raw_content:
Investigation Findings:
13On January 26, 2021 at 11:15am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Ebony Jones. LPA Lisi Leon conducted an inspection of the facility on February 10, 2022 at 11:00 am and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff (unknown name) is aggressive towards C1, C1 was sexually assaulted by C2 and staff did not report it. Confidential staff interviews reported that staff treats all of the clients including C1 with respect and appropriate discipline is used. Confidential staff interviews reported that C1 did not disclose any sexual abuse to any staff. Confidential interviews reported that when staff did become aware of this alleged incident, staff took appropriate actions to ensure that C1 was separated from C2. The interviews that were provided to the LPA were not consistent regarding staff being aggressive towards C1, C1 was sexually assaulted by C2 and staff did not report it. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Ebony Jones. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Ebony Jones


state: CA

facility_name: HOME OF EXCELLENCE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On January 26, 2021 at 11:41am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Ebony Jones. LPA Carmen Escobar conducted an inspection of the facility on March 30, 2022 at 02:45 pm and no immediate deficiencies were observed. Three of three children (C1, C2, C3), three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 sustained multiple injuries due to self-harming. Confidential staff interviews reported that C1 does have a history of self-injurious behaviors. Confidential staff interviews reported that C1 is always being supervised and staff ensures that C1 has no sharp objects. Additional confidential interviews reported that C1 did self-harm several times while being placed at the facility. However, C1 self-harms while in the shower, even though staff is sitting outside the restroom door. Confidential interviews reported that C1 will find any sharp while at school and hide it on the body and use it while in the shower. There are no other witnesses to C1 during C1's injurious behaviors while in the shower. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Ebony Jones. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
During the investigation, confidential interviews reported that C1 left the facility on a continuous basis despite staff efforts to keep C1 from leaving the facility while in care. Confidential interviews further reported that C1's placement was terminated due to safety concerns for staff and other clients in care. Confidential interviews maintained that staff followed the programs protocols when C1 left the facility or attempted to leave the facility. Another confidential interview reported that C1 was placed at the facility with an agreement that C1 was going to have one on one care due to C1's history however, that care was not provided to C1 at the facility due to staff shortage. Another confidential interview stated that C1 left the facility when C1 felt like leaving the facility and there were times when staff attempted to redirect C1 and other times where staff did not do anything about C1 leaving the facility. Another confidential interview stated not witnessing Absent Without Leave (AWOLs) at the facility and further stated feeling safe at current placement and reported no concerns about staff supervision. Based on the confidential interviews, and record review the allegation that staff did not prevent C1 from wandering from the facility, 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 Home of Excellence, House Manager, Leticia Castaneda.

Investigation Findings:
13On March 24, 2023, at 12: PM , Licensing Program Analyst (LPA) Cynthia Urena met with Home of Excellence Short Term Residential Therapeutic Program (STRTP) House Manager, Leticia Castaneda to deliver the investigative finding for the above stated allegation. On July 8, 2022, Community Care Licensing received a complaint alleging that staff did not prevent minor from wandering from the facility. On July 15, 2022, Licensing Program Analyst (LPA) Carmen Escobar initiated an investigation at the STRTP. LPA Escobar conducted a Health and Safety Inspection, and no immediate deficiencies were observed. LPA Escobar obtained copies of pertinent documents from the Short-Term Residential Therapeutic Program staff and client files. Additionally, LPA Escobar conducted interviews with Facility Manager (FM) and one staff member (S1). LPA Urena conducted interviews with Administrator, (ADM), three staff members (S2, S3, S4), two clients (C1, C2) and a County Social Worker (CSW). 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 03/24/2023

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

met_with: House Manager, Leticia Castaneda


raw_content:
Narrative:
Confidential interviews reported that C1 is always supervised while at the facility. Other confidential interviews stated that C1 does contact these individuals to meet them while awol from the facility through cell phones that C1 would get while awol. The interviews that were provided to the LPA were not consistent regarding the allegations that staff are not properly supervising C1 and did not provide any further specific details regarding staff supervision. Based on interviews and record reviews the allegations that staff did not prevent C1 from awoling from the facility and staff did no prevent C1 from engaging in inappropriate internet usage, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Tiffany Merritt.

Investigation Findings:
13On April 12, 2023 at 11:10am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with facility administrator, Tiffany Merritt. Carmen Escobar conducted an inspection of the facility on April 13, 2022, at 2:15 pm and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not prevent C1 from awoling (absent without leave) from the facility and staff did no prevent C1 from engaging in inappropriate internet usage. Confidential staff interviews reported that C1 will leave the facility without permission and staff will verbally give C1 directives but C1 refuses to follow verbal directives of staff. Confidential staff interviews reported that C1 had a cell phone that was initially approved by C1's authorized representative. Confidential interviews reported that then there was a court order that C1 could not have a cell phone due to C1 engaging in inappropriate internet usage. Confidential interviews reported staff then took C1's cell phone away. Additional interviews reported that C1 continued to leave the facility without permission and come back to the facility with a different cell phone. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 04/12/2023

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

met_with: Tiffany Merritt


raw_content:
Narrative:
A confidential witness reported C1 was physically assaulted by S6 by putting their hands on C1's throat and hit C1's left hand, however the date the incident took place was not known. Additional confidential witnesses reported the alleged incident happened in January 2023. LPA requested but did not receive a copy of the incident report to confirm the validity of the statements provided. A confidential witness reported the incident was a result of C1 not letting go of a pair of pants. It was reported C1 would not loosen their grip on the pants, fell back onto the couch, and then fell to the floor. S6 denied all allegations of physical abuse. Community Care Licensing also received an allegation that staff spoke inappropriately to minor in care. It was alleged that staff called C1 names. A confidential witness reported that staff did not call any of the clients names or speak inappropriately to clients in care. It was further reported, that C1 would get upset when clients made blunt remarks about C1. A Confidential witness also reported that C1 was yelled at by staff, no longer employed at the facility,and S2. However, they did not reveal what was said to C1. It was further stated that staff will use a firm tone when redirecting clients, but they do not yell at the clients. Based on inconsistent confidential interviews and lack of documentation, the allegations staff hit minor and staff spoke inappropriately to minor in care in care, may have occurred. However, the allegations are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights were provided to Home of Excellence, Facility Manager, Leticia Castaneda.

