raw_content:
Narrative:
was reported that S2 walked into C1's bedroom and demanded to take a picture of their bed and it was explained that C1's child was asleep on the bed and S2 yelled at C1 they need to take the picture and left the room and as S2 walked towards an open door, S2 slammed the door in C1's face. Confidential interviews revealed conflicting statements. Regarding the allegation, that staff did not ensure that a client in care has clothing to meet their needs. It was reported that C1 needed new clothing, due to their clothing no longer fitting. Confidential interviews indicated that clothing shopping was scheduled on the weekends and C1 ran away from the facility on three separate occasions. Confidential interviews indicated that the facility encouraged C1 to remain at the facility so they could go clothing shopping, however, they continued to be absent from the facility on the weekends. Records reviewed could not confirm the dates of the clothing shopping trips. LPA was unable to confirm C1's clothing on both inspection dates. Thus, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that C1 was not treated with dignity and respect by staff and staff did not ensure that C1 has clothing to meet their needs, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report and appeal rights were provided to Hilary Aquino. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 24, 2026, at 3:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Senior Residential Counselor, Hilary Aquino, to discuss the investigative finding for the allegations noted above. LPA conducted an inspection of the facility on January 26, 2026, at 1:00 pm and LPA observed bedroom #3 did not have sheets on the twin sized bed and had cereal and crackers on the floor and LPA observed bedroom #1 had a toddler bed had a mattress pad, however, did not have a bottom sheet, top sheet, and/or blanket on the toddler bed. LPA interviewed three Clients (C1-3), three Staff (S1-2, S6) and LPA was unable to interview two Staff (S3-4), despite multiple attempts to contact them. LPA reviewed the facility documents during the investigation. On January 16, 2026, Community Care Licensing (CCL) received allegations that client was not treated with dignity and respect by staff and staff did not ensure that a client in care has clothing to meet their needs. It UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: MARY'S SHELTER - HOUSE 2FACILITY NUMBER: VISIT DATE: 04/24/2026

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

met_with: Hilary Aquino


state: CA

facility_name: MARY'S SHELTER - HOUSE 2

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on confidential interviews and the allegation that S2 spoke inappropriately to C1 is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the Interim Licensing Standards STRTP 87072(c)(15) Personal Rights. An exit interview was conducted with Christie Anderson. A copy of this report, LIC 811, and appeal rights were provided to Christie Anderson. A copy of this report will be placed in the facility file.

Investigation Findings:
13On April 28, 2026, at 3:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Residential Program Manager, Christie Anderson, to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on January 26, 2026. LPA observed violations of Fixtures, Furniture, Equipment and Supplies, and Buildings and Grounds, which the facility was cited for on April 24, 2026. LPA interviewed one Client (C1) and three Staff (S1-3). LPA reviewed the facility documents. On January 23, 2026, Community Care Licensing (CCL) received an allegation that staff spoke inappropriately to minor in care. It was reported that during an exchange between C1 talking to S2, S2 turned away from C1 and said, "that was fucking rude." Confidential interviews indicated C1 was talking to S2 about leaving for an appointment and was upset over not leaving for the appointment. Confidential interviews indicated S2 turned away from C1 and said, "that was fucking rude." SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: MARY'S SHELTER - HOUSE 2FACILITY NUMBER: VISIT DATE: 04/28/2026

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

report_type: Complaint Investigation

met_with: Christie Anderson

complaint_status: SUBSTANTIATED


facility_name: MAYWRIGHT GROUP HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
not receiving therapeutic services as required, and C1 is not attending school regularly. Specifically, it was reported the STRTP lacks supervision for clients as clients are allowed to stay out past PM. It was also reported C1 is not receiving therapeutic services due to therapist availability issues and facility never notified C1's CSW of this. It was also reported that C1 did not attend school for a month. Several witnesses corroborate that therapeutic services were minimized due to service providers having COVID19 and also STRTP clients declining services. Facility provided LPA verification of mental health treatment service logs which demonstrate weekly services provided to C1 or C1 declining services. Staff confirmed therapist was out with COVID19 on occasion but provided LPA information about staff-led "groups" that were provided to clients in the meanwhile. Finally, staff confirmed C1 was not in school for almost three months, however, facility provided emails from school district corroborating efforts being made to enroll C1 in school, however, the facility had to wait for a school to accept C1 as several had denied enrollment. Several confidential interviews corroborate the allegations are "not true" and corroborate that staff are always supervising clients in the home and some clients are approved by their county social workers to take community walks that can last anywhere from 15 minutes to 1 hour depending on the client. Facility confirms the clients are not generally out past PM, but on occasion, clients may return late. Facility provided LPA with corroborating documentation of this information. Facility took action in each of the allegations reported and followed standard protocol. While a witness maintains these allegations occurred, the majority of all confidential interviews corroborate the information provided by facility. Based on interviews conducted and information obtained, the allegations that staff do not provide adequate supervision, C1 is not receiving therapeutic services as required, and C1 is not attending school regularly, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to Mr. Clifford Moss for signature. Signed report will be placed in facility file.

Investigation Findings:
13On April 29, 2022, at 8: AM, Licensing Program Analyst (LPA) Carmen Escobar made contact at the facility with Short-Term Residential Therapy Program (STRTP) acting facility manager (FM) Clifford Moss. LPA Escobar conducted a facility risk assessment interview with FM and proceeded to issue the investigative findings for the above allegations. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), and client 3 (C3's) files including placement agreements, copy of C1's most current needs and service plan, special incident reports involving C1, C2, and C3, verification of mental health services for clients, and visitation documents for clients. LPA also obtained a copy of the facility's client roster. LPA Escobar conducted interviews with the FA, staff 1 (S1), staff 2 (S2), C1, C2, and C3, C1 and C2's county social worker (CSW) and another involved party. LPA Escobar completed the initial ten-day inspection to initiate the complaint with the facility on 10/21/21 at 2: PM, no health or safety concerns were observed. It was alleged that on or around 10/15/21 staff do not provide adequate supervision, C1 is UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 04/29/2022

