raw_content:
Narrative:
It was reported that on March 13, 2024, C1 expressed concerns for their mental health to facility staff who did nothing to address C1's needs and sent C1 to school. During the investigation, a confidential interview confirmed that on March 13, 2024, C1 requested to speak to nursing due to waking up feeling mentally drained. Confidential interviews revealed C1 was attempting to be placed on sick policy which the facility utilizes for clients not to attend school when experiencing certain illnesses. Confidential interviews revealed C1 had trouble with attending school due to runaway incidents and often requesting to be placed on sick policy. A confidential interview and review of facility records revealed C1 requested S3 place them on sick policy due to feeling tired from running away the night prior, however, a conflicting confidential interview revealed C1 was not attempting to get away with not going to school. A confidential interview detailed C1 became upset because S3 would not place them on sick policy and made a comment about wanting to harm themself. A confidential interview revealed C1 was told they would need to go to school, however, a conflicting confidential interview revealed S3 reached out to facility staff to express concerns and recommended C1 speak to a clinician, which C1 declined to do. A review of facility records revealed C1 returned to their room and expressed their frustration regarding the situation with S2 and expressed feeling like they were dealing with a lot. A review of records revealed S2 gave C1 the option to speak to a clinician which was declined by C1. A review of facility records revealed that after having some time alone, C1 reported feeling okay and left going to school in a positive head space, however, a conflicting confidential interview revealed C1 was not given the option and was rather sent to school by staff in the condition they were in. Based on conflicting interviews and records reviewed, the allegation that staff did not address the mental health needs of minor in care is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred. An exit interview was conducted with Stephanie Donnellan, Residential Administrative Support Manager . A copy of this report and appeal rights were provided and reviewed with Stephanie Donnellan, whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On March 6, 2025, at 11: AM/PM, Licensing Program Analyst, Abby Saeteurn made an unannounced visit to Casa De Amparo and met with Stephanie Donnellan, Residential Administrative Support Manager, to deliver findings for the above stated allegation. LPA Carol Anderson initiated a complaint inspection at the facility on March 21, 2024, at 10: AM, and no immediate deficiencies were observed. During the investigation, LPA Anderson interviewed client (C1) and attempted to interview witness (W1). Additionally, LPA Saeteurn interviewed staff (S2-S6), reviewed pertinent facility records, and attempted to complete interviews with clients (C2-C3) and authorized representatives (AR1-AR3). On March 15, 2024, Community Care Licensing (CCL) received a complaint alleging staff did not address the mental health needs of a minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 03/06/2025

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


state: CA

facility_name: CASA DE AMPARO

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
A confidential interview described S1 as a staff member who was strict and would never give clients a vape pen. Confidential interviews and records reviewed did not corroborate the allegation that S1 provided C1 or other clients in care with a vape pen or contraband. Based on interviews the allegation staff gave child a vape pen is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred. An exit interview was conducted with Stephanie Donnellan. A copy of this report and appeal rights were provided and reviewed with Stephanie Donnellan, Residential Administrative Support Manage whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On March 24, 2025 at 3: PM, Licensing Program Analyst (LPA) Abby Saeteurn, made an unannounced visit to Casa De Amparo and met with Stephanie Donnellan, Residential Administrative Support Manager to deliver findings to the above stated allegation. LPA Carol Anderson initiated a complaint inspection at the facility on April 25, 2024, at 10: AM and no deficiencies were observed. During the investigation, LPA Anderson interviewed one client (C2). LPA Saeteurn interviewed Staff (S1 and S2), attempted to interview Client (C1) and Authorized Representatives (AR1-AR2), and reviewed pertinent facility records. On April 17, 2024, Community Care Licensing (CCL), received a complaint alleging S1 provided a client at the facility with a vape pen. During the investigation, confidential interviews revealed S1 was no longer employed at the facility due to the reported allegation; however, the investigation did not yield evidence to confirm the reason S1 was no longer employed at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 03/24/2025

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
In regard to the allegation, It was specified that during an outing C1 inappropriately touched the private parts of C2 and C3. It was further stated that C1 also hugged and kissed C2 and C3 on the lips. During the investigation, a confidential interview stated not receiving reports of inappropriate touching or sexual interactions between clients in care. Another confidential interview stated that inappropriate behavior was not reported or witnessed by C1. One confidential interview stated C1 was vocal about dating C3. The same interview reported that C1, C2, and C3 all exhibited inappropriate behavior in front of staff and staff encouraged youth to refrain from doing so. County social workers stated not having concerns on the care and supervision from STRTP staff. Other confidential interviews did not have information regarding the allegation. Based on confidential interviews, the allegation that lack of supervision resulted in inappropriate behaviors between youth in care may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On April 9 2025, at 10:40AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Residential Administrative Support Manager Stephanie Donnellan to discuss the investigative finding for the above stated allegation involving clients in care listed on the Confidential Names List (LIC811) dated 04/09/25. Community Care Licensing received information on June 11, 2024, alleging that lack of supervision resulted in inappropriate behaviors between youth. LPA Carol Anderson began the investigation at the facility on June 13, 2024, at 12:30PM and interviewed client #1(C1). During the investigation, LPA Caballero interviewed four staff, client #7(C7), and three County Social Workers. Client #2, #3, #4, #5, and #6 declined an interview. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/09/2025

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

met_with: Support Manager-Stephanie Donnellan


raw_content:
Narrative:
In regard to allegation, it was reported that that on two occasions C1 and C2 went to the hospital for intoxication. It was specifically alleged that C1 and C2 drank alcohol, returned to the facility, left again, and returned on early hours and were passed out and taken to the hospital. A confidential interview stated staff do room checks every thirty minutes to ensure the safety of the clients. The same interview reported that clients do what they want, and staff cannot control the clients' behaviors when they're mind is set to leave the premises. Another confidential interview stated that staff could only do so much and if the clients at the STRTP plan to get drunk out of the facility, it does not involve staff supervision. A confidential interview stated that building rapport with C1 was easy due to relatable things, but it was difficult to keep C1 at the STRTP due to C1's defiance. Probation officer stated that C1 remained defiant and C1's runaway behaviors remained consistent. Other information stated the allegation occurred. Based on confidential interviews, the allegation that staff do not provide adequate supervision to minors in care may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On April 9, 2025, at 11:20AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Residential Administrative Support Manager Stephanie Donnellan to discuss the investigative finding for the above stated allegation involving clients in care. Community Care Licensing received information on June 26, 2024, alleging that staff do not provide adequate supervision to minors in care. LPA Carol Anderson began the investigation at the facility on July 1, 2024, at 11:20AM and there was no safety concerns observed. During the investigation, LPA Caballero interviewed four staff, client #7(C7), and Probation Officer. Client #1(C1) was not interviewed due to C1 in the juvenile hall and Client #2's whereabouts are unknown due to C2's runaway status. Client #3, #4, #5, and #6 declined an interview. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/09/2025

