summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/2025 at 1: PM Licensing Program Analyst (LPA) Olena Maico conducted an unannounced inspection at the facility and met with Jaybreonna Ervin, Facility Manager to follow up on a Special Incident Report (SIR) that was submitted to Community Care Licensing on 07/23/25 where a client C1 went on the community pass, and shortly after that returned with visible face injuries, bloody nose and busted lips. Facility staff provided first aid to C1 and called the Bakersfield PD The other two clients C2 and C3 were present during the incident according to the C1 and SIR. C1 was transported and received medical treatment. C1 refused to return to STRTP because he was "in fear for his life". When Bakersfield PD transported youth to the STRTP, he refused to leave the vehicle. Later that day youth was transported for further evaluation to a different medical facility. LPA inquired about C1's current well being. C1 is no longer at the facility, as well as C2. Based on the information gathered at this time, the facility took proper action regarding the incident in question and therefore no further follow up necessary at this time. LPA will reach out to the Administrator to check if there is an additional information in this matter. Exit interview was conducted. No deficiencies were issued at the time of inspection. A copy of LIC809 was provided to the facility representative.

met_with: Jaybreonna Ervin, Facility Manager


state: CA

facility_name: WALT'S HOME FOR YOUNG MEN 2

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
...page Complainant was interviewed. One (1) out of two (2) CSW and three (3) staff were interviewed. Two (2) out of two (2) youth were interviewed (See confidential names list LIC 811 dated November 14, 2025). The investigation revealed the following: It was alleged that staff is verbally abusing minors and staff refuses to provide adequate food service to minors. It was reported that food is hidden from youth and not made available to youth when asked for. Staff continuously speak to youth disrespectfully including calling youth names. LPA reviewed documents including incident reports, notes and conducted interviews. In confidential interviews two (2) out of two (2) youth confirmed that when food is requested, youth are denied food. Facility did not have accessible food for youth. It was further revealed and confirmed by youth that staff verbally abuses youth by cursing and talking about youth. LPA interviewed CSW and CSW stated that youth has a large appetite and is under a Dr's care to ensure that healthy choices are given to youth. CSW was told by youth that there was not enough food to eat but stated the youth has complained about the same issue at another facility. CSW said that the youth did complain about staff speaking negatively to them. CSW said they had a conversation with staff at the STRTP regarding negative comments made to youth. Interviews conducted stated that staff curse at youth and call them names. It was revealed that food is kept away from youth by staff and hidden so youth will not find it. Two (2) out of three (3) staff interviewed did not confirm that food is hidden and not offered to youth. Two (2) out of three (3) staff interviewed did not confirm that youth are spoken to negatively or cursed at. continued on page 3...... .....page Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegations are substantiated. Deficiencies were cited during this inspection. See LIC 9099D for deficiencies. A copy of this report and Appeal Rights were provided to Direct Care Staff Exit interview was conducted

Investigation Findings:
13On November 14, 2025, at 6: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to Walt's Home for Young Men 2 for the purpose of concluding the above identified complaint investigation. LPA met with Justice Hill- Direct Care Staff and discussed complaint findings. The investigation consisted of the following: On March 28, 2025, LPA met with Samantha Combs-Administrator. LPA requested documents consisting of: Current LIC 500, youth that have been in the home from May 2025-June 2025, Needs and Services Plans for placed youth, incident reports from May-June, addresses of placed children's school(s), social worker case notes for May 2025-June 2025, recent trainings, any disciplinary actions from May 2025-June 2025, facility notes from May 2025- June 2025 assigned county social worker name and phone number. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Walt's Home for Young Men 2facility Number: Visit Date: 11/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...page Complainant was interviewed. One (1) out of two (2) CSW and three (3) staff were interviewed. Two (2) out of two (2) youth were interviewed (See confidential names list LIC 811 dated November 14, 2025). The investigation revealed the following: It was alleged that staff is verbally abusing minors and staff refuses to provide adequate food service to minors. It was reported that food is hidden from youth and not made available to youth when asked for. Staff continuously speak to youth disrespectfully including calling youth names. LPA reviewed documents including incident reports, notes and conducted interviews. In confidential interviews two (2) out of two (2) youth confirmed that when food is requested, youth are denied food. Facility did not have accessible food for youth. It was further revealed and confirmed by youth that staff verbally abuses youth by cursing and talking about youth. LPA interviewed CSW and CSW stated that youth has a large appetite and is under a Dr's care to ensure that healthy choices are given to youth. CSW was told by youth that there was not enough food to eat but stated the youth has complained about the same issue at another facility. CSW said that the youth did complain about staff speaking negatively to them. CSW said they had a conversation with staff at the STRTP regarding negative comments made to youth. Interviews conducted stated that staff curse at youth and call them names. It was revealed that food is kept away from youth by staff and hidden so youth will not find it. Two (2) out of three (3) staff interviewed did not confirm that food is hidden and not offered to youth. Two (2) out of three (3) staff interviewed did not confirm that youth are spoken to negatively or cursed at. continued on page 3...... SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Walt's Home for Young Men 2facility Number: Visit Date: 11/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32.....page Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegations are substantiated. Deficiencies were cited during this inspection. See LIC 9099D for deficiencies. A copy of this report and Appeal Rights were provided to Direct Care Staff Exit interview was conducted SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 3 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: 157807004

report_type: Complaint Investigation

met_with: Justice Hill- Direct Care Staff

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
This LPA conducted an investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the three staff (S) members (S1) on 8/7/25, (S2), (S3) on 8/12/25, and one of two clients (C1) on 8/8/25. No statements were obtained from C2 or C3 due to their refusal to provide a statement. (Reference Confidential Names Form LIC 811, dated December 3, 2025.) The Following Allegation(s) were reported: Staff members S1, S2, and S3 denied the allegation, stating that inappropriate behavior by staff is not tolerated and will be addressed if it occurs. They emphasized their commitment to maintaining a safe and healthy environment where clients can thrive and progress through individualized programs with the goal of moving to a lower level of care. Staff acknowledged that there have been occasions where they have raised their voices in an effort to verbally redirect clients. They explained that such redirection sometimes results in client pushback, including the use of profanity, racial slurs, threats of bodily harm, or property damage. Despite these challenges, staff expressed confidence that they maintain positive working relationships with clients and are often successful in redirecting them toward appropriate activities. Client C1 reported feeling safe while residing at the STRTP but expressed a preference for being placed with family, a desire that has been communicated to facility staff. C1 denied the allegation, stating that they have had no issues with staff. However, when asked specifically about whether staff had ever called them names, C1 paused before disclosing that they had experienced such behavior. C1 was unable to provide specific details, witnesses, or staff names regarding the alleged incident. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred; therefore, the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On December 3, 2025, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Administrator, Carlene Logan. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On July 31, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff speak to minors inappropriately. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 12/03/2025