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

met_with: Facility Manager-Clifford Moss

complaint_status: unsubstantiated


raw_content:
Narrative:
before being enrolled in school, C1 is constantly late to school, and facility is non-responsive to school regarding C1. Specifically, it was reported that C1 is late for school almost on a daily basis. When addressed with C1, it was reported C1 is late to school due to staff being late each morning during shift change. Additionally, C1 was at the facility for over a month before being enrolled in school. Staff confirmed C1 was not in school for about a month, however, facility provided emails from school district corroborating efforts being made to enroll C1 in school. The facility had to wait for a school to accept C1 as several had denied enrollment. Finally, it was also reported a confidential witness has reached out to the facility "time after time" regarding C1's school attendance and school concerns and the facility has not called back or made any effort to communicate with involved party. While a witness maintains this occurs, all other witnesses corroborate clients, including C1, are not late to school because of staff, rather, are late because clients refuse to wake up for school. Several witnesses corroborate staff will provide verbal direction for clients to get up, however, clients refused to get up for school. Facility provided LPA with corroborating documentation of this information in the daily log. Finally, while a witness maintains staff has made no effort to be in communication with C1's school, the majority of all confidential interviews corroborate the facility took a few weeks to get into the habit of being in constant communication with schools, however, once facility began with more communication, the facility has stayed on top of everything and make a constant effort to update schools and county social workers if anything comes up or needs to be addressed regarding clients. Several confidential witnesses confirm the facility is "doing what it needs to do" for clients in their care. The confidential witnesses corroborate they do not like to get up for school and neither did C1 at the time; this always made clients late to school. Other witnesses maintain the facility did not communicate well at first, but within a few weeks, had everything together and have been doing a great job since then regarding client communication with both schools and CSWs. Based on interviews conducted and information obtained, the allegations that C1 was at facility for an extended period of time before being enrolled in school, C1 is constantly late to school, and facility is non-responsive to school regarding C1, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to Mr.Clifford Moss for signature. Signed report will be placed in facility file.

Investigation Findings:
13On April 29, 2022, at 9: AM, Licensing Program Analyst (LPA) Carmen Escobar made contact at the facility with Short-Term Residential Therapy Program (STRTP) facility manager (FM) Clifford Moss. LPA Escobar conducted a facility risk assessment interview with FM and proceeded to issue the investigative findings for the above allegations. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), and client 3 (C3's) files including placement agreements, copy of C1's most current needs and service plan, special incident reports involving C1, C2, and C3, documentation of communication with client's schools, and communication records for clients. LPA also obtained a copy of the facility's client roster and school attendance records for clients. LPA Escobar conducted interviews with the FA, staff 1 (S1), staff 2 (S2), C1, C2, and C3, C1 and C2's county social worker (CSW) and another involved party. LPA Escobar completed the initial ten-day inspection to initiate the complaint with the facility on 10/21/21 at 3: PM, no health or safety concerns were observed. It was alleged that on or around 10/20/ C1 was at facility for an extended period of time UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 04/29/2022

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

met_with: Facility Manager (FM) Clifford Moss


raw_content:
Narrative:
During investigation confidential interviews reported that staff make multiple attempts to wake up clients for school each morning however, there are times when clients refuse to attend school. Confidential interviews also stated that staff report school refusals on incident reports and when needed staff conduct meetings with the client's county social worker to discuss alternative options. Other confidential interviews reported that clients do not attend school for different reasons and stated that staff are okay with it. During LPA's visit to the STRTP two out three clients were not at school as required and clients reasons for missing school were not clear. Other Confidential interviews stated that school truancies result in termination of placement for not following program expectations. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegation that staff do not ensure that clients attend school on a regular basis, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager, Philip Roberts

Investigation Findings:
13On March 14, 2023, at 10: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Maywright Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above stated allegations. LPA was met by Facility Manager, Philip Roberts. LPA Carmen Escobar conducted an inspection of the facility on September 8, 2022, at 4: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's staff and client files. LPA Urena interviewed three of five clients (C1, C2, C3,) and two staff members, Facility Manager (FM) and Case Manager (CM). Two clients involved (C4, C5) could not be reached for an interview. On August 31, 2022, Community Care Licensing (CCL) received a complaint alleging that staff do not ensure that residents attend school on a regular basis. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 03/14/2023

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

met_with: Facility Manager, Philip Roberts


raw_content:
Narrative:
During investigation confidential interviews reported that C1 returned to the STRTP from an absent without leave (AWOL) and was under the influence. Confidential interviews further stated that C2 did hit C1 while in care resulting in injuries despite staff efforts to stop the physical altercation. Another confidential interview denied that C1 was involved in an altercation with C2 but stated that C1 was hit, and injuries were sustained during an altercation involving an unknown client. Confidential interview further stated that C1 refused medical attention for the injuries sustained. Other confidential interviews reported that C1 was taken out of the STRTP by law enforcement to the hospital following the altercation with C2. An incident report dated September 3, 2022, was obtained which confirmed that an altercation did occur between C1 and C2 which resulted in C1's injuries. LPA received inconsistent information regarding whether or not staff present did enough to prevent C1 from being hit while in care. Based on confidential interviews, and record review the allegation that staff did not prevent a minor from hitting another minor while in care, and that staff did not seek timely medical attention for a minor, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager, Philip Roberts.