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


raw_content:
Narrative:
In regard to the above allegation, It was alleged that minor was hospitalized for swallowing a battery. It was specifically alleged that minor had been hospitalized several times for swallowing objects. A confidential interview stated that C1 was given 1:1 supervision, but C1 still found ways to find a random object to swallow. Another confidential interview reported that there was always an activity for C1 to be involved; however, C1 was so sneaky and would find objects like a pencil to swallow. The same interview revealed that all objects had to be removed from C1's bedroom, except for furniture and curtains to avoid self-harm. One confidential interview stated that due to C1's frequent swallowing of objects daily room searches were conducted to verify C1 didn't have anything C1 could swallow. Other confidential interviews did not have information regarding the allegation. Records review indicates that a CFT meeting was conducted to address placement preservation, safety concerns, and to brainstorm various interventions due to C1 self-harm behaviors on 07/11/24. Other information stated the violation occurred. Based on confidential interviews, the allegation that lack of supervision resulted in Client #1's hospitalization may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On April 9, 2025, at 11:37AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Residential Administrative Support Manager Stephanie Donnellan to discuss the investigative finding for the above stated allegation involving client in care. Community Care Licensing received information on July 10, 2024, alleging that lack of supervision resulted in minor's hospitalization. LPA Carol Anderson began the investigation at the facility on July 18, 2024, at 11:00AM and no immediate safety concerns were observed. During the investigation, LPA Caballero interviewed four staff and client #6(C6). County Social Worker was not interviewed due to unsuccessful attempts. Client #1(C1) was not interviewed due to unsuccessful attempts to C1's placement. Client #2, #3, #4, and #5 declined an interview. LPA reviewed pertinent documents from client's file. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/09/2025

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


raw_content:
Narrative:
Regarding the allegation, it was alleged that client #1(C1) was admitted to a hospital after endorsing suicidal ideation with a plan to run into traffic. It was reported that C1 experienced mental, emotional, or sexual abuse with no specific details. No information about a perpetrator was provided. A confidential interview stated that C1 ran away from the Short Term Residential Therapeutic Program (STRTP) frequently and engaged in unsafe behavior with other peers. The same interview had heard that C1 had gone through something frightening during one of C1's runaway days, but they had not witnessed it at the STRTP. Another confidential interview reported that C1 had issues with other clients at the STRTP because C1 would make instigative comments towards C1's peers. The same interview indicated that everything caught up to C1 and C1 internalized social anxiety and didn't want to stay at the STRTP, but abuse was not witnessed at the STRTP. Other information stated that violation occurred. Based on confidential interviews, the allegation that client #1(C1) is abused while in care may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Stephanie Donnellan.

Investigation Findings:
13On April 23, 2025, at 10:10AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Residential Administrative Support Manager Stephanie Donnellan to discuss the investigative finding for the above stated allegation involving client in care. Community Care Licensing received information on July 12, 2024, alleging that a minor is being abused while in care. LPA Carol Anderson began the investigation at the facility on July 18, 2024. During the investigation, LPA Caballero interviewed two staff. County Social Worker was not interviewed due to unsuccessful attempts. Client #1(C1) was not interviewed due to unsuccessful attempts to C1's placement. Client #2(C2) and Client #3(C3) refused an interview. LPA reviewed pertinent documents from client's files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/23/2025

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


raw_content:
Narrative:
The confidential interview revealed there were no staff present who witnessed the incident happen and C1 did not report the information to staff. A review of records revealed conflicting information in which C1 identified C3 as the client who touched them inappropriately. Confidential interviews did not reveal that C1 or any other clients in care reported any sexual interactions between minors, or any incidents in which clients reported feeling uncomfortable with other clients in care. Confidential interviews and records review did not corroborate the allegation that staff did not prevent a sexual interaction between youth. Based on interviews and records review, the allegation staff did not prevent an inappropriate sexual interaction between minors is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred. An exit interview was conducted with Director, Denise Lucero. Due to printer malfunction a copy of this report and appeal rights were provided to Director, Denise via email, whose signature of this report confirms receipt of these documents.

Investigation Findings:
On April 25, 2025 at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to Casa De Amparo and met with Director, Denise Lucero to deliver findings to the above stated allegation. LPA Carol Anderson initiated a complaint inspection at the facility on May 07, 2025, at 1: PM and no deficiencies were observed. During the investigation, LPA Anderson interviewed one client (C1). LPA Saeteurn interviewed staff (S1), authorized representatives (AR1-AR3) witness (W3) and despite multiple attempts was unable to interview witnesses (W1-W2). On May 02, 2024, Community Care Licensing (CCL), received a complaint alleging staff did not prevent an inappropriate sexual interaction between minors. During the investigation, a confidential interview revealed C2 grabbed C1's breast while walking outside of their assigned cottage. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 04/25/2025

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

met_with: Denise Lucero, Director


raw_content:
Narrative:
On 10/04/2024, Community Care Licensing (CCL) received an allegation that staff (S1) made an inappropriate comment to a minor (C2) in care. It was alleged that S1 told C2 they (S1) were "going to rape" C2. Confidential interviews reported that S1 was assisting C2 with their laundry in the laundry room and closed the laundry room door to check on the emotional welfare of C2. Confidential interviews reported that S1 asked if C2 "was okay" due to a recent client physical altercation that just occurred. Confidential interviews denied S1 making any inappropriate comments. Based on inconsistent confidential interviews, the allegation that staff (S1) made an inappropriate comment to a minor (C2) in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Denise Lucero, Director.

Investigation Findings:
13On May 16, 2025, at 10:45AM, Licensing Program Analyst's (LPA's) Cynthia Robinson and Jessice Peete conducted an unannounced visit to the Casa De Amparo Short-Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above and met with Denise Lucero, Director. On 10/08/2024, LPA Carol Anderson conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. LPA Robinson obtained documents pertinent to the investigation and interviewed client 2 (C2), staff (S1, S2, and S3), and the County Social Worker (CSW). LPA attempted to interview clients (C1 and C3) but was unsuccessful due to C1's whereabouts and current placement information unknown and due to C3 being apprehended. (Continued on LIC 9099C..) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 05/16/2025

