summary: Facility Evaluation

raw_content:
Narrative:
On 3/13/26, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above-mentioned facility for the purpose of verifying the completion of the required corrections related to the physical plant deficiencies identified during the annual inspection conducted on 3/13/2026. LPA Gomez met with Facility Administrator (FA), Luqman Watkins, who granted access to the facility. LPA Gomez conducted a walk through of the facility and reviewed relevant documentation to confirm compliance. The following deficiencies were identified and cited on 3/13/26: • Citation: CCR 8008(e)(1) Fixtures, Furniture, Equipment and Supplies Requirement: (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Original Finding: LPA measured the water temperature in Bathroom #1 at 132 degrees Fahrenheit. Correction Verified on 3/13/2026. • Citation: Food Service 80076(a)(1) Requirement: All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. Continue on 809-C (Page 1) .... All food shall be selected, stored, prepared and served in a safe and healthful manner. Original Finding: Licensee did not properly store and date food items in the refrigerator. Correction Verified on3/13/2026. • Citation: CCR 80071(a)(1) Register of Clients Requirement: (1) The licensee shall maintain in the facility a register of all clients. The register shall be immediately available to, and copied for, licensing staff upon request, and must contain current information on the following: Original Finding: Licensee did not have a register of clients with the necessary information, and it was not immediately available to the LPA. Correction Verified on 3/13/26. LPA Gomez conducted a walkthrough of the physical plant and confirmed that the facility completed all required corrections associated with the above citations. End of Inspection (Page 2)


state: CA

facility_name: 7 ALPHA

summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 3/13/26 , at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the annual inspection that was started on 3/12/26. LPA Gomez met with Facility Administrator (FA), Luqman Watkins, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed two (2) staff records for the S4 and S1. LPA Gomez attempted to review the files for FA and S2, but the files were not maintained or present at the facility. Clients Records Review: LPA reviewed two (2) client records for C1 and C2. There were three (3) deficiencies observed and cited at this time. See 809-D. Exit interview was conducted with the Facility Administrator and a copy of this report was emailed to the Facility Administrator.

Deficiencies:
80066(a): Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

report_type: Facility Evaluation

visit_type: Case Management


facility_name: AARON'S BOYS HOME #1

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On August 24, 2022, at 12: PM., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of concluding complaint findings. LPA met with Steven Lopez, Facility Administrator at Aaron's Boys who granted access. Based on the interviews and documents obtained, prior to the 14-Day notice given by the facility on 6/23/2022, an emergency CFT meeting was not held, and prior written approval was not obtained from the authorized representative of client (C1). [See Confidential Names Form (LIC 811) dated 8/24/2022, for names.] Therefore, the violation of discharge procedures corroborates allegations of wrongful eviction. Based on the review and analysis of all the evidence, the Department has found this complaint to be Substantiated, meaning, the preponderance of the evidence standard has been met. The following deficiency was cited at the time of this inspection. (See Lic 9099-D). A copy of this report and appeal rights were provided to Steven Lopez, at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Kuliema Calloway LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, This is an official report of an unannounced visit/investigation of a complaint received in our office on 06/27/2022 and conducted by Evaluator Kuliema Calloway COMPLAINT CONTROL NUMBER: 34-CR- FACILITY NAME:AARON'S BOYS HOME #1FACILITY NUMBER: ADMINISTRATOR:STEVEN LOPEZFACILITY TYPE: ADDRESS: CURBARIL STTELEPHONE: (805) 466- CITY:ATASCADEROSTATE: CAZIP CODE: CAPACITY:12CENSUS: DATE: 08/24/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Steven Lopez, Facility AdministratorTIME COMPLETED:01: PM 9Incidents involving minor in care were not reported to their representative. INVESTIGATION FINDINGS: 13On August 24, 2022, at ? Am., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of concluding complaint findings. LPA met with Steven Lopez, Facility Administrator at Aaron's Boys who granted access. Based on the interviews with staff and documents obtained, the investigation revealed there were reports to Ventura County Probation Department from March to June. It is unclear if the reports were provided to all involved parties. Based on review and analyzing all evidence, the LPA has found this complaint to be Unsubstantiated, meaning the allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. There are no deficiencies to be cited for this allegation. A copy of this report and appeal rights were provided to Steven Lopez, at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Kuliema Calloway LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: AARON'S BOYS HOME #1FACILITY NUMBER: 401703381

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

report_type: Complaint Investigation

met_with: Steven Lopen, Facility Administrator

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On June 16, 2021 at 11:45am Licensing Program Analyst (LPA) Enrique Hernandez conducted an announced Annual/required Inspection for the Aaron's Boys Home Short Term Residential Therapeutic Program (STRTP). LPA met with the Facility Administrator, Steven Lopez who granted access to the facility after a few COVID-19 question and checking LPA temperature with a touchless thermometer by the main entrance. LPA and Administrator toured the entire facility, inside and outside of the home. This is a single-story family home with a living room and a fireplace that has been closed off and made inoperable, a therapy room, Administrative office, kitchen, a dining area, six (6) bedrooms, two (2) full bathrooms and one (1) half bath, a "pool" room with billiards table and staff desk with storage for staff and client items, medication room with locked cabinets. The back yard contains a detached trailer with foundations that has two rooms, one is a therapy/Social Work room with couch and two desk chairs and aquarium and the other is a classroom with six (6) desks and Five (5) Computers. Washer/dryer are located adjacent to the kitchen area. The home is clean, safe, sanitary and in good repair. LPA observed the following: Bedroom #1 is vacant, it has two (2) twin size beds, adequate closet and drawer space. Bedroom #2 is occupied by one male client, it has two (2) twin size beds, adequate closet and drawer space. Bedroom #3 is occupied by one male clients, it has two (2) twin size beds, adequate closet and drawer space. Bedroom #4 is occupied by one male client. It has two (2) twin size beds, dresser, closet and night stand. Bedroom #5 is vacant. It has two (2) twin size beds, dresser, closet and night stand. Bedroom #6 is occupied by one male client. It has two (2) twin size beds, dresser, closet and night stand. Page 1 of Kitchen: There is a supply of non-perishable food supply located in the kitchen. There are four working burners on the stove, a large refrigerator and three freezers at the time of this inspection. Knives and sharps objects are stored in a locked pantry adjacent to the kitchen. Knives and sharps objects are stored in a locked pantry adjacent to the kitchen. LPA observed in a locked cabinet the knives in padlocked storage box not accessible to the clients at the facility. Cleaning supplies and tools are stored in a locked cabinet located adjacent to the washer and dryer in the laundry room adjacent to the kitchen. There is a supply of non-perishable food supply located in the kitchen. There are four working burners on the stove, a large refrigerator with plenty amount of food at the time of this inspection. Bathrooms: LPA observed two (2) full bathrooms adjacent to the bedrooms and a half bath adjacent to the kitchen. During the time of the inspection There are two linen and towel closets and additional storage in the bedroom hallways. All smoke detectors and carbon monoxide detectors are operable. All fire extinguishers are observed to be fully charged. All posting requirements are met. Administrator states there are no exterior or interior cameras on the facility property and LPA did not observe any cameras. Administrator states that there are no guns or weapons on the premises. The front yard and backyard are clear of debris. There are no bodies of water on the premises. LPA observed four facility vehicles at the time of inspection. Valid insurance and registration was confirmed by LPA. LPA observed and advised the facility administrator to repair/removed 7 metal poles next to the side yard of the house Bedrooms #4, #6 and #1 and classroom carpet is worn out In the bathroom by room 4 and 5 by the edge of the shower there is no seal/caulking in the tiles Facility administrator stated that they will email pictures when they repair the bathroom, carpet and when they remove the metal poles. Page 2 of A Review of the Facility's Personnel Summary on June 16, Reveals That Staff Have Doj/fbi Criminal Record Clearances and a Child Abuse Background Clearance. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3.1, there are no deficiencies to be cited at this time. Exit interview was conducted and due to technical difficulties with the printer the copy of this report will be emailed to the facility administrator. Page 3 of 3