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

met_with: Carlene Logan - STRTP Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
LPA reviewed the STRTP's complaint history and other documents collected throughout the investigation including but not limited to LIC Personnel Report, LIC Register of Clients, Staff Contact Numbers, Needs and Service Plans (NSPs) for Clients 1 through 3 (See LIC Confidential Names list dated 09/24/25), and relevant Special Incident Reports (SIRs). LPA also reviewed Department databases, and reports from other agencies. On September 18, 2025, the Department received a complaint alleging that C1 "is being touched by another client". Investigation revealed that C1 has his own bedroom. Staff stated clients are supervised in the living room and kitchen area at all times. Staff stated they conduct room checks as per protocol, and that the door to the minors' rooms are usually ajar unless someone is changing in the room, allowing for extra visibility. Staff denied seeing any inappropriate actions between clients in care, but they ask clients to respect each others personal space when they're in the living room playing video games, and while in the kitchen eating. Confidential interviews conducted by LPA revealed contradicting statements regarding the allegations, including when and who the alleged incident was reported to, and the date and time the alleged incident occurred. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Samantha Combs, Senior Facility Manager. Appeal rights provided.

Investigation Findings:
13On December 9, 2025, Licensing Program Analyst (LPA) Brent Lockhart conducted a follow-up complaint investigation at Walt's Home For Young Men, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegations. LPA met with Samantha Combs, Senior Facility Manager. LPAs investigation consisted of the following: On 09/24/25, LPA conducted 10 day at STRTP, and interviewed one staff member. On 10/01/ LPA interviewed RP on 10/01/25. On 10/29/ LPA interviewed three clients. On 10/07/25, LPA reviewed co-complainant 812s (dated 10/06/25 & 10/07/25). On 11/25/25, LPA reviewed the STRTP's complaint history. On 12/03/25, LPA interviewed one staff and attempted to interview a professional contact. On 12/04/25, LPA Lockhart interviewed two staff members. On 12/05/25, LPA interviewed one staff and attempted to interview another staff. (Continued next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Brent Lockhart LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 12/09/2025

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

met_with: Samantha Combs - Senior Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 06, 2026, at 2: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home For Young Men 2. LPA met with Samantha Combs-Senior Facility Manager. Purpose of the visit was to conclude a case management inspection conducted on June 15, 2023. LPA conducted a thorough investigation including interviews with STRTP staff. LPA received proof of time cards. LPA reviewed multiple LIC 624's and discussed an email from the STRTP with S1, confirming the late submission of multiple LIC 624's on June 15, 2023. LPA confirmed that approved staff were present during that time and STRTP was in compliance with an onsite approved facility manager/ administrator. The STRTP was previously cited on May 26, 2023, for late reporting. A plan of correction was received by LPA on June 19, 2023. STRTP was still behind in sending LIC 624's when they reviewed their reporting standards. STRTP continued to send unsent reports to become current and compliant. LPA did not observe any deficiencies. The investigation is concluded No deficiencies noted at this time and no citations issued. An exit interview was conducted and a signed copy of this report along with 811 (Confidential Name List), was left with Senior Facility Manager.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Samantha Combs- Senior Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On October 1, 2025, at 10:15 a.m., Licensing Program Analyst (LPA) Brent Lockhart conducted an unannounced Case Management - Deficiencies Inspection at Walt's Home For Young Men 2. The purpose of the inspection was to issue a citation involving a criminal record clearance for S1 (See LIC Confidential Names list dated 10/1/25). LPA met with Craignlisha Wright, Facility Manager. On September 24, 2025, the LPA conducted an inspection at the facility. During the facility tour and staff interviews, a staff member (S1) disclosed that she had been employed at the facility since August 28, 2025. This was also reflected in the LIC 500 dated September 30, 2025. The licensee provided documentation identifying S1's position as Compliance Officer. Based on a review of S1's role and responsibilities, it has been determined that she exercises substantial influence over the operation of the facility in her capacity as Compliance Officer. Therefore, S1 is subject to a criminal record review. A subsequent review of records revealed that S1's criminal record clearance is currently listed as "In Process" in the Guardian system, indicating that she is not yet cleared to work at the facility. The STRTP is being cited under Title 22, Division 6, Chapter 1, Section 80019(e)(2), which states that all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall, prior to working, residing, or volunteering in a licensed facility, obtain either a California criminal record clearance or a criminal record exemption, as required by the Department. Additionally, an immediate civil penalty is assessed. A signed copy of this report, LIC811, LIC809-D, LIC421BG and Appeal Rights were provided to the Director via email. This document is an amendment created on October 3, 2025.

met_with: Craignlisha Wright - Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva, Juliet Robles and Timika Martin on 10/09/25 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Carlene Logan, Administrator, and inspected the facility inside and out. LPAs reviewed 3 of child's records and 3 of staff personnel files on site at the facility. LPAs reviewed 3 of child's psychotropic medications and medication records. Children currently prescribed psychotropic medication were unavailable for interview at the time of inspection. LPA Silva will attempt to interview children at a later time. LPA interviewed 1 of staff on site to discuss the facility's policies and procedures of operation. During the inspection the LPAs observed deficiencies (see attached 809D). A Technical Advisory was issued (see LIC 9102). Plan of corrections was discussed, and appeal rights were provided. LPAs provided a copy of this licensing report and appeal rights to Carlene Logan, Administrator.

met_with: Carlene Logan


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 19, 2025, at 2: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home for Young Men 2. LPA met with Samantha Combs-Facility Manager. Purpose of the visit was to discuss observations from an inspection conducted on July 18, 2025. LPA toured the facility and observed cleaning supplies under the kitchen sink. LPA discussed the observation with facility Facility Manager. Citation will be issued. Based on this information, the facility is cited for California Code of Regulations, Title 22, Division Section 80087(g) Buildings and Grounds. See 809D. An exit interview was conducted and a signed copy of this report along with the 809D and appeal rights were left with Facility Manager

Deficiencies:
80087(g): (g) Disinfectants, cleaning solutions, poisons,....that could pose a danger if readily available to clients shall be stored where inaccessible to clients.