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


raw_content:
Narrative:
Confidential interviews reveal C1 was a client at the facility that often engaged in running away. Confidential interviews revealed that despite staff efforts to engage and redirect C1 from running away, C1 would proceed by leaving the facility through the egress door. Confidential interviews and a review of pertinent facility records reveal the facility incorporates an Emergency Interventions Plan (EIP) and Runaway Plan when clients attempt to leave the facility. The review of records confirmed the facility utilizes behavior management, prevention, de-escalation, early intervention, communication, and redirection as ways to prevent clients from running away. The investigation did not yield evidence to conclude staff did not follow the emergency intervention plan resulting in C1 running away. Based on interviews and record review, the allegation facility staff did not follow emergency intervention plan resulting in client going AWOL is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. An exit interview was conducted with Erin Gospodarec, Chief Operating Officer. A copy of this reports and appeal rights were provided to Erin Gospodarec, whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On June 19, 2025, at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn accompanied by LPA Lisa Bernabe, made an unannounced visit to Casa De Amparo and met with Erin Gospodarec, Chief Operating Officer, to deliver findings to the above stated allegation. LPA Saeteurn initiated a complaint inspection at the facility on January 30, 2025, at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Saeteurn interviewed Clients (C1 and C2), Staff (S1-S2), Authorized Representative (AR1), and reviewed pertinent facility records. Additionally, LPA Saeteurn attempted to complete an interview with Client (C3). On January 27, 2025, Community Care Licensing received a complaint alleging facility staff are not following the emergency intervention plan for C1 resulting in the client leaving the facility and engaging in unsafe behaviors. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 06/19/2025

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


raw_content:
Narrative:
On March 6, 2025, LPA Saeteurn attempted to interview client #2 (C2), but C2 declined to participate in the interview. In addition, LPA Cynthia Urena conducted a record review to further assist with the investigation. On March 3, 2025, Community Care Licensing (CCL) received a complaint alleging that staff (S1) engaged in inappropriate interactions with minor (C1) in care. It was specifically reported to CCL that S1 made an inappropriate sexual comment towards C1 when they (C1) were leaving the facility without permission. Confidential interviews denied the allegation and reported that C1 made false allegations against S1 because they were upset at S1. Confidential interviews further disclosed that there were no concerns about S1 engaging in inappropriate behavior with clients in care, specifically with C1, while in care. Record review of a confidential interview maintained the allegation occurred and added that there were no other witnesses to C1's allegation made against S1.LPA Urena received inconsistent information that would support or deny that a violation of C1's personal rights occurred or did not occur in care. Based on confidential interviews and record review, the allegation that staff (S1) engaged in inappropriate interactions with minor (C1) in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Stephanie Donnellan, Residential Administrative Support Manager.

Investigation Findings:
13On October 9, 2025, Licensing Program Analyst (LPA), Cynthia Urena, met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Stephanie Donnellan, Residential Administrative Support Manager to deliver the investigative findings for the above-stated allegation. On March 6, 2025, at 1: PM, Licensing Program Analyst (LPA) Abbey Saeteurn initiated the investigation at the STRTP. LPA Saeteurn conducted a health and safety assessment of the STRTP, and no deficiencies were observed. LPA Saeteurn collected pertinent documents from the STRTP staff and client files to further assist with the investigation process. On September 9, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena continued with the investigation at STRTP. Interviews were conducted with six staff members (S1, S2, S3, S4, S5, and S6), a Detective, and client#3 (C3). LPA Cynthia Urena attempted to interview client #1 (C1), but C1 declined to participate in the interview. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 10/09/2025

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


raw_content:
Narrative:
It was specifically reported to CCL that multiple law enforcement calls of client runaways, drug use, and commercial sexual exploitation of children (CSEC) behaviors are a result of staff fearing clients, short staff, and negligence. Confidential interviews denied the allegation and reported that staff respond to client runaways and returns according to the program's emergency intervention plan for runaways that is tailored to meet the individual needs of each client in care. Other confidential interviews reported that staff are required to report all runaways and returns to law enforcement, and law enforcement personnel are more understanding than others regarding their clients' personal rights while in care. Other confidential interviews report that clients leave care because they are aware that staff cannot keep them against their will and that staff can only follow them until it is safe for both the staff and the client(s). Other confidential interviews reported that staff do not do much when clients are attempting to leave, and added that there have been observations of clients engaging in smoking behaviors in front of staff while in care. There was no other witness to the allegation. LPA Urena received inconsistent information that would support or deny that a violation of lack of supervision or negligence occurred or did not occur in care because of multiple runaways, drug use, and commercial sexual exploitation of children (CSEC) behaviors of clients in care. Based on confidential interviews and record review, the allegation that facility staff did not provide adequate supervision, resulting in minors AWOLing and engaging in inappropriate behaviors, is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Stephanie Donnellan, Residential Administrative Support Manager.

Investigation Findings:
13On October 9, 2025, Licensing Program Analyst (LPA), Cynthia Urena, met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Stephanie Donnellan, Residential Administrative Support Manager to deliver the investigative findings for the above-stated allegation. On April 25, 2025, at 11: AM, Licensing Program Analyst (LPA) Abbey Saeteurn initiated the investigation at the STRTP. LPA Saeteurn conducted a health and safety assessment of the STRTP, and no deficiencies were observed. LPA Saeteurn collected pertinent documents from the STRTP staff and client files to further assist with the investigation process. On September 9, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena continued with the investigation at STRTP. Interviews were conducted with five staff members (S1, S2, S3, S4, and S5), and three clients (C1, C2, and, C3). In addition, LPA Urena conducted a record review to further assist with the investigation. On April 23, 2025, Community Care Licensing (CCL) received a complaint alleging that facility staff did not provide adequate supervision, resulting in minors AWOLing and engaging in inappropriate behaviors. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 10/09/2025

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


raw_content:
Narrative:
It was specifically reported to CCL that there are concerns about client safety due to a lack of supervision from staff who are not allegedly responding to client runaways accordingly. Confidential interviews denied the allegation and reported that staff respond to client runaways and returns according to the program's emergency intervention plan for runaways that is tailored to meet the individual needs of each client in care. Other confidential interviews reported that staff are required to report all runaways and returns to law enforcement, and law enforcement personnel are more understanding than others regarding their clients' personal rights while in care. Other confidential interviews report that clients leave care because they are aware that staff cannot keep clients against their will, adding that staff can only follow clients until it is safe for both the staff and client(s). Other confidential interviews reported that staff do not take action when clients attempt to leave care, and only follow up with clients until they reach the facility's gate. Other confidential interviews reported that the client left care due to the staff and added that concerns regarding night staff had been reported to program staff. There was no other witness to the allegation. LPA Urena received inconsistent information that would support or deny whether a lack of supervision violation occurred or did not occur in care due to multiple runaways and client behaviors. Based on confidential interviews and record review, the allegation that a lack of care and supervision from staff resulted in children going AWOL from the facility is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Stephanie Donnellan, Residential Administrative Support Manager.