visit_type: Annual

met_with: Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 24, 2022, at 1:m., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of conducting a Case Management visit. LPA met with Steven Lopez, Facility Administrator at Aaron's Boys who granted access and toured the facility and the outside staff office. LPA observed six (6) bedrooms, three (3 ) bathrooms, 2 kitchens , dining area, living room inside and outside staff office, lounge and classroom area. Outside lounge area. and there were no client's in care. LPA took photos. A copy of this report were provided to Steven Lopez, at the facility.

met_with: Steven Lopez, Facility Manager


facility_name: ABEONA HOUSE

summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Shikya Belfield, made an announced Complaint tele-Inspection with the above facility on 11/3/2021, at 9: AM. LPA Belfield met with Program Administrator Noelle Kinder. The purpose of the inspection is to deliver the findings regarding the above allegation. Based on interviews with two staff, confidential client interviews, an allegation were made against C1 that they inappropriately touched by C2. It was determined that clients are not allowed in each others bedroom and staff conducts checks to make sure clients are not doing so. during this investigation there was not enough evidence to prove that the interaction did or did not happen. Therefore, this allegation is Unsubstantiated. There were no violations of the Interim Licensing Standards during this inspection. An exit interview was conducted and a copy of this report will be sent to Program Administrator Noelle Kinder and Licensee Davina Polonco. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Shikya Belfield LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Noelle Kinder


raw_content:
Narrative:
LPA was not able to talk to one of the clients involved because they declined to interview. The allegations that staff is not providing adequate supervision to children has not met the preponderance of doubt, therefore the allegation is unsubstantiated. LPA conducted an exit interview with Kiana Perez, Residential Counselor, at 2:25PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 10/14/2022 at 2:00PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the above licensed facility. The purpose of this visit was to deliver the findings for the listed allegations. LPA met with Kiana Perez, Residential. At the time of the visit there were three clients and two staff present. During the course of the investigation, LPA Hood conducted four confidential interviews between 9/8/2022 and 10/12/2022. LPA reviewed the submitted incident reports, staff schedule, Needs and Services Plans, and Child Family Team (CFT) Meeting notes. Based on record review and confidential interviews, a client was in another client's room in the early morning. According to record review and interviews, the client was only present in the room for less than five minutes. The night shift staff member conducts room checks every thirty minutes, which is compliant with the facility's program plan. Continued on LIC9099C... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: ABEONA HOUSEFACILITY NUMBER: VISIT DATE: 10/14/2022

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

met_with: Kiana Perez


summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 3 allegations

raw_content:
Narrative:
Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, one client states that there was an inappropriate relationship between a staff member and a client. The accused staff member denies any inappropriate conduct with any youths in care. The client involved in this allegation declined to interview with LPA Hood or the Sheriff's office. The client has since turned eighteen and left the placement. Based on the conflicting accounts and inability to interview alleged victims, the allegation that staff member had an inappropriate relationship with a client may or may not have happened. This allegation has not met the preponderance of doubt, and therefore the allegation is deemed unsubstantiated. LPA conducted an exit interview with Emma Spillner, Program Manager, at 12:50PM, whose signature confirms the receipt of this document. Based on confidential interviews, review of the internal investigation, and review of the Sheriff's Office's report, four clients stated that the staff member did share marijuana and nicotine vape pens within the facility/facilities - two of the interviewed claimed that this was done specifically within Abeona House. The accused staff member denies sharing the vape pens, but during their interview with Law Enforcement stated that they had not reported all of the times that they found youth using vape pens or after confiscating vape pens. Based on the recorded first-hand accounts, the allegation that staff member shared their vape with clients has met the preponderance of doubt and this allegation is substantiated. LPA delivered a citation for STRTP Interim Licensing Standards Version 4 87065.2(b) Personnel Duties (see LIC9099D). LPA delivered appeal rights and devised a Plan of Correction with Emma Spillner, Program Manager. LPA conducted an exit interview with Emma Spillner, Program Manager, at 12:50PM, whose signature confirms the receipt of this document.

Investigation Findings:
13On 11/3/2022 at 12:00PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Anthony Pham, Residential Care Counselor. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. First Street, Ste. This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/22/2022 and conducted by Evaluator Selena Hood PUBLICCOMPLAINT CONTROL NUMBER: 26-CR- FACILITY NAME:ABEONA HOUSEFACILITY NUMBER: ADMINISTRATOR:EMMA SPILLNERFACILITY TYPE: ADDRESS: VALENCIA ROADTELEPHONE: (831) 425- CITY:APTOSSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 11/03/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Anthony PhamTIME COMPLETED:01: PM 9Staff member had inappropriate contact with clients. INVESTIGATION FINDINGS: 13On 11/3/2022 at 12:00PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the listed licensed agency. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Anthony Pham, Residential Care Counselor. This complaint involves a staff member that was employed at another faciltity as well, there is crossover in the investigation. During the course of the investigation(s), LPA Hood conducted ten confidential interviews. LPA reviewed notes from an internal investigation, daily logs for all clients, alleged victim's Needs and Services Plan, and incident reports. In conjuction with the Community Care Licensing (CCL) investigation, the Santa Cruz Sheriff's Office conducted their own investigation. LPA Hood reviewed the redacted warrant request that the Sherriff's Office sent to the District Attorney. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 26-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, N. First Street, Ste. FACILITY NAME: ABEONA HOUSEFACILITY NUMBER: VISIT DATE: 11/03/2022

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion: Based on record review and confidential interviews, staff member allowed for youth to smoke within the facility and shared marijuana and nicotine vape pens with clients in care.

Deficiencies:
87065.2(b): Direct care staff shall...  Supervision, protection, and care of children at all times... duties that may be necessary to ensure the health and safety of children in the facility.

met_with: Anthony Pham

title: Personnel Duties


raw_content:
Narrative:
The allegation that staff did not seek necessary medical attention to minor in care may or may not be true, the allegation has not met the preponderance of a doubt. Therefore the allegation is unsubstantiated. LPA Hood conducted an exit interview with Noelle Kinder, Administrative Coordinator at 12:05PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 2/22/2023 at 11:48AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the facility. The purpose of this visit was to deliver the findings on the listed allegation. LPA met with Noelle Kinder, Administrative Coordinator. At the time of the visit there were two youth and three staff. During the course of the investigation, LPA Hood conducted four interviews between 1/24/2023 and 2/15/2023. LPA reviewed incident reports, Needs and Service plans, and the facility's Program Statement. Based on confidential interviews and record review, staff conducted an evaluation of the client's physical and emotional state. The client was able to create a safety plan and return to their nightly routine, so staff decided not to seek medical care. Physically, the client did not receive any noticeable injuries and the client did not report any physical pain after the incident. This staff evaluation is pursuant with the facility's Program Statement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: ABEONA HOUSEFACILITY NUMBER: VISIT DATE: 02/22/2023

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


raw_content:
Narrative:
Based on the information listed, the allegation that staff is not providing adequate supervision to youths in care may or may not be true. The allegation has not met the preponderance of doubt and therefore the allegation is unsubstantiated. No deficiencies were cited at this time. LPA conducted an exit interview with Emma Spillner, Program Manager, at 3:30PM whose signature confirms the receipt of the document.

