer, Facility Manager, to discuss the records reviewed. During a record review of C1's records, on 7/01/2022, LPA observed psychotropic medications were not documented on separate Psychotropic Medication Administration Record or equivalent (PMAR) for each psychotropic medication and the Facility did not specify the exact time of administration of psychotropic medications on the PMAR. Two deficiencies were observed (refer to LIC 809D) and cited from the STRTP Interim Licensing Standards, Article 6, 87070 (b) (12) Children's Records.

Deficiencies:
87070: A separate log for each psychotropic medication prescribed to a child documenting all of the following: name of the medication, date of prescription, the quantity of medication and number of
refills initially  prescribed.....date and time of 1
2
3
4
5
6
7Per Administrator, facility will update and ensure C1's P-MAR medication sheets are logged onto separate sheets with the exact time of administration.
8
9
10
11
12
13
14each dose taken by the child..documentation of each refusal....

title: (b) (12) Children's Records


facility_name: ORANGEWOOD CHILDREN AND FAMILY CENTER

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

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Narrative:
use the bathroom or ask for anything after lights go out in the cottage for bedtime. Additionally, it was reported that staff do not provide a variety of food and no alternative foods are offered to C2, so C2 goes hungry and has lost weight. Finally, it was reported that C1 and C2 are not allowed to have their own personal items brought by bio-mom to facility. While some witnesses state all of these allegations occurred as detailed, few details were provided. All other witness statements do not corroborate this information. Staff and CSW confirm that C1 and C2 never reported not being able to get water or use the restroom after lights out. Staff corroborate this does not occur, as children can always use the restroom or get water if needed. Both staff and CSW corroborate food is plentiful at the facility and that it was an adjustment for C1 and C2 as they are not used to eating healthier type foods. All witnesses corroborate that staff offer alternative meals and/or modify meals for C1 and C2. There is no documented evidence of weight loss for C2. All interviews corroborate that the facility required approval of items brought to the facility due to the risk of COVID-19. CSW and staff all confirm that C1 and C2 were able to receive personal items brought to them as long as they were approved by facility staff. Lastly, it was alleged that staff failed to seek timely medical attention for C1. Per SSSS, C1's ankle injury was assessed immediately. Other witnesses corroborate this information. While the facility nurse assessed injury as an ankle sprain, C1's bio-mom was not satisfied with the assessment made at the facility and called law enforcement to have C1 taken to emergency room to be assessed and treated. Witnesses corroborate that all necessary first aid steps and medical assessment steps were taken at the facility. Facility took immediate action and followed standard protocol. While a witness maintains these allegations occurred, they were unavailable for additional details. Based on interviews conducted and information obtained, the allegations that staff do not meet C1 and C2's needs and staff failed to seek timely medical attention for C1, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Ms. Linda Bourne for signature. Signed report will be placed in facility file. information provided, stating the Junior's cottage had ants during the time C1 and C2 were placed in there. All witnesses corroborate ants would be in C2's bedroom and some witnesses also state ants were in the bathroom/shower of the cottage. SSSS states the facility has a pest control that serviced the facility in October, LPA was provided with invoice. However, all witnesses corroborated that C2 was moved rooms due to the continued ant problem in the cottage, specifically in C2's room. While CSW did not ever see the ants or hear about the ants directly from C1 and C2, CSW confirms she received notification from the facility that C2 was complaining of continued ant issue and was being moved to another room because of the ants. SSSS confirms ants were a problem at the end of 2020, however, states the ants were primarily in the yard/playground area a few steps away from the cottages, not in the cottage where C1 and C2 were placed. Still, the majority of witnesses confirm the presence of ants within the cottage even after pest control treatment. Based on confidential interviews, information gathered, and documents reviewed, the allegation that staff failed to keep the facility free from ants is SUBSTANTIATED because the preponderance of evidence standard has been met for the allegation. This poses a potential health, safety, or personal rights risk to clients in care. The facility is being cited under Title 22, Division 6, chapter 1 of the California Code of Regulations section 80087 (a) (1): Buildings and Grounds. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Ms. Linda Bourne for signature. Original signed report will be placed in facility file.