Investigation Findings:
13On April 12, 2023, at 08: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Home of Excellence Short Term Residential Therapeutic Program ( STRTP) to deliver the investigative findings for the allegations listed above. On 02/28/2023, LPA Peete inspected the physical plant, and no immediate health or safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with clients (C1, C2, C3, ) Staff (S1, S2, S3, S4, S5,S6 ) and County Social Workers (CSW) . Client 4 ( C4) was not available for interviews. On 02/27/2023, Community Care Licensing received an allegation that staff hit minor in care and staff spoke inappropriately to minor in care. It was alleged that C1 was being hit by facility staff and this had happened on 2/24/2023. C1 denied being hit by staff on 02/24/2023. Confidential witness reported working on 02/24/2023 and did not witness C1 being hit by staff. Another confidential witness reported not remembering anything happing to C1 on 02/24/2023. Other confidential witnesses reported that staff did not hit C1 or any other clients in care. 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 04/12/2023

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

met_with: Facility Manager Leticia Castaneda


raw_content:
Narrative:
trafficked" and "opening" their legs. Additional follow up confidential interviews denied that staff was mean, yelled, or cussed in the home. LPA attempted to contact C1's case worker multiple times, but the attempts were unsuccessful. Other information obtained from confidential interviews stated that staff had called C2 a "whore." LPA was not provided specific details regarding which staff made the comment. One confidential interview stated that they had never overheard staff calling clients names or cussing directed at them. In this interview, it was disclosed that staff yelled and used inappropriate language in the facility, but this was not directed towards the clients. LPA Hood conducted an unannounced visit to the home on 4/19/2023 to request facility documentation. Based on interview, C1 was verbally aggressive towards staff and had difficulty being redirected. In this interview, interviewee said that they had not witnessed or heard of staff calling clients names, cussing, or saying inappropriate comments to the clients. Based on confidential interviews and record review, the allegation that staff was mean to minor, may have occurred; however, it has not met the preponderance of doubt. Therefore, the above allegations are unsubstantiated at this time. No deficiencies were cited during this visit. LPA Hood conducted an exit interview with Lisa Brooks, Youth Counselor, and a copy of this report including appeal rights was provided.

Investigation Findings:
13On 4/21/2023 at 10:05AM, Licensing Program Analyst (LPA) Selena Hood conducted a visit to the Home of Excellence and met with Lisa Brooks, Youth Counselor. The purpose of this visit was to deliver the findings for the above allegations. During the investigation, LPA Hood and LPA Carmen Escobar conducted six confidential interviews with five interviewees (C1, C2, C3, ADM, and FM). Of the five interviewed, three denied that staff had called clients names or made inappropriate comments. In addition, facility and county records were reviewed. It was reported to Community Care Licensing (CCL) that staff were "mean" to minor. On 4/13/2022, LPA Escobar conducted an unannounced visit to the facility to inform the of the allegations. On 4/13/2022, LPA Escobar conducted an interview with Client (C1) and Facility Manager (FM). According to confidential interviews it was disclosed that C1 did not like being told what to do and acted out when given direction. Based on a confidential interview it was disclosed that staff had made comments about youth being "sex UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 04/21/2023

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

met_with: Lisa Brooks


raw_content:
Narrative:
Based on the confidential interviews, staff had called law enforcement when C1 had eloped from the facility. Four of the seven interviewed stated that staff reported elopements to CCL, the clients' county social workers, and law enforcement. Based on interviews and record review, C1 had received a CSEC advocate, but counseling was unsuccessful in redirecting. According to one interview, the facility had been working with the Rialto Police Department to catch the adult men that C1 had engaged with. Based on one confidential interview, the facility did not report elopements with adult men to law enforcement. LPA Hood conducted an interview with C1's current case worker (CW). CW shared that they were not the case worker at the time of the allegations, the case worker at the time of the allegations was no longer with the county. LPA Hood reviewed the CPS Screener Narratives, two were submitted for this incident with C1. On 5/13/2022, the CPS narrative states that the facility had not yet submitted a referral, but they had alerted the county case worker. Another referral was opened on 5/19/2023 due to other concerns with C1 engaging in CSEC activity. The CPS investigations are not complete, LPA Hood made unsuccessful attempts to contact the investigating case worker. LPA Hood reviewed twelve incident reports between 5/10/2022 and 2/1/2023. Based on a review of the incident reports, the facility did report elopements to CCL, law enforcement, and the social worker. Based on confidential interviews and record review, the allegation that client engaged in CSEC activity due to a lack of supervision may or may not be true; however, the allegation has not met the preponderance of doubt. Therefore, the above allegation is unsubstantiated at this time. No deficiencies were cited during this visit. LPA Hood conducted an exit interview with Lisa Brooks, Youth Counselor, and a copy of this report including appeal rights was provided.

Investigation Findings:
13On 4/21/2023 at 10:05AM, Licensing Program Analyst (LPA) Selena Hood conducted a visit to Home of Excellence and met with Lisa Brooks, Youth Counselor. The purpose of this visit was to deliver the findings for the above allegation. During the investigation, LPA Hood and LPA Carmen Escobar conducted eight confidential interviews with seven interviewees (C1, C3, S1, S2, S3, FA, and CW). In addition, facility and county records were reviewed. LPA Hood attempted to contact C1's case worker and the reporting party, but the attempts were unsuccessful. It was reported to Community Care Licensing (CCL) that minor is engaging in CSEC (Commercial Sexual Exploitation of Children) activity. On 5/24/2022, LPA Escobar conducted a visit to facility to inform of the allegations. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 04/21/2023

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


raw_content:
Narrative:
The clients do not always respond to redirection; the client's will yell at staff and, call staff names when they do not get their way. Furthermore, confidential interviews reported that staff do not argue with clients or engage in power struggles, staff is attentive, and the clients feel respected. Based on inconsistent confidential interviews the allegation that facility staff yell at a minor (C1) while in care may have occurred. However, the allegation is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of this report, the LIC 811, and appeal rights were given and explained to Administrator Tiffany Merritt.

Investigation Findings:
13On June 9, 2023, at 12: PM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Home of Excellence Therapeutic Program ( STRTP) to deliver the investigative findings for the allegation listed above. On 03/23/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with clients ( C1, C2, and C3) and Staff (S1, S2, S3, and S4). On 03/20/2023, Community Care Licensing received an allegation that staff yell at a minor (C1) while in care. C1 denied the allegation. According to confidential interviews facility staff do not yell or speak harshly to C1 or other clients in care .A Confidential interview reported that staff have called clients inappropriate names and can be rude. Other confidential interviews reported that staff treat the clients with respect, and the overall interactions with clients are positive. Confidential interviews also reported that staff will redirect client's behavior using a different tone of voice. 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 06/09/2023