met_with: Samantha Combs-Facility Manager

title:
1
2
3
4
5
6
780087 Buildings and Grounds


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On 05/26/23 at 1: Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home For Young Men 2 (STRTP) and presented findings to K'Juan Mustin-Direct Care Staff/Facility Manager . Finding were based on visit conducted on 04/28/23, interviews with staff and clients, tour of home and review of pertinent documents. On 04/28/23, LPA met with two staff regarding C5 showing a gun on his phone, threatening to come to school with a gun and shoot it up, late reporting of incident report dated 03/09/23 received on 03/16/23. Interview with S2 revealed that she was given the Community Care Licensing Fresno office number from a staff member at Community Care Licensing Monterey Park. S2 did not have proof that she sent the initial report to the Fresno office, timely. LPA gave S2 the correct phone number and advised to CC me when sending. S2 admitted that she understands it was late. Advised S2 of prior late reported incident reports from 12/02/22, 12/21/22, 01/17/23, 01/29/23, 03/07//23 4/18/23, 04/19/23 (2).S2 was under the impression based on the verbiage at the top of hte LIC LE, that she had 7 days to send the report. Advised S2 she does but the date of first occurrence, the licensing agency must be notified by the next business day. S2 was directed to this info at the top of the form. S2 said she understood and will follow including letting staff know. Based on this review and response from S1, Facility is cited for violation of California Code of Regulation, Title 22, Division Section 80061 (b) Reporting Requirements. Facility failed to report the incident within the next working day as required. continued.... ...continued Regarding the picture of a gun on the phone, and threats to shoot up the school: LPA interviewed 2 staff, 1 client (no other current clients were placed at the facility during the time C5 was a resident), 1 social worker and spoke with police staff. No gun was found by the police department. No police report was made. Police did go to the home but never came back to do a follow up investigaton. C5 is currently incarcerated, based on information from social worker. C5 is no longer at the Walt's Home For Young Men 2. No citation given. Incident date 02/16/23: LPA conducted multiple interviews starting on 04/28/23 to 05/23/23. LPA interviewed 4 staff and 2 clients. It is found that C4 did assault S3 and was not defending himself. C4 is no longer a resident of Walt's Home for Young Men 2. C4 admitted to striking S3 first. LPA conducted a tour of the home on 04/28/23 at 3: P.M.,with S1. During the tour, LPA saw a grey Chevy Suburban parked on the premises with a rear side broken window on the drivers side. The window was taped but had an accessible opening, 1 inch wide and 5 inches in length of visible broken glass. There were pieces of glass on the ground near the rear drivers side tire. This glass poses an immediate risk to clients and staff. LPA saw multiple pieces of loose wood and metal objects ranging in length from 3-5 feet long. Some of the loose piece of wood had exposed rusted nails approximately 2 1/2 inches in length. These objects pose an immediate risk to clients and staff. Based on this review and visible evidence, the facility will be cited for violation of California Code of Regulations, Title 22, Division Section 80087 (a) and 80087 (c). Plan of Action will be discussed. Exit interview conducted and signed copy of this report was provided to Direct Care Staff/Facility Manager along with LIC 811 (Confidential Names list). Appeal rights given.

Deficiencies:
80087(a): (a)
80061(b): Upon the occurrence, during the operation of the facility, ..., a report shall be made to the licensing agency within the agency's next working day during its normal business hours....In addition, a written report... shall 1
2
3
4
5
6
7Facility will provide updated training on Reporting Requirements. Proof of correction will inculde a copy of the training attendance sheet and training topics covered. POC will be emailed to LPA by POC due date of 06/09/23 .
8
9
10
11
12
13
14

title:
1
2
3
4
5
6
780087 (a) Buildings and Grounds

description: (a)

title:
1
2
3
4
5
6
780061(b) Reporting Requirements


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 10/12/2023 at 1: PM, Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin conducted an unannounced case management inspection and met with Carlene Logan, Administrator. The purpose of the visit was to follow up on case carrying LPA's concern that only two (2) Unusual Incident Reports (UIRs) were received since August 2023. The two (2) UIRs received were from incidents that occurred on 09/10/23 and 10/02/23. LPAs reviewed client records and interviewed Facility Manager S1 to check on incidents that may have occurred in the last three months. LPAs found that there were incidents from August 2023 to the present, that were unreported to the Department. Based on the information gathered, the facility was cited for violation of California Code of Regulations, Title 22, Division 6, Section 80061 (b), see LIC809D. A previous violation of California Code of Regulations 80061(b) was cited on 05/26/23. Based upon repeating the same violation within a 12-month period, it is determined that an immediate civil penalty of $250 be assessed (see LIC421FC). Exit interview conducted. A copy of this report, LIC809D, LIC 811 and appeal rights were provided to the facility representative.

Deficiencies:
80061(b): ...Upon the occurrence.. of any events specified below, a report shall be made to the licensing agency within the agency's next working day..or a written report shall be submitted within 7 days...1
2
3
4
5
6
7

title:
1
2
3
4
5
6
7Reporting Requirements


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin and Pamela Silva on October 12, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Martin and Silva met with Administrator, Carlene Logan and inspected the facility inside and out. LPAs reviewed 2 of child's records and 2 of staff personnel files on site at the facility. LPAs reviewed 2 of child's psychotropic medications and medication records. LPAs interviewed 2 of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 0 of children currently prescribed psychotropic medication. Children were unavailable and LPAs will conduct interviews at a later date. During the inspection the LPAs observed deficiencies (see attached 809-D), plan of corrections were discussed and appeal rights were provided. LPAs provided a copy of this licensing report to Carlene Logan, Administrator.

met_with: Carlene Logan, Administrator


raw_content:
Narrative:
The investigation included interviews with the facility staff, one youth, and a county social worker, along with a review of incident reports and facility notes. Staff denied the allegations and reported that law enforcement was called after the altercation. Staff stated that a county hotline report was made, the youth involved were separated, and close supervision was maintained after the incident. The interviewed youth reported that they argued with another youth and were slapped, and also stated that two staff were present during the incident and that staff are present supervising in the home. A county social worker shared that during her visits, staff have always been present and that her client did not provide details about the incident. Records reviewed support the staff accounts. Incident reports showed that staff contacted the county hotline and law enforcement was notified. Facility notes confirmed that staff were present at the time of the altercation and monitored the youth afterward. For the allegation that staff did not prevent a youth from urinating on the floor or another minor, one staff member interviewed stated that this incident did not occur. The interviewed youth stated that the urination incident did occur; however, LPA Martinez could not corroborate this report because the other youth involved declined to participate in an interview, and no records or other witnesses referenced such an event. Based on the interviews and records reviewed, the allegations are unsubstantiated. The available evidence does not show that staff failed to supervise or intervene during the altercation. The youth confirmed that staff were present, and staff gave consistent statements about reporting the incident, separating the youth, and increasing supervision. Collateral statements supported that staff are present in the home. For the urination allegation, there is no corroborating information to support the youth's statement, and the allegation could not be verified through staff interviews, records, or other available evidence. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 12/04/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation(s). On 07/21/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff do not prevent a minor from hitting another minor, Staff do not prevent a minor from urinating on the floor, Staff did not prevent a minor from urinating on another minor LPA Martinez investigated the above allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 12/04/2025

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

met_with: Samantha Combs


raw_content:
Narrative:
Certain files were reviewed such as the Client Roster, Staff Roster, Foster Children's Needs and Services Plan, staff training and other pertaining documents. All staff members denied the allegations. During confidential interviews it was revealed that the allegations did take place. Other interviews revealed the above allegations did not take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon the interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. A copy of this report was given to the above representative. No deficiencies were cited.