Investigation Findings:
13On October 9, 2025, Licensing Program Analyst (LPA), Cynthia Urena, met with Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Stephanie Donnellan, Residential Administrative Support Manager to deliver the investigative findings for the above-stated allegation. On June 19, 2025, at 2: PM, Licensing Program Analyst (LPA) Abbey Saeteurn initiated the investigation at the STRTP. LPA Saeteurn conducted a health and safety assessment of the STRTP, and no deficiencies were observed. LPA Saeteurn collected pertinent documents from the STRTP staff and client files to further assist with the investigation process. On September 9, 2025, at 12: PM, Licensing Program Analyst (LPA) Cynthia Urena continued the investigation at STRTP. Interviews were conducted with five staff members (S1, S2, S3, S4, and S5), and three clients (C1, C2, and C3). In addition, LPA Urena conducted a record review to further assist with the investigation. On June 18, 2025, Community Care Licensing (CCL) received a complaint alleging that a lack of care and supervision from staff resulted in children going AWOL from the facility. (**Continued on the next page**)Residential Administrative Support Manager,Stephanie Donnellan UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 10/09/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On October 3, 2022 at 12: PM, Licensing Program Analyst (LPA) Eduardo Barragan conducted an announced pre-licensing inspection at Casa De Amparo. LPA met with Erin Gospodarec, AED of Operations. This facility consisted of Cottages (Cottage B and Cottage C). Cottage B consisted of 8 bedrooms, 8 beds, 4 bathroom, a kitchen and living room and was single story. Cottage C consisted of 8 bedrooms, 8 beds, 4 bathroom, a kitchen and living room and was single story. A physical plant inspection was completed on both cottages and included the following checks: Facility grounds are clean and free of debris. Bedrooms are arranged so that no more than one client resided in each room. Each bedroom/client is accorded there own bedroom/bed. There is adequate shelving and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom's and in the kitchen was measured to be 116 degrees, which is in range (105 degrees and 120 degrees). All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and double locked in a cabinet in the Medication room. Cleansers/chemicals are double locked and inaccessible to client and were located in the laundry room. The First Aid Kit is located in the medication room. The facility's smoke detectors in the hallways were operable. The carbon monoxide detector located in hallways were operable. There are no guns or weapons in the facility as stated by Erin Gospodarec. Continued... The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, Visitation policies, and current menu. The postings were located on the window near the staff office. Fire extinguisher is properly charged and serviced. The facility has cameras in the common areas and on the exterior of the facility. Sharp knives were made inaccessible and stored in a locked cabinet in staff's office. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to Erin Gospodarec, AED of Operations.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Erin Gospodarec, AED of Operations.


summary: Facility Evaluation

raw_content:
Narrative:
On October 25,2023, at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose of conducting an annual /required inspection. LPM met with Chief Operation Officer (COO) Erin Gospodarec (AEDO) and Stephanie Donnellan, Residential Administrative Support Manager. The facility is licensed for 16 ambulatory clients. There are currently 10 clients in placement. LPA reviewed five clients and five staff files. All staff files contained training documents, TB tests, Driver Licenses and clearances: Department of Justice, Federal Bureau of Investigations, and Child Abuse Index Clearance. Clients' files were complete, which included placement documents, Psychotropic Authorizations (JV-220), TB Tests, Needs and Service plans, and visitations. LPA Anderson interviewed one client and five staff. Three clients refused to be interviewed. Due to time constraints this annual inspection will be completed at another date and time. Based on the file reviews this date, there are no deficiencies. An exit interview was conducted and a copy of this report and was given to COO Erin Gospodarec

visit_type: Annual

met_with: Stephanie Donnellan


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker conducted a case management inspection on October 1, 2025, at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 2 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 1 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, October 1, 2025). The Plan of Operation, including policies and procedures, were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline.

visit_type: Case Management

met_with: Residential Administrative Support Manager, Stephanie Donnellan,


summary: Facility Evaluation

raw_content:
Narrative:
On December 30, 2025, at 8: AM, Licensing Program Analyst (LPA), Cynthia Urena arrived unannounced at Casa De Amparo # Suite B&C Short-Term Residential Therapeutic Program (STRTP) to conduct an annual inspection. LPA was met by Residential Administrative Support Manager (RASM), Stephanie Donnellan who informed LPA that the facility has a current census of four clients in care. LPA was further informed that the STRTP employs twenty-eight, Residential Counselors, eight Supervisors, two Program Managers, one Program Coordinator, and one Director. Casa De Amparo STRTP # B&C is situated in a 11.4 acre campus. Upon arrival to the facility LPA observed that the facility is situated between a canyon and residential area, with a two access roads providing entry to the main entrance. A parking lot for visitors was observed and a gated parking lot located on the left side was observed that is accessible to facility employees. The campus is made up of four building structures, an outdoor garden area, basketball court, gym, and art room. A two story building structure that is utilized by administrative staff was observed. This building has a lobby and front desk area, two hallways going from left to right leading to multiple offices occupied by administrative staff, and other program staff. The offices were observed with an ample amount of office supplies, and working telephones. In addition, conference rooms, and bathrooms, were also observed in this building. LPA was informed the second floor of this building, Suite D, is currently being utilized for clients placed at the provider's other licensed STRTP, and their annual inspection has already been completed. At 9: AM, LPA reviewed five client files (C1, C2, C3, C4, and C5). All client files reviewed have the required documents including admission agreements, personal rights, medical history, immunization records, and an initial or updated needs and services plan on file. All the required documentation pertaining to this area of the inspection was provided, and no deficiencies were observed. (***Continued on the next page***) At 10: AM, LPA began the review of five staff files ( S1, S2, S3, S4, and S5), see LIC Confidential Names List. Each staff file reviewed has met the minimum requirements per the Interim Licensing Standards (ILS). LPA observed that all personnel records reviewed have the verification of Department of Justice, Federal Bureau of Investigations, and Child Abuse Index Check clearances. All staff have proof on file of acknowledging confidentiality and mandated child abuse reporting requirements. All personnel records reviewed met the required education and experience requirement. All personnel records reviewed have a completed physical exams and are on file. All the required documentation pertaining to this area of the inspection was provided, and no deficiencies were observed. At 11: AM, LPA accompanied by the RASM and Program Manager (PM), Paola Caratechea conducted a walkthrough of cottage B that specifically services clients placed at the STRTP Suite B. Cottage B currently has 4 clients in placement. LPA was advised that the cottage has a North and South wing. The South wing which is closest to the entrance has four rooms for clients in care. Two of four rooms in the South wing are currently occupied by 2 clients in care leaving two vacant rooms on this wing. The North wing has four rooms and two clients occupy two of four rooms in this North wing. Both the South and the North wing have two bathrooms available in each wing for clients in care. The bathrooms toilets, handwashing stations, and showers were observed in safe and sanitary condition. Cabinets that are locked and personalized containing clients hygiene essentials were observed in each bathroom. The water temperature in bathrooms measured at 105 degrees Fahrenheit and complies with licensing regulations. Carbon Monoxide detectors were observed along with two fire extinguishers. Fire extinguishers are both current as evident by the inspection tag observed. Cottage B has a staff office that was observed near the kitchen and living room area. The office observed had an ample amount of office supplies and a working telephone available. A laundry room was observed. LPA was informed that clients are provided with laundry services and "laundry days" are facilitated by staff who assist clients in completing their laundry needs in care. A Medication Room was observed locked and inaccessible to clients in care. This room is equipped with a small refrigerator that was observed and is used to store medication that is in need of refrigeration. In addition, a medication cart, and a computer was observed. LPA was informed that staff use these items to dispense and document clients medication needs while in care. This room is also utilized for storage. Another refrigerator was observed that is used for food overflow for clients in care. LPA inspected the kitchen with the RASM and the PM. The kitchen was observed clean, and in good repair. (***Continued on the next page***) Food was observed in the refrigerator and freezer. A food menu for the facility was observed posted on the refrigerator visible to clients in care. The RASM informed LPA that the STRTP has a designated staff member who prepares foods for clients in care. These meals are prepared daily in a kitchen located in the second floor of the administrative building. More specifically, in a kitchen area located in the Clinical Room wing. LPA was informed that clients are served three of meals a day. All sharp items and chemicals were observed inaccessible to clients in care. At 12: PM , LPA Urena accompanied by the RASM and the PM conducted a walkthrough of cottage C. This cottage is vacant and no clients were observed residing at this cottage during this inspection. LPA was informed that this building has been vacant and not in use in over four months. LPA was informed that this cottage is vacant due to a low client census. This concludes LPA's walkthrough of Cottage C. During this inspection no deficiencies were observed. LPA'S observations of the facility and record reviews were found to be in compliance with Interim Licensing Standards, Version five, and state regulations. An exit interview was conducted and a copy of this report, LIC D, appeal rights, and LIC 811 were given to Residential Administrative Support Manager (RASM), Stephanie Donnellan