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

met_with: Administrator Tiffany Merritt


raw_content:
Narrative:
Other confidential interviews reported that C1, C2, and C3 never stepped inside S4's home. Confidential interviews reported that on the way to a facility outing, S4 stopped at the personal residence along the way and that C1, C2, and C3 waited in the facility car while S4 grabbed an item from the home. Other confidential interviews reported that at no time did any facility staff engage in any inappropriate relationships with clients. Confidential interviews stated that C1, C2, and C3 denied the allegation of having an inappropriate relationship with S4. Community Care Licensing also received an allegation regarding lack of supervision resulting in youths (C1, C2, and C3) obtaining alcohol. Confidential interviews reported that S4 took C1, C2, and C3 to the store, where they were allowed to obtain alcohol. Confidential interviews reported that S4 told a former client (C4) not to mention the purchase of alcohol to anyone else. Other confidential interviews reported that at no time during their placement at the facility did S4 or any other staff allow C1, C2, or C3 to obtain alcohol from a store. Confidential interviews reported no alcohol in the facility at the time of inspection. Other confidential interviews stated that alcohol is not kept at the facility. Community Care Licensing also received an allegation regarding lack of supervision resulting in youths (C1, C2, and C3) AWOLing. Confidential interviews reported that S4 introduced C1 to a former client (C4) of the facility and that C1 has been running away regularly after meeting C4. Confidential interviews reported that a review of Special Incident Reports confirms C1 has run away from the facility twice. Confidential interviews reported that staff was supervising the clients during their AWOL. Confidential interviews reported that staff could not physically prevent clients from leaving the facility per facility policy. Confidential interviews stated that staff verbally encouraged the clients to stay at the facility and not to leave without permission. Based on inconsistent confidential interviews, the allegations that staff (S4) has inappropriate relationships with youths (C1, C2, and C3) in care, lack of supervision resulting in youths (C1, C2, and C3) obtaining alcohol, and lack of supervision resulting in youths (C1, C2, and C3) AWOLing, may have occurred, however, are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to House Manager Leticia Castaneda.

Investigation Findings:
13On 07/13/2023 at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Home of Excellence Short Term Residential Treatment Facility (STRTP) and met with House Manager Leticia Castaneda to deliver the investigative findings for the allegations listed above. On 03/28/2023, LPA Jessica Peete visited the facility, interviewed staff and clients, obtained pertinent paperwork, and conducted an initial health and safety inspection. No immediate health and safety hazards were observed. On 05/16/2023, LPA Peete made a follow-up visit to the facility and interviewed an additional client. LPA Peete interviewed clients (C1-C3) and staff (S1-S5). LPA Joon Choi interviewed staff #6 (S6). C4 was unable to be interviewed due to being AWOL from their (C4) current facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 07/13/2023

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

met_with: Leticia Castaneda, House Manager


raw_content:
Narrative:
used drugs and contacted facility staff to pick up C1 but that facility staff refused. Further details gathered stated that C1 waited at the nurse's office until the end of the school day. Other confidential interviews stated that C1 was experiencing withdrawals due to drug use and wanted to be picked up from school so that they could pick up more drugs as it was a regular occurrence for C1 to run away from the facility so that they could use drugs. Further details gathered from confidential interviews stated that staff offered to drop off medication for C1 if they were feeling unwell but that C1 refused and stated they would prefer to go back to class. Additional confidential interviews stated that transportation is not a problem, and that facility staff will transport and pick up clients from school or any other appointments regularly and with no issues. Based on record review and confidential interviews the allegation mentioned, may or may not have occurred. However, it is not supported or proven by the evidence. Confidential interviews could not confirm or dispute this allegation; Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted, appeal rights were discussed and provided. A copy of the report was given to Home of Excellence, House Manager, Leticia Castaneda.

Investigation Findings:
13On September 1, 2023 at 9:05 am Licensing Program Analyst (LPA), Emina Preciado, met with Home of Excellence House Manager, Leticia Castaneda, to deliver the findings for the above stated allegation. LPA Erika Lopez conducted an inspection of the facility on September 21, 2022 at approximately 2:15 pm and no immediate deficiencies were observed. The investigation included interviews with Facility Administrator (FA), five staff (S1, S2, S3, S4, and S5), and two foster youth (C1 and C2), and one confidential witness. In addition, county records and facility records were reviewed. On September 12, 2022, Community Care Licensing (CCL) received one allegation alleging that staff did pick minor up. 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 09/01/2023

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


raw_content:
Narrative:
Confidential interviews reported that the only time clients were asked to "wait" was during instances when facility staff were passing out medication, as this was a sensitive time and that clients who weren't receiving medication were asked to wait until the clients receiving medication were given medication. Confidential interviews stated that when staff is not passing out medication and not doing bedroom checks, they are assisting clients. Community Care Licensing received another allegation that the facility is not meeting the youth's (C1-C5) individual therapeutic goals. Confidential interviews reported that "there is a lack of therapeutic intervention" in the facility. Other confidential interviews reported that the clients are given access to therapy services at least once a week. Confidential interviews reported that clients who did need to speak to a therapist or clinicians on grounds were not denied this service. Other confidential interviews reported that it was unknown if the clients' therapeutic goals were being met, even though they had opportunities to participate in therapy. Community Care Licensing received another allegation that unspecified staff member called the youth (C1-C5) an inappropriate name. Confidential interviews reported that "staff called youth a liar." Other confidential interviews reported that all facility staff used appropriate language when interacting with the clients (C1-C5) in care and denied hearing that a client was called "a liar." Confidential interviews indicated staff does not call clients (C1-C5) inappropriate names. Based on inconsistent confidential interviews, the allegations that staff are unavailable for the youth (C1-C5) in care, the facility is not ensuring that the youth's (C1-C5) individual therapeutic goals are being met. Staff called the youth (C1-C5) an inappropriate name, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Case Manager Tijuana Ross.

Investigation Findings:
13On 10/13/2023 at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Home of Excellence Short Term Residential Treatment Facility (STRTP) and met with Case Manager Tijuana Ross, to deliver the investigative findings for the allegations listed above. On 05/16/2023, LPA Jessica Peete visited the facility, obtained pertinent documents, and conducted an initial health and safety inspection. No immediate health and safety hazards were observed. LPA Peete interviewed Client 1 (C1), Client 4 (C4), and Staff (S1-S7). LPA Joon Choi interviewed Client 3 (C3). Client 2 (C2) and Client 5 (C5) refused to be interviewed by LPA. On 05/16/2023, Community Care Licensing received an allegation that staff (S1-S7) are unavailable for the clients in care (C1-C5). Confidential interviews reported that facility staff were unavailable to the clients in the facility and that "youth were told to wait for other staff" when clients would ask for assistance. Other confidential interviews reported that staff made themselves available to all clients in care whenever they asked for assistance. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 10/13/2023

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

met_with: Tijuana Ross, Case Manager


raw_content:
Narrative:
It was also alleged that Staff #1 (S1) stated to C1, "that's what you get." Confidential staff interviews reported S1 did not make any inappropriate comments to C1, instead S1 and S2 offered C1 medical attention, in which C1 refused. The interviews that were provided to the LPA were not consistent regarding the allegations that staff are not properly supervising C1 and staff making an inappropriate comment to C1. Based on interviews and record reviews the allegations that that staff did not prevent C1 from the facility and staff made an inappropriate comment to C1, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Ebony Jones.