Investigation Findings:
13On 3/21/2023 at 3:25PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegation. LPA met with Emma Spillner, Program Manager. During the course of the investigation, LPA conducted six confidential interviews between 3/08/2023 and 3/20/2023. LPA reviewed incident reports and the Needs and Services Plans for the clients involved. Based on confidential interviews, the clients had eloped from the facility on 2/27/2023. Based on interviews and record review, staff had observed clients leaving the home through a bedroom window and followed the clients for approximately ten minutes. Staff lost sight of the residents, and immediately contacted law enforcement to report the residents missing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 26-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, N. First Street, Ste. FACILITY NAME: ABEONA HOUSEFACILITY NUMBER: VISIT DATE: 03/21/2023

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

met_with: Emma Spillner


raw_content:
Investigation Findings:
13On 8/15/24 at 1: PM, Licensing Program Analyst (LPA) Paul Simien conducted an unannounced inspection to the above facility. The purpose of the inspection is to inform the facility representative of the findings for the above listed allegations. LPA Simien met with Emma Spillner, Administrator who assisted with the inspection. Based on confidential interviews and supportive documentation to include but not limit, incident report, client and staff rosters. Multiple attempts were made to contact individuals involved in the allegations and were unsuccessful. Although the allegations above may have happened, there is not enough of the evidence to support that they are true. Therefore, these allegations are Unsubstantiated. An exit interview was conducted and copy of this report was sent to Emma Spillner, Administrator UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Emma Spillner, Administrator


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility main office to inform them of the findings for the above listed allegations. LPA met with Emma Spillner, Administrator (ADM) at AM on 4/3/25. Based on confidential interviews conducted it was determined that the allegations listed above are Unsubstantiated. Facility staff would require clients to check in with staff before calling 911. This was to ensure that clients were using 911 appropriately due to some clients using 911 for non-emergencies. LPA couldn't find any evidence of the facility not ensuring clients mental health needs. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to ADM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility main office to inform them of the findings for the above listed allegations. LPA met with Emma Spillner, Administrator (ADM) at 11: AM on 4/3/25. Based on confidential interviews conducted it was determined that the allegations listed above is Unsubstantiated. Facility staff responded to physical altercation between clients immediately and was able to separate and de-escalate individuals involved. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was provided to ADM. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Joel Segura LICENSING EVALUATOR NAME: Paul Simien LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


summary: Facility Evaluation

raw_content:
Narrative:
On October 27, 2021, at 1: PM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Residential Counselor (RC) - Iesha Rodriguez RC and LPA toured the facility, inside and out. The facility is licensed to serve six clients, ages 12-17 years. Currently in placement are six clients. Two of the six clients were present at the facility, two clients were at school and two clients were AWOL at the time of this inspection. The two clients present at the facility, declined to be interviewed. This facility is a two story house that consists of 4 client bedrooms and 2 bathrooms. LPA Oquendo observed at the time of this inspection, the facility to be clean, safe, and sanitary. All fire alarms, and carbon monoxide detectors were in good working condition, and the fire extinguisher is current. The files are kept locked to ensure confidentiality. Food supply, linens and fire extinguisher were observed. There is sufficient perishable food for over two days and nonperishable food for over seven days. Toxins and sharps are properly stored. Medication storage and procedures were also reviewed. The following documents are posted in the facility: facility license, emergency disaster plan, facility sketch, menu, activity calendar and personal rights. The hot water temperature was at (Kitchen Sink - 119, hallway bathroom 105, and other upstairs bathroom 110 degrees). Facility has no firearms or bodies of water at the facility which meets title 22 regulations. There are currently no exceptions on file, and there have not been any deficiencies cited in the past year. A review of Licensing Information System on October 26, 2021 indicates that all facility staff are associated to the facility had DOJ, FBI, and child abuse index check clearances. The annual inspection for this facility will continue on another date.

met_with: Iesha Rodriguez


summary: Facility Evaluation

raw_content:
Narrative:
On October 28, 2021, at 9: AM Licensing Program Analyst (LPA) Oquendo conducted an unannounced inspection to the facility for the purpose of conducting an Annual inspection. LPA Oquendo met with Administrator (AD) - Emma Spillner. The facility is licensed to serve six clients, ages 12-17 years. Currently in placement are six clients. Two of the clients are still AWOL at this time. Some clients were present at the facility and preparing to go to school. LPA reviewed the staff and client files, medication logs, and they had the necessary forms. The files are kept locked to ensure confidentiality. LPA conducted interviews with staff and attempted to conduct interviews with clients but they declined. There are no firearms or bodies of water at the facility. No deficiencies were cited during this inspection. An exit interview conducted and a copy of this report was left with AD.