Investigation Findings:
13On May 14, 2021 at 8: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SSSS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative finding for the above allegation. During the investigation, LPA requested documents from client 1 (C1's) and client 2 (C2's) files including placement agreements, copy of C1 and C2's last available needs and service plans, and special incident reports involving C1 and C2. LPA also obtained a copy of the facility's cottage client rosters and staff contact information. Additionally, LPA requested proof of pest control services for October 2020. LPA Escobar conducted interviews with the TSCF SSSS, staff 1 (S1), C1, C2, as well as C1 and C2's county social worker (CSW). LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 10/13/20 at 12: PM via tele-conference. It was alleged that on or around 10/08/20, staff failed to keep the facility free from ants. Specifically, it was reported that C1 and C2 have ants in their rooms and on their beds. Witness statements corroborate this SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: 306090006

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

Deficiencies:
80087: 80087: Buildings and grounds
(a)

met_with: Senior Social Services Supervisor-Linda Bourne

title: (a)(1)

description:
80087: Buildings and grounds
(a)


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Narrative:
while on the phone. It was further alleged that staff will coach C1 and C2 on what to say to bio-mom while speaking with bio-mom on phone. C1 and C2 both corroborate that all of their phone conversations with bio-mom have always been monitored by someone, even at prior placement. SSSS, S1, and CSW, all corroborate that there is court order that specifies that all communication and visits with bio-mother, including phone calls, have to be monitored. CSW was able to provide copy of this court order to LPA. Another witness was unavailable for additional details. Based on interviews conducted and information obtained, the allegation that C1 and C2 were not afforded privacy while in care, may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Ms. Linda Bourne for signature. Signed report will be placed in facility file.

Investigation Findings:
13On May 14, 2021 at 9: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SSSS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative finding for the above allegation. During the investigation, LPA requested documents from client 1 (C1's) and client 2 (C2's) files including placement agreements, copy of C1 and C2's last available needs and service plans, special incident reports involving C1 and C2, and court orders regarding visitations for C1 and C2. LPA also obtained a copy of the facility's cottage client roster and staff contact information. LPA Escobar conducted interviews with the STRTP SSSS, staff 1 (S1), C1, C2, as well as C1 and C2's county social worker (CSW). LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 10/29/20 at 10: AM via tele-conference. It was alleged that on or around 10/19/20, C1 and C2 were not afforded privacy while in care. Specifically, it was reported that C1 and C2 are unable to speak to bio-mom without staff standing next to C1 and C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/14/2021

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


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Narrative:
It was alleged that on or around 11/24/20, lack of supervision resulted in C3 causing injury to C2 while in care, staff failed to protect C1 and C2 while in care, and staff handled C1 and C2 in a rough manner. It was reported that C2 had visible scratches and bruises on C2's body from an incident on 11/16/20 when C3 pulled C2 off a slide. While a witness maintains this occurred and led to scratches and bruises on C2's body, staff maintain they witnessed the incident and had been supervising the playground area the entire time when this occurred. Several witnesses corroborate the injuries, but most witnesses corroborate that there was supervision at the time of these incidents and C3 was redirected. It was also alleged that C4 threw a hard brush at C1 and S2 did not intervene. While a witness maintains this occurred and resulted in C1 being injured, other witnesses all state the brush was not thrown at C1 but was thrown by C4 during a tantrum. Staff corroborate C1 was redirected to move to safer area and C4's behaviors were redirected. Finally, it was alleged that a staff spit on C2 and a staff swatted C1 and C2 on their bottoms. While one witness maintains this did occur, the witness was unable to provide details regarding the allegation. All other witnesses corroborate this never occurred. S1, S2, and CSW, also state C2 has a tendency to lie and make up allegations. Based on interviews conducted and information obtained, the allegations that lack of supervision resulted in C3 causing injury to C2 while in care, staff failed to protect C1 and C2 while in care, and staff handled C1 and C2 in a rough manner, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Linda Bourne for signature. Signed report will be placed in facility file.

Investigation Findings:
13On May 28, 2021 at 11: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative findings for the above allegations. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), client 3 (C3's), and client 4 (C4's) files including placement agreements, copy of C1, C2, C3, and C4's last available needs and service plans, special incident reports involving C1, C2, C3 and C4, as well as any documentation regarding the incidents referred to in the allegation. LPA also obtained a copy of the facility's cottage client roster and staff contact information. LPA Escobar conducted interviews with the TSCF SS, staff 1 (S1), staff 2 (S2), C1, C2, C1 and C2's county social worker (CSW), C3's county social worker (CSW2), C4's county social worker (CSW3), and C3's bio-parent. LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 12/04/20 at 9: AM via tele-conference, no safety concerns were observed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/28/2021