Investigation Findings:
13On March 14, 2023, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena conducted an unannounced visit at Maywright Short Term Residential Therapeutic Program (STRTP) to deliver the findings of the above stated allegations. LPA was met by Facility Manager, Philip Roberts. LPA Carmen Escobar conducted an inspection of the facility on September 8, 2022, at 4: PM and no immediate deficiencies were observed. Additionally, LPA Escobar collected pertinent documents from the STRTP's program staff and client files. LPA Urena interviewed three of five clients (C1, C2, C3,) and two staff members, Facility Manager (FM) and Case Manager (CM). Two clients involved (C4, C5) and C1's County Social Worker could not be reached for an interview. On September 7, 2022, Community Care Licensing (CCL) received a complaint alleging that staff did not prevent a minor from hitting another minor while in care, and that staff did not seek timely medical attention for a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 03/14/2023

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


raw_content:
Narrative:
staff. Confidential interviews stated that contraband was removed by staff before FM returned tin box to C1. While other confidential information received by Licensing Office stated that allegations had occurred, and that contraband was not removed from tin box before being returned to C1. There were no other known witnesses to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegation that staff are providing contraband to minors, more specifically that staff provided a vape pen and a lighter to Child # 1 (C1), may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Robert Phillips to discuss the investigative findings for the above stated allegations. LPAs Carmen Escobar and Cynthia Urena conducted an inspection of the Facility on November 22, 2022, at 9: AM and on June 02, 2023, at 10: AM. No immediate hazards were observed. LPA Urena interviewed three of four foster children (C2, C3 & C4), Facility Manager (FM), Facility Administrator (ADM), as well as reviewed facility and client records. LPAs Urena and Mena were unable to interview Child # 1 (C1) regarding allegations due to their current whereabouts being unknown. Community Care Licensing received information on November 15, 2022, alleging that staff are providing contraband to minors, more specifically that staff provided a vape pen and a lighter to Child # 1 (C1). Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. LPA Urena obtained conflicting information during interviews. Confidential interviews denied allegations that Facility Manager (FM) or any other staff have ever provided clients with any vape pens, drugs, or contraband. According to confidential information, incident mentioned in the complaint allegation occurred when tin box containing a vape pen and a lighter belonging to C1 were confiscated by UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 10/06/2023

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

met_with: Phillip Roberts


raw_content:
Narrative:
Regarding the allegation of staff is giving illegal substances to minors in care, a confidential witness reported that staff was providing illegal substances (speed and marijuana) to minors in care. Multiple confidential witnesses denied that staff would give minors in care illegal substances. Details from confidential interviews stated that they had not witnessed staff giving illegal substances to minors in care. Confidential interviews stated that staff would confiscate illegal substances from minors in care when found. Further details gathered stated that staff would check minors in care for illegal substances at the facility, specifically, when returning from being absent from care. Additional details from confidential interviews stated that minors in care were able to obtain illegal substances, however, it was not from facility staff. Regarding the allegation that minors are doing drugs at the facility, a confidential witness reported that minors are doing drugs at the facility. Confidential interviews denied that minors in care are doing drugs at the facility. Details gathered from confidential interviews stated that minors in care are aware of the facility being drug free and staff had procedures in place to ensure that minors in care were not doing drugs at the facility. Additional details from confidential interviews stated that they had witnessed minors in care doing drugs at the facility. If a minor in care was caught doing drugs at the facility, staff would follow reporting procedures and 14-day removal polices to address these behaviors. Other confidential interviews stated that if minors in care did do drugs, they would do them off of facility grounds. LPA received inconsistent information regarding the above allegations. Based on record review and confidential interviews, the allegations that staff is giving illegal substances to minors in care and minors are doing drugs at the facility, may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted, appeal rights were discussed and provided. A copy of the report was given to Philip Roberts, House Manager.

Investigation Findings:
13On January 26, 2024 at 4:18 pm Licensing Program Analyst (LPA), Emina Preciado, arrived at Maywright Group Home, Short Term Residential Therapeutic Program (STRTP) and met with Philip Roberts, House Manager, to deliver findings on the above mentioned allegations. LPA Belinda Torres conducted a health and safety assessment of the facility on January 20, 2023 and no immediate deficiencies were observed. The investigation included interviews with two staff (S1 and S2), three out six foster youth (C1, C4, and C6). Three of six foster youth are (C2, C3, and C5) are no longer foster care dependents or their whereabouts are unknown. After multiple attempts, LPA was unable to interview them as part of this investigation. In addition, county and facility records were reviewed. On January 19, 2023, Community Care Licensing (CCL) received two allegations that staff is giving illegal substances to minors in care and minors are doing drugs at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 01/26/2024

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

met_with: Philip Roberts, House Manager


raw_content:
Narrative:
A confidential interview reported that staff did not take C1's clothes to the Laundromat and did not allow C1 to go to the laundry to wash their (C1's) clothing. Other confidential interviews provided conflicting information and reported that C1 often refused to go to the Laundromat and would not allow staff to take C1's clothes for washing. Confidential interviews denied that C1 or other clients were made to wear dirty clothes and reported that C1 did have clean clothes. However, C1 did not always do their (C1's) laundry and mixed up their (C1's) clean and soiled clothes. In addition, a confidential interview reported that C1's appearance was neat, and C1's clothing was clean and appropriate for the weather. Furthermore, a confidential interview and documentation reported the washing machine was replaced in September 2023, and LPA observed a working washing machine and dryer during the health and safety inspection. Based on inconsistent confidential interviews and documentation, the allegation that staff are not ensuring that minor(s) (C1) have clean clothing while in care is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report, and appeal rights were explained and given to Facility Manager, Philip Roberts.