summary: Facility Evaluation

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Narrative:
On 02/23/2022 at 9:30AM, Licensing Program Analyst (LPA) Selena Hood conducted an announced visit to the facility. The purpose of this visit was to conduct the SB Psychotropic Medications Inspection. LPA met with Emma Spillner, Program Manager, and conducted a walk through of the facility. LPA completed the client files section of the SB Inspection and reviewed the files for four clients. LPA delivered one Technical Assistance because one client had not signed their Needs and Services plan and there was no documented refusal. LPA reviewed the facility's centrally stored medication log, LPA observed that all psychotropic medications were documented on a separate sheet from other medications. LPA observed that the medication was stored in a locked area. LPA also found that one client had turned eighteen recently and there was not a current age exemption, LPA spoke to the facility and requested that they deliver an age exemption request via email by 2/28/2022. Further review is necessary to complete the SB Inspection. LPA conducted an exit interview with Iesha Rodriguez, Residential Counselor, at 3:00PM.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/25/2022 at 11:15AM, Licensing Program Analyst (LPA) Selena Hood and LPA Madi Fremont conducted an announced visit to the listed facility. The purpose of this visit is to finish the SB Psychotropic Medications Inspection. LPAs met with Emma Spillner, Program Manager, and conducted a walk through of the facility. There were three staff members and two clients present at the time of the inspection. LPAs reviewed three staff files. LPAs delivered one Technical Assistance for 87065.1(e)(3)(F) which was not met as evidenced by the lack of training records and training curriculum in the staff file. LPAs interviewed three staff members and one client. LPAs observed Emma Spillner conduct a pill count of all clients' psychotropic medications. LPAs found no issues with the pill count. LPA Hood conducted an exit interview with Emma Spillner, Program Manager, at 2:15PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/14/2022 at 10:10AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit is to conduct an annual inspection. LPA met with Noelle Kinder, Administrative Coordinator. During the visit, there were three staff and one client present. LPA reviewed four client files, conducted a physical plant inspection, and conducted two interviews. LPA did not interview the client present because they were sleeping for the duration of the visit. There were no deficiencies cited at this time. LPA will return to finish the annual on a later date. LPA conducted an exit interview with Noelle Kinder, Administrative Coordinator, at 12:20PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/21/2022 at 10:05AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to continue the annual inspection begun on 12/14/2022. LPA met with Emma Spillner, Program Manager. At the time of the inspection, there were two staff and five clients present. LPA reviewed the client register, clothing allowance log, allowance log, emergency disaster binder, and fire drill log. LPA conducted two interviews. Four of the residents LPA traveled to the Haven of Hope Office at North Ave at Aptos, CA 95003 to review the staff files. LPA arrived at the office at 11:35AM. LPA met with Noelle Kinder, Program Manager, who helped obtain the files. LPA reviewed five staff files and the central training log. LPA used a physical copy of the CARE tool to document client file information. LPA will relay the information onto the digital CARE tool after the visit. No deficiencies were found in the client files. There were no deficiencies cited at this time. LPA conducted an exit interview with Noelle Kinder, Program Manager, at 12:45PM, whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/17/2023 at 11:40AM, Licensing Program Analyst (LPA) Selena Hood conducted an announced visit to the facility. The purpose of this visit was to conduct a Psychotropic Medications Inspection. LPA met with Holly Rowand-Chandler, Medical Coordinator. At the time of the inspection, there were three staff and one client present. The facility currently has six clients, three clients are prescribed psychotropic medications. LPA conducted a walk through of the facility. LPA reviewed the three clients' files and their mental health binders. LPA reviewed four staff files and their training record. LPA observed Medical Coordinator and Emma Spillner, Program Manager, conduct the pill count. There were no issues with the pill count. LPA reviewed the centrally stored medication binder and the Psychotropic Medication Administration Records (PMARs). LPA interviewed four staff members while in the facility. LPA interviewed two clients, one of the clients was not currently prescribed psychotropic medications. There were no deficiencies cited at this time. LPA conducted an exit interview with Holly Rowand-Chandler, Medical Coordinator, at 3:15PM whose signature confirms the receipt of this document.

met_with: Holly Rowand-Chandler


summary: Facility Evaluation

raw_content:
Narrative:
On 1/30/2024 at 10:55AM, Licensing Program Analyst (LPA) Selena Hood and LPA Brenda Rodriguez conducted an unannounced visit to the licensed facility. The purpose of this visit was to conduct the required SB Psychotropic Medications inspection. LPAs met with Emma Spillner, Administrator and Alana Schoen, Medical Liaison. At the time of the inspection, there was one client and three staff members in the facility. The facility had a census of six clients. The facility had three clients that met the criteria for the SB Psychotropic Medication Inspection. The LPAs had reviewed staff files and training records for six staff members. LPAs reviewed the client files for the three clients that met the criteria. LPAs did not observe any deficiencies in regards to the medication inspection. LPAs conducted two staff interviews. The three clients that met criteria were not currently in the facility. LPAs observed Alana Schoen, Medical Liaison, count the medications for the facility. LPAs did not observe any medication errors. LPAs observed the locked cabinet where the medications were kept. LPAs conducted a walk through of the facility. LPAs did not observe any physical plant deficiencies. At this time, the SB Psychotropic Medications inspection is not complete, LPAs will be attempting interviews with the three applicable clients. LPAs conducted an exit interview with Emma Spillner, Administrator and Alana Schoen, Medical Liaison, at 12:50PM whose signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/24/2025 at 10:00am, Licensing Program Analyst (LPA) Kristin Pierotti and LPA Celeste Aparicio conducted an unannounced visit to the licensed facility. The purpose of this visit was to conduct the required SB Psychotropic Medications inspection. LPAs met with Emma Spillner, Administrator and Alana Schoen, Medical Liaison. At the time of the inspection, there were three clients and three staff members in the facility. The facility had a census of six clients. The facility had three clients that met the criteria for the SB Psychotropic Medication Inspection. The LPAs had reviewed staff files and training records for five staff members. LPAs reviewed the client files for the three clients that met the criteria. LPAs did not observe any deficiencies in regards to the medication inspection. LPAs conducted two staff interviews. LPAs conducted one client interview the remaining 2 clients were not currently in the facility. LPAs observed Alana Schoen, Medical Liaison, count the medications for the facility. LPAs did not observe any medication errors. LPAs observed the locked cabinet where the medications were kept. LPAs conducted a walk through of the facility. LPAs did not observe any physical plant deficiencies. At this time, the SB Psychotropic Medications inspection is not complete, LPAs will be attempting interviews with the two other applicable clients. LPAs conducted an exit interview with Emma Spillner, Administrator and Alana Schoen, Medical Liaison, Emma's signature confirms the receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility. The purpose of this visit was to conduct a Case Management inspection. LPA discussed this with Emma Spillner, Administrator (ADM) at 11: AM on 4/3/25. Based on confidential interviews it was determined that the clients had to use the facility phone in a spot that is located near the staff office and milieu. This resulted in clients phone conversations being heard by others. Due to facility having a staff meeting during facility visit LPA and ADM decided to discuss this in detail on a later date. As a result of this visit, One technical violation (ILS V.5 Personal Rights (c)(12)) was issued. LPA conducted an exit interview and a copy of this report was provided to ADM.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/21/25 at 12:00 p.m., Licensing Program Analyst (LPA) Brenda Rodriguez met with Emma Spillner, Administrator regarding an incident report that was reported to CCL on 05/09/2025. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. LPA Rodriguez wanted to discuss the Incident Report that was reported on 05/09/2025. More information on Incident Report on LIC 812. LPA Rodriguez conducted two (2) confidential staff interviews. The clients that were involved in the incident were at school. An exit interview was conducted at 1:00 p.m., and a copy of this report was emailed to Emma Spillner, Administrator.

met_with: Emma Spillner, Adminsitrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Paul Simien made an announced visit to the above listed facility to conduct a closure inspection. LPA met with Davina Polanco, Executive Director at 10: AM on 11/3/25. LPA Simien toured the facility and observed zero clients in care residing at the facility. Facility was cleared of client items. Davina Polanco, Davina Polanco, Executive Director surrendered the facility licence to LPA Simien. As a result of this visit, there were no title 22 deficiencies observed. Exit interview was conducted and a copy of this report was emailed to Davina Polanco, Executive Director.

met_with: Davina Polanco, Executive Director


facility_name: ACHIEVE RESIDENTIAL CENTER

raw_content:
Narrative:
C2 and C2 bit C1, hit C1, and kicked C1. C1 fought back by hitting and kicking C2 also. It is alleged S1 and S2 both witnessed the altercation, however, it is reported that it is unclear if either staff saw C1 being bitten or if either staff stopped the fight. Confidential statements corroborate that C2 initiated the physical altercation and that both C1 and C2 hit, kicked, and scratched, each other during the fight. While one witness maintains C1 was bitten twice during the fight by C2, another witness denies this. There are no images or documentation of bite marks on C1. Several witnesses corroborate seeing these injuries on C1, however, were unable to confirm that C2 had caused the injuries as there were no additional witnesses to the physical altercation between C1 and C2. S1 states S1 tried to stand between C1 and C2 to separate them and redirect C1 and C2, but C2 got past S1. S2 was able to separate C1 from C2 during the fight as both clients were being very aggressive. All witnesses corroborate both S1 and S2 were present for the duration of the fight. Based on interviews conducted, the allegations that C1 sustained injuries while in care and also that S1 and S2 did not adequately supervise C1 and C2, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Ms. Ebony Jones for original signature. Original signed report will be placed in facility file.