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


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Narrative:
had small scratches and bruises on their arms and legs that were allegedly caused by C3. It was also reported that in the past, C2 had scratches on C2's back that were also caused by C3. It is also alleged that when C1 and C2 tell staff that C3 is being aggressive, staff do not believe C1 and C2. Finally, it was reported that C1 and C2 may be getting "coached" by facility staff about what to tell bio-parent. While a couple of witnesses state C3 did injure C1 and C2 on several occasions by scratching and hitting C1 and C2, several other witnesses deny this. SS, S1, and C3's CSW all state C3 was significantly smaller than C1 and C2 and was not aggressive in nature. Additionally, several witnesses corroborate that C2 and C3 would often play together, and at times would get upset at each other or frustrated and start pushing or hitting, but staff state this would occur in front of staff and children were quickly separated and redirected. Staff provided documentation of an incident that occurred on 10/28/20 when C2 and C3 were playing a board game and C3 got upset C3 had to wait for C3's turn. C3 "lunged" at C2 and scratched C2's elbow, however, there were no visible injuries, including scratch marks. No other documentation was provided through date of this allegation of other scratches or bruises caused by C3. Several witnesses state C2 would often blame C3 for injuring C2, however, C3 would not be near C2 when these incidents allegedly occurred. Several witnesses also corroborate C2 has often lied and made false allegations about C3 and other children at the facility. Another witness was unavailable for details regarding the allegation. Based on interviews conducted and information obtained, the allegation that C3 caused injuries to C2 while in care, may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Linda Bourne for signature. Signed report will be placed in facility file.

Investigation Findings:
13On May 28, 2021 at 11: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative finding for the above allegation. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), client 3 (C3's) files including placement agreements, copy of C1, C2, and C3's last available needs and service plans, special incident reports involving C2 and C3, and documentation from medical unit related to the allegation. LPA also obtained a copy of the facility's cottage client roster and staff contact information. LPA Escobar conducted interviews with the TSCF SS, staff 1 (S1), staff 2 (S2), C1, C2, C1 and C2's county social worker (CSW), C3's bio-parent, and C3's county social worker (CSW2). LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 11/12/20 at 10: AM via tele-conference, no safety concerns were observed. It was alleged that on or around 11/05/20, C3 caused injuries to C2 while in care. It is reported that C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/28/2021

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


raw_content:
Narrative:
Confidential interviews and record review revealed that on 3/19/2021, C1 kicked and threw an object at a staff member that resulted in an injury to that staff. As a result, C1 was given a disciplinary consequence of being placed on Intensive Teaching Level (ITL). Confidential interviews revealed ITL is a restrictive program that takes away client privileges such as participating in certain activities and the usual length of ITL is 3 days or 6 shifts (2 shifts per day). Confidential interviews revealed C1 was placed on ITL several times while placed at OCFC due to C1's aggressive and assaultive behavior. Confidential interviews revealed that ITL is a known disciplinary consequence for assaultive behavior and that during the 3 days of ITL clients must have good behavior for each day (or shift) to count, otherwise, ITL is extended for the period of time behavior is poor or can even start over. All interviews revealed there was no unfair discipline or treatment of C1 and some interviews further revealed C1 was also given opportunities to work off of ITL. Confidential interviews also revealed C1 would often say C1 was being targeted by staff if C1 received disciplinary consequences. CSW revealed C1 has a hard time understanding consequences and taking accountability for C1's actions. Furthermore, CSW had no concerns about staff inappropriately disciplining C1 and CSW had observed staff to be very patient with C1. Based on confidential interviews of what occurred, the allegation that facility staff inappropriately disciplined C1, 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 given to Kristi Fiskum.

Investigation Findings:
13On August 27, 2021 at 10:20 am, Licensing Program Analyst (LPA), Jessica Rubio met with Orangewood Children and Family Center (OCFC), Administrator Kristi Fiskum, to deliver the investigative finding for the above stated allegation. On 4/14/2021 at 3:30 pm, LPA Ann Valenzuela conducted a safety inspection of OCFC and no safety concerns or deficiencies were observed. During the investigation, LPA Rubio interviewed one client (C1), three staff (SS, S1, S2) and county social worker of C1 (CSW). LPA Rubio also reviewed the staff roster, the needs and services plan for C1 and special incident reports. On 4/5/2021, Community Care Licensing (CCL) received an allegation facility staff inappropriately disciplined youth; specifically, that C1 was given extended disciplinary consequences for an incident that C1 believed staff could not prove happened. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 08/27/2021

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

met_with: Kristi Fiskum


raw_content:
Narrative:
LPA was unable to obtain additional information and specific details regarding the allegation. There were no other witnesses to the allegation. The interviews that were provided were not consistent regarding the allegation. Based on interviews and record reviews the allegation that S1 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 Jim Torris.