Investigation Findings:
13On March 6, 2024, at 8: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Maywright Short Term Residential Therapeutic Program (STRTP)) to deliver the investigative findings for the allegation listed above. LPA obtained documents pertinent to the investigation and interviewed Clients (C1-C5), STRTP staff (S1-S5), and County Social Workers (CSW1 and CSW2). On 12/26/2023, Community Care Licensing received an allegation that staff is not ensuring that minor(s) (C1) have clean clothing while in care. It was alleged that the STRTP did not have a washing machine, and C1 could not wash their clothes. Multiple confidential interviews reported that the washing machine at the STRTP was non-operational for a few weeks. Prior to the washing machine breaking, confidential interviews reported clients washed clothes every week or as often as needed. Confidential interviews reported while waiting for the washing machine to be repaired, staff took the clients to the laundromat no less than once a week. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: VISIT DATE: 03/06/2024

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


raw_content:
Narrative:
The incident report also reported that C1 had no adverse side effects from the medication. Confidential interviews reported that the STRTP's medication protocol requires staff to give clients medication in the staff office. Before giving the medication, staff check the labels to ensure they have the right medication and verify the client's identity. Staff will then place the medicine in a cup to be given to the client and complete the Psychotropic Medication Administration Record (MAR). Corroborating confidential interviews admitted the incident took place and reported that S2 did not follow the STRTP's medication procedure. A Confidential interview reported that S2 failed to follow the procedure because they (S2) felt "rushed" and gave C1 the medication in the bedroom without verifying the medication was being given to the correct client. During the health and safety inspection, LPA was provided with C1's MAR, and the medication error was documented. However, the staff signature and initials were missing. LPA also observed all medications were centrally stored inside a locked box in the living room closet. All medication was observed to be in their original bottle, with labels unaltered, and stored separately in zip lock bags. Additional documentation provided to LPA shows staff received retraining on medication management on 02/13/2024. Furthermore, a confidential interview reported that S2 has not administered medication since the incident, and the staff was instructed to give the client medications in the staff office, according to the STRTP's standard procedure. Based on confidential interviews and a review of pertinent documents, the allegation that staff (S2) mismanaged a child's (C1) medication is substantiated. The preponderance of evidence standard has been met. The STRTP is cited with a violation of Interim Licensing Standards (ILS) 87075(a)(c) Health Related Services (a) In addition to California Code of Regulations, Title 22, Section 80075, the following shall apply (c) Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication... The STRTP was issued a LIC Technical Violation (TV) regarding Interim Licensing Standards 87070(b)(14)(h) Children's Records (b) The following information regarding the child shall be obtained and maintained in the child's record (14) A separate log for each psychotropic medication prescribed to a child documenting all of the following (h) Staff initials for each time a psychotropic medication is taken by a child... An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager, Philip Roberts

Investigation Findings:
13On March 19, 2024, at 10: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Maywright Short Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegation listed above. LPA obtained documents pertinent to the investigation and interviewed Clients (C1 and C2), STRTP staff (S1 and S2), and the County Social Worker (CSW). LPA attempted to interview C3, C4, and C5 but was unsuccessful because C3s whereabouts were unknown, and clients (C4 and C5) declined to be interviewed. On 01/23/2024, Community Care Licensing received an allegation that staff (S2) mismanaged a child's (C1) medication. It was alleged there was a medication error, and S2 accidentally administered C3's medication to C1. The incident report provided to the Department on 01/19/2024 confirmed that C1 was mistakenly given the wrong medication.The incident report states that S2 immediately reported the mistake to S1, and C1 received medical attention. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAYWRIGHT GROUP HOMEFACILITY NUMBER: 360911229

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

met_with: Philip Roberts, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On April 29, 2026, at 2: PM, Licensing Program Analyst (LPA) Gilbert Marquez conducted an unannounced inspection at the facility and met with Short Term Residential Treatment Program (STRTP) Head of Service Christian Gutierrez. This inspection is to discuss information received on 02/26/2026. A health and safety inspection was conducted of the facility, and no immediate health and safety hazards were observed. During a records review, LPA examined four Needs and Service Plans (NSPs) for four clients (C1 - C4, see Confidential Names List LIC811). A review of four client records revealed that C1, C2, and C4 lacked documented individualized plans to address high-risk behaviors, as required by the facility's Program Statement. Concurrently, records for three of these clients indicated that each youth left the facility without authorization at least twice during January 2026. These findings, corroborated by confidential interviews and data submitted to Community Care Licensing, represent a failure to adhere to the Emergency Intervention Plan for Runaway clients established by Diakonia, INC. Based on confidential interviews and documentation reviewed, the facility is being cited for a Type A violation of the Interim Licensing Standards for STRTP, Article 03, Section 87022(f) Plan of Operation. An exit interview was conducted, a plan of correction was discussed, and appeal rights were reviewed with Head of Service Christian Gutierrez. A copy of this report, the LIC809D, LIC811, and appeal rights were provided to Head of Service Christian Gutierrez.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Head of Service Christian Gutierrez


facility_name: MCKINLEY CHILDREN'S CENTER, INC.

raw_content:
Narrative:
On 05/05/2021, the Department received a complaint alleging that staff did not prevent youth from AWOL's. LPA conducted interviews with four (4) staff whom witnessed the event and three (3) youths. Staff denied the allegation. Based on interviews conducted with staff it was revealed that multiple youth ran away on 04/27/21 and staff did try to prevent youth from leaving the facility by counseling youth not to leave and by following them off campus until they lost visual. Also, that staff does not use physical restraints on the youth when they ran away from the facility. Based on interviews conducted with youth it was revealed by two youths that staff did try to prevent youth from leaving the facility; however, one youth stated that staff did not try to stop youth from leaving. Based on conflicting statements this allegation could not be corroborated. It was alleged that staff did not prevent self-harming behavior while minor was in care. The facility staff denied the allegation. Based on interviews conducted with staff whom witnessed this incident it was revealed that on 04/28/21 during a meeting with staff the youth grabbed a pair of scissors, ran out of the office and left the facility. Interviews revealed that staff followed behind youth and alerted the San Dimas Sheriff's Department about youth making self-harming statements and having in possession a pair of scissors. Consequently, the youth was found by the San Dimas Sheriff's Department and was hospitalized and placed on a psychiatric hold for making self-harming statements. LPA interviewed the placement agency social worker whom indicated that the incident was reported timely and did not have any safety concerns with facility staff. Based on interviews conducted, one youth stated that staff did not try to prevent youth from self-harming and the other two youth disclosed that staff did call the police to report the youth had a pair of scissors. Based on conflicting statements this allegation could not be corroborated. It was alleged that staff made inappropriate comments towards minor. The facility staff denied this allegation. Based on interviews conducted with staff whom were present it was revealed that no one witnessed or heard a staff make inappropriate comments towards minor in care. It was revealed by youth that inappropriate comments were made by staff on 04/28/21 but that no one else witnessed it. Based on interviews conducted with youths it was revealed that one is affirming inappropriate comments were made and the other two denied witnessing or having heard any staff make inappropriate comments. Throughout, the interviews LPA observed conflicting statements regarding this allegation and was unable to corroborate whether the allegation was true. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the above allegation{s} did or did not happen, therefore, the above allegations are being closed UNSUBSTANTIATED. No deficiencies were cited during this inspection. An exit interview was conducted and copy of this report was provided at the time of visit.