Investigation Findings:
13On May 21, 2021 at 4: PM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Short-Term Residential Therapeutic Program (STRTP) manager, Ms. Ebony Jonesh, to issue the investigative findings for the allegations listed above. Due to COVID19, a tele-inspection was conducted to issue the investigative findings. During the investigation, LPA Escobar requested copies from client 1 (C1) and client 2's (C2) files including the placement agreements and current needs and service plans. LPA also obtained the STRTP roster, staff contact information, and copies of special incident reports involving C1 and C2. LPA Escobar conducted a tele-inspection of the facility on 04/15/21 at 11: AM. No safety concerns were observed. LPA Escobar conducted interviews with facility manager (FM), C1, C2, client 3 (C3), client 4 (C4), staff 1 (S1), staff 2 (S2), C1's county social worker (CSW), and another involved party. It was alleged that on or around 4/12/21, C1 sustained injuries while in care and S1 and S2 did not adequately supervise C1 and C2. Specifically, it was reported that C1 got into a physical altercation with UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 05/21/2021

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

met_with: Facility manager-Ebony Jones


raw_content:
Narrative:
community. Confidential interviews reported that C5 was grabbed by an unknown adult who dragged C5 behind a building and sexually assaulted C5. Confidential interviews reported that S1 lost sight of C5. C5 returned to the facility with the other clients (C1, C2, & C6). S1 attempted to leave to search for C5 but C5 returned to the facility. Other confidential interviews reported that police reviewed video footage that pointed directly toward the alleged location and did not see C5. In addition, C5 was observed for injuries or marks, and none were found on C5 body. Confidential interviews reported that C5 was assessed when C5 returned back to the facility and C5 clothes weren't disheveled. Confidential interviews reported that C5 made no mention of the alleged sexual assault until asked about it. Other confidential interviews reported that there was no evidence found on C5 clothes and where the location of the alleged assault may have occurred. As a result of there being no corroborating evidence to proof the alleged sexually assault occurred. Based on confidential interviews and information obtained, the allegation that resident (C5) sexually assaulted by unknown perpetrator while in care of group home staff (S1) may have occurred, however; is not supported by evidence. Therefore, the allegation is unsubstantiated. A copy of this report and appeal rights were provided to Janet Winkfield, STRTP Facility Manager.

Investigation Findings:
13On August 31, 2021 at 12:35pm, Licensing Program Analyst (LPA), Cheraki Davis met with Janet Winkfield, Short Term Residential Therapeutic Program (STRTP) Facility Manager to deliver the finding for the above complaint allegation. On 06/07/2021 at 3:56pm, LPA conducted a safety inspection and no immediate safety hazards were observed. The investigation was conducted by Special Investigator Charlotte Jackson of the Community Care Licensing (CCL) Investigations Bureau. Investigation included interviews with clients (C1, C2, C3, C4, & C5), staff (S1 & S2), and one adult. Child Welfare Services/Case Management System Records for Emergency Response Referral Information, San Bernardino County Sheriff's Fontana Station detailed history report, the facility Runaway Policy, and incident reports were reviewed. LPA was unsuccessful with interviewing client 6 (C6) due to C6 not currently residing at the facility. On June 4, 2021, Community Care Licensing received an allegation which stated resident (C5) sexually assaulted by unknown perpetrator while in care of group home staff (S1). It was reported that C5 became distracted by a kitten and separated from S1 and clients (C1, C2, & C6) during a group walk in the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cheraki Davis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 08/31/2021

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

met_with: Janet Winkfield, Facility Manager


raw_content:
Narrative:
However, C1 did not report the second assault because staff #1 (S1) and staff #2 (S2) told C1, "You are wearing the same jacket that has cum on it," in reference to the first sexual assault. They also told C1 it was C1's fault because C1 was absent from care when the 03/09/21 incident occurred. There were no witnesses to the staff's statements. When the LPA conducted additional interviews, S1 and S2 adamantly denied making the statements. Two of the other staff denied having any knowledge of the allegation. It was reported to the LPA that C1 disclosed to a staff that S2 blamed C1 for the 03/09/21 assault. Other information was received that S1 and S2 blamed C1 for the 03/09/21 assault. Based on confidential interviews and document review, the allegations C1 was sexually assaulted between March and May of 2021 due to a lack of supervision and C1 was blamed by S1 and S2 for getting sexually assaulted may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to Janet Winkfield. Allegation #1) During the course of confidential interviews, it was reported to the LPA C1 was placed at the facility from 11/18/20 to 10/15/21. The sexual assault happened sometime between March and May of 2021. C1 left the facility between 9-10 p.m. and returned between 12-1 a.m. During this time, C1 was absent from care. The perpetrator picked up C1 around the corner from the facility. They got drunk and smoked "weed". The perpetrator got on top of C1 and had nonconsexual sex with C1. C1 met the perpetrator online and this was the first time they met in person. It was reported C1 would be absent from care every night from March 2021 to May 2021, because C1 did not want to be at the facility and wanted to experience the teenage life of drinking and doing weed. C1 would walk out the facility front door and the staff would not say or do anything in effort to prevent C1 from leaving. The staff would just sit there and not say a word. The staff did not shadow C1 either. This was the pattern when C1 went absent from care and this occurred when the incident happened. There would be two staff working when there were six clients in placement. There were only two staff that would try to talk the clients out of going absent from care. The other clients who would go absent from care were all discharged from the facility before C1 was discharged. The LPA received further information that C1 and C1's roommate would meet guys online and then go absent from care. C1's roommate and the other clients would go out their bedroom windows to leave but the facility had installed alarms on the windows. The alarms would alert the staff when a window was opened, and the staff would check and discover the client(s) had left. The clients then started walking out the front door when going absent from care. Achieve Residential Center is a no contact facility, the staff are prohibited from putting their hands on a client to prevent the client from leaving. C1 would go absent from care multiple times a week by walking out the front door. The LPA received consistent information the staff would shadow C1. The staff would complete a perimeter check and call law enforcement to report the runaway. It was further reported, there were two staff working when the clients were present during awake hours and one staff during the overnight shift. The facility has a capacity of six. One staff was able to talk C1 out of leaving but when the next shift arrived, C1 left. Once C1's roommate was discharged from the facility, C1 stopped going absent from care. However, other information was received the staff would not say or do anything in effort to prevent C1 from going absent from care. Allegation #2) During the course of confidential interviews, it was disclosed to the LPA this incident was the second time C1 was sexually assaulted while being absent from care from the facility. The first sexual assault was on 03/09/21. C1 reported the first assault to the staff who in turn reported it to law enforcement and the child abuse hotline. *** ***

Investigation Findings:
13On 10/27/22 at 11: AM, Licensing Program Analyst (LPA) Belinda Torres met with Janet Winkfield, Facility Manager, for the purpose of issuing the investigative finding to the allegations listed above. The LPA inspected the facility on 12/14/21 at 11: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with one client (C1) and five staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 10/27/2022

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

met_with: Janet Winkfield


raw_content:
Narrative:
During investigation confidential interviews reported that C2 informed staff that C2 was sexually touched by C1 while in care. Confidential interviews stated that when staff learned about the incident it was reported, and a safety plan was created that included separating both clients. Confidential interviews further reported that C2 was later removed from the facility. Confidential interviews denied that the incident between C1 and C2 was a result of lack of supervision by staff. Another confidential interview denied that C2 was sexually involved with C1 while in care and added that C1 and C2 did engage in inappropriate sexual touching, but it was voluntary and not forced. C2 could not be reached for comment. Information obtained from confidential interviews disclosed that regular overnight health and safety checks were being conducted. LPA received inconsistent information regarding whether or not C1's and C2's sexually inappropriate touching was a result of lack of supervision. Regarding the allegation that staff does not treat children fairly, confidential interviews denied favoritism by staff and added that staff treat clients fairly despite the client's race. Another confidential interview reported that there are times when clients are not treated fairly by staff and added that such incidents are addressed in a meeting setting. Another confidential interview stated liking the placement and feeling safe in care. Based on confidential interviews, and record review the allegation that there was a lack of care and supervision between C1 and C2 resulting in inappropriate sexual activity, and that staff does not treat C2 fairly, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted. Due to technical difficulties a copy of this report will be emailed to Youth Counselor, Monique Bolden

Investigation Findings:
On April 5, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above stated allegations. LPA was met by Youth Counselor, Monique Bolden. LPA Carmen Escobar conducted an inspection of the facility on May 24, 2022, at 2: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed Facility Manager (FM) and one staff member (S1). LPA Escobar attempted to interview client 1 (C1) however, C1 declined an interview. LPA Urena continued interviews with FM, C1, and two staff members (S4, S5). Two staff members (S3, S4), two County Social Workers (CSW1, CSW2) and a client involved (C2) could not be reached after multiple attempts made by LPA Urena for interviews. On May 19, 2022, Community Care Licensing (CCL) received a complaint alleging that a lack of supervision at the facility resulted in inappropriate sexual activity between clients, and that staff does not treat a child fairly. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/05/2023

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

met_with: Youth Counselor, Monique Bolden


raw_content:
Narrative:
Specifically, it was reported that C1 would constantly leave the facility without permission due to lack of supervision. During investigation confidential interviews reported that due to program protocols staff do not physically use restraints to keep clients from leaving the facility. Confidential interviews stated that staff verbally redirect clients and report all absences without leave (AWOL's) to authorized representatives while other confidential interviews reported that AWOLs are common at the facility and that staff do not always redirect clients in every occurrence when clients are attempting to AWOL. It was revealed that C1 returned to the facility from an AWOL status and was observed to have markings around the neck and body. A confidential interview revealed that the markings on C1's body were "hickeys" that occurred while C1 was on AWOL status. A confidential interview stated that C1 was offered medical care and was assessed by staff upon C1's return to the facility due C1's history and program protocols. Confidential interviews stated that C1 declined to provide staff with any details about the origins of those markings. Based on confidential interviews, and record review the allegation that staff did not provide adequate supervision to C1, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted. Due to technical difficulties a copy of this report along with the appeal rights will be emailed to Youth Counselor, Monique Bolden.

Investigation Findings:
13On April 5, 2023, at 11:00AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the finding of the above stated allegation. LPA was met by Youth Counselor, Monique Bolden. LPA Carmen Escobar conducted an inspection of the facility on June 16, 2022, at 5: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed one staff member (S1) and four clients (C1, C2, C3, C4). LPA Urena interviewed three additional staff members (S2, S3, S4). A County Social Worker (CSW) could not be reached after multiple attempts made by LPA Urena for interviews. On June 7, 2022, Community Care Licensing (CCL) received a complaint alleging that staff are not providing adequate supervision to minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/05/2023

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


raw_content:
Narrative:
Based on these interviews, facility protocol is to report facility elopements to law enforcement and stakeholders. Also based on these interviews, facility staff confiscate contraband from youth when it is observed. LPA Haynes did not cite any deficiencies during this visit. LPA Hood reviewed C1's intake assessment which documented that C1 had a history of eloping from previous placements and rejecting authority. The intake assessment did not discuss CSEC history or substance abuse. LPA Hood reviewed six incident reports submitted to CCL between 2/19/2022 and 3/7/2022. Based on the review of the incident reports, the facility had reported elopements to law enforcement. On 2/21/2022, 3/5/2022, and 3/7/ C1 had received wellness checks from the San Bernardino County Sheriff's Office. Based on confidential interviews, record review, and the inability to interview C1, the allegation that lack of supervision resulted in minor engaging in CSEC activity while in care and lack of supervision resulted in minor using illegal drugs while in care, may have occurred; however, it is has not met the preponderance of doubt. Therefore, the above allegations are unsubstantiated at this time. No deficiencies were cited during this visit. LPA Hood conducted an exit interview with Janet Winkfield, Facility Manager, and a copy of this report including appeal rights was provided.

Investigation Findings:
13On 4/20/2023 at 11:15AM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to Achieve Residential and met with Janet Winkfield, Family Manager. The purpose of this visit was to deliver the findings for the above allegations. During the investigation, LPA Hood conducted two confidential interviews with Reporting Party (RP) and Staff #2 (S2). LPA Hood attempted to interview Client (C1), C1's whereabouts are currently unknown per their case worker. LPA Hood attempted to interview C1's county case worker, the current case worker did not have information about C1's time at the facility. The case worker shared that C1 has a history of eloping from their placements. The case worker at the time of the allegations is no longer with the county. In addition, facility and county records were reviewed. It was reported to Community Care Licensing (CCL) that lack of supervision resulted in minor engaging in Commercial Sexual Exploitation Children (CSEC) activity while in care and lack of supervision resulted in minor using illegal drugs while in care. On 5/3/2022, LPA Linda Haynes conducted an unannounced visit to the facility to inform the facility of the allegations. LPA Haynes conducted two interviews (CM and HM). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/20/2023

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


raw_content:
Narrative:
On October 5, 2022, Community Care Licensing (CCL) received a complaint alleging that due to lack of supervision minors are being sexually exploited. Specifically, it was reported that Client #1 (C1) was the person recruiting other minors in engaging in Commercial Sexual Exploitation of Children (CSEC) activity while in care. Confidential interviews denied that C1 was recruiting other minors and added that although it was discovered that C1 was engaging in CSEC activity while in care C1 acted alone. Confidential interviews further stated that staff learned that C2 and C3 were both influencing other minors in CSEC activity and denied that lack of supervision was a result of clients engaging in CSEC activity while in care. Confidential interviews stated that staff attempted to terminate C2's placement but stated that relocation of C2 took the County longer than expected. Confidential interviews further stated that staff continuously redirect clients, offer therapeutic services for clients, provide activities for clients, and take clients on outings while in care. Other confidential interviews stated that clients leave the facility when clients are bored due to lack of activities offered by the program, and that some clients leave the facility to earn money. Other confidential interviews stated that staff do not redirect clients when leaving the facility while other confidential interviews stated that clients leave the facility despite staff efforts. LPA received inconsistent information regarding the allegation. Based on confidential interviews, and record review the allegation that due to lack of supervision minors are being sexually exploited, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Facility Manager, Janet Winkfield.

Investigation Findings:
13On April 25, 2023, at 12: PM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the finding of the above stated allegation. LPA was met by Facility Manager, Janet Winkfield. LPA Carmen Escobar conducted an inspection of the facility on October 5, 2022, at 10: AM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Escobar interviewed a Facility Manager (FM), and three clients (C2, C3, C4). Client 1 (C1) could not be reached for an interview due to termination of placement and current whereabouts are unknown at this time. Additionally, LPA Urena interviewed two staff members (S1, S2). Two County Social Workers (CSWs) could not be reached after multiple attempts made by LPA Urena for interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 04/25/2023

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

met_with: Facility Manager, Janet Winkfield.


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Narrative:
(**Continued from LIC C pg. 2**) Exit interview was conducted and due to technical difficulties a copy of this report along with the appeal rights will be emailed to Facility Manager, Janet Winkfield. (**Continued from LIC 9099 pg. 1**) On October 22, 2022, Community Care Licensing (CCL) received a complaint alleging that a knife is accessible to minors in care, minors engaged in an altercation, staff did not safeguard minor's allowance, and that minor is intimidating another minor in care. It was specifically reported to CCL that C1 and C2 engaged in a physical altercation resulting in C2 threatening C1 with a knife. It was also reported that C2 was intimating other clients and taking clients allowances while in care. During investigation, confidential interviews stated that there was an altercation between C1 and C2 that resulted in staff separating clients and removing C1 temporarily to another sister facility. Confidential interviews denied that the altercation was a result of lack of supervision by staff and added that both C1 and C2 were friends prior to the altercation. Confidential interviews also stated that staff learned that C2 had threatened C1 with a knife after the altercation had occurred and staff reported the information that resulted in law enforcement involvement. Confidential interviews denied that a knife was accessible to C2 in care and added that staff did not know where C2 obtained the knife from due to C2 absconding from the facility often; while another confidential interview stated that C2 obtained a knife from another client in care and added that the knife was taken from the facility's kitchen. C1 nor C1's CSW could not be reached for comment. LPA received inconsistent information regarding the above stated allegations. Regarding the allegation that staff did not safeguard client's allowances, and that C2 was intimating C1 in care, confidential interviews stated staff distribute allowances weekly according to the program's allowance policy and that clients sign a document acknowledging receipt of allowance. Confidential interviews further stated that staff learned about the allowance incidences after they occurred and added that staff were informed that C2 was intimating clients and taking clients allowances while in care. Another confidential interview denied that C2 was using intimidation to take allowances away and maintained that C2 was not "bullying C1 in care". C1, nor C1's CSW could not be reached for comment. LPA received inconsistent information regarding the above stated allegations. Based on confidential interviews, and record review the allegation that knife is accessible to minors in care, C1 and C2 engaged in an altercation, staff did not safeguard C1's allowance, and that C2 is intimidating C1 in care, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. (**Continued on LIC C pg. 3**)

Investigation Findings:
13On June 16, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the investigative finding of the above stated allegations. LPA was met by Facility Manager, Janet Winkfield. LPA Carmen Escobar conducted an inspection of the facility on October 26, 2022, at 4: PM, and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. Interviews were conducted with Facility Manager, Administrator, two staff members (S1, S2) two clients (C2, C3) and one of two County Social Workers (CSW2). CSW1 could not be reached after multiple attempts made by LPA Urena for interviews. Additionally, LPA attempted to interview C1 but C1's whereabouts are unknown. (**Continued on LIC C pg 2**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 06/16/2023

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


raw_content:
Narrative:
Regarding the allegation that staff did not provide adequate supervision to minors, information gathered from interviews stated that there was a foster child in the home, attempting to groom another foster child in the home for sexual trafficking. Confidential interviews detailed that staff accused a foster child of attempting to groom C1 and that upon return from AWOL would make comments about their pimp. Additional information gathered from confidential interviews denied that a foster child in the home was attempting to groom anyone for sex trafficking and staff would make that assumption. Further details gathered state that C2 did not take anyone with them while on AWOL and that no one in the home witnessed or was ever sex trafficked while at the facility. LPA received inconsistent information regarding the above allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegations that that staff did not provide adequate supervision to minors, may have occurred, however is not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted, appeal right were discussed, and provided. A copy of this report was provided to Facility Manager, Janet Winkfield. .

Investigation Findings:
13On June 30, 2023 at 2:29 pm Licensing Program Analyst (LPA), Emina Preciado, met with Achieve Residential Center, Short Term Residential Therapeutic Program (STRTP) Facility Manager, Janet Winkfield, to deliver the findings for the above stated allegation. LPA Lisi Leon conducted a health and safety inspection of the facility on July 8, 2022 at approximately 11:10 am and there were no immediate no immediate health and safety deficiencies observed. During the course of the investigation, interviews were conducted with the Facility Manager (FM), Facility Staff (S1), County Social Worker (CSW), and three out of four foster children (C1, C2, C3). One foster child could not be reached for an interview, whereabouts are unknown, and was therefore not interviewed. In addition, county and facility records were reviewed. On July 1, 2022, Community Care Licensing (CCL) received an allegation alleging that staff did not provide adequate supervision to minors. *continued next page* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 06/30/2023

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


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Narrative:
Other confidential interviews reported that the school was too far; however, the distance was not a factor in determining where C1 would attend school. Confidential interviews reported that C1 has special educational needs and, due to those needs, C1 can only attend certain schools. Furthermore, it was reported that the school must meet C1'S needs and offer the right programs. A confidential interview reported that school enrollment could take longer when special education needs are involved, as the school district must determine the appropriate school placement. Confidential interviews reported that C1 expressed concerns about attending the new school and refused to go. Confidential documentation obtained as part of the investigation corroborate C1's refusal to attend school and shows that efforts were made to return C1 to their school of choice, but C1 refused to cooperate. Confidential interviews and documentation show that facility staff worked with the school district to enroll C1 in independent studies until a more suitable school could be found. The Department also received an allegation that the facility is not meeting youth's (C1's) personal care and grooming needs. Confidential interviews reported that C1 did not have access to culturally appropriate hair care products, and facility staff did not allow C1 to get their (C1's) hair braided. Confidential interviews reported that facility staff provides all clients with adequate hygiene and grooming products. LPA observed additional hygiene and grooming products in the staff office, available to clients upon request. Other confidential interviews reported that staff ensures that all hair care, hygiene, and grooming products respect the client's culture, identity, and gender expression. Personal interviews also reported that hair braiding services were not withheld from C1 as a form of punishment. Confidential interviews revealed that all clients must request hair care services, and C1 did not submit a formal request. Personal interviews and documentation also report that hair braiding services were arranged for C1, but C1 would leave the facility without permission; therefore, C1's hair braiding appointment could not be scheduled. Based on inconsistent confidential interviews and document review, the allegations that the facility is not meeting the youth's (C1's) educational needs and the facility is not meeting the youth's (C1's) personal care and grooming needs, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were given and explained to Facility Manager Janet Winkfield