Investigation Findings:
13On November 15, 2023, at 9:00 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Ebony Jones. LPA Erika Lopez conducted an inspection of the facility on December 16, 2022, at 2:50 pm and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not prevent C1 from awoling (absent without leave) from the facility and staff made an inappropriate comment to C1. Confidential staff interviews reported that C1 will leave the facility without permission and staff will verbally give C1 directives but C1 refuses to follow verbal directives of staff. Confidential staff interviews reported that C1 had a cell phone that was approved by C1's authorized representative. Confidential interviews reported that on December 10, 2022, C1 returned from an awol, it was alleged that C1 reported to staff about being sexually abused while awol. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 11/15/2023

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


raw_content:
Narrative:
Specifically, it was reported C1 utilizes marijuana, nicotine, and "M30's" both in and out of the facility. Confidential interviews and record review revealed C1 has been observed returning to the facility after leaving without permission under the influence of unknown substance. Confidential interviews and photographs reported that the facility staff have confiscated contraband and/or substances from multiple residents. Confidential interviews could not confirm where the residents were obtaining the contraband and substances. Confidential interviews could not confirm or dispute C1 was utilizing substances while in the facility. Based on record review and confidential interviews the allegation alleging Minor (Child #1 [C1]) is utilizing substances while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Home of Excellence, Letty Castaneda, House Manager.

Investigation Findings:
13On January 3, 2024 at 8:35 am Licensing Program Analyst (LPA), Emina Preciado, met with Home of Excellence Short Term Residential Therapeutic Program (STRTP) Letty Castaneda, House Manager, to deliver the findings for the above stated allegation. A health and safety inspection of the facility was conducted on February 22, 2023, and no immediate hazards were observed. The investigation included interviews with three staff (S1, S2, S3), two of four foster youth (Child #2 [C2] and Child #3 [C3]), and two San Bernardino County Social Workers. LPA was unable to obtain a statement from Child #1 (C1) after multiple attempts due to multiple placement changes and several occurrences of C1 being absent without permission. Two confidential witnesses' whereabouts are unknown and therefore were unable to be interviewed. In addition, county records, facility records, and photographs were reviewed. On February 21, 2023, Community Care Licensing (CCL) received an allegation alleging Minor (Child #1 [C1]) is utilizing substances while in care. 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 01/04/2024

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

met_with: Letty Castaneda, House Manager


raw_content:
Narrative:
Confidential interviews were inconsistent regarding who was involved and witnessed the incident, except S6. Confidential interviews reported that, based on C1's past behaviors, staff reasonably suspected that C1 was hiding contraband in their pants pocket. Multiple confidential interviews reported that staff repeatedly asked C1 to let go of the pants and staff tried to de-escalate the situation; C1 would not loosen their grip on the pants and refused to comply with staff. Confidential interviews reported staff (S6) was not aggressive toward C1 but did reach for the pants, resulting in C1 pulling the pants, which caused C1 and S6 to fall to the floor. A confidential witness interview reported that S6 restrained C1 while C1 was on the ground. Other confidential interviews reported that C1 and S6 did not fall to the ground, and S6 did not restrain C1. In addition, confidential interviews reported that S6 did not hit C1, and C1 did not sustain any injuries or require medical attention. Pertinent documentation also reported that C1 had no observable marks or bruising. Other confidential interviews reported that S6 choked C1 and disclosed that C1 reported being physically abused by staff at the STRTP. The LPA did not receive any corroborating information during confidential interviews as the interviews denied staff hit or mistreated clients in care. The Department also received an allegation that staff spoke inappropriately to the minor (C1) in care. It was alleged that staff called C1 names. Confidential interviews reported staff did not yell or speak negatively about C1 or other clients in care. Other confidential interviews reported staff (S1) called names and made derogatory remarks about client behaviors. It was further reported that there were no concerns regarding client and staff interactions; confidential interviews reported staff were respectful and acted professionally. Based on inconsistent confidential interviews and pertinent documentation, the allegations that staff (S6) hit a minor (C1) in care and staff spoke inappropriately to the minor (C1) in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Leticia Castaneda This is an amended report of a report that was originally issued on 01/25/2024

Investigation Findings:
13This is an amended report of a report that was originally issued on 01/25/ On January 25, 2024, at 3: PM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to the Home of Excellence Therapeutic Program ( STRTP) to deliver the investigative findings for the allegations listed above. On 03/23/2023, LPA Peete inspected the physical plant, and no immediate safety hazards were observed. During the investigation, LPA obtained documents pertinent to the investigation. LPA conducted interviews with staff (S1, S2, S4, S5, S6, S7, and S8,) and client 2 (C2). LPA made several attempts to interview C3, but C3 was unavailable. On 08/29/2023, Community Care Licensing received additional information alleging staff (S6) hit a minor (C1) in care. It was reported that C1 and S6 struggled over a pair of pants. It was alleged that multiple STRTP staff witnessed the incident (S1, S2, S4, S5, S6, S7, and S8). (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 01/25/2024

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

met_with: Facility Manager, Leticia Castaneda


raw_content:
Narrative:
Confidential interviews reported when law enforcement (LE) arrived at the STRTP, C1 admitted to LE they (C1) used a "razor" to cut their (C1's) face. Confidential interviews also reported that C1 did not disclose where they (C1) obtained the object used to self-harm, and the safety search conducted by staff did not recover the object. In addition, information obtained from other confidential interviews reported that clients do not have access to sharp objects. However, clients are allowed to use shaving razors, but C1 and other clients are monitored due to unsafe behaviors. Additionally, multiple confidential interviews reported that due to C1's behavior's staff do not ignore C1's self-harming; staff provide emergency interventions and utilize C1's safety plan. The Department also received an allegation that staff (S1) teased a minor (C1) in care. It was reported during the same incident, mentioned above, that S1 made offensive remarks about C1 's appearance. More specifically, it was alleged that S1 criticized C1's makeup. A confidential interview reported that C1 was wearing dark makeup. However, other confidential interviews reported that S1 only mentioned C1's makeup because it resembled "black face." A Confidential witness interview reported hearing S1 comment on C1's makeup, but the witness did not know what was said. In addition, confidential interviews reported that C1 is "creative" and staff complement C1's appearance. Furthermore, confidential interviews denied S1 or other staff, teasing clients in care and reported staff to allow clients to express themselves freely. Based on inconsistent confidential interviews and documentation, the allegations that staff (S1) did not prevent a minor (C1) from self-harming and that staff (S1) teased a minor (C1) in care are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Acting Facility Manager Lisa Brooks. This is an amended report of a report that was originally issued on 04/19/2024

Investigation Findings:
13This is an amended report of a report that was originally issued on 04/19/ On April 19, 2024, at 8: AM, Licensing Program Analyst (LPA) Jessica Peete conducted an unannounced visit to Home at Excellence Short-Term Residential Therapeutic Program (STRTP) to deliver the investigative findings for the allegations listed above. LPA Peete obtained documents pertinent to the investigation and interviewed clients (C1, C2, and C3) and staff (S1 and S2). LPA attempted to interview C4, but C4 declined the interview. On 12/29/2023, Community Care Licensing received an allegation that staff (S1) did not prevent a minor (C1) from self-harming. The incident report received by the Department reported that C1 went into the STRTP bathroom and came out with a cut on their (C1's) cheek. A confidential interview reported that S1 was present when C1 self-harmed. However, C1's behavior escalated quickly, and S1 was unaware that C1 had taken an object into the bathroom to injure themselves. 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: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 04/19/2024

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

met_with: Lisa Brooks, Acting Facility Manager


raw_content:
Narrative:
stop. Confidential interviews reported S1 then walked away leaving C1 and C2 to continue the sexual interaction. Confidential interviews reported S1 returned a short time later stood at the door and again directed C1 and C2 to stop and C2 to leave the room, at which time C1 and C2 stopped the interaction. Based on record review and confidential interviews the allegation alleging lack of supervision resulted in minors (C1 and C2) engaging in inappropriate activity may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Home of Excellence, Facility Manager Leticia Castaneda.

Investigation Findings:
13On June 5, 2024, at 2: PM, Licensing Program Analyst (LPA), Nicole Strickland met with Home of Excellence, Facility Manager Leticia Castaneda, to deliver the finding for the above stated allegation. The investigation was conducted by LPA N. Strickland and included interviews with three staff [Staff #1 (S1) - Staff #3 (S3)], two of two foster children [Child #1 (C1) and Child #2 (C2)], and one county social worker. In addition, county records and facility records were reviewed. On March 20, 2024, Community Care Licensing (CCL) received an allegation alleging lack of supervision resulted in minors (C1 and C2) engaging in inappropriate activity. Specifically, it was reported C1 was observed with a hickey on C1's neck and when questioned further reported it was given to C1 by another resident of the facility. Confidential interviews reported S1 was doing room checks when S1 opened the bedroom door and observed C1 and C2 having a sexual interaction at which time S1 directed C1 and C2 to UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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 RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 06/05/2024

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

met_with: Facility Manager Leticia Castaneda.


raw_content:
Narrative:
incident. Confidential interviews reported staff met the physical needs of C1-C4 after the incident however, the emotional need for safety was not immediately addressed by the facility. Additional confidential interviews reported the facility could have and should have done more to insure both the physical and emotional safety needs of the staff and C1-C4. Confidential interviews could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation alleging facility is not meeting the needs of youth (C1-C4) in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Home of Excellence, Facility Manager Leticia Castaneda.

Investigation Findings:
13On June 5, 2024, at 2:45pm, Licensing Program Analyst (LPA), Nicole Strickland met with Home of Excellence, Facility Manager Leticia Castaneda, to deliver the finding for the above stated allegation. The investigation was conducted by LPA N. Strickland and included interviews with three staff [Staff #1 (S1) - Staff #3 (S3)], three of four foster children [Child #1 (C1) -Child #3 (C3)], one county social worker, and Open Case Investigations (OCI) investigator. One foster child's whereabouts is unknown therefore was unable to be interviewed. In addition, county records and facility records were reviewed. On February 7, 2024, Community Care Licensing (CCL) received an allegation alleging facility is not meeting the needs of youth (C1-C4) in care. Specifically, it was reported the facility had a serious incident occur at the facility after which the safety of C1-C4 was not met. Confidential interviews and record review provided conflicting reports of how the staff (S2 and S3) met the safety needs of C1-C4 during and after the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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 RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 06/05/2024

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


raw_content:
Narrative:
interviews provided conflicting reports of how often room checks are conducted at the facility. Additionally, confidential interviews provided conflicting accounts of how facility staff respond to a foster child leaving the facility without permission. Confidential interviews could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation alleging facility staff are not providing adequate supervision resulting in minor (C1) engaging in inappropriate activities may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Home of Excellence, Acting Facility Manager, Lisa Brooks.

Investigation Findings:
13On June 14, 2024 at 12:35 pm Licensing Program Analyst (LPA), Nicole Strickland met with Home of Excellence, Acting Facility Manager, Lisa Brooks, to deliver the findings for the above allegation. A Health and Safety inspection of the facility was conducted on April 23, 2024, and no immediate hazards were observed. The investigation included interviews with three of four foster children [Child #1 (C1), Child #3 (C3), and Child #4 (C4)], Facility Manager (FM), Head of Service (HOS), one staff (S1), and two county social workers (CSW1 and CSW2). One foster child whereabouts is unknown and therefore was unable to be interviewed. In addition, county records and facility records were reviewed. On April 17, 2024, Community Care Licensing (CCL) received an allegation alleging facility staff are not providing adequate supervision resulting in minor (C1) engaging in inappropriate activities. Specifically, it was reported C1 is texting and being picked up at the facility by an unknown adult male. Confidential interviews and record review revealed inconsistencies regarding supervision in the facility. Confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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 RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 06/14/2024

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


raw_content:
Narrative:
Confidential interviews revealed that when C4 wrapped a cord around their wrist that S2 immediately stopped C4 and called law enforcement; C4 was then taken to the hospital for assessment. Confidential interviews revealed that staff are trained on de-escalation technics to prevent any self-harm behaviors that a client might be experiencing. C4 could not be interviewed due to whereabouts are unknown at this time, therefore LPA could not confirm if the information provided was valid. Based on confidential interviews, the allegation that staff did not prevent C4 from engaging in self-harm behavior may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castaneda, Facility Manager.