Investigation Findings:
13On 09/17/2021 at 10:00AM, Licensing Program Analyst (LPA) Janeth Chavez conducted a follow up inspection for the purpose of providing findings for the above complaint allegations. LPA spoke with Patricia White, Director. During the investigation, LPA conducted interviews with Reporting Party, Program Administrator on 05/07/21. Director was interviewed on 09/17/21. Also interviews were conducted with C1 on 05/20/21 & 09/17/21, with C2 on 05/20/21, and attempted to interview C3 & C4, S2 & S3 on 09/17/21 and County Social Worker on 05/20/21. Additional Interviews were conducted on 10/07/21 with S4 and S5 and attempted to interview S6 & S7. (Please refer to Confidential Names List dated 10/07/21). During the inspection LPA requested and obtained copies of the Client's Roster, LIC 500, Needs and Services Plan (NSPs), Social Worker Case Notes, & Special Incident Reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 09/17/2021

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

met_with: Patricia White


raw_content:
Narrative:
Based on the interviews, the allegations are found to be unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove the allegations During the exit interview copies of LIC9099, LIC9099C, LIC811, and Appeals rights were discussed with the Name and position. There were no deficiencies cited.

Investigation Findings:
13On September 28, 2021, at 11:57 am Licensing Program Analyst (LPA) Belinda Gilmer made an unannounced complaint visit to the above facility and met with Assistant Director, Patricia White. The purpose of the visit was to deliver the findings of the above complaint allegation. During the investigation, LPA Gilmer interviewed the complainant on 08/04/21, on 08/05/21, the alleged victim's County Social Worker on 08/20/21, LPA interviewed the facility staff mentioned in this complaint and the alleged victim on 09/08/21. The allegation that a facility staff did not allow the minor to return to the facility. Those interviewed provided different accounts of the incident and inconsistent statement regarding the allegation. LPA was unable to collaborate whether the allegation was true. It was reported during the investigation process that the foster child has made false allegations in the past to avoid getting in trouble. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Belinda Gilmer 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: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 09/28/2021

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


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
Continue from page 1 . . . Statements obtained from the interviews conducted with staff revealed that a client pulled down his pants and exposed his buttocks briefly to another client while out in the facility field. Staff (S1) which was the assigned staff to the clients stated that she had the door open to keep a visual on the client and asked another staff to watch the clients while she took a restroom break. S1 stated that she had radio other staff (campus supervision) for assistance but never got a reply, S1 stated that she was not sure who heard the call for assistance. Staff (S5) stated that S1 asked him for a restroom break and asked him to watch the clients and watched the clients in the cottage but S1 never disclosed that the other clients were out in the field. Other staff interviewed indicated that S1 did not radio the other staff for assistance. The confidential interviews indicated that the a client pulled down his pants and flashed another client while out in the field. The confidential interviews indicated that there was other staff around but the clients did not have direct supervision. The facility management provided video surveillance footage where the client is seen going in and out of the cottage and S1 followed him outside the cottage door, turned around, wrote something and went inside the cottage. The staff (S1) is seen coming back to the outside of the cottage after a few minutes. Based on the staff statements, confidential interviews, records reviewed and video footage it was determined that the clients were left without direct supervision by the assigned staff, therefore, the allegations are found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegations are found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above. End of report.

Investigation Findings:
13On October 28, 2021, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Patricia White, Program Director. The purpose of the visit was to deliver the finding for the above complaint allegation. During the course of investigating the allegation, LPA Perez conducted interviews with three staff and one client on October 07, 2021, LPA conducted interviews with two clients on October 18, 2021, LPA conducted an interview with one staff via telephone on October 19, 2021 and LPA conducted an interview with one staff via telephone on October 21,2021 (see Confidential Names LIC 811 dated October 31, 2021). LPA analyzed pertinent documents such as client's case notes, special incidents reports and need and services plan. It was alleged that a STRTP minor had an inappropriate interaction with another minor while in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 10/28/2021

Deficiencies:
00781: 1
2
3
4
5
6
7POC: S1's is not longer working for the facility as of 10/07/21.  In addition, the facility will conduct staff re-training regarding care and supervision.

met_with: Patricia White, Program Director

title:
2
3
4
5
6
780078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs.