Investigation Findings:
13On February 2, 2026, at 3: P.M., Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced follow-up inspection at Walt's Home For Young Men Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegation. LPA met with Direct Care Staff, Myneisha Newton. LPA interviewed two clients on December 2, 2025; one client on December 10, 2025; one staff member on January 14, 2026; two staff members on January 26, 2026; one additional staff member on January 27, 2026; and County Social Workers (CSWs) on November 21, 2025, and December 8, 2025. One staff member was no longer employed by the STRTP and was unable to be interviewed (See Confidential Names, LIC 811, dated February 2, 2026). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Ashley Ruacho LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 02/02/2026

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

met_with: Myneisha Newton - Direct Care Staff


facility_name: WENDELL HOUSE

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
It was alleged that staff handled youth in a rough manner. Based on confidential interviews, staff handled C1 in a rough manner by grabbing C1 which resulted in both staff and client falling onto the floor. Based on records reviewed, this was an improper restraint. LPA conducted interviews with two clients. Two clients stated that the alleged allegation occurred. It was also alleged that staff speak inappropriately to youth. Based on a confidential interview, staff admitted to using profanity when clients are involved in altercations. Based on the observations, interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. Deficiencies are being cited in accordance with the STRTP Interim Licensing Standards Chapter 7. Version 3.1 section 87072(d)(11) Personal Rights (see LIC 9099-D). An exit interview was conducted and Plans of Correction were reviewed and developed with the licensee. A copy of this report and appeal rights were discussed and left with the administrator of the facility whose signature on this form confirm receipt of these documents.

Investigation Findings:
13On October 7, 2021 at 9: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 9/15/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and daily shift notes. LPA also requested copies of the LIC 500, staff contact information, staff daily shift schedule, staff trainings and restraint policy. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Staff 1 (S1) and Staff 2 (S2) on 7/29/21. Confidential interviews were also conducted with Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), on 10/4/21 (See Confidential Names List Form LIC 811 dated October 7, 2021). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/07/2021

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

met_with: Executive Director, Jaye Williams


raw_content:
Narrative:
It was alleged that staff encouraged youth to lie to law enforcement. It was also alleged that staff did not prevent youths from engaging in altercations. All five staff interviewed denied the above allegations. LPA conducted interviews with two clients. One client stated that the above allegations occurred, one client denied the above allegations and did not witness them. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On October 7, 2021 at 9: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 9/15/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and daily shift notes. LPA also requested copies of the LIC 500, staff contact information, staff daily shift schedule, staff trainings and restraint policy. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Staff 1 (S1) and Staff 2 (S2) on 7/29/21. Confidential interviews were also conducted with Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), on 10/4/21 (See Confidential Names List Form LIC 811 dated October 7, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/07/2021

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


raw_content:
Narrative:
During this investigation, LPA Gilmer learned that the minor placed with Wendell has a history of swallowing foreign objects. The minor is required and was provided one on one supervision because of his history of swallowing objects. In confidential interviews it was reported that (S7) was with the minor at the cash register when the minor purchased two lighters. The minor took the lighters back to the facility went into the restroom and swallowed one of the lighters. The minor's one-on-one initially stated the minor jumped out of the car while he stopped to let pedestrians pass and by the time, he got inside the store the minor had already purchased his items. During a follow-up interview,with (S7) stated he was with the minor at the cash registerer, but he wasn't all up in his face watching what he purchased. Other interviews disputes (S7 's) claim that the minor jumped out of the car. And reported that (S7 's) account isn't correct. Based on interviews that were conducted, LPA Gilmer finds the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated and the STRTP will be cited. Per the Title Section 80078(a) Responsibility for Providing Care and Supervision. It was the responsibility of (S7) to ensure the minor was safe and as a result of the lack of supervision the minor purchased the lighter while (S7) was present and later swallowed it. An exit interview was held during the exit interview the appeal rights.

Investigation Findings:
13On 10/26/21, at 2:35 pm Licensing Program Analyst (LPA) Humberto Flores conducted a follow-up complaint inspection to deliver the findings to the above allegation. LPA Flores met with the Jay Williams, Executive Director to discuss the complaint finding investigated by LPA Belinda Gilmer. During the investigation, LPA Gilmer reviewed and obtain copies of the following: Client's needs and services plan (NSP), facility communication log, register of facility client/residents' forms, personnel form, and special incident reports (SIRs). On 09/10/21, LPA Gilmer spoke with the complainant, on 09/13/21, LPA Gilmer spoke with the Administrator and facility staff, on 09/27/21, LPA Gilmer spoke with two other facility staff, on 09/30/21, LPA Gilmer spoke with the facility staff, on 10/01/21, LPA Gilmer spoke with the foster child's County Social Worker, and on 10/13/21, LPA Gilmer spoke with the victim and the victim's one on one (S7). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Humberto Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/26/2021

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

met_with: Jay Williams, Executive Director


raw_content:
Narrative:
The following allegations were made against the facility: Staff engaged in sexual behaviors in the presence of minors; staff intimidates minors; staff spoke inappropriately to minor; staff made minors feel uncomfortable, and staff did not report an incident to licensing. Confidential statements obtained during the investigation were unable to corroborate the allegations as there were no statements obtained to support the allegations. Facility staff denied witnessing or subjecting facility clients to any abuse. Facility staff also indicated that none of the clients has ever disclosed any abuse to them, and none of the clients has ever expressed that they were mistreated or bullied by any staff. Facility staff also denied that staff are engaging in sexual activities in the facility by either witnessing the activity or participating in the activity. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On January 13, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, LPA interviewed the former and current facility clients on 7/13/21, 9/14/21, and 1/13/22, facility administrator and facility staff on 1/13/22 (see Confidential Names Form dated January 13, 2022). LPA also reviewed documents on 6/17/21 and 1/12/22 including placing agency referrals, facility incident reports and placing agency service logs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 01/13/2022

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

met_with: Melissa Williams, Administrator


raw_content:
Narrative:
It was alleged that a staff member at the facility made inappropriate comments towards a client in care, telling them to act upon their suicidal ideations. In an interview conducted, one child stated that sometime between August 2021 and November 2021, a staff member stated that they should act upon their suicidal ideations in response to the child voicing their mental health struggles. The child stated that they understood the staff member may not have been seriously trying to get them to act upon their suicidal ideations, but that the comments were unprofessional and hurtful. In interviews conducted with two other children, both stated that they had not seen or heard of any staff members making those types of comments. One of the children elaborated and stated that the alleged victim did not get along with staff members, but that staff would never make comments like the ones alleged. In an interview conducted, the staff member that the allegations are centered upon denied making the comments. Two other staff members that were interviewed also stated that they had not seen or heard of any staff members making inappropriate comments like that towards clients in care. Staff members caught doing so would be immediately terminated from employment. Additionally, all staff members reportedly undergo personal rights training regularly. In an interview conducted, the child's mental health therapist stated that the alleged incident had not been reported to him by the client and that they had not seen or heard of any staff members making any types of comments like that towards clients in care. A review of records indicated that around the time that this incident allegedly occurred, there were at least two instances in which there were concerns regarding the client's mental health and possible self-injurious behaviors. In both instances, staff reportedly followed all proper procedures and obtained the assistance necessary to help the client through the situations. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to prove that the above allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a signed copy of this report, along with the Licensee's Appeal Rights (LIC 9058 01/16) was provided to the Licensee.

Investigation Findings:
13On February 04, 2022 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted a follow-up complaint inspection with the facility to deliver the findings of a complaint investigation concerning the allegation above. LPA discussed the finding with the facility representative named above. During the course of the investigation, LPA interviewed clients on 11/23/21, staff members on 11/23/21, 12/31/21, and 02/04/22. LPA also reviewed documents on 02/03/22 including but not limited to client admissions agreements, their Needs and Services Plans, and Special Incident Reports. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 02/04/2022

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

met_with: Executive Director Jaye Williams


raw_content:
Narrative:
The investigation revealed that African American male staff were racially profiled, identified as Jamaican and accused of selling marijuana to Ref. #1. The Administrator denied that there were any Jamaicans working at the facility. Interviews did not provide any names of staff allegedly selling marijuana. Ref. #1 denied that the CEO handled Ref. #1 in a rough manner and denied observing staff place their hands on any other clients. Considering that Ref. #1 denied a personal rights violation about being handled roughly there was no special incident to report. A review of previous interviews of Ref. #1 indicated that staff may be annoying or rude, but Ref. #1 made no comments of violation of personal rights. The LPA reviewed Special Incident Reports and Needs and Services Plans for Ref. #1. The investigation revealed that the P.O. had no concerns about the facility. It revealed that the P.O. made unannounced visits to the facility and indicated that the facility is good about reporting. The LPA was unable to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On April 9, 2022 at 11:45 a.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation. The LPA met with Administrator, Melissa Williams. On September 10, 2021, the Monterey Park Children's Regional Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews, that consisted of, but were not limited to the: Administrator at the facility on November 15, 2021, the client's (see Confidential Names, LIC Ref. #1 dated April 9, 2022) Probation Officer (P.O.) via telephone on March 23, 2022 and Ref. #1 at the facility on March 24, 2022. The investigation revealed that the allegation was denied by all the witnesses. The investigation revealed that Ref. #1 had gotten into trouble at school for smoking marijuana and based upon Ref. #1's admission had gotten caught by staff at the facility for attempting to smoke marijuana and had it confiscated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 04/09/2022

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

met_with: Melissa Williams


raw_content:
Narrative:
Investigator Rippe conducted confidential interviews of the following: Facility Personnel on 12/5/22, 12/20/22, 1/4/23, 2/8/23, 2/16/23, 2/21/23 and 3/1/23; Bakersfield Police Department (BPD) Detective on 1/9/23, three clients on 1/12/23, and the Facility Administrator on 3/1/23. Follow up interviews were conducted as needed, between 12/7/22 and 3/2/23. It was alleged that facility staff did not prevent client from being sexually abused while in care. Confidential interviews reveal that two incompatible clients were placed in the same bedroom as roommates. Issues related to difference in ages, behaviors and background information were discussed with the Administrator by multiple staff prior to placement of client (C1) at the facility (see Confidential Names Form dated 5/8/23). There was also a dangerous sexual propensity noted on the other client's (C2) Needs and Services Plan. Administrator still placed client (C1) with client (C2) in the same bedroom despite recommendation not to, citing that room changes would be too disruptive to other clients. There was no safety plan implemented. A few weeks after placement, client (C1) reported being sexually assaulted by client (C2). Details of the incident were disclosed by client (C1) to two staff and then later, to law enforcement. The incident was not reported by client (C1) right away due to threats made by the other client (C2). Administrator made room changes after the incident however, client (C1) was removed from placement. Other clients in placement were also removed after a report that client (C2) had inappropriately touched other clients in placement. Client (C2) denied the allegation. The Administrator denied being advised by any staff about the incompatibility of clients (C1 and C2). Other related parties gave consistent information when interviewed. Based on information obtained by Investigator Rippe from confidential interviews and records reviewed, there is a preponderance of evidence to support the allegation therefore, the allegation is substantiated. A deficiency citation is issued under California Code of Regulations (CCR) 80078(a) Responsibility of Providing Care and Supervision. This violation poses a potential health, safety, or personal rights risk to clients in care. A Plan of Correction was discussed with the facility representative. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099, LIC 9099-C, LIC 9099-D and LIC 811. Appeal Rights Forms were provided and explained. Per new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), a civil penalty determination is under review due to the substantiated allegation.

Investigation Findings:
13On May 8, 2023 at 10:00AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegation. The investigation was conducted by the Department's Investigations Branch (IB), assigned to Investigator Elisia Rippe. The investigation into the allegation includes the following: On 12/5/22, Investigator Rippe conducted an inspection at the facility and obtained an in-house incident report, staff schedule and client roster. Special Investigator Assistant (SIA) Monica Lopez requested for a copy of the police report on 12/5/22 and the Child Welfare Services (CWS) report pertaining to the allegation and medical reports on 12/6/22. On 12/7/22, LPA Joshua Rarela completed a file review which includes the emergency referral report, incident report, law enforcement contact reports and history of complaints; the reports were provided to IB. Additional pertinent records were requested and obtained by IB from the facility and other agencies on various dates between 12/7/22 to 3/2/23. All records obtained were reviewed by Investigator Rippe. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 05/08/2023

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged staff threatened resident with physical violence. Staff had similar statements and denied the allegation. Staff stated that one child has threatened staff and other children in the home, however staff denied that any staff threatened a child with physical violence or observed anyone being violent with any child. Interviews conducted with children had similar statements and denied the allegation. Children stated that they did not hear any staff threaten any children. One child stated they recalled hearing a story from another child of a staff making threats, however, child was unable to identify what staff and refused to speak of what child made statement. It was also alleged, staff called resident degrading names. Staff had similar statements and denied the allegation. Staff stated that they do not call children degrading names but have been called degrading names by children. Staff stated that some children use foul language and that it is protocol to redirect children to use better words when speaking to peers and staff. Children also had similar statements and denied the allegation. Children stated that they did not recall anyone calling them out of their name or anyone making derogatory statements. One child stated that they heard of a staff calling someone out of their name but was unable to identify which staff, when and where statement was made or in what context. Documents reviewed identified no issues with staff invoking physical violence or calling anyone a derogatory name. Although the allegations may have happened or may be true there is not a preponderance of evidence to support that the allegations did or did not happen. Therefore, this complaint is being closed Unsubstantiated. Exit interview was completed, no deficiencies cited, and a copy of this report was emailed to Administrator for review and signature.

Investigation Findings:
13On 6/7/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Wendell House facility for the purpose of delivering findings to the above identified complaint investigation. LPA met with Administrator and discussed the above findings. Investigation consisted of the following: On 4/13/ LPA met with and interviewed Director, two (2) facility managers and one (1) child. LPA obtained copies of current staff/ client roster, 2 incident reports, contact notes. LPA requested copies of three (3) children's needs and service plans, intake packet including the house rules, and any complaints or incidents regarding children being threatened or initiating or enticing fights with children or staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 06/07/2023


raw_content:
Narrative:
Based on the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon interviews, the complaint findings are unsubstantiated for all allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On June 20, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Wendell House STRTP with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Johnny Watson, Continue Quality Improvement Manager, and discussed the findings. During the complaint investigation, LPA Lofton conducted confidential interviews with clients, facility staff, and social workers. LPA was provided with information denying the allegation during these interviews. Facility clients and staff reported that C1 was acting aggressive towards staff and clients. It was also reported that C1 doesn't like being re-directed when behaving inappropriately. All the interviewed facility clients denied the allegations. It was reported that C1 is disrespectful towards the staff and always makes everything an issue. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 06/20/2023

met_with: Johnny Watson- CQI Manager


raw_content:
Investigation Findings:
13On July 19, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Wendell House with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Juan Aguayo,Facility Manager and discussed the findings. During the complaint investigation confidential interviews were conducted with clients, facility staff, and social workers. The allegation was denied by multiple interviewed parties. It was reported Client #1 (C1) called the crisis line just because he doesn't get his way. The investigation did not reveal that any of the facility's staff members spoke inappropriately to any of the clients. An interviewed party, reported C1 reported being spoken inadequately by a staff member, however the information might not be accurate due to C1's behavioral pattern. It was also reported that C1 uses available resources to manipulate his way. All the interviewed facility clients denied the allegations. Based on the information obtained during the investigation and interviews, it cannot be determined whether the above allegation occurred, the complaint findings are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the allegation occurred. No deficiencies were cited. Exit interview was conducted. A copy of this report was emailed to the above-named facility staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton 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

met_with: Juan Aguayo- Facility Manager


raw_content:
Narrative:
Based on the information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. An exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On September 28, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit to Wendell House with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Juan Aguayo, Facility Manager, title, and discussed the findings. During the complaint investigation, LPA Lofton conducted confidential interviews with facility staff, clients and social workers. During the conducted interviews, facility staff and clients denied the allegation. Facility staff reported they try to monitor the clients to the best of their abilities by spreading themselves around the facility. Clients reported that when they are all in their rooms, a staff member usually sits in the hallway. Interviewed County Social Workers (CSW) reported not having any complaints with supervision at the facility. No corroboration of the complaint allegation happened by the complainant or witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 09/28/2023

met_with: Juan Aguayo-Facility Manager


raw_content:
Narrative:
This is a violation of the STRTP Interim Licensing Standards Chapter 7. Version 5 regulation 87072 (c)(1) To live in a safe, healthy, and comfortable home where they are treated with respect. If the child is an Indian child, to live in a home that upholds the prevailing social and cultural standards of the child's Indian community, including, but not limited to, family, social, and political ties. The specific violation was noted when the staff member (S3) admitted to making an inappropriate comment toward C1," Why don't you do us all a favor and go kill yourself" Statements obtained from S2 and C2 confirmed that the incident did indeed occur. If not corrected, it will have a direct and immediate risk to the health and safety of the children in care. Therefore, the above allegation is substantiated. The STRTP was cited, and a plan of correction was initiated. Appeal rights were provided and discussed with Mrs. Williams A copy of the report and the Confidential Name List (LIC811) dated February 9, 2024, was provided to the STRTP representative, and an exit interview was conducted.

Investigation Findings:
13On February 9, 2024, at 5: PM, Licensing Program Analyst (LPA) Karen McGee conducted a follow-up inspection at the above facility. During the inspection, LPA met with the Short-Term Residential Therapeutic Program (STRTP) Administrator, Melissa Williams, to discuss the finding for the above complaint allegation. The purpose of the inspection was to deliver the findings of the complaint investigation. The investigation of the above allegation was conducted by LPA Moroney, which consisted of but was not limited to a review of records including the client's needs and services plans, interviews with two staff members on 9/14/23, and C2 on 8/18/23. No statements were obtained from C1, C3, and C4 due to clients declining to provide a statement to LPA. (Reference Confidential Names Form LIC 811, dated February 9, 2024). Confidential statements and admission from S3 and a witness statement from S2 revealed noncompliance with (STRTP) Interim Licensing Standards Regulation Personal Rights. (cont'd) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 02/09/2024

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


raw_content:
Narrative:
LPA Mahecha reviewed documents submitted by facility and support agencies. Investigation revealed the following: It was alleged staff do not treat minors with respect. Interviews conducted with staff were similar in that all staff denied the allegation. Staff stated that children are treated with respect, dignity, and equality. Staff stated that children often are disrespectful towards staff, but children are redirected and encouraged to treat everyone kindly. Staff denied receiving reports of anyone complaining that staff were being disrespectful towards them. Interviews with children were similar in that children denied being treated disrespectfully at the home. One child stated that a staff that did treat them disrespectfully no longer worked at the facility would lie on them but denied that current staff treated anyone disrespectfully. It was also alleged facility does not have enough food for minors in care. Interviews conducted with staff were similar and staff denied the allegation. Staff stated that executive director goes grocery shopping on Tuesdays and buys ample food for all children in care. Additionally, if facility runs low on food staff will notify director and director will bring food when requested. Staff stated children are encouraged to participate in meal prep and cooking and have received no complaints regarding food being limited in the facility. Interviews conducted with children was similar in that children identified no issues with food or food amounts in the facility. Interviews with parole and county social workers identified no issues with the facility or children being placed in the facility. Documents reviewed identified no issues or concerns with staff being disrespectful towards children or facility not maintaining proper amounts of food. During initial inspection LPA McGee toured facility and observed ample food for children in care. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 8/7/ Licensing Program Analyst (LPA) Johanna Lofton made an unannounced visit to the Wendell House Short Term Residential treatment program (STRTP) on behalf of LPA Dawn Mahecha for the purpose of closing the above complaint investigation. LPA met with Administrator and discussed the above complaint investigative findings. Investigation consisted of the following: On 2/9/ LPA Karen McGee made an unannounced initial visit to facility and conducted the following initial inspection. The LPA observed the food supply at the facility. The LPA observed that staff was cooking dinner, Chicken Alfredo, when the LPA arrived. The LPA observed fruit, bananas, and tangerines on the kitchen counter. The LPA observed food in the pantry, cabinets, and refrigerator in the kitchen. The LPA observed two refrigerators of food in the garage, one is refrigerator is being decommissioned. The LPA observed more than sufficient perishable and non-perishable food at the facility. Between 6/18/2024 and 7/24/ LPA Elnora Smith interviewed staff, children, and witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 08/07/2024

met_with: Melissa Williams-Administrator


raw_content:
Narrative:
There are three to four staff on each shift except over night shift. The facility has adequate staffing in all shifts to provide supervision of clients. It was alleged staff are not preventing minors from smoking marijuana while in care. Staff denied the allegation. Staff stated clients are not allowed to smoke or have possession of any drugs in the facility. When staff become aware of clients using or smoking paraphernalia either by observance or smell, staff request the clients to surrender the contraband. Staff encourage clients not to smoke marijuana and remind them about dangers and long-term effects of substance use. Clients are informed house rules of drugs during their intake process. It was alleged staff are not ensuring that minors receive services as necessary. Staff denied the allegation. Staff stated that clients are receiving all services. Clients are assessed and based on the NSPs, they are provided services accordingly. Clients attends in house therapy and Child Guidance Center. It was alleged staff verbally abuse minors in care. Staff denied the allegation stating that all clients are treated with respect. Staff heard clients make inappropriate comments to each other, but staff never heard speaking inappropriately to any clients. It was alleged staff force clients to stay in their rooms for an extended period of time. Staff denied the allegation. Staff stated clients are the ones who want to stay in their rooms. Staff stated clients are asked to stay in their room to calm down if they are exhibiting aggressive behaviors. Clients are never force to stay in their rooms. It was alleged facility not meeting the needs of clients in care. Staff denied the allegation. Staff stated that all the staff attend training regularly. The facility has adequate staffing to provide and meet clients needs. It was alleged clients are allowed to smoke weed. Staff denied the allegation. Staff stated clients are not allowed to smoke or have possession of any drugs in the facility. (cont.) When staff become aware of clients using or smoking paraphernalia either by observance or smell, staff request the clients to surrender the contraband. Staff encourage clients not to smoke marijuana and remind them about dangers and long-term effects of substance use. Clients are informed house rules of drugs during their intake process. It was alleged client treatment plans not followed. Staff denied the allegation. Staff stated that clients receive updated needs and services monthly, and children and family team meetings are conducted regularly. It was alleged staff are under the influence while transporting clients in care. Staff denied the allegation. Staff stated that they have never observed anyone to be under the influence caring for the children. Staff stated that there have not been any incidents occurred while transporting clients. Staff stated if there was any incident, it is documented and reported to social workers, and CCL. It was alleged the licensee does not ensure oversight and general supervision of the facility. Staff denied the allegation. Staff stated that they have adequate staffing in all shifts and have enough staff to meet the needs of the clients. The LPA was unable to obtain any statements from three clients as they declined to be interviewed. The statements obtained from the confidential interview with one client did not provide sufficient information to corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On January 16, 2024, at 2: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to the facility above to deliver the findings of a complaint investigation. LPA Suh met with representative and discussed the findings to above identified allegations. The investigation included confidential interviews that consisted of but were not limited to: Jaye Williams, Executive Director; Melissa Williams, Administrator; three staff, and one client on June 6, 2024. LPA was unable to interview three clients (see Confidential Names LIC811, dated January 16, 2024) as they declined to be interviewed. LPA obtained reviewed following documents: current staff/client roster, clients Needs and Services Plans (NSPs), Child and Family Team Meetings (CFTMs), and house rules. It was alleged staff do not ensure a safe environment for minors in care and staff are not adequately supervising minors in care. Staff denied the allegation stating clients are always supervised. When clients are in their rooms, staff ask them to leave door open so they can be supervised. (cont.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 01/16/2025

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

met_with: Desiree Gonzalez, Facility Manager


raw_content:
Narrative:
On October 30, 2024, the Department received a complaint report alleging that staff S2 physically assaulted client C1. It was further alleged that S2 spoke to C1 in an inappropriate manner. LPA's investigation revealed that on October 26, 2024, at or around 5 p.m. through 6 p.m., C1 was eating dinner at the table along with S2 and S3, when C1 called S2 a "fat bitch." This resulted in S2 reacting by pushing C1's face down into his plate of food, which busted C1's lip. C1 called S2 a "bitch" again, which resulted in S2 flipping a couch over that C1 was on, with C1 bumping his head on a wall. C1 called S2 a "bitch" again, causing S2 to lift C1 by his shirt, pinning him against a wall. After C1 showered, he saw S2 and told him "your girlfriend sounds like a man," which resulted in S2 throwing a bottle of water at C1. C1 ran to the bathroom, with S2 flinching at C1, then telling C1 "if you come out of that bathroom, I'm going to make you shit yourself." C1 then ran into C2's room, where S2 picked him up by hugging his legs, and carried him out, bumping C1's head on the thermostat, before setting C1 down in his own room. C1 was offered first aid and medical attention, which were both refused. Confidential interviews, provided consistent statements that corroborated the allegations. Based on LPA's interviews which were conducted and record reviews, including an Incident Report dated October 27, 2024 and a Suspected Child Abuse Report (SCAR) dated the same, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title STRTP Interim Licensing Standards Chapter 7.5 (Version 5), Article 06. Continuing Requirements 87072(c)(16), Personal Rights, are being cited on the attached LIC9099-Ds. The resolution to this complaint was discussed with the facility staff representative. A signed copy of all licensing reports were provided to facility representative. An exit interview was conducted. Appeal rights were given and explained.

Investigation Findings:
13On February 24, 2025, at 12:15 p.m., Licensing Program Analyst (LPA) John Bonilla conducted a follow-up complaint investigation at Wendell House, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegation. LPA met with Melissa Williams, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 02/24/2025

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


raw_content:
Narrative:
On January 6, 2025, the Department received a complaint alleging that staff used an inappropriate form of restraint with a minor in care. It was further alleged that the STRTP did not comply with reporting requirements. LPA's investigation revealed that C1 did yell at S1 and pushed S1 out of the room and continued to pursue S1. S1 reacted by grabbing hold of C1's forearms, and sweeping C1's leg, causing C1 to go to the floor during the encounter. S1 has not completed his Managing Aggressive Behavior (MAB) training, the intervention training that the facility has been approved for. Per the facility, employees who are not certified are not to restrain clients. C1's case plan calls for employees equipped in this training. Document review of the Incident Report (IR) submitted by the STRTP revealed that the IR did not contain specific information required by Interim Licensing Standards (ILS) for incidents documenting the use of manual restraints Confidential interviews indicated that a restraint of C1 occurred, whether out of self-defense or otherwise. Based on LPA's interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title STRTP Interim Licensing Standards Chapter 7.5 (Version 5), Article 10. Application Procedures 87095.22(j), Emergency Intervention Plan, and Article 06. Continuing Requirements 87061(i)(7)(A)(C) being cited on the attached LIC9099-D. The resolution to this complaint was discussed with the facility staff representative. A signed copy of all licensing reports were provided to facility representative. An exit interview was conducted. Appeal rights were given and explained. This is an amendment of a report originally delivered 04/11/25, delivered on 05/02/25 by LPA Bonilla. On January 6, 2025, the Department received a complaint alleging that staff engaged in a physical altercation with a minor in care. It was also alleged that staff antagonize the minor in care, with staff not leaving him alone while client was having a crisis. It was alleged that staff did not report an incident involving minor in care as necessary. Furthermore, it was alleged that staff do not accord respect to minor(s) in care, entering the client's room and not leaving. LPA's investigation revealed that on January 2, 2025, client C1 was having a rough day, by his own account and by account of all others interviewed. Staff (S1) did approach C1 and was asked to leave. As S1 left, C1 pushed S1, with C1 engaging into physical contact with staff, who sought to avoid confrontation. Staff denied provoking the altercation, and stated that he was only trying to de-escalate the client's already tense mood, and left when asked. Staff state that they treat all clients with respect. Staff stated that they do not antagonize the clients. Confidential interviews provided conflicting information, neither corroborating nor refuting allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Administrator. Appeal rights provided. This is an amendment of a report originally delivered 04/11/25, delivered on 05/02/25 by LPA Bonilla.