met_with: Residential Administrative Support Manager, Stephanie Donnellan


raw_content:
Narrative:
CCL was specifically informed that client runaways have resulted in a high volume of law enforcement contacts. Further concerns were raised that staff were informed of C1's intent to leave care to meet an unknown adult and did not respond appropriately. Although CCL received information indicating that alleged violations of supervision were due to client runaways and that staff were aware that C1 left care with an adult male, LPA received inconsistent information that did not support or deny whether violations of supervision or personal rights occurred in care as a result of the allegation. Based on confidential interviews, the allegation that the facility staff did not provide adequate supervision, resulting in minors AWOLing and engaging in inappropriate behaviors, is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Stephanie Donnellan, Residential Administrative Support Manager.

Investigation Findings:
13On January 28, 2026, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena met with the Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Stephanie Donnellan, Residential Administrative Support Manager to deliver the investigative findings regarding the above-stated allegation. On November 6, 2025, at 9: AM, Licensing Program Analyst (LPA) Cynthia Urena initiated the investigation at the STRTP. LPA Urena conducted a health and safety assessment of the STRTP and observed no immediate health and safety deficiencies. LPA Urena collected pertinent documents from the STRTP staff and client files to assist with the investigation. Interviews were conducted with four staff members (S1, S2, S3, and S4), two Law Enforcement personnel, and one client involved (C1). In addition, LPA Urena conducted a record review to further assist with the investigation. On October 29, 2025, Community Care Licensing (CCL) received a complaint alleging that facility staff did not provide adequate supervision, resulting in minors AWOLing and engaging in inappropriate behavior. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 01/28/2026

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


raw_content:
Narrative:
Confidential interviews revealed that over-the-counter medication (Benadryl) was taken without permission during a supervised community outing without staff knowledge. Confidential interviews further revealed that C1 and C2 ingested an unknown amount of medication, resulting in concerning behaviors that required medical intervention. A review of records provided consistent information corroborating that the ingestion over-the-counter medication was related to C1's and C2's medical contact in care. Additional records documented that contraband, including marijuana, was observed in one room following the incident. There was no other witness to the allegation. LPA received inconsistent information that neither supported nor denied that a lack of supervision and care occurred as a result of the allegation. Based on confidential interviews, the allegation that staff did not prevent minors (C1 and C2) in care from overdosing on medication is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report, along with the appeal rights, was provided to Stephanie Donnellan, Residential Administrative Support Manager.

Investigation Findings:
13On January 28, 2026, Licensing Program Analyst (LPA) Cynthia Urena met with the Casa De Amparo Short Term Residential Therapeutic Program (STRTP) Stephanie Donnellan, Residential Administrative Support Manager to deliver the investigative findings regarding the above-stated allegation. On October 9, 2025, at 12: PM, Licensing Program Analyst (LPA) Cynthia Urena initiated the investigation at the STRTP. LPA Urena conducted a health and safety assessment of the STRTP and observed no immediate health and safety deficiencies. LPA Urena collected pertinent documents from the STRTP staff and client files to assist with the investigation. Interviews were conducted with four staff members (S1, S2, S3, and S4), and two clients (C1 and C2). In addition, LPA Urena conducted a record review to further assist with the investigation. On October 9, 2025, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent minors (C1 and C2) in care from overdosing on medication. (**Continued on the next page**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: CASA DE AMPAROFACILITY NUMBER: VISIT DATE: 01/28/2026

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


facility_name: CASA ESPERANZA STRTP CHINO

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Additionally, interviews conducted with child #1- child #3) C1-C3 food is limited and requests for food are not being met. Children identify eating only cup of noodles and sandwiches throughout the day. Interviews conducted with facility manager and (S1) identified that facility does go grocery shopping when low on items or when requested. Based on inspection completed by LPA, LPA observed an insufficient supply of perishable and non-perishable food for all children in care. LPA was unable to observe additional locked deep freezer as no staff currently had keys to operate lock. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On 5/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Casa Esperanza Chino Short Term Therapeutic Residential Program for the purpose of a complaint investigation. LPA met with and interviewed Facility Manager James Brady regarding the above identified allegations. Investigation consisted of the following: LPA interviewed Facility manager, therapist, two (2) child care workers and three (3) children (see confidential names list LIC811, dated May 3, 2021). LPA toured the facility with child care worker and facility manager. LPA observed the following this is a single story, single family residence with three (3) bedrooms, two (2) bathrooms, office space, kitchen, front yard, backyard and attached garage. Investigation revealed the following: It was alleged that the facility does not have adequate food supply and adequate lighting. Based on interviews conducted with facility manager, therapist, staff #1 (S1) overhead light in back office space is non-operational facility has floor lamp to provide lighting, however, LPA observed floor lamp to be missing a light bulb. Based on LPA inspection, LPA observed missing lightbulbs in bathroom #2 identified staff/ back up bathroom and bulb needing to be replaced in chandlier over bar as well as light bulb missing in office space floor lamp. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 05/03/2021