This requirement is not met as evidence by


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
It was reported that clients daily meals are being skipped, food being provided to clients is spoiled, staff allow a client to bully other clients, and staff bully those clients when they make complaints. The Program Director at the facility, including staff workers who were mentioned or identified in the referral denied the allegations that meals provided to clients are skipped and food is spoiled. Staff workers were consistent and stated that all meals and snacks are prepared daily in the primary kitchen, including cottages having their own refrigerator with access to other fresh foods and snacks. Staff reported that clients are not allowed to physically assault other clients and will take appropriate action to control client(s) behavior. Staff working denied that they will bully those clients that wish to file a grievance towards anyone and stated that they will assist those clients in completing the form. In confidential interviews, statements obtained could not corroborate the allegations reported. One client stated that was one incident (no date provided) when his meals were skipped but then stated that facility cottage provided him with other options to have his meal after returning late in the evening from school. Other clients stated that meals are being provided without being skipped. On the matter of food is old or spoiled, two clients reportedly observed some juices/drinks in the cottage refrigerator past their "use by date" for consumption, other clients had no concerns. It was reported that staff are allowing clients to bully their peers by placing them in a choke hold or headlock. The one focused client who was identified as the minor who uses choke holds and headlocks towards his peers admitted to playfully being rough using headlocks and not choke holds. The focused client admitted to bullying others in the past. One client disclosed that he once told a staff working that the focused client plays to rough. Other clients denied that the allegation and stated that everyone plays rough and defines this as "horse playing". All clients stated that staff will normally react quickly to clients when that misbehave or when they exhibit aggressive behavior with their peers. Clients also denied that a client was physically assaulted specifically on 09/06/2021 that resulted in having a bloody nose while playing on the water slide. The clients denied the allegation, one client who had a bloody nose stated that it was accident. The facility provided a copy of the special incident report (SIR). Clients denied that staff will bully those clients who file a grievance about their treatment. Individual identified as other who provided information about the allegations could not be contacted or located and therefore no statement was obtained. The county referral dated 09/06/2021 that is associated to this complaint investigation was not investigated by the county but was evaluated out for review. Therefore, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time.

Investigation Findings:
13On 12/20/21 at 10: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Ms. White, Program Director. During the course of the investigation, LPA conducted in-person visits and telephone interviews with five staff workers, three clients on 09/08/2021, two clients on 9/10/2021, including multiple attempts to contact one county social worker (reference confidential names list LIC811 dated 12/20/2021. During the inspection LPA requested for review and obtained copy of the client's documents: client's needs and services plan and special incident reports (SIR), client roster, and current facility personnel report (LIC 500). There were no complaint related county documents and reports for review. On 09/07/2021, the Department received a complaint alleging personal rights violations by staff working at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 12/20/2021

met_with: Ms. White, Program Director


raw_content:
Narrative:
It was alleged that a facility client sustained a finger fracture from being pushed by another client. The investigation revealed that while the client was speaking with his mother on the phone, another client engaged him in a verbal dispute that escalated into a physical altercation resulting in the client being pushed and falling to the ground sustaining an injury to his finger. Confidential statements obtained indicated that the client who sustained the injury was prone to engage in fights with other clients without provocation resulting in other clients retaliating against him, and some fights occur suddenly whereby staff are unable to prevent the fights due to the sudden nature. The biological parent of the client who sustained the injury did not want her child interviewed regarding the allegation. Based on the information gathered, the allegation is unsubstantiated as the preponderance of evidence to prove the allegation was not met although the allegation 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. It was alleged that a facility client was sexually abused by another client at the facility due to neglect and lack of supervision. The investigation revealed that two facility clients engaged in a sexual interaction behind stage curtains in the recreational building while under the supervision of a facility staff. The sexual activity was discovered by another facility client who reported it to the staff. By the time the staff walked up to the stage area, both clients were securing their pants. The client who reported the incident to staff refused to make any statements to Investigator Spindola, but the staff told Investigator Spindola that the client told him that the two clients were having a sexual encounter behind the stage curtains. Confidential statements obtained from one of the facility clients indicated that the sexual abuse occurred, and he screamed for help during the incident but the staff was not in the immediate vicinity according to the client. The biological parent of the other client did not want her child interviewed regarding the allegation. Based on the fact that the facility staff allowed the clients to play behind a closed curtain for an undetermined amount of time, and the fact that this is the third similar incident that occurred in a couple of months, the allegation is substantiated. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), an Enhanced Civil Penalty (ECP) determination is pending due to the substantiated allegation. If an ECP is warranted, a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On December 28, 2021 at 1: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. The complaint was investigated by Community Care Licensing, Investigations Branch, Investigator Olivia Spindola. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, Investigator Spindola interviewed facility clients on 9/8/21, 11/15/21, 12/2/21 , facility director on 9/8/21, 10/12/21 and 12/6/21, facility cottage manager on 10/12/21, facility counselor on 10/12/21, biological parents of facility clients on 11/24/21 and 12/2/21, facility case manager on 12/2/21, and facility campus supervisors on 12/6/21; Investigator Spindola also reviewed documents on 9/9/21, 11/12/21, 11/15/21, 11/21/21 including medical records, police reports, incident reports and facility client case plans. (CONTINUED) SubstantiatedEstimated 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: Mckinley Children's Center, INC.FACILITY NUMBER: 191502075

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:

met_with: Lamont Landers, Program Support Manager


raw_content:
Narrative:
It was alleged that a facility client was sexually abused by another client at the facility due to neglect and lack of supervision. The investigation revealed that two facility clients engaged in a sexual interaction behind stage curtains in the recreational building while under the supervision of a facility staff. The sexual activity was discovered by another facility client who reported it to the staff. By the time the staff walked up to the stage area, both clients were securing their pants. The client who reported the incident to staff refused to make any statements to Investigator Spindola, but the staff told Investigator Spindola that the client told him that the two clients were having a sexual encounter behind the stage curtains. Confidential statements obtained from one of the facility clients indicated that the sexual abuse occurred, and he screamed for help during the incident but the staff was not in the immediate vicinity according to the client. The biological parent of the other client did not want her child interviewed regarding the allegation. Based on the fact that the facility staff allowed the clients to play behind a closed curtain for an undetermined amount of time, and the fact that this is the third similar incident that occurred in a couple of months, the allegation is substantiated. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), an Enhanced Civil Penalty (ECP) determination is pending due to the substantiated allegation. If an ECP is warranted, a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On December 28, 2021 at 1: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. The complaint was investigated by Community Care Licensing, Investigations Branch, Investigator Olivia Spindola. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, Investigator Spindola interviewed facility clients on 9/8/21, 11/15/21, 12/2/21 , facility director on 9/8/21, 10/12/21 and 12/6/21, facility cottage manager on 10/12/21, facility counselor on 10/12/21, biological parents of facility clients on 11/24/21 and 12/2/21, facility case manager on 12/2/21, and facility campus supervisors on 12/6/21; Investigator Spindola also reviewed documents on 9/9/21, 11/12/21, 11/15/21, 11/21/21 including medical records, police reports, incident reports and facility client case plans. (CONTINUED) SubstantiatedEstimated 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: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 12/28/2021

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


raw_content:
Narrative:
It was alleged that a facility client was sexually abused by another client at the facility due to neglect and lack of supervision. The investigation revealed that two facility clients became involved in sexual activities on two occasions during the month of June 2021 while unsupervised behind facility buildings. The incidents became known when the client who was sexually abused informed another client who then reported to staff. The facility incident report was obtained in this investigation. Confidential statements obtained from one of the facility clients indicated that the sexual abuse occurred. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), an Enhanced Civil Penalty (ECP) determination is pending due to the substantiated allegation. If an ECP is warranted, a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative.