Investigation Findings:
13On March 18, 2022 at 8:50 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Jim Torris. Special Investigator (SI) Daniel Massey of the Community Care Licensing Investigative Bureau completed the investigation. LPA Adrian Mendez inspected the facility on June 30, 2021 at 3:02 pm no immediate deficiencies were observed at that time. LPA Mendez reviewed client files and staff files. Client #1 (C1), county social worker, facility staff (S1,S2,S3,S4) and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that S1 inappropriately touched C1. Confidential staff interviews reported that C1 was admitted and discharged from the facility on ten separate dates, between (10/25/2007 through 04/07/2021). Confidential interviews reported that S1 was assigned to work in the same cottage where C1 was placed and could have had interactions with C1 if C1 had any kind of outbursts. Additional documentation states that S1 is no longer employed at this facility and last day of work was February 06, 2020. LPA made several attempts to contact S1 at the last known contact information but was unsuccessful. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 03/18/2022

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

met_with: Jim Torris


raw_content:
Narrative:
Confidential interviews revealed that other staff members have not heard S1 call any clients enduring names. Confidential interviews revealed that S1 avoids touching C1, including giving high-fives, or hugs. Confidential interviews revealed S1 asked for another staff to be present during times of supervising C1, due to a history of allegations. There were no witnesses present during the alleged incidents. Based on interviews and information obtained, the allegations that S1 speaks inappropriately to C1 and S1 engaged with the C1 inappropriately may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report was provided to and reviewed with Jim Torris, Senior Social Services Supervisor, along with the appeal right and the LIC 811. A signed copy of the report will be kept in the Facility file.

Investigation Findings:
13On April 29, 2022, at 3:00 pm, Licensing Program Analyst (LPA) Charmaine Linley made an unannounced complaint inspection at the facility. LPA Linley met with Jim Torris, Senior Social Services Supervisor, to discuss and deliver the investigative findings for the allegations noted above. LPA Linley conducted an unannounced inspection of the facility on March 28, 2022 at 10:15 am. No deficiencies were observed. During the investigation, LPA Linley interviewed one of one client (C1), three staff (S1, S2, S3), and one County Social Worker (CSWI) (see confidential name list, LIC 811, dated 04/29/2022). LPA Linley reviewed the following documentation: Significant Incident Reports (SIR), C Needs and Services Plan, and S Performance Review. The Department received allegations that staff speaks inappropriately to minors, and staff engages with minor in an inappropriate manner. It was reported that S1 calls C1 an enduring name and C1 does not feel comfortable with S1 calling them that name. Also, reported was that S1 gives hugs to C1. Confidential interviews revealed that C1 is placed under one-on-one supervision with staff. Confidential interviews verified C1 was not left alone with staff, except for rare occasions, waiting for another staff to arrive. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 04/29/2022

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


raw_content:
Narrative:
member touched C1's chest and a different staff member touched C1's thigh. It was reported that while at intake, a staff touched C1's chest during a physical examination. It was also reported later that night, that C1 was in bed asleep and woke up to a staff sitting next to them rubbing their thigh. There were no witnesses present during the alleged incidents. Confidential interviews indicated that staff did not touch C1's chest during their intake process, nor did staff touch C1's thigh while they were sleeping. Confidential reports revealed inconsistent information to the account of the alleged incidents. The allegation that staff inappropriately touched C1 may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report was reviewed with Linda Bourne, Senior Social Services Supervisor, along with the appeal right and the LIC 811. Due to printer malfunction, a copy of the report will be emailed to Linda Bourne. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On July 27, 2022, at 10:41 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the above allegation involving Client (C1) as identified on the Confidential Names List (811). On 06/8/2022, Licensing Program Analyst (LPA) Charmaine Linley conducted an inspection of the facility at 10:05 am. No deficiencies were observed during the visit. The investigation of the allegation was conducted by Special Investigator Hector Quintanar of the Community Care Licensing's (CCL) Investigation Branch Bureau. The investigation included interviews with two staff, Staff #1 (S1) and Staff #2 (S2). In addition, Investigator Quintanar obtained and reviewed the following documents: staffing schedules, nursing assessment for C1, Special Incident Reports, Staff Contact list, and log notes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 07/27/2022

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


raw_content:
Narrative:
Confidential interviews revealed conflicting statements, some interviews revealed C1 pushed against S2 and hit S2's shoulder as they were trying to leave the facility. While other interviews revealed C1 pushed S1 and S1's arm or shoulder accidentally made contact with C1 as they pushed S1. Other interviews revealed S1 held their arms down at their side and did not raise their hands or touch C1. Based on confidential interviews and records reviewed that S1 inappropriately touched C1, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report will be emailed to Linda Bourne, Senior Social Services Supervisor. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights, will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On October 25, 2022, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Linda Bourne, Senior Social Services Supervisor to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 08/31/2022 at 12:30 pm and no deficiencies were observed. LPA Linley interviewed one of one client (C1) and five out of five staff (S1-5). LPA reviewed the following documents during the investigation: Cottage Roster, Emergency Response Referral Information, C1's Discharge Summary Report, Serious Incident Reports, and Staff Schedule. On 08/24/2022, Community Care Licensing (CCL) received an allegation that a staff member inappropriately touched a minor. It was reported that S2 stood in the doorway to prevent C1 from leaving the facility, then C1 pushed into S2, and afterward, S2 touched C1's breast. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 10/25/2022

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


raw_content:
Narrative:
Confidential interviews reported that staff scratched C1 when they tried to run away. Conflicting interviews reported that staff did not touch or grab C1. Confidential interviews and records reviewed indicated C1 used a pencil to scratch their arms causing injuries to their arms on 11/20/22. Confidential interviews and records reviewed do not show a physical altercation with any staff members and C1. Confidential interviews reported that C1 was provided a safe environment while in care. Confidential interviews reported C1 was offered the opportunity to have a conflict resolution meeting and declined the meeting. Conflicting interviews reported C1 did not feel safe and ran away from the facility. Confidential interviews reported C1 was threatened by staff. Conflicting interviews reported there were no threats made to C1. There were no witnesses to the alleged incidents. Confidential interviews and records reviewed did not provide a preponderance of evidence to prove or disprove the allegations that staff physically abused C1 in care causing injuries, staff threatened C1 in care, and staff do not provide a safe environment for C1 in care. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Linda Bourne. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 9, 2023, 2023, at 12:35 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor of Orangewood Children and Family Center to discuss the investigative findings for the allegations noted above. LPA Charmaine Linley conducted an inspection of the facility on 12/05/2022 at 2: PM and no deficiencies were found. LPA Linley interviewed five staff (S1-5), interviewed one client (C1), and one County Social Worker (CSW1). LPA reviewed the following documents during the investigation: Emergency Response Referral Information, Cottage Logs, C Care Plan, C Run Return Care Plan, and Special Incident Reports. On 11/28/22, Community Care Licensing received allegations that staff physically abused C1 in care causing injuries, staff threatened C1 in care, and staff do not provide a safe environment for C1 in care. It was reported that C1 sustained injuries during an altercation with staff and from a staff member digging their fingernails into C1's wrist and dragging them. Confidential interviews revealed conflicting statements UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 03/09/2023

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


raw_content:
Narrative:
staff check clients upon their return by using a metal detection wand, asking them to turn out their pockets, and backpacks. Per confidential interviews, when staff suspects clients are using drugs or has observed drug paraphernalia at the facility, staff talk to the clients to educate them and try to convince them to turn in the drugs. For the allegation of clients bringing weapons into the facility, confidential interviews revealed clients hide weapons outside of the facility to later retrieve. Conflicting interviews revealed staff use a metal detecting wand on the clients when they return from running away. Confidential interviews reported campus support staff do a perimeter check of the facility at least two times a day and if they find any weapons or drugs, they are confiscated. Lastly, for the allegation that the Facility is operating with insufficient staffing to meet the needs of children in care, confidential interviews revealed there have been a few times where there have not been enough staff in the cottage due to staff calling out or going to a meeting and calls are made to Campus Support or other cottages to see if they have additional staff to help in the cottage. Confidential interviews could not recall the dates or times there were not enough staff in the cottage. Confidential interviews and records reviewed did not provide a preponderance of evidence to prove or disprove the allegations that staff do not prevent children from using illegal drugs in the facility, staff do not prevent minors from bringing weapons into the facility, and the Facility is operating with insufficient staffing to meet the needs of children in care. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Jose Mendez, Senior Social Services Supervisor. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 27, 2023, at 1:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jose Mendez, Senior Social Services Supervisor, to discuss the investigative findings for the allegations noted above. The investigation was conducted by Community Care Licensing Investigations Branch (IB) Special Investigator Annette Renquist and included interviews with six staff (S1, S5, S6-9). LPA Linley interviewed two clients (C1-2), and five staff (S1-5). Documents reviewed during the investigation: Community Care Licensing Investigation Case Report SD2223-01012 and Special Incident Reports. On 01/24/2023, Community Care Licensing received allegations that staff do not prevent children from using illegal drugs in the facility, staff do not prevent minors from bringing weapons into the facility, and the Facility is operating with insufficient staffing to meet the needs of children in care. Per confidential interviews, when clients run away from the facility, clients have snuck drugs into the facility. Per confidential interviews, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 03/27/2023

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


raw_content:
Narrative:
Confidential interviews revealed conflicting statements, some interviews reported C1 was hit by C2 while in a bounce house in the gym, while other interviews reported C1 was hit by C2 in the stomach in the cottage. Confidential interviews could not recall the dates or times these incidents may have occurred. Records reviewed indicated C1 did not have any injuries or bruises when evaluated by the medical unit on 01/23/2023. There were no witnesses to the alleged incidents. Based on confidential interviews and records reviewed that the facility did not report an incident to C1's case worker, which may or may not have occurred, however, it is not supported or proven by the 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 Linda Bourne. Due to printer malfunction, a copy of this report will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 25, 2023, at 2:45 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 01/24/2023 and no deficiencies were observed. LPA Linley interviewed two clients (C1, C2), was unable to interview two clients (C3, C4) due to being on runaway/release status, interviewed five staff (S1-5), and was unable to interview one County Social Worker (CSW), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Cottage Roster, Nursing Note, Staff Schedule, and Special Incident Reports. On 01/24/ Community Care Licensing (CCL) received an allegation that the facility did not report an incident to C1's case worker. It was reported that C1 was assaulted by three other clients in the Gym and staff failed to take corrective action. It was reported that this incident was not reported to C1's Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 04/25/2023

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

met_with: Linda Bourne


raw_content:
Narrative:
redirected C1 from video recording a physical altercation between clients, and C1 became upset with S5 and pushed them in the shoulder. Confidential interviews and records reviewed indicated that there were no observations or medical treatment for a bruise on C1's foot. Based on confidential interviews and records reviewed that staff caused injuries to C1 while in care, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Linda Bourne. Due to printer malfunction, a copy of this report will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 25, 2023, at 2:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 01/31/2023 at 10:45 am and no deficiencies were observed. LPA Linley interviewed two clients (C1, C2) and five staff (S1-5). LPA reviewed the following documents during the investigation: Cottage Roster, C Care Plan, CI Runaway Care Plan, Special Incident Report, and Nursing Notes. On 01/26/2023, Community Care Licensing (CCL) received an allegation that staff caused injuries to C1 while in care. It was reported that S5 pushed C1 and stomped on their foot. It was reported that C1 said they had a bruise on their food and wanted to get S5 fired. Confidential interviews revealed conflicting statements, some interviews stated S5 stomped on C1's foot. Conflicting interviews reported S UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 04/25/2023

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


raw_content:
Narrative:
broke the cottage window, and threatened S2 with a piece of broken glass. Confidential interviews reported S1 was inside the cottage during the incident and had no interactions with C1. Confidential interviews reported that staff denied hitting C1. Conflicting interviews reported S1 grabbed C1 and put them in a restraint. Conflicting interviews reported S6 pushed C1 by their shoulders. There were no witnesses to these incidents. Based on confidential interviews and records reviewed that staff hit C1 in care, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Linda Bourne. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 31, 2023, at 2:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 03/03/2023 at 2:31 pm and no deficiencies were observed. LPA Linley interviewed one client (C1), one County Social Worker (CSW), and six staff (S1-4, S6-7), and was unable to interview one staff (S5), despite multiple attempts to contact them. During the investigation, LPA reviewed the following documents: Care Plan, Return Care Plan, Nursing Notes, and Special Incident Reports. On 02/28/2023, Community Care Licensing (CCL) received an allegation that staff hit C1 in care. It was reported that C1 attempted to stab S1 with a piece of broken glass after S1 "flipped" them off. It was reported two staff hit C1 at different times, however, no dates or details were given. It was reported that C1 had no injuries. Confidential interviews revealed that C1 was upset at S1 working in the cottage, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/31/2023

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


raw_content:
Narrative:
C1 and C1 hit their head. It was reported that C1 had a bump on their head and staff did not take them to get medical attention until an hour later. Confidential interviews revealed conflicting statements, some interviews revealed that C1 was chasing C3 through the hallway and S3 redirected C1 to their bedroom. Confidential interviews reported that S3 held the bedroom door open for C1, C1 dropped down by S3's feet to crawl around them, which surprised S3, and they let go of the door, which hit C1 in the head. Conflicting interviews reported S3 threw C1 into the bedroom and their forehead hit the door. Confidential interviews and records reviewed indicated C1 refused to see Nursing multiple times and no injuries were noted. Confidential interviews reported C1 was offered an ice pack and C1 refused. Conflicting interviews reported C1 wanted to see Nursing, however, had to wait for one hour. Based on confidential interviews and records reviewed, that staff pushed C1 resulting in injury and staff did not seek medical attention for C1 in a timely manner, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Linda Bourne. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 31, 2023, at 3:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on 03/03/2023 at 2:16 pm and no deficiencies were observed. LPA Linley interviewed two clients (C1, C3), one client declined to be interviewed (C2), interviewed five staff (S2-6), interviewed one County Social Worker (CSW1), and was unable to interview one County Social Worker (CSW2) despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Cottage Roster, Staff Schedule, Special Incident Reports, Orange County Sheriff's Department Incident Report Request, and Enhanced Supervision Request. On 02/23/2023, Community Care Licensing (CCL) received allegations that staff pushed C1 resulting in injury and staff did not seek medical attention for C1 in a timely manner. It was reported that staff pushed UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/31/2023

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


raw_content:
Narrative:
statements. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed that facility staff barricaded C1 inside their bedroom and C1 was denied food while in care, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Jose Mendez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 06/14/2023, at 1:40 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jose Mendez, Senior Social Services Supervisor, to discuss the investigative findings for the allegations noted above. LPA conducted an inspection of the facility on 03/03/2023 at 2:45 pm and no deficiencies were observed. LPA Linley interviewed two clients (C1-2), eight staff (S1-8), one County Social Worker (CSW1), and was unable to interview one County Social Worker (CSW2) despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Cottage Roster, Staff Schedule, Bed Checks Form, C Inventory Form, and Special Incident Reports. On 03/01/2023, Community Care Licensing (CCL) received allegations that facility staff barricaded C1 inside their bedroom and C1 was denied food while in care. It was reported that S4 prevented C1 from leaving their bedroom on 02/27/2023 by using their body to block the door for the whole night and C1 was unable to use the bathroom, get water, or snacks that night. Confidential interviews revealed conflicting UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 06/14/2023

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

met_with: Jose Mendez


raw_content:
Narrative:
the same staff member yelled at C1 to put away their toys. Confidential interviews reported no staff pulled any of the children's hair. Confidential interviews reported that C2 and C3 pulled each others hair. Confidential interviews reported it took multiple prompts for C1 to transition and put away their toys and at times, used a firm voice to prompt C1. Confidential interviews denied yelling at C1 to put away their toys. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed that staff pulls minor(s) hair and staff yell at minor(s), which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Jose Mendez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 06/14/2023, at 1:05 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Jose Mendez, Senior Social Services Supervisor, to discuss the investigative findings for the allegations noted above. LPA conducted an inspection of the facility on 03/09/2023 at 3:16 pm and no deficiencies were observed. LPA interviewed one client (C1), attempted to interview two clients (C2-2), however both clients are non-verbal and were unable to communicate with the LPA, interviewed four staff (S1-4), and attempted to interview one County Social Worker (CSW), however, was unable to contact them despite multiple attempts. LPA reviewed the following documents: Staff Schedule, Client Cottage Roster, and Emergency Response Referral Report. On 03/06/2023, Community Care Licensing (CCL) received allegations that staff pulls minor(s) hair and staff yell at minor(s). It was reported that C1 pulled another child's hair and when they were told not to pull the child's hair, they reported an unknown staff member had pulled the child's hair earlier. It was reported UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 06/14/2023

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