Investigation Findings:
13On June 30, 2023, at 10: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Achieve Residential Center Short Term Residential Therapeutic Program ( STRTP) to deliver the investigative findings for the allegations listed above. On 04/17/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with clients (C1, C2, C3, C4, C5, and C6) and Staff (S1, S2, S3, and S4), County Social Workers (CSW1,CSW2,and CSW3), and Education Liaison (EL). On 04/07/2023, Community Care Licensing received an allegation that the facility is not meeting the youth's (C1) educational needs. It was alleged that C1 was not allowed to attend the school of their choice. Confidential interviews reported that C1 was told by facility staff that they (C1) could not attend the school of their choice because the school was too far, and facility staff did not want to transport C1 to school. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 06/30/2023

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

met_with: Facility Manager Janet Winkfield


raw_content:
Narrative:
Confidential interviews also reported that clients (C1-C8) do not have access to medications, as the facility staff member keeps the keys. Confidential interviews denied that clients are given extra doses of medications. Confidential interviews reported that staff administer medications to clients individually and that clients are only given their required doses. Confidential interviews indicated that the staff documents each time the clients are given their medication on a medication administration record. Community Care Licensing also received an allegation that staff did not seek medical attention to a minor (C8) in care. It was alleged that C8 self-harmed, causing injury to C8's leg. A confidential interview denied the allegation, and other confidential interviews reported not seeing any injury to C8's leg or having no knowledge of the incident. In addition, confidential interviews reported that staff are aware of C8's behavior, and C8 is always provided with first aid but refuses other medical attention. Confidential interviews reported that self-harming behavior is taken seriously and never ignored. Confidential interviews reported that knives and other sharp objects are locked in the staff office and inaccessible to clients. Confidential interviews also reported that blanket searches are not conducted, however, if staff become aware or suspect a client is self-harming, a safety check is completed, and any object used to self-harm is confiscated. Additionally, Confidential interviews reported that the staff provide trauma-informed interventions and utilize the client's safety plan. Community Care Licensing also received an allegation that staff do not provide adequate supervision to minors (C1-C8). It was alleged that clients drink alcohol on facility grounds. Confidential interviews reported that clients leave the facility without permission and return with alcohol, which is confiscated by staff. Other Confidential interviews reported that the facility provides adequate supervision and regularly complete room checks. Furthermore, confidential interviews denied staff allowing clients to drink on facility grounds. Based on inconsistent confidential interviews, the allegations that staff are not locking minor's (C1-C8) medications, resulting in minors having unlimited access to medications, staff did not seek medical attention to minor (C8) in care, and staff do not provide adequate supervision to minors (C1-C8), may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and given to Assistant Manager, Ebony Jones.

Investigation Findings:
13On October 13, 2023, at 4: PM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegations listed above. On 07/05/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with clients (C1, C2, C3, C4, C5, and C8), Staff (S1, S2, S3, S4, S5, and S6), and three County Social Workers. LPA attempted to interview C6 and C7, but the clients refused to be interviewed. On 06/26/2023, Community Care Licensing received an allegation that staff are not locking minors' (C1-C8) medications, resulting in minors having unlimited access to medications. Multiple confidential interviews denied medications were left unattended. Confidential interviews reported that medications are kept secure in a lock box in the hall closet. (Continued on LIC C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 10/13/2023

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

met_with: Assistant Facility Manager, Ebony Jones


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Narrative:
Confidential documentation supported by interviews revealed that C7 could not have witnessed S1's maltreatment of clients, as C7 was never a client at the facility. Other Confidential interviews reported the clients in care (C1-C6) are not fearful of S1 and have not reported any negative interactions with S1. confidential interviews reported that clients (C1-C6) are comfortable around S1 and denied witnessing S1 or other facility staff (S2-S6) abusing clients (C1-C6) while in care. Community Care Licensing also received an allegation that a staff (S1) speaks inappropriately to minors (C1-C6) in care. It was alleged that S1 threatened to harm clients (C1-C6) physically. Confidential interviews denied the allegation and reported that S1 is respectful and gets along with clients (C1-C6) and staff. Confidential interviews reported that S1 and other staff (S2-S6) do not yell, curse, or use threatening language toward clients in care. Other confidential interviews reported that staff (S2-S6) enjoy working with S1 and have not witnessed any concerning interactions between S1 and clients. Furthermore, confidential interviews reported that clients in care have no grievances with S1 and denied witnessing S1 threaten clients at the facility. Based on inconsistent confidential interviews and facility documents review, the allegations that staff (S1) chokes minors (C1-C6) while in care and staff (S1) speaks inappropriately to minors in care are unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report,LIC 811, and appeal rights were explained and given to Facility Manager Janet Winkfield.

Investigation Findings:
13On October 19, 2023, at 12: PM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Achieve Residential Center Short Term Residential Therapeutic Program ( STRTP) to deliver the investigative findings for the allegations listed above. On 07/11/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with clients ( C1, C2, C3,C4,and C7) Staff (S1, S2, S3, S4, S5, and S6), and the County Social Worker. LPA attempted to interview C5 and C6, but the clients refused to be interviewed. LPA could not locate and interview C8 due to C8's unknown whereabouts. On 07/07/2023, Community Care Licensing received an allegation that a Staff (S1) choked minors (C1-C6) while in care. It was alleged that C7 and C8 witnessed S1 abusing other clients (C1-C6) at the facility. Confidential interviews denied the allegation and reported that S1 has not physically abused or harmed clients. ( Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 10/19/2023

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


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Narrative:
Confidential interviews denied the allegation and reported that S3 and S4 sat beside each other on the bench, and S4's hand briefly grabbed S3's hand to keep S3 from getting separated from the group. A confidential interview reported a client later reported seeing S3 and S4 kiss on the trip. Another confidential interview disclosed no other clients, other than what was initially reported, witnessed inappropriate behavior between S3 and S4. Furthermore, confidential interviews also reported when S3 and S4 work the same shift, they act professionally, and there were no reports or concerns about S3 and S4's interactions while at work. Based on inconsistent confidential interviews, the allegation that Staff (S3 and S4) engaged in inappropriate behavior in the presence of minors (C1, C3, C4, and C5) 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. A copy of this report, LIC 811, and appeal rights were explained and given to Facility Manager Janet Winkfield.

Investigation Findings:
13On November 9, 2023, at 10: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Achieve Residential Center Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. On 08/15/2023, Licensing Program Analyst (LPA) Leslie Covarrubias inspected the physical plant, and no immediate safety hazards were observed. LPAs obtained documents pertinent to the investigation. LPA Covarrubias interviewed clients (C3 and C4) and Staff (S1 and S2). LPA Peete interviewed Client 6 (C6) and staff (S3 and S4). LPA Peete attempted to interview C1, C2, and C5, but they declined to be interviewed. On 08/14/2023, Community Care Licensing received an allegation that staff (S3 and S4) engaged in inappropriate behavior in the presence of minors (C1, C3, C4, and C5). Confidential interviews reported that S3 and S4 were on an approved outing to an amusement park with clients (C1, C3, C4, and C5), and they (S3 and S4) were seen by a client holding hands and laying their heads on each other's chest. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ACHIEVE RESIDENTIAL CENTERFACILITY NUMBER: VISIT DATE: 11/09/2023

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