Investigation Findings:
13On December 28, 2021 at 1: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. The complaint was investigated by Community Care Licensing, Investigations Branch, Investigator Olivia Spindola. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, Investigator Spindola interviewed a facility cottage manager on 10/12/21, facility director on 10/12/21, and facility clients on 12/2/21 and 12/7/21; Investigator Spindola went to the last known address of a facility client on 12/2/21 and 12/7/21 and attempted to telephone the client's last known contact information on 12/6/21 and 12/7/21 but was unable to make contact. Investigator Spindola also reviewed documents on 9/9/21 including placing agency records, incident reports, and Needs and Services Plans of clients; Investigator Spindola requested police reports which were not received at the conclusion of this investigation. (CONTINUED) SubstantiatedEstimated 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: Mckinley Children's Center, INC.FACILITY NUMBER: 191502075

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


raw_content:
Narrative:
It was alleged that youth was raped by another youth in care and staff was abusive towards youths in care. There were no incident or complaint reports found regarding the identified youths and two identified staff (by first name only) named on the complaint. There were similar historical allegations already addressed by the Department and the facility during the periods of occurrence, but it involved different youths and staff. LPA interviewed one identified staff who was unable to recall the identified youths. LPA made several attempts to locate the other identified staff, but all attempts were unsuccessful. Based on information obtained during the investigation, the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There was no deficiency citation issued.

Investigation Findings:
13On August 22, 2022 at 10: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the foster family agency to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Lorraine Patterson and the undersigned LPA. The complaint alleged that the allegations occurred on or around 2006. Investigator Patterson made several attempts to obtain statements from the alleged victims/youths by phone, contact letters and other IB databases but all attempts were unsuccessful. The youths and staff files were no longer available for review. Historical records were reviewed such as, but not limited to, incident reports, placement history of youths, history of complaints of the facility and placement agency and law enforcement reports. UnsubstantiatedEstimated 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: Mckinley Children's Center, INC.FACILITY NUMBER: VISIT DATE: 08/24/2022

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

met_with: Patricia White, STRTP Director


facility_name: MERCED RANCH

raw_content:
Investigation Findings:
13Complaint Specialist C.K. Kinney(CS) traveled to Merced Ranch and met with Jeanne Johnson to deliver findings of investigation. Investigator Munoz conducted investigation that included review of documentation, interviews of staff, clients and witnesses. Due to inconsistencies in the information obtained Investigator Munoz could not reach a preponderance of the evidence that the allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed unsubstantiated. No deficiencies observed or cited. Copy of this report and LIC Appeal rights left with Ms. Johnson at conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Charles Kinney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Jeanne Johnson


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP, in order to deliver the findings of the above allegations and met with Administrator, Aaron Holloway. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3

met_with: Aaron Holloway


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP, in order to deliver the findings of the above allegations and met with Administrator, Aaron Holloway. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, interviews and a review of facility and foster children's records. Interviews conducted and documentation reviewed provided conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3


raw_content:
Investigation Findings:
13On July 21, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP for the purpose of delivering the findings of the above allegations and met with Administrator, Aaron Holloway. On May 26, 2022 the above allegation was referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews and a review of facility and foster children's records. The people interviewed provided conflicting information regarding this issue. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred. Therefore, the allegation is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3


raw_content:
Investigation Findings:
13On July 21, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP for the purpose of delivering the findings of the above allegations and met with Administrator, Aaron Holloway. On May 31, 2022 the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews and a review of facility and foster children's records. The people interviewed provided conflicting information regarding this issue. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegation is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3


raw_content:
Investigation Findings:
13On July 21, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP for the purpose of delivering the findings of the above allegations and met with Administrator, Aaron Holloway. On June 14, 2022 the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews and a review of facility and foster children's records. The people interviewed provided conflicting information regarding this issue. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegation is UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 06/14/2023 and conducted by Evaluator Lidia Tinoco PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:MERCED RANCHFACILITY NUMBER: ADMINISTRATOR:HOLLOWAY, AARONFACILITY TYPE: ADDRESS: E. Santa Fe Ave.TELEPHONE: (209) 388- CITY:MERCEDSTATE: CAZIP CODE: CAPACITY:8CENSUS: 8DATE: 07/21/ UNANNOUNCEDTIME BEGAN: 11: AM MET WITH:Aaron HollowayTIME COMPLETED:12: PM 9Staff Curse and yell at youth in care Staff are not appropriately reporting incidents INVESTIGATION FINDINGS: 13On July 21, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Merced Ranch STRTP for the purpose of delivering the findings of the above allegations and met with Administrator, Aaron Holloway. On June 14, 2022 the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the facility, interviews and a review of facility and foster children's records. The information obtained during interviews and record reviews indicated that staff curse and yell; the record review also revealed that an incident that occurred was not reported to the required agencies. Based on the information obtained, there is a preponderance of the evidence to prove the above allegations occurred therefore these allegations are Substantiated. Facility was cited for The Interim Licensing Standard (ILS) Section 87072(c)(11) Personal Rights and California Code of Regulations (CCR) 80061(f) Reporting Requirements. A copy of this report was provided at the conclusion of the inspection along with appeal rights. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 24-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, E SHAW AVE FACILITY NAME: MERCED RANCHFACILITY NUMBER: 247200747