Investigation Findings:
13On April 11, 2025, at 10:45 a.m., Licensing Program Anlayst (LPA) John Bonilla conducted a follow-up complaint investigation at Wendell House, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegations. LPA met with Melissa Williams, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 04/11/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2021, at 10:15AM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection at Wendell House Short Term Residential Therapeutic Program (STRTP) and met with Melissa Williams, Administrator. The purpose of the inspection was to inspect the facility floor plan and records. LPA Flores and Melissa Williams toured the facility inside and outside. Overall the facility is clean and in good sanitary condition. The LPA Flores observed that the facility has 3 bedrooms. The passageways and entries are unobstructed. There is no swimming pool or body of water. The disinfectants and cleaning solutions were inaccessible to the children. The STRTP representative stated that there are no firearms/dangerous weapons. Facility has non-perishable foods for one week and perishable foods for two days. Facility provides, between meal, nourishment or snacks. Medications are locked and accessible only to employees supervising stored medications. The temperature in the rooms that clients occupy are maintained between 68 and 85 degrees (F) and the hot water temperature was at 106 degrees (F). cont.# The carpet of the facility has stains and black spots. The facility representative stated that the last time that it was cleaned was on February 2021, and that it is difficult to conduct the cleaning with the children in the facility because due to the noisy of the cleaning equipment. The facility representative disclosed that there are no many places where the children can be taken while the carpet is been cleaned. Jay Williams stated that the carpet will be clean on Friday 7/16/21. LPA Flores observed that in Room #1 both beds were not made up and items were on the floor. In Room #3 (Master Bedroom) there is a bathroom that is been used by staff and other children in the facility. LPA Flores informed Melissa Williams that according to Interim Licensing Standards (ILS) 3.1, Section 87087 (b) (5) No bedroom shall be used as a public or general passageway to another room, bath or toilet. An Advisory Note / Technical Violation was issued. Child Record: LPA reviewed a child's file. The file contain record of client's admission agreement, medical assessment, consent forms, weight record, identification emergency information, appraisal and needs and services plan, immunization record, safeguards for property/valuables, personal rights form and cash resource information. The Medical Assessment form says "no results" for the tuberculosis test. Melissa Williams stated that the child's physician will be contacted to obtain a copy of the test. cont.# Staff Record: An employees' file was reviewed. The file contain the following documentation: First Aid Certificate, Department of Justice (DOJ)/Federal Bureau of Investigation (FBI) criminal record clearances, education verification, personnel record, health screening, criminal record statement, employee rights and tuberculosis test. A copy of this report, LIC858, LIC859 and LIC9102 were provided to the STRTP representative. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/4/2021 at 9:00 am, Licensing Program Analysts (LPAs) Jenny Mundo and Pamela Silva conducted an SB (Senate Bill) Psychotropic Medication Inspection and met with Melissa Williams, the facility Director/Administrator. Currently, there are four (4) clients placed at the facility. One (1) of the four (4) clients is taking psychotropic medications and is placed by Kern County Department of Human Services (DHS). LPAs conducted a facility tour with the Director/Administrator at 9: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. LPAs reviewed the facility's Program Statement. LPAs reviewed one (1) client's file and three (3) staff files. LPAs interviewed two (2) staff. LPAs were unable to interview one (1) client due to client not being at the facility. LPAs conducted an exit interview. No deficiencies are being cited at this time. LPAs provided one (1) Advisory Note - Technical Assistance (LIC 9102TA). A copy of this report was provided to the facility representative along with Confidential Names list (LIC 811).


summary: Facility Evaluation

raw_content:
Narrative:
On November 30, 2021, at 11:25AM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, at Wendell House Short Term Residential Therapeutic Program (STRTP) and met with Jay Williams. The purpose of the inspection was to gather information about the below incident reported via Special Incident Report (SIR). On 04/01/2021, the STRTP reported that Children Ref #1 (C1) and Ref #2 (C2) (see Confidential Names form LIC911 dated 11/30/2021) got in an altercation due to C1 was being loud and disruptive inside room #1, that C1 and C2 shared together. LPA Flores investigated the incident and interview Jay Williams. A review of the Children's files was conducted, and copies were made upon request. The statement and documentation obtained revealed that C1 was yelling, cursing and slamming the door of room #1, C2 was not able to take a nap. Staff Juan Aguaya and Maricela Vargas intervened to de-escalate both children. C1 got into C2's face and challenged him to "do something about it". cont.# C1 pushed Staff Juan Aguaya and Shontera Dixon to the bed, C2 threw a cellphone and frozen bottle of water at C1's direction and Staff Maricela Vargas was hit on the face. Staff Maricela Vargas required medical attention due to injuries on her face. C1 was discharged on 05/27/2021, and C2 on 08/16/2021. Staff Maricela Vargas resigned on 03/11/2021. No further inspection is needed. No citation was issued. A copy of this report and LIC811 was provided to the facility representative. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On February 9, 2022, at 10:30AM, Humberto Flores, Licensing Program Analyst (LPA), conducted an unannounced Case Management Inspection, at Wendell House Short Term Residential Therapeutic Program (STRTP) and met with Melissa Williams. The purpose of the inspection was to review files. On 04/01/2021, the STRTP reported that Children Ref #1 (C1) and Ref #2 (C2) (see Confidential Names form LIC911 dated 11/30/2021) got involved in an altercation due to C1 was being loud and disruptive inside room #1, that C1 and C2 shared together. On 11/30/21, LPA Flores conducted the initial investigation and the initial findings for this incident were delivered. Additional documentation from the children's files, for this inspection, was needed and collected today 02/09/2022. The STRTP representative stated that Staff Maricela Vargas submitted a worker's compensation claim to request time off work in order to recover and fully healed the injury. No further inspection is needed. No citation was issued. A copy of this report and LIC811 was provided to the facility representative.Exit interview conducted.