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

met_with: James Brady, Facility Manager

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Based on interviews conducted with C1-C3, facility staff are usually around monitoring them. C1-C3 had similar statements in that they were unaware of the other allegations being true or happening. Interviews conducted with staff #1 (S1) stated staff were never asked to cover up or falsify schedules. S1 further stated that the full-time social worker had recently resigned and the full- time social worker from the facilities sister location was assisting the Chino facility until a replaced social worker was hired. Interview conducted with manager and staff #1 (S1) had similar statements in that facility has adequate staff to monitor all children in care and that they did not recall seeing or being asked to falsify documents or that no full social worker worked at facility. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the Administrator. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/19/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Homes of Hope Foster Family Agency (FFA) corporate office to the Casa Esperanza Chino Short Term Therapeutic Residential Program (STRTP) for the purpose concluding the above complaint investigation. LPA met with Administrator Rod Recendez to conclude the above identified allegations. Investigation consisted of the following: On 5/3/ LPA interviewed Facility manager, therapist, two (2) childcare workers and three (3) children (see confidential names list LIC811, dated May 3, 2021). LPA toured the facility with childcare worker and facility manager. LPA observed the following this is a single story, single family residence with three (3) bedrooms, two (2) bathrooms, office space, kitchen, front yard, backyard and attached garage. On 9/24/ LPA reviewed documents received and information provided from interviews. LPA interviewed County Social Worker (CSW) and LPA reviewed information provided. Investigation revealed the following: It was alleged that staff are asked to cover up problems, children are not adequately supervised, staff schedules are falsified, facility has no full time social worker on duty and staff are not being provided training. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 10/19/2021

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

met_with: Rod Recendez, Administrator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 11/08/2022, the Department received a complaint alleging allegations of the facility not having a therapist, including staff-to-client ratio not being followed. The Administrator denied the allegations. The Administrator stated that the facility has always had a therapist and Head of Service without any interruption in service. Furthermore, it was disclosed by the Administrator that staff is following their work schedules to the best of her knowledge she is not aware of any call-outs. The Administrator stated that whenever a client is present at the facility, there is always at least two or more staff present, one being a House Manager (HM). In confidential interviews, one client denied the allegations and stated that there is normally two or more staff working most of the time. The client disclosed that he has met with the therapist both in person and by having communicated by telephone. Interviews obtained by staff were not consistent and therefore could not corroborate the allegations. One professional collateral contact reportedly has observed on at least two occasions one staff while at the facility but was unable to provide any exact dates. It should be noted at the time of the investigation when first started on 11/14/2022, LPA Vargas obtained a copy of the Personnel Report (LIC500) dated 11/10/2022 and listed two (2) House Managers/Facility Managers. LPA obtained an updated LIC500 form dated February 2023 and shows the facility having seven (7) Facility Managers. Based on records reviewed and interviews obtained, the above allegations is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the agency representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted and the Appeal rights given were explained. No deficiencies were cited at this time.

Investigation Findings:
13On 03/03/2023 at 10: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with staff Ms. Gomez. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with seven staff workers on 11/14/2022, one client on 11/30/2022, and client's county social worker (CSW) on 02/22/2023 (reference confidential names list LIC811 dated 02/28/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients' Needs and Service Plan, and Personnel Report (LIC500 form) dated 11/10/2022 and 02/2023. Currently, there is no county referral report that is associated with this complaint at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 03/03/2023

met_with: Glenda Gomez, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Narrative:
Continue from page 1. . . . Information obtained from staff and client revealed that a client locked the bathroom door and the client sustained a cut on his leg with a razor from a pencil sharpener that the client had taken apart. The staff that worked on the day of the incident was not able to open the door to the bathroom because the staff was not able to find the key to the bathroom on the facility keys ring. Other information indicated that there was no bathroom key in the key ring while other information indicated that the key to the bathroom was not in the keys ring but was in the staff cabinet. Additional information indicated that the client gave a note to one of the staff where it said that the client was going to hurt/cut himself and then went to the bathroom and locked the door. Based on the staff statements and confidential interviews the allegation is found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegation is found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above. Continue from page 1 . . . The staff denied the allegations and stated that the sharps objects are locked away in the facility cabinet. Information indicated that a client sustained a cut from a pencil sharpener razor that it was obtained from school and it was taken apart to get the razor from it and other information indicated that there is pencil sharpeners in the facility. The confidential interview revealed that the client got the pencil sharpener from the school and has no access to razor in the facility but that the facility staff has given her shaving razors that are not able to cut. The County Social Worker stated that she only knew the information that was reported from the facility and that the client did not want to talk about the incident with her. Based on the interview and records reviewed the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On March 17, 2023, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Neetu Chhokar, Facility Manager. The purpose of the visit was to deliver the finding for the above complaint allegation. During the course of investigating the allegation, LPA interviewed with one clients and one staff on November 22, 2022, LPA interviewed three staff and County Social Worker (CSW) via telephone on March 08, 2023, LPA interviewed two staff via telephone on March 09, 2023 and LPA interviewed one staff via telephone on March 10, 2023 (see Confidential Names LIC 811 dated March 17, 2023). LPA also reviewed documents including but not limited to Client's Need and Service Plan, Special Incident Reports and County Investigation Report. It was alleged that facility staff member did not allow other staff access to a key to unlock a bathroom door where minor was having an emergency. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 03/17/2023

Deficiencies:
80078(a): Staff not being able to open the bathroom's lock door due to not finding the key to the bathroom. 1
2
3
4
5
6
7POC:

met_with: Neetu Chhokar, Facility Manager

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


raw_content:
Narrative:
The four facility staff members interviewed denied the allegations indicating all staff are trained on how to administer medication, staff is trained to log the medication, follow prescription instructions and what to do when client refuses medication. The staff indicated staff does not smoke marijuana at the facility. The staff indicated C1 is given his clothing allowance and taken shopping by staff for clothes on a monthly basis. The facility staff stated C1's therapeutic needs are met, C1 has wrap around services, a therapist and a psychiatrist. The staff stated staff has not observed any bruises on C1 and C1 has not reported any bruises or injuries. The staff denied being told by superiors to lie to the C1's probation officer and to licensing. Staff indicated all incident reports are reported to licensing and C1's representatives. C1 when interviewed indicated having no issues with the facility. C1 stated C1 is given his medication by staff and there have been no issues with staff administering C1's medication. C1 has not observed any staff smoking marijuana at the facility. C1 gets C1's clothing allowance each month and C1 has not sustained a bruise at the facility. C1 enjoys living at the facility and stated C1's therapeutic needs are being met. The CSW indicated CSW has not observed any issues with untrained staff administering C1's medication. CSW has not observed staff smoking marijuana at the facility. CSW stated C1's therapeutic needs are being met and CSW has not observed any bruises on C1. CSW state the facility reports all behavior incidents to CSW. C1 has not disclosed any issues with facility. LPA reviewed C1's allowance log which indicated C1 is receiving his allowance. LPA reviewed incident reports which did not indicate any injuries to C1. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited

Investigation Findings:
13On April 3, 2023 at 12: PM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the STRTP Administrator/CEO Sukhwinder Signh. During the course of the investigation, LPA Cabral interviewed four facility staff on 12/22/22 and one client (C1) on 3/24/23 (see Confidential Names Form LIC 811 dated April 3, 2023). LPA Cabral interviewed one county social worker (CSW) on 3/22/23. LPA reviewed incident reports, medication records, allowance records, C1's needs and services plan. On 12/16/22 the Department received a complaint alleging untrained staff is administering medication to C1, staff smokes marijuana at the facility, C1's therapeutic needs are not being met, C1 is not receiving his clothing allowance, C1 sustained a bruise while in care and staff is told to lie to C1's probation officer and licensing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 04/03/2023

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

met_with: Sukhwinder Signh, CEO/Administrator


raw_content:
Narrative:
On 04/04/2023, the Department received a complaint alleging allegations involving a client and staff working at the facility. The following was alleged: The facility not meeting the hygiene needs of a client, one focused staff not properly trained, and staff not allowing a client to have privacy when having to meet with Licensing Division (CCL). The Chief Executive Officer (CEO) and other staff workers interviewed denied the allegations. CEO stated that the client has never complained about foot pain due to long toenails. CEO and other staff workers stated that the client is provided with manicure and pedicure services that is paid by the facility. The CEO denied the allegation that a specific staff working was not properly trained prior to working with clients. CEO provided documents for review. CEO and staff workers denied the allegation that the one client is not allowed to be interviewed alone when speaking to Licensing Division (CCL). CEO has denied falsifying training documents by anyone having access to training documents. In confidential interviews, the one client identified in the report corroborated the statements provided by the CEO and staff workers and denied the allegations. The client denied having any issues or concerns with staff at the time when interviewed by LPA Vargas. One Individual known as other was identified as having direct and specific information about the allegations reported and could not be contacted, therefore no statement was obtained. Based on records reviewed, which included training documents, training certificates, and interviews obtained, the above allegations is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the agency representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted and the Appeal rights given were explained. No deficiencies were cited at this time.

Investigation Findings:
13On 06/20/2023 at 10: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with staff Ms. Singh. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with one staff (CEO) on 4/06/23, two staffs and one client on 4/07/2023, two staffs on 6/08/2023, one staff on 6/09/23, one staff on 6/19/2023. One individual identified as other could not be contacted after making multiple attempts to obtain a statement. Reference confidential names list LIC811 dated 06/20/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, Personnel Report (LIC500 form), and a selected view training documents for one focused staff and others. Currently, there is no county referral report that is associated with this complaint at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 06/20/2023

met_with: Sukhwinder Singh, Chief Executive Office (CEO)


raw_content:
Narrative:
On 12/16/22 the Department received a complaint alleging staff continued to administer medication that has been discontinued by a physician, client is not receiving medications as prescribed, the facility is not following the physician's order, staff is not following the client's diet and staff is not scheduling client's medical appointments. It was alleged staff continued to give C Aspirin after it was discontinued, staff is not making C1's medical appointments, staff is not following C1's diet. S1 when interviewed indicated C1's was mistakenly taking off Aspirin by C1's psychologist, however C1's cardiologist wants C1 to remain on Aspirin for C1's heart condition. S1 indicated staff always makes C1's medical appointments and provided C1 with C1's medication. Staff follows doctors order for C1's medication. S1 stated the facility provides C1 with a healthy diet however C1 refused to eat and will eat want C1 wants to eat. S1 stated C1's weight gain was due to C1 being in juvenile hall and eating more when C1 first came back. C1 when interviewed indicated C1 has no issues with the facility. C1 stated the facility provides C1 with healthy foods however C1 will choose to eat what C1 wants to eat. C1 stated the facility takes C1 to all medical appointments. CSW when interviewed confirmed the allegations. LPA review medical appointment forms which indicated C1's appointments, C1's NSP, ICHP, cardiologist notes which indicated C1 was mistakenly taken off Aspirin and should remain on Aspirin. LPA reviewed medical appointment forms for C1's ENT, Allergist, Hematology, Depo-Provera, Holter monitor and sleep study. LPA reviewed C1's medication logs which indicated C1's daily medications were administered. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited

Investigation Findings:
13On July 5, 2023, at 9: Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the STRTP Administrator/CEO Sukhwinder Signh. During the investigation, LPA Cabral interviewed one facility staff (S1) on 3/22/23 and one client (C1) on 3/24/23 (see Confidential Names Form LIC 811 dated July 5, 2023). LPA Cabral interviewed one county social worker (CSW) on 3/22/23. LPA reviewed incident reports, medication records, C1's needs and services plan (NSP), Individual Health Care Plan (ICHP), medical exam forms, appointment records, C1's weight logs and facility menus. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CASA ESPERANZA STRTP CHINOFACILITY NUMBER: VISIT DATE: 07/05/2023

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


summary: Facility Evaluation

raw_content:
Narrative:
On 4/27/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Casa Esperanza STRTP Chino location for the purpose of a Case management- incident inspection. LPA spoke with Administrator and staff regarding incident: Child arrested and sent back to facility on probation: Facility representatives stated the following: Since the time of the incident identified above the staff involved with child being arrested has been terminated and the client has had a medication adjustment. Child was placed on probation for a year and facility staff have implemented the directives provided by the court and probation department. Child has continued to have behaviors but has been getting better. Child is required to do community service and facility has been working with child on behaviors and providing life coach wrap around services. Facility has requested and has been having weekly Children and Family Therapy (CFT) meetings where most staff attend. Facility has been implementing that staff attend the CFT meeting to ensure staff are on the same page and are able to address child's behaviors. Additionally, facility has obtained court order for child authorizing staff to go through child's cellphone. LPA requested the following documents: Child's most recent needs and service plans, CFT notes, probation and court directives or orders, medication log and any additional documented provided support. Based on the information provided child was arrested and placed on probation. Facility is working with client and associated agencies in providing care to child. Exit interview completed, no deficiencies observed or cited and a copy of this report was provided to staff/ Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/27/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Casa Esperanza STRTP Chino location for the purpose of a Case management- incident inspection. LPA spoke with Administrator and staff regarding incident: Staff texting while driving: Facility representatives stated the following: Staff was given notice and ultimately terminated from their position based on violating company policy and rules while transporting children. LPA obtained employee termination paperwork and requested additional supportive documentation of write ups and notices of violations. Exit interview completed no deficiencies cited or observed and a copy of this report was given to staff/ Administrator.