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 11/16/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Administrator Aaron Holloway. Based on confidential interviews conducted, refusal of interview by a minor, documents obtained and law enforcement reports obtained, two minors engaged in inappropriate sexual activity due to a lack of supervision. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Administrator, Aaron Holloway. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MERCED RANCHFACILITY NUMBER: 247200747


raw_content:
Investigation Findings:
13On 11/16/2023, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint investigation for the above facility. Met by Administrator Aaron Holloway. Based on confidential interviews conducted, refusal of interview by a minor, documents obtained and law enforcement reports obtained, two minors engaged in inappropriate sexual activity due to staff not protecting the minors. Based on the above, the complaint is Substantiated. Deficiency on the attached page. A copy of this report is given on this date to the Administrator, Aaron Holloway. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MERCED RANCHFACILITY NUMBER: 247200747

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

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


facility_name: MICHIGAN HOUSE

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Charles Smith. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA Boyd conducted interviews with client's and staff. The interviews revealed that there is no eveidence as to whether the allegations listed above happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Charles Smith


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Charles Smith. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of the investigation, LPA Boyd and LPM Juanita Arroyo conducted interviews with clients, and staff and reviewed facility files and incident reports. The interviews revealed that there is no consistent consensus as to whether the allegations listed above happened or didn't happen. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd 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 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection with the Short Term Residential Theraputic Program (STRTP) and met with Charles Smith. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Boyd and LPM Juanita Arroyo conducted interviews with clients, staff, and law enforcement, and reviewed incident reports. The interviews and document review revealed that there is no consistent consensus as to whether law enforcement was contacted unnecessarily. Although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the above allegation; therefore, the allegation is unsubstantiated. LPA provided a copy of the report to the STRTP. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Daiquiri Boyd conducted a follow-up complaint inspection to the Short Term Residential Therapeutic Program (STRTP) and met with Charles Smith. The purpose of the inspection was to deliver the findings for the above complaint allegation regarding the staff not preventing minors from smoking illegal substances while in care. During the course of the investigation, Community Care Licensing (CCL) conducted interviews with clients, staff, and school personnel. The information obtained during the interviews, indicated that the minors were permitted to smoke with a vape pen. Type A: This poses an immediate health and safety risk to clients in care. Based on the LPA's observations, interviews, and the records review conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. A copy of the report and Appeal Rights was provided to the STRTP. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Daiquiri Boyd 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 24-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, E SHAW AVE FACILITY NAME: MICHIGAN HOUSEFACILITY NUMBER: 100406164

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


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Charles Smith. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging facility staff are not appropriately addressing physical altercations between minors in care. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Reyna 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 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analysts (LPAs) Sonia Sanchez and Miriam Flores conducted a complaint inspection and met with Charles Smith, Assistant Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff gave minor medication without a court order. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeals rights were provided, along with a copy of this report and left at the facility with Charles Smith, Assistant Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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: Charles Smith, Assistant Manager


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Nadia Smith, House Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff does not ensure a safe environment for minor. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility, along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: MICHIGAN HOUSEFACILITY NUMBER: 100406164

met_with: Nadia Smith, House Manager


raw_content:
Investigation Findings:
13This is an amendment visit only to remove the D-page issued during yesterday's (09/16/2025) complaint inspection. See below for original 9099. On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Nadia Smith, House Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff does not ensure a safe environment for minor. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility, along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Sonia Sanchez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Sonia Sanchez conducted a complaint inspection and met with Charles Smith, Assistant House Manager (AHM). The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff did not notify minros social worker of incident. LPA conducted interviews and obtained documentation. There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. LPA discussed the incident with Assistant House Manager and discussed the importance of notifying the Authorized Representative and/or County Social Worker by writtem communication. An exit interview was conducted, and a copy of this report and appeal rights were discussed and provided to tCharles Smith at the end of the visit. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Vanessa Galvan LICENSING EVALUATOR NAME: Sonia Sanchez 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


summary: Facility Evaluation

raw_content:
Narrative:
On 05/19/2026, Licensing Program Analyst (LPA) Sonia Sanchez traveled to Michigan House, STRTP in Fresno, CA to conduct an unannounced case management and met with Nadia Smith, House Manager. The purpose of the inspection is to discuss an incident report (2996-FN) that was submitted to the department on 05/04/2026 regarding discipline policies and procedures. Based on record review, the agency is using a point system and deducting points as a form of discipline, which ultimately affects how much the youth will receive in allowance. LPA interviewed staff regarding the point system and was informed by staff that based on their Program Statement, which was previously approved, it allows the agency to use the point system for allowance. LPA explained the allowance must be age appropriate and asked for additional details on how the point system works. HM explained that the starting rate for allowance is $25 with 7 daily points allowed. The point system is based off of behaviors such as, AWOLs, peer interactions, staff interactions, daily hygiene, etc and each youth are given three chances of redirection prior to points being deducted, with the minimum allowance of the week being $2. The points system and allowance policy were discussed with Ms. Smith and LPA was provided a copy of the point system for review. If further actions are needed, LPA will address at a later time. There are no deficiencies to be cited on this date. A copy of this report was discussed and provided to Nadia Smith at the conclusion of the visit.


facility_name: MICHIGAN HOUSE #2

raw_content:
Investigation Findings:
13On October 14, 2022, Licensing Program Analyst (LPA) Wayne Aoki conducted a follow up complaint inspection. The purpose of the inspection is close and deliver the findings for the above complaint allegation. LPA was me by facility representative Monique Cannon. During the course of the investigation, confidential interviews were conducted and copies of documents were obtained. Although the allegation may have happened or is valid, there is not a preponderance of the evidence, therefore, the above allegation is unsubstantiated. Based on the above, the complaint is Unsubstantiated. There were no deficiencies cited during this inspection. A copy of this report was left with the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Wayne Aoki 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: Monique Cannon