Investigation Findings:
13On 09/05/24 at 02: PM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castaneda, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Therapeutic Program (STRTP). On 08/07/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), County Social Worker (CSW), four clients (C1, C2, C3), Client #4 (C4) was unable to be interviewed after several attempts due to C4's whereabouts are unknown. The clients' Needs and Services Plans and case notes were reviewed. On August 06, 2024, Community Care Licensing received an allegation that staff did not prevent minor (C4) from engaging in self-harm behavior. Specifically, it was reported that C4 wrapped a cord around their wrist and tried to self-harm. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 09/05/2024

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

met_with: Leticia Castaneda, Facility Manager


raw_content:
Narrative:
It was also reported that on 08/07/24, C2 went into C1's room and stole C1's clothes and other belongings, and staff did not do anything, and staff never intervene. Confidential interviews revealed that there was no physical altercation between C1 and C2. Confidential interview revealed that C1 had later admitted to lying about the physical altercation and that it was another person outside of the facility that had physically abused C1. Other witnesses stated that they did not see C2 going into C1's room and steel C1's personal items. There were no witnesses to the alleged incident and C1 could not be interviewed, therefore LPA could not confirm if the incident occurred or not. Based on confidential interviews, the allegations that staff are not preventing C1 from being physically abused by C2 while in care and staff are not preventing C2 from stealing C1's personal belongings while in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castaneda, Facility Manager.

Investigation Findings:
13On 09/05/24 at 02: PM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castaneda, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 08/14/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), three clients (C2, C3, C4), Client #1 (C1) was unable to be interviewed after several attempts due to C1's whereabouts are unknown. Clients' Needs and Services Plans were reviewed. On August 10, 2024, Community Care Licensing received allegations that staff are not preventing minor (C1) from being physically abused by other minor (C2) while in care and staff are not preventing minor (C2) from stealing other minor's (C1) personal belongings while in care. Specifically, it was reported that C1 keeps running away from the facility because C1 is being abused by C2. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 09/05/2024

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


raw_content:
Narrative:
Confidential interviews revealed that the physical altercation never took place; when C1 returned to the facility C1 went to their bedroom that is directly across from the staff office and the door was left open. All parties interviewed denied that an altercation took place. Confidential interviews stated that the reason for C1's removal was due to the facility no longer able to keep C1 safe, as C1 would self-harm and run away from the facility returning with bruises. Although all information provided disproves the allegation, C1 was not able to be interviewed to confirm or deny the information. Based on confidential interviews, the allegations that staff kicked C1 out of the group home in retaliation for reporting abuse by other children may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Tiffany Merritt, Administrator.

Investigation Findings:
13On 09/11/2034 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Tiffany Merritt, Administrator, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 08/14/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), one client (C2), Client #1 (C1) was unable to be interviewed after several attempts due to C1's whereabouts are unknown. Clients' Needs and Services Plans were reviewed. On August 13, 2024, Community Care Licensing received allegations that staff kicked the child (C1) out of the group home in retaliation for reporting abuse by other children. Specifically, it was reported that S1 brought C1 to the Afterhours Response Center and the facility staff told them that C1 could not be in the group home anymore due to C1 disclosing a physical altercation which took place between C1 and C2, and staff are not doing anything about it. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 09/11/2024

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

met_with: Tiffany Merritt, Administrator


raw_content:
Narrative:
Based on confidential interviews, the allegations alleging drug activity on the premises and C1 is having sexual intercourse with an adult on the premises. may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castaneda, Facility Manager.

Investigation Findings:
13On December 04, 2024 at 09: AM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castaneda, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). The investigation was conducted by Special Investigator Marlon Williams. The investigation included interviews with three Clients (C2, C3, C4), House Manager (HM) Facility Administrator (FA), Police Detective (DET) and County Social Worker (CSW). In addition, police report, CWS/CMS Investigation case notes and facility records were reviewed. On July 15, 2024, Community Care Licensing (CCL) received allegations alleging drug activity on the premises and minor (C1) is having sexual intercourse with an adult on the premises. Confidential interviews conducted did not provide sufficient evidence to substantiate the allegations. Additionally, C1 was unable to be located to obtain an interview and there were no witnesses to the alleged allegations. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 12/04/2024

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


raw_content:
Narrative:
During the investigation, there was no corroborating evidence to support the above allegations and the confidential interviews revealed conflicting statements to if the incidents occurred. Based on confidential interviews, the allegations that staff are not providing a comfortable environment for C1 and staff are not treating C1 with dignity and respect, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castaneda, Facility Manager.

Investigation Findings:
13On December 04, 2024 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castaneda, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 08/07/24, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2) and three clients (C1, C2, C3). Clients' Needs and Services Plans were reviewed. On August 07, 2024, Community Care Licensing received allegations that staff are not providing a comfortable environment for minor (C1) and staff are not treating minor (C1) with dignity and respect. Specifically, it was reported that C1's roommate touched C1 inappropriately by grabbing C1's waist which made C1 feel uncomfortable and C1 was not feeling well and did not go to school so S2 cancelled C1's continuation school and outside activities. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 12/04/2024

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


raw_content:
Narrative:
Confidential interviews revealed that C1 was taken to the hospital due to not feeling well and while C1 was there, the staff noticed cuts on both arms and C1 was kept at the hospital for an evaluation. Confidential interviews entailed that C1 was placed at the facility and the following day went to the hospital and never returned to the facility. It is unknown when and where C1 self-harmed as C1 was not able to be interviewed to confirm or deny the information. Based on confidential interviews, the allegation that staff did not prevent C1 from engaging in self-harming behavior, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castaneda, Facility Manager.

Investigation Findings:
13On January 02, 2025 at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castaneda, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 09/05/24, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff (S1, S2), three clients (C2, C3, C4), Client #1 (C1) was unable to be interviewed after several attempts due to C1's whereabouts are unknown. On September 04, 2024, Community Care Licensing received an allegation that staff did not prevent minor (C1) from engaging in self-harming behavior. Specifically, it was reported that C1 was admitted into the hospital for danger to self. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 01/02/2025

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


raw_content:
Narrative:
Confidential interviews revealed that C1 used substance in their room and that they would hide it from the staff and air out the room. Confidential interviews revealed that regular room checks are between 15-30 minutes, however, if the clients are doing something suspicious staff conduct room checks more often. Confidential interviews revealed that any substance found in the client's room is confiscated. Confidential interviews conducted were inconsistent and did not provide sufficient evidence to corroborate the allegation. Based on inconsistent confidential interviews, the allegation that staff are not preventing C1 from using drugs while in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Leticia Castandena, Facility Manager.

Investigation Findings:
13On August 27, 2025 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Leticia Castandena, Facility Manager, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 04/25/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three staff (S1, S2, S3), four clients (C1, C2, C3, C4) and two County Social Worker (CSW3, CSW4). In addition, the Clients' Needs and Services Plans were reviewed. On April 21, 2025, Community Care Licensing received an allegation that staff are not preventing minor (C1) from using drugs while in care. Specifically, it was reported that C1 uses substances multiple times daily. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 08/27/2025

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

met_with: Leticia Castandena, Facility Manager


raw_content:
Narrative:
Specifically, it was reported that a staff member body shamed C1. C1 is unable to handle being threatened and mistreated by staff because they threatened to write C1 up and take C1's cell phone away if C1 was not a "perfect individual". Also, it was reported that C1 was denied using the restroom when they were at an outing. Although the Department received detailed information, the confidential interviews provided inconsistent statement and did not provide sufficient evidence to corroborate the allegations. Based on confidential interviews, the allegations that C1 is not being accorded dignity in their personal relationships with staff, staff did not allow C1 to use restroom and staff speak inappropriately to C1, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Tiffany Merritt, Administrator.

Investigation Findings:
13On October 23, 2025 at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Tiffany Merritt, Administrator, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 06/13/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three staff (S1, S2, S3), three clients (C1, C2, C3) and two County Social Worker (CSW1, CSW2). In addition, the Clients' Needs and Services Plans were reviewed. On June 10, 2025, Community Care Licensing received complaint allegations stating that minor (C1) is not being accorded dignity in their personal relationships with staff, staff did not allow minor (C1) to use restroom and staff speak inappropriately to minor (C1). (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 10/23/2025

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


raw_content:
Narrative:
Specifically, it was reported that S2 had a verbal altercation with C1 when C1 was just released from the hospital and S2 antagonized C1 by repeating what C1 was saying and threatened to call the law enforcement and send C1 back to the hospital. During the investigation, there were no witnesses to the alleged incident. Although the Department received detailed information, the confidential interviews provided inconsistent statement and did not provide sufficient evidence to corroborate the allegations. Based on confidential interviews, the allegations that S2 had a verbal altercation with C1 in care, S2 threatened C1 and S2 antagonized C1, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Tiffany Merritt, Administrator.

Investigation Findings:
13On October 23, 2025 at 01: AM, Licensing Program Analyst (LPA) Sarah Lo met with Tiffany Merritt, Administrator, to deliver the finding for the above complaint allegation at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 06/10/25, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three staff (S1, S2, S3), four clients (C1, C2, C3, C4) and three County Social Worker (CSW1, CSW2, CSW3). In addition, the Clients' Needs and Services Plans were reviewed. On June 09, 2025, Community Care Licensing received an allegation that staff (S2) had a verbal altercation with minor (C1) in care, staff (S2) threatened minor (C1), and staff (S2) antagonized minor (C1). (Continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 10/23/2025

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Specifically, it was reported that S3 and their significant other had a verbal altercation in the presence of the clients and that C1 and C3 ended up having a verbal altercation with S3's significant other. Also, it was reported that when the incident happened, it was not reported to the authorities, and a Special Incident Report (SIR) was not submitted to the Department. LPA reviewed a video footage taken on 5/20/25, and it was observed that S3 was standing by the facility front door and having a verbal altercation with an unknown male outside of the group home. Additionally, it was heard that C1 and C3 had a few words exchanged with the unknown male and C1 and C3 were using profanity towards to the unknown male. Furthermore, a police report was not filed until 06/02/25 and the SIR received at CCL was dated 06/02/25, which is twenty-two days after the incident. Based on the confidential interviews and video review, the preponderance of evidence standard has been met and the allegations that S3 engaged in a verbal altercation in the presence of C1, C2 and C3 in care, S3 behavior posed a risk to C1, C2 and C3 in care and staff did not report incident to proper authorities are substantiated. The facility is being cited for violations of Interim Licensing Standards (ILS), Version 5, Section 87072(c)(1) - Personal Rights: (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, and below, as applicable: (1) To live in a safe, healthy, and comfortable home where they are treated with respect; and Title 22, Division 6, Chapter 1, Article 6, Section 80061(b)(1)(E) - Reporting Requirements: (b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Home of Excellence Short Term Residential Therapeutic Program (STRTP), Administrator, Tiffany Merritt.

Investigation Findings:
13On November 06, 2025 at 01: PM, Licensing Program Analysts (LPAs) Sarah Lo and Gilbert Marquez met with Administrator, Tiffany Merritt, to deliver the finding for the above complaint allegations at Home of Excellence Short Term Residential Therapeutic Program (STRTP). On 05/28/25, LPA Lo inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff (S1, S2, S3, S4), three clients (C1, C2, C3) and two County Social Worker (CSW1, CSW2). In addition, the Clients' Needs and Services Plans, video footage and Special Incident Report (SIR) were reviewed. On May 23, 2025, Community Care Licensing (CCL) received complaint allegations stating that staff (S3) engaged in a verbal altercation in the presence of minors (C1, C2, C3) in care, staff (S3) behavior posed a risk to minors (C1, C2, C3) in care and staff did not report incident to proper authorities. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: HOME OF EXCELLENCEFACILITY NUMBER: VISIT DATE: 11/06/2025

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On December 08, 2022 at 09: AM, Licensing Program Analyst's (LPA's) Darlene Almaraz-Oseguera and Emina Preciado arrived at Home of Excellence Residential Therapeutic Program (STRTP). LPA was greeted and granted access by facility manager (FM) Ms. Leticia Castaneda. The purpose of the visit is to conduct an annual inspection of the facility. There were no clients and two staff present during this inspection. Appropriate staff/client ratios were verified during the inspection. Ms. Leticia Castaneda led the physical inspection of the facility with LPA's. The facility consists of four bedrooms and two bathrooms. One bedroom is used as the staff office and has a restroom inside that is also available for clients to use. The facility has a dining area, a kitchen area, a living room, a staff office, laundry room, and a garage. The laundry room is located off the hallway that leads to the garage. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. All the bedroom windows have the screens. Facility grounds are clean and free of debris and observable hazards. During the inspection, it was observed that there is an old, disconnected satellite on the ground, creating a potential hazard. There is adequate indoor and outdoor activity space. Televisions, a computer, board games, video gaming console, trampoline, punching mannequin and punching tower bag, and books, were observed for client's recreation time. There is an activities calendar posted and staff are getting back to scheduling outings and outside activities. Carbon monoxide detector is in appropriate working order and facility smoke detectors are also in working order. Fire extinguisher is properly charged and serviced. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. There is an extra freezer in the garage along with an extra refrigerator. An addition was also built off the dining area that is used as a pantry and storage area. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are stored in a locked box within a locked closet in the hallway. The hot water in the staff and client restrooms was deemed to be at a safe temperature. Per facility staff, there are no firearms or weapons in the facility. Chemicals and/or poisons are locked the hallway closet. Sharp objects/knives are stored in a locked box in the locked closet in the hallway. First Aid Kits are also stored in this locked closet and are complete. A First Aid Manual was also available. Medications were stored in a locked box in the hallway closet. It was observed that the licensee has cameras in common areas of the facility as well as the staff office, outside facing the front door and in the backyard facing the windows and side wall. There is an exception on file for the facility to use the cameras and the facility continues to meet the terms and conditions of the exception. Client files are kept in a locked file cabinet within the staff office. LPA's reviewed six client files during time of inspection. All six of the client files reviews had required documents on file. LPA's also reviewed seven staff files and all of the files were complete and had had all required documents. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances, CPR/First aid and training hours. Based on the facility inspection and file reviews this date, are no deficiencies found at this time. Exit interview conducted and a copy of this report was reviewed and given to facility representative Leticia Castaneda.

report_type: Facility Evaluation

visit_type: Annual

met_with: Leticia Castaneda


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA), Erika Lopez, was at the facility to conduct interviews with 2 clients.

met_with: Assistant Manager - Lakaela Biggs


summary: Facility Evaluation

raw_content:
Narrative:
On June 30th, 2023 at 1:57 pm Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced visit at Home of Excellence Short Term Residential Therapeutic Program (STRTP). LPA met with Ebony Jones, Assistant Manager. No immediate health or safety deficiencies were observed. The purpose of the visit was to conduct a collateral interview with a staff. Exit interview conducted and a copy of this report was given to Ebony Jones, Assistant Manager

met_with: Ebony Jones, Assistant Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 18, 2023, at 10: AM, Licensing Program Analyst (LPA), Jessica Peete arrived at Home of Excellence Residential Therapeutic Program (STRTP) to conduct an unannounced annual inspection. LPA met with Facility Administrator, Tiffany Merritt. LPA began the physical plant inspection at 10: AM. LPAs toured the facility inside and out at with facility staff . The facility consists of three bedrooms and two bathrooms. One bedroom is used as the staff office and has a restroom inside that is also available for clients to use. The facility has a dining area, a kitchen area, a living room, a staff office, laundry room, and a garage. The laundry room is located off the hallway. The bedrooms are arranged so that there are two clients sharing a room, and one client per bed. There is adequate closet space for client's belongings. At 10: AM LPA observed two mattresses, in bedroom two and one mattress in bedroom three, were not equipped with good springs. The licensee was cited with a type B violation of Interim Licensing Standards (ILS) 87088(c)(1). At 11: AM LPA observed wall damage in bedroom two.The licensee was cited with a type B violation of Title California Code of Regulation(CCR) 80087(a). The bathrooms were observed to be clean and in good repair. The hot water in both bathrooms were within the appropriate range of 105 degrees to 120 degrees Fahrenheit. Cleansers/chemicals are locked and stored in the laundry room cabinets; additional cleaning supplies are locked in the staff office. Sharp knives are inaccessible and stored in a locked hall closet. The smoke and carbon monoxide detectors were operable,the fire extinguishers were observed to be fully charged and in working condition. There are no guns or weapons on facility grounds as stated by the Administrator. LPA observed facility posted items in the entry way and dining area that included: Grievance Procedures, Personal Rights, Visitation policies, Foster Care Ombudsman,and current food menu. Client's medications were observed to be inaccessible and stored in the locked hall closed, inside a lock box. LPA observed a variety of food stored in the refrigerator and kitchen cabinets. LPA observed a minimum seven-day non-perishable and a two-day perishable supply of food. There are no pools or other bodies of water on the property. There is adequate indoor and outdoor activity space; all exits, and walkways were free from obstruction. LPA observed age-appropriate toys, games, and books for client's recreation time. At 11: AM LPA began the review of Disaster Preparedness, Operational Requirements, and Core Therapeutic Services. All documentation pertaining to this area of the inspection was provided, and no deficiencies were noted. At 12: PM LPA reviewed four out of four client files (C1-C4). AT 1: PM LPA observed the licensee did not have the tuberculosis examination results for C4. The licensee was cited with a type B violation of Title California Code of Regulation (CCR) 80069(c)(1). At 1: PM LPA observed the Needs and Service Plans did not have the required information regarding, visitation, family member integration into the treatment process, and outreach to the family members. The licensee was cited with four technical violations: ILS 87068.2(b)(6), ILS 87068.2(e), ILS 87070(b)(16), ILS 87070(b)(17). Due to time constraints, LPA will return to complete the inspection at a later date. Based on observations made during the inspection, deficiencies are being cited. An exit interview was conducted, and a copy of this report, LIC 811, and appeal rights was provided to Facility Manager Tiffany Merritt.


summary: Facility Evaluation

raw_content:
Narrative:
On July 25, 2023, at 12: PM, Licensing Program Analyst (LPA), Jessica Peete arrived unannounced at Home of Excellence Short Term Residential Therapeutic Program (STRTP). LPA met with Facility Administrator, Tiffany Merritt to continue with the Annual Inspection. LPA Peete previously visited the facility on 07/18/2023; to complete inspection of the Physical Plant, Client Records, Operational Requirements, and Disaster Preparedness. At 12: LPA began the review of six staff files (S1-S6). All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances, and current CPR/First aid certification. At 1: PM LPA observed S4 completed 8 of the required 40 hours of annual training, and S5 completed 10 hours. Per Short Term Therapeutic Program Interim Licensing Standards 87065.1(e)(1) Notwithstanding California Code of Regulations, Title 22, Sections 80065(f)(1) through (6), all direct care staff shall complete a minimum of 40 hours of annual training... Per the Administrators statement staff annual training for calendar for the year begins in January 2023 and ends in December 2023. The licensee was given a Technical Violation and reminded that direct care staff are to complete the required training by or before December 2023. AT 2: PM LPA reviewed Emergency Interventions. LPA observed S1, last completed Emergency Intervention training July 26, 2020. Per Short Term Therapeutic Program Interim Licensing Standards 87095.65(e) Staff must receive ongoing training to maintain certification. The licensee was unable to provide documentation, verifying S1 completed the required training; therefore, a Technical Violation (TV) was cited. As part of the inspection LPA conducted two staff interviews (S1 and S3) and one client interview ( C1) Client 2 (C2) declined to be interviewed. Based file reviews no deficiencies were cited. A copy of this report, LIC 811, and appeal rights were provided to Administrator Tiffany Merritt.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On July 25th, 2023, at 5: PM Licensing Program Analyst (LPA), Jessica Peete met with Administrator, Tiffany Merritt. LPA was at the facility to continue with the Annual Inspection and clear a Type B deficiency, initially cited during the annual visit on 07/18/2023. The deficiency has been cleared; no other deficiencies were observed or cited during this visit. An exit interviewed was conducted, and a copy of this report was provided to Administrator,Tiffany Merritt.