met_with: Suky Singh, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Pamela Silva on 08/29/24 at 8: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Glenda Gomez, Administrator, and inspected the facility inside and out. LPAs reviewed one (1) of child's records and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of child's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed (0) of child currently prescribed psychotropic medications. Child was unavailable and LPAs will conduct interview at a later date. No deficiencies are being cited at this time. LPAs conducted exit interview and provided a copy of this report to the Administrator, Glenda Gomez.

met_with: Glenda Gomez


summary: Facility Evaluation

raw_content:
Narrative:
On Nov. 27, 2024, Licensing Program Analyst (LPA) Carrie Palmer, Licensing Analyst conducted a annual inspection. LPA Palmer met with Facility Manager, Glenda Gomez who also gave LPA Palmer a tour of the home. The facility was toured inside and out. The home had one clients in care. The home is a 3 bedroom / two-bathroom home, and it is set up as follows: · Bedroom 1 has 2 twin beds, 1 client · Bedroom 2 has 2 twin beds, vacant · Bedroom 3 has 2 twin beds, vacant Bedrooms were arranged so that no more than two children share a room, and there is one child per bed at this time. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. All hazardous items have been properly made inaccessible to areas where children will have access. Medications and sharp knives were locked in a closet in the hallway. Cleansers/chemicals were locked in the medication cabinet. The first aid kit was in the closet with all required items. Page 1 of There were no guns or weapons as stated by the Facility Manager at this time Proper storage of all food was noted. There was enough supply of 7- day non-perishable food for three clients and enough supply of 2- day perishable food. Trash cans for storage of solid waste had tight fitting lids. The backyard was safe and free of hazards. There was no body of water/pool currently. The following required posted items were observed accessible to clients; Ombudsman Poster, Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policy and current menu. An exit interview was conducted. No deficiencies cited at this time. A copy of this report and Form Confidential Names Statement was provided to the facility.

met_with: Glenda Gomez, Facilty Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 7th, 2025, Licensing Program Analyst (LPA) Johanna Aracena, conducted an unannounced Case Management (CM) visit to Casa Esperanza STRTP Chino with the purpose of conducting an investigation of a Serious Incident Report (SIR) involving the clients currently placed at the facility. The SIR received by the Department on 8/2/2025 stated the clients were taken to the movies as an outing event on 8/01/25. The residents were sitting right next to each other for a while, when C1 requested to speak to S1 in private. C1 informed S1 that C2 tried to touch him inappropriately. LPA Aracena interviewed C1 and C2 at the facility. During the interview C1 repeated the story to LPA while C2 denied the allegation. The residents had different accounts as to what happened. The interviewed staff denied observing any inappropriate interaction between C1 and C2. Base on the information compiled during the investigation, there is not a preponderance of evidence to substantiate any violation of the clients rights. No citations were given during the visit. Exit interview was conducted and a copy of this report was provided to the above named staff via facility's email. .

met_with: Derrick Brooks (S1)- Youth Counselor


summary: Facility Evaluation

raw_content:
Narrative:
On 5/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Casa Esperanza STRTP Chino location for the purpose of a Case Management- Deficiencies inspection. Inspection was in conjunction with complaint investigation. LPA observed the following deficiencies: 11:02AM- LPA observed no screen in bathroom #2 (identified as staff/ back up bathroom) Title ILS Furniture, Fixtures, Equipment, and Supplies (b) All window screens shall be in good repair and be free of insects, dirt and other debris. 11:15AM- LPA observed vent clogged with dust and grime in bathroom #1. Buildings and Grounds(a)The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. Facility manager stated that a work order to replace screen was already in for repair and that staff would address clogged vent in bathroom #1. Based on LPA observations the following items were cited via Title ILS state regulations, see LIC809D. Exit interview completed and the following deficiencies were issued.

met_with: James Brady, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/26/2022 at 10: AM Licensing Program Analyst (LPA) Zeyda Loera and LPA Joseph Vargas arrived at the facility to conduct a case management for the purpose of reviewing facility files. LPA Loera and LPA Vargas met with facility staff Ms. Gomez and Ms. Singh, Executive Director. Currently, there is one client in the facility. The purpose of the visit was to review facility files such as Needs and Service Plan and Special Incident Reports. LPA Loera reviewed two Appraisal/Needs and Services Plan that were incomplete, missing client and social worker's signature per Title Regulations ILS: 87068.2(e). LPA Loera and LPA Vargas reviewed current Special Incident Reports (SIR's) for one client with respect to Title Reporting Requirements ILS: 87061. LPA Loera discovered that the facility did not submit an SIR for an incident date of October 06, 2022. Deficiencies are being cited based on LPA review of files and in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview and a copy of this report was provided to the facility.

met_with: Sukhwinder Singh, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin Ashley Rouche and Pamela Silva on 1/29/26 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with CEO, Sukhwinder Singh and inspected the facility inside and out. There are no clients at this facility eligible for inspection due to the client prescribed psychotropic medication being placed in the facility for less than 30 days. LPAs reviewed 0 child record and 3 of staff personnel files on site at the facility. LPAs reviewed 0 child psychotropic medications and medication records. LPA interviewed 2 of staff on site to discuss the facility's policies and procedures of operation. LPA provided a copy of this licensing report to CEO, Sukhwinder Singh. No deficiencies are being cited at this time. LPA conducted exit interview with CEO, Sukhwinder Singh.

met_with: Sukhwinder Singh, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On April 8, 2026, Licensing Program Analyst (LPA) Johanna Aracena conducted a case management investigation visit at Casa Esperanza STRTP-Chino. The purpose of the case management is to investigate an incident reported to the Department on April 6, 2026. The incident report stated that on 4/2/26, C1 stole the facility's vehicle and was gone on AWOL. The facility staff stated they didn't notice that C1 and the vehicle were missing until 9:15pm. Staff contacted law enforcement and reported C1's unauthorized absence and the theft of the vehicle as two different reports. During the inspection, LPA Aracena conducted a walkthrough of the facility and observed the facility is overall in compliance with Title 22 regulations. LPA Aracena obtained a copy of the LIC 500, Client Roster, C1' Needs and Services Plan and C1's Identification, Emergency Information form and staff contact information. LPA reviewed C1's file and found it to be in order. LPA interviewed three (3) staff members during the visit. During the visit, LPA Aracena informed the Facility Administrator that the Facility's Program Statement needs to be updated to ILS Version 6. No deficiencies were cited during this inspection. Based on the available information, there is not enough information to render a decision of the findings. A signed copy of this report was provided to the STRTP representative.

met_with: Sukhwinder- Administrator