narrative: Regarding the allegation that C1 and C2 are not able to access outside, it was specifically stated that there were locks on the entry doors that were not able to unlock from the inside. A confidential interview stated that the entry door had locks that were accessible from the inside. A confidential witness stated that front door was easily accessible to C1 and C2 from the inside. LPA did not observe entry doors being locked during the inspection. Regarding the allegation that staff inappropriately restrained C2, it was specifically stated that staff were observed holding C2 to the floor. A confidential interview denied not holding C2 to the floor. Another confidential interview denied not holding C2 to the floor. A confidential witness did not see or receive any reports of restraint. Based on confidential interviews, the Department determined there was not sufficient information to determine staff sleeping in home, C1 and C2 are not able to access outside and staff inappropriately restrained C2. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegations. The Department's finding is that these allegations were unsubstantiated.

investigation_findings: 13On June 17, Licensing Program Analysts (LPA) Babatunde Aborchie arrived at the group home (GH) met with Administrator Crystal Garcia to deliver investigative findings of the above allegations. On February 25, LPA arrived at the GH to initiate the investigation regarding the above allegations and interviewed two staff, Administrator, two of two clients. One client C1 was non-verbal and C2 did not have a clear speech. LPA was unable to get any information from C1 and C2 regarding the allegations. Additionally, LPA obtained clients (C1 and C2) records. On February 17, 2022, the Department received allegations that staff sleeping in home, Residents are not able to access outside and staff inappropriately restrained child. In regards to the allegation that staff were sleeping in the home, it was specified that staff is sleeping at the facility in the empty beds at the home at night. Confidential interview denied sleeping at the facility on an empty bed during night shift. Another confidential interview denied sleeping on an empty be during night shift. A confidential witness did not see or received reports of staff sleeping at the facility on an empty bed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, THE CITY DR., SUITE FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: VISIT DATE: 06/17/2022


state: CA

facility_name: SAILS OC CRISIS

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation is substantiated. Facility is cited for violation of health-related services Title Group Home Chapter 5, Section 84675(c) Psychotropic medication. Confidential interviews and record reviews confirmed medication was not used in accordance with written directions of the physician prescribing the medication. A copy of this report was reviewed and provided to Administrator Crystal Garcia, along with the Appeal Rights Regarding the allegation that staff are not providing appropriate care and supervision to residents in care, a confidential interview stated that staff were providing appropriate care to C1 and C2 in care. Another confidential interview believed that facility was providing appropriate care for C1 and C2 in care. Based on confidential interviews, the Department determined there was not sufficient information to determine staff failed to seek medical attention for C1 in a timely manner and staff are not providing appropriate care and supervision to C1 and C2 in care. Although the allegations may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegations. The Department's finding is that these allegations were unsubstantiated.

Investigation Findings:
13On June 16, 2022, Licensing Program Analyst (LPA), Babatunde Aborchie met with Sails OC Administrator Crystal Garcia to review the complaint investigative findings for the above stated allegations. During the investigation, LPA interviewed two staff, two of two clients (C1 and C2) residing in the facility, Administrator, and reviewed medication records. On February 28, 2022 the Department received allegations that staff failed to seek medical attention for minor in a timely manner and staff are not providing appropriate care and supervision to residents in care. Regarding the allegation that staff failed to seek medical attention for minor in a timely manner, a confidential interview stated that facility administrator (FA) was immediately notified. Another confidential interview stated that FA immediately made a telephone call to C1's primary doctor, FA was instructed to have staff observe C1 at the facility for any unusual changes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, THE CITY DR., SUITE This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/28/2022 and conducted by Evaluator Babatunde Aborchie PUBLICCOMPLAINT CONTROL NUMBER: 22-CR- FACILITY NAME:SAILS OC CRISISFACILITY NUMBER: ADMINISTRATOR:LORI CONTIFACILITY TYPE: ADDRESS: MARK LANETELEPHONE: (818) 357- CITY:COSTA MESASTATE: CAZIP CODE: CAPACITY:3CENSUS: 2DATE: 06/17/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:AdministratorTIME COMPLETED:01: PM 9Resident was not administered medication(s) according to physician's instructions while in care. INVESTIGATION FINDINGS: 13On June 17, 2022, Licensing Program Analyst (LPA), Babatunde Aborchie met with Sails OC Administrator Crystal Garcia to review the complaint investigative findings for the above stated allegations. During the investigation, LPA interviewed two staff, two of two clients (C1 and C2) residing in the facility, Administrator, and reviewed C1 and C2's medication records. On February 28, 2022 the Department received allegations that resident was not administered medication(s) according to physician's instructions while in care. Confidential interview revealed that staff gave an additional dose of medication belonging to C2. Another confidential interview revealed that C1's medication was administered earlier but C2's medication was given to C1 in addition. Record review revealed that C2's medication was given to C1. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 22-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, THE CITY DR., SUITE FACILITY NAME: SAILS OC CRISISFACILITY NUMBER: 306003867

report_type: Complaint Investigation

met_with: Administrator

complaint_status: unsubstantiated


facility_name: SAILS SAPPHIRE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
An allegation has been made regarding the staff's failure to supervise clients adequately at the STRTP mentioned previously. These allegations claim that as a result, one of the clients suffered unexplained injuries. The staff members, S1 and S2, involved in the incident have denied the allegations, and they have stated that they adhere to the Interim Licensing standards, which maintain a staff-to-client ratio of 1:4. However, S2 reported an incident on the morning of January 19, 2024, around 2: AM. S2 heard a commotion coming from one of the client's (C2) bedrooms and found two clients (C1 and C2) lying in the same bed with an iPad next to them. S2 removed the iPad, and no further issues occurred. S2 reported that later that morning while getting C1 and C2 ready for school, S2 noticed some superficial scratches on C1's cheek, ear, and hand. S2 recorded what they observed in C1's behavior log and informed the facility administrator about it. Both clients have a history of scratching and picking at their skin when frustrated or worried. This could have made the scratches on C1 stand out more while at school, according to staff. The CSW and the Paternal Grandmother provided information that the siblings tend to kick, scratch, and bite each other over toys or when feeling frustrated since they are non-verbal. Additionally, it was revealed that C1 has a habit of picking at scabs or skin when nervous or in a new environment such as the case with the subject facility. Both the CWS and Paternal Grandmother confirmed that they have no issue with the care and supervision provided by the staff to the children. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with Mr. Bell.

Investigation Findings:
13On February 14, 2024, at 6: PM, Licensing Program Analyst (LPA) Winston Moroney, conducted an unannounced complaint inspection at Sails Sapphire Short-Term Residential Therapeutic Program (STRTP) and met with STRTP Facility Administrator Tajon Bell. The inspection aimed to deliver the finding for the above complaint allegation(s). On January 1, 2024, the California Department of Social Services Community Care Licensing Division received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Minor sustained unexplained injuries while in care. This LPA conducted the investigation of the above allegations, and it consisted of but was not limited to a review of records, including the client's need and services plans, medical records, and interviews with two staff members S1 on 2/1/24, S2 on 2/10/24, and CSW on 2/9/24. No statements were obtained from C1 and C2 due to being non-verbal. (Reference Confidential Names Form LIC 811, dated February 14, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS SAPPHIREFACILITY NUMBER: VISIT DATE: 02/14/2024

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

met_with: Tajon Bell - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 28, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted an unannounced required annual inspection at the above facility and met with Facility Tajon Bell . This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of four (4) male clients. There are currently four (4) clients in placement (See Client/Resident's Records Review - LIC811 dated 04/28/23). LPA requested a copy of the following: - LIC 500 (Personnel Report) -Client/resident roster -Board minutes - LIC C Emergency Disaster Plan & written disaster and mass casualty plan of action LPA conducted a walk through of the inside and outside of the facility. This facility has five (5) bedrooms, two (2) restrooms, a living room, a dinning area, a kitchen, a laundry room/area, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to four (4) ambulatory and/or non-ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPA observed the following posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked and inaccessible to the clients. The client files and staff are kept locked in a locked closet near the entrance. The facility has a complete first aid kit and a fire extinguisher that was serviced on 4/10/2023. Carbon monoxide/smoke detectors were tested and observed to be operable. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was safe. There are no firearms on the premises. The facility phone system is operable. OPERATIONS Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. No citations were given. The inspection will be resume at a later date. An exit interview was completed and a signed copy of this report was provided to the facility representative.

report_type: Facility Evaluation

visit_type: Annual

met_with: Tajon Bell- Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 1, 2023, Licensing Program Analyst (LPA) Johanna Lofton conducted an unannounced Annual Inspection continuation at the above named facility and met with Facility Administrator, Tajon Bell. LPA stated the purpose of the inspection to the group home representative. During the annual inspection LPA reviewed the facility's physical plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Client and Staff records. There were no citations issued during the inspection. An exit interview was conducted and a signed copy of this report (LIC809) was provided to the facility representative.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On July 25, 2024 at 4pm, Licensing Program Analyst (LPA) Carrie Palmer conducted an unannounced required annual inspection at the above facility and met with Administrator, Erinique Jones and House Lead Tyler Bell. This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of four (4) male clients. There are currently four (3) clients in placement (See Client/Resident's Records Review - LIC811 dated 03/22/24). LPA Palmer requested a copy of the following: LIC 500 (Personnel Report), Client/resident roster, and Board Meeting Minutes. LPA Palmer conducted a walk through of the inside and outside of the facility. This facility has five (5) bedrooms, two (2) restrooms, a living room, a dinning area, a kitchen, a laundry room/area, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to four (4) ambulatory and/or non-ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPA Palmer observed the following posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. The Register of Facility Clients/Residents and the Personnel Report were also posted. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked and inaccessible to the clients. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was safe. There are no firearms on the premises. The facility phone system is operable. The facility does not have a medical unit on staff. The first aid kit was present and well stocked. The client files and staff files are kept locked in a locked closet near the entrance. The facility has a complete first aid kit and a fire extinguisher that was serviced on 4/10/2023. OPERATIONS Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. No citations were given. The inspection will be resume at a later date. An exit interview was completed and a signed copy of this report was provided to the facility representative.

met_with: Erinque Jones and Tyler Bell (Administrator and HOS)


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2024 at approximately 11: AM, Licensing Program Analyst (LPA) Carrie Palmer conducted an unannounced visit to the facility for the purposes of continuing a Required Annual Inspection. LPA Palmer met with the representative listed above and discussed the purpose of the visit. This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of four (4) client. There are currently three (3) clients in placement (See Client/Resident's Records Review - LIC 811 dated 07/30/24). LPA Palmer requested a copy of the following: LIC 500 (Personnel Report), LIC 9020 (Client/resident roster), LIC C, Emergency Disaster Plan & written disaster and mass casualty plan of action, Proof of quarterly fire drills, Procedure on Emergency Power, Copies of Procedures on Medication Storage, Copies of Medication List, Employee Time Schedule, First Aid Cert from the staff files review, Adm certification, resumes of managers and lead staff, and the facility license. The facility has a company vehicle. The facility has 1 children under the age of 7 years old with an exception. Disaster Preparedness and Emergency Intervention The facility was able to provide their emergency drill binder to include drills for fire and earthquake drills, which include the review of the facility sketch and emergency exits. The staff training binder was also provided to LPA Palmer which referenced: Behavior Crisis Response, Medication Training Video, Child Sexual Abuse Prevention and Development Disability Awareness. The facility also offers training on Relias (electronic training system): De-escalation Techniques, Diabetes Basics for Direct Support Professionals, Disaster Preparedness Essentials, Emergency Preparedness for Home Caregivers, Emergency Preparedness Regulation and Emergency Preparedness for Home Based Care Providers , Employee Wellness: Managing Time, and Fire Safety. During the observation of the Relias data base, it was determined that not all staff were receiving the offered training. The facility administrator enrolled the staff in the appropriate training's during the annual review. There was no evidence of documentation regarding the updating of the Emergency Disaster Plan annually. The administrator corrected the non-compliance by creating a form to track the review and updating of the Emergency Disaster Plan. Client Records: Client files were reviewed. During the file review, LPA Palmer reviewed the file with the administrator and there was no evidence of a tuberculosis test for C1, but there was evidence of a risk assessment marked "no risk" for C2 and C3. During an interview with the administrator, it was stated the physician opted out of the testing and the doctors office was called to follow up on the missing test. Interviews: Interviews for children were not conducted; as they are nonverbal. Continued Page 2 of Staff Records: During the review of staff records, it was determined that staff received background checks prior to working at the facility. LPA Palmer was also able to observe staff exemptions. Staff also receives ongoing training that consists of, but not limited to the following: CPI Training and CPR, Sails and Initial Orientation Training, 4 hour and 16 hour Shadowing. Job Descriptions were also observed within the staffs files and the administrators certificate was up to date (expires 3/30/25). Health Screenings were present: Tuberculosis Testing and Physical Exam to include Doctors Office Notes. The administrators resume reflects supervisorial experience over 3 years supervising direct staff in a group home. The administrator oversees two facilities where the license capacity is 7 or more clients total. Staff states when children are seen by the doctor or mental health professional that the Record of Medical and Dental Care Form is completed to include the necessary information. There was no training on House Keeping and Sanitation. There was training on medication administration, food/nutrition services and change in conditions for health and mental health of the children in care. The Facility Manager has a written plan, which includes the daily, weekly and monthly responsibilities listed. Interviews: Staff may need training on what to do in the event of suspected child abuse or neglect and who to report to; as well as key features of the needs and services plan. Clients with Special Health Care Needs: There are no clients with special health care needs at this time. No deficiencies cited during today's visit for . An exit interview was conducted, and a copy of this report and the LIC 811 was provided to the licensee.

met_with: Erinque Jones, Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2025, 10:30AM, Licensing Program Analyst (LPA) Humberto Flores conducted an unannounced Annual Inspection at Sails Sapphire Group Home (GH) and met with Administrator Tajon Bell. LPA Flores stated the purpose of the inspection to the GH representative. LPA Flores conducted a tour of the facility along with Tajon Belt. It was observed that the facility was clean, safe, sanitary and in good repair. The passageways and ramps are unobstructed. The disinfectants and cleaning solutions are inaccessible to the children. There are not swimming pools or similar bodies of water in the facility. The children in care are always supervised and protected. The GH representative stated that there are not firearms in the facility. The temperature in the rooms that clients occupy are maintained between 68 and 85 degrees (F) and the hot water temperature was at 111F. The GH has non-perishable foods for one week and perishable foods for two days and nutritious snacks are provided between meals. Medications are locked and accessible only to employees supervising stored medications. A medication count was conducted, and it was correct. The fire alarms and carbon monoxide detectors were checked and are operating. Children Records: LPA reviewed 1 children's file. The files contain a record of client's admission agreement, medical assessment, consent forms, weight record, emergency information, appraisal and needs and services plan, immunization record, centrally stored medication record, safeguards for property/valuables, personal rights form and cash resource information. No child was interviewed because of they are non-verbal. cont.# Staff Records: A total of 1 employee file was reviewed. The files contain the following documentation: first aid certificate, Child Abuse Index Checks/Department of Justice (DOJ)/Federal Bureau of Investigation (FBI) criminal record clearances, education verification, personnel record, health screening, criminal record statement, employee rights and tuberculosis test. Personnel policies, job descriptions and training verification are included in the employees' file. LPA Flores conducted a criminal record review of all individuals listed in the LIC500 provided during the inspection. All individuals obtained, prior working, a criminal record clearance or exemption as specified in Health and Safety Code section 1522(a)(4). A staff was interviewede. Administration/Accountability: The minutes of board of directors' meetings were available to the licensing agency to inspect, audit, and copy upon demand. The Emergency Evacuation plan and physical plant sketches are posted. The Emergency Disaster Plan, LIC 610C was posted. Personal rights listing is posted. Facility License was posted in a prominent place. The GH has not sent to the Department the biannual review of manual restraints for the last period January-June 2025. The GH representative stated that there has been no restraint. No citation was issued. A copy of this report, LIC811s and LIC912 was provided to the facility representative. Exit interview conducted.

met_with: Administrator, Tajon Bell


summary: Facility Evaluation

raw_content:
Narrative:
On June 25, 2021 at 09: AM, Licensing Program Analysts (LPAs) Claudia Portillo and Jenny Mundo conducted an unannounced Annual/Required inspection at the above-named facility. LPA met with Ty Scherer, Administrator. The group home is licensed to serve five (4) male developmentally disabled clients, ages 12 - 17, ambulatory and non-ambulatory. Currently in placement are four (4) clients placed by Kern Regional Center. All clients currently attend summer school. The facility has a Covid-19 check in station where temperatures are checked every time an individual enters the facility. Staff are always required to wear masks and there were enough PPE supplies for clients/staff. LPA's Portillo and Mundo conducted a facility tour with Ty Scherer at 10: AM. LPAs started reviewing staff and client records at 11: AM. Physical Plant: Overall, the facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed, and all doors open freely. There are no bodies of water in the facility. Disinfectants and other toxic materials are locked in the laundry room. Sharps and knives are locked in the hallway closet. Temperatures in rooms that clients occupy are maintained at 75 degrees (F). The hot water temperature was tested and measured at 107 degrees F. Each client bedroom has 1 bed, linens, and adequate drawer/cabinet space. LPAs also observed a complete First aid kit, and the smoke detectors and carbon monoxide alarm were tested and found to be operable. One fire extinguisher throughout the facility are fully charged. The facility has a working telephone that is accessible to clients. LPAs also reviewed the facility disaster drill and fire drill (fire drill was performed on 06/21/2021). Care and Supervision: The staff to client ratio in the day and overnight is 2:4. Facility has non-perishable foods for at least one week and perishable foods for at least two days. A review of weekly menu indicates that the facility provides nutritious meals and snacks. Medications are centrally stored/locked in the hallway closet and accessible only to employees supervising stored medications. (cont.) PERSONAL RIGHTS Facility posts child's personal rights, disability rights of California (office of client's right advocacy); Rights of individuals with developmental disabilities in the hallway. Clients live in a safe, healthy and comfortable home. Clients or their representatives can contact the licensing agency in confidence without threats or punishment for making complaints. CLIENT RECORDS LPA Portillo reviewed all four (4) client records. LPA reviewed all documents listed on LIC 858 (Client Records Review). STAFF RECORDS LPA Mundo reviewed four (4) randomly selected personnel records. LPA reviewed all documents listed on LIC 859 (Review of Staff Records). A review of Licensing Information System on today's date indicates that facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. All staffs are associated to SAILS Administrative File #157806006. ADMINISTRATION Facility's Emergency Disaster Mass Casualty Plan is current and available for review. Facility operates within license capacity and limitations. Deficiency cited and Advisory Notes given during today's inspection. Appeal rights given. An exit interview was conducted, and a signed copy of this report was left with the facility representative along with LIC 809D (Deficiency page), LIC 9102 (Advisory Notes), LIC 859 (Review of Staff Records) and LIC 858 (Client's Records Review).

met_with: Ty Scherer, Administrator


facility_name: SAILS V

raw_content:
Investigation Findings:
On August 5, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to Administrator, Erinique Jones, at the facility. On April 7, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator and client (see Confidential Names, LIC Ref. #1 dated August 4, 2021) at the facility on July 22, 2021. Client Ref. #2 declined to be interviewed. The LPA was unable to interview Staff Ref. #3, because Ref. #3 resigned as of July 3, 2021 and moved out of state. The LPA reviewed Needs and Services Plans, and facility Status Change Form including a Resignation Letter. The investigation revealed that Ref. #1 admitted to attempting to discipline Ref. #3. Based upon statements Ref. #3 told Ref. #1 to stop and get off of Ref. #2. The LPA was unable to corroborate the statement. The investigation revealed that there is no documentation regarding a physical incident between Ref. #1 and #2. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to Ms. Jones. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Anthony Carrillo


raw_content:
Narrative:
Continue from page 1 . . . . The information obtained from the staff interviews indicated that one staff was cooking dinner for the facility clients and served a client fish for dinner. The information indicated that the staff served a client fish by mistake but the client did not consumed the food when realized it was fish. Information indicated that the staff offered to cook a different plate but client refused and ate later in the evening. Statements obtained revealed that the staff has not denied the clients the telephone and that the clients are able to use the telephone when they want to. Statements obtained from confidential interviews did not revealed that a client was served fish to eat or that a client ate fish when he was not supposed to. There were conflicting statements indicating that a client was denied using the telephone but no details were given and other statements indicated that the clients have not been denied using the telephone. There were no witness to support the allegations and that the child's social worker was not available to make a statement. There was no corroborating information obtained through interviews to confirm the allegations. Based on the information obtained though interviews the allegations are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the allegations occurred, therefore, the above allegations are Unsubstantiated. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. An exit interview was conducted, and a signed copy of this report was left with above staff

Investigation Findings:
13On October 12, 2021, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and and met with Erinique Jones, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed one three staff and two clients via telephone on 09/30/21 and LPA interviewed one client via telephone on 10/05/21 see Confidential Names Form LIC 811 dated October 12, 2021). LPA obtained and reviewed client's Patient Plan, Client's Food Menu/Restrictions and Identification and Emergency Information. It was alleged that the Staff denied minor use of telephone and Staff are not following minor's nutritional plan. Continue on page 2 . . . . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS VFACILITY NUMBER: VISIT DATE: 10/12/2021

met_with: Erinique Jones, Administrator


raw_content:
Narrative:
...page Complainant was unable to be interviewed. LPA was unable to locate social workers. C1 was unable to be interviewed. C2-C5 (See confidential names list 811 dated April 14, 2025) were interviewed. The investigation revealed the following: It was alleged that Staff did not have planned activities for a minor in care, staff mistreated a minor in care and staff withheld food from a minor while in care. LPA interviewed staff and during the interview, it was revealed that staff do not mistreat clients. Staff allow clients to make suggestions regarding activities as long as it is within STRTP guidelines. Staff allow clients to make suggestions on food choices and menu items. In confidential interviews with clients, it was revealed that there have been no reports of staff mistreating clients. Clients revealed planned activities they have participated in. Clients did not complain about food being withheld from them. Clients mentioned which food they liked and disliked. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated No deficiencies were cited at this time. A copy of this report and Appeal Rights were provided to Facility Administrator. Exit interview was conducted.

Investigation Findings:
13On April 14, 2025, at 5: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to Sails V STRTP for the purpose of concluding the above identified complaint investigation. LPA met with Mike Gobea-Facility Administrator and discussed complaint findings. The investigation consisted of the following: On June 1, 2024, LPA met with Erinique Jones-Interim Administrator. LPA requested the current roster of clients. Current roster was received. LPA requested a roster of clients and staff from 2016. Interim Administrator advised LPA that the STRTP only keeps records for the past 5 years. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Sails Vfacility Number: Visit Date: 04/14/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...page Complainant was unable to be interviewed. LPA was unable to locate social workers. C1 was unable to be interviewed. C2-C5 (See confidential names list 811 dated April 14, 2025) were interviewed. The investigation revealed the following: It was alleged that Staff did not have planned activities for a minor in care, staff mistreated a minor in care and staff withheld food from a minor while in care. LPA interviewed staff and during the interview, it was revealed that staff do not mistreat clients. Staff allow clients to make suggestions regarding activities as long as it is within STRTP guidelines. Staff allow clients to make suggestions on food choices and menu items. In confidential interviews with clients, it was revealed that there have been no reports of staff mistreating clients. Clients revealed planned activities they have participated in. Clients did not complain about food being withheld from them. Clients mentioned which food they liked and disliked. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated No deficiencies were cited at this time. A copy of this report and Appeal Rights were provided to Facility Administrator. Exit interview was conducted. SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

met_with: Mike Gobea-Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jenny Mundo and Pamela Silva on 4/21/2022 at 9:15 am. During the inspection, LPAs met with Erinique Jones, Administrator and inspected the facility inside and out. LPAs did not review children records, children psychotropic medications or interview children due to the facility having no children in placement who meet the criteria. LPAs reviewed two (2) staff files on site at the facility at 9: AM. LPAs interviewed two (2) staff on site at 10: AM. LPAs conducted exit interview with Erinique Jones, Administrator at 11: AM. LPA provided the Summary Report to the Administrator upon completion. One (1) Technical Assistance (LIC9102TA) was also issued.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/22/2022 at 11:00am, Licensing Program Analysts (LPA) Johanna Lofton, Demetris Teal and Claudia Portillo conducted an unannounced required annual inspection at the above facility and met with the Erinique Jones, Administrator. This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of five (5) clients, male ages 12 to 17 years old. There are currently three (5) clients in placement (See Client/Resident's Records Review - LIC811 dated 11/22/22). LPAs requested a copy of the following: -current LIC 500 (Personnel Report) -client/resident roster -Board minutes - LIC C Emergency Disaster Plan & written disaster and mass casualty plan of action LPAs conducted a walk through of the inside and outside of the facility. This facility has three (5) bedrooms, two (2) restrooms, a living room, a dinning area, a kitchen, a laundry room/area, a garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to four (4) ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPAs observed the following signage posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked in the kitchen and inaccessible to the clients. The client files and staff are kept locked in the med closet near the entrance. The facility has a complete first aid kit and a fire extinguisher that was serviced on 4//2022. Carbon monoxide/smoke detectors were tested and observed to be operable. The following are kept inside the garage in locked cabinets which is inaccessible to clients: extra perishable food items in a refrigerator, emergency supplies, cleaning supplies and old files. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was tested and measured at degrees F. There are no firearms on the premises. The facility phone system is operable. OPERATIONS Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the facility's operation. The facility District Manager is responsible and capable staff for communicating with emergency personnel in the facility. CLIENT RECORDS LPAs reviewed four (5) client records. Client records are maintained locked onsite. STAFF RECORDS LPAs reviewed two (2) staff records. Two (2) staff members were interviewed. LPAs provided technical Advisory Note-Technical Violation (LIC9102TV) during this inspection. An exit interview was completed and a signed copy of this report was provided to the facility representative.

met_with: Erinique Jones- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 30, 2022, Licensing Program Analyst (LPA) Johanna Lofton conducted a announced inspection visit with the purpose of obtaining signatures on reports. LPA Lofton met with the facility administrator to review the reports and obtain signatures. A copy of this report was left with the facility administrator. No citations were given and exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On December 13, 2022, Licensing Program Analyst (LPA) Johanna Lofton conducted an unannounced inspection at the above named facility with the purpose of interviewing clients for the continuance of the annual inspection. During the visit, LPA Lofton interviewed three (3) clients. Exit interview was conducted and a copy of this report was emailed to the above named staff.

met_with: Jonathan Flores- Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 29, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted an unannounced required annual inspection at the above facility and met with Facility Administrator, Jonathan Flores. This is a 24-hour facility which offers services and supervision to disabled, ambulatory and non-ambulatory clients. The facility is licensed for a capacity of five (5) male clients. There are currently 4 clients in placement (See Confidential Names List -LIC811 dated 8/29/23). LPA requested a copy of the following: - LIC 500 (Personnel Report) -Client/resident roster - LIC C Emergency Disaster Plan, written disaster & mass casualty plan of action LPA conducted a walk through of the inside and outside of the facility. This facility has five (5) bedrooms, two (2) restrooms, a living room, a dinning area, a kitchen, a laundry room, garage and outdoor space. There are no bodies of water on the premises. The facility is licensed to serve up to five (5) ambulatory and/or non-ambulatory minors ages 12-17 years of age. PHYSICAL PLANT LPA observed the following posted in the entrance of the home: group home license, personal rights, LIC 610, and grievance procedures. There is sufficient amount of perishable and non-perishable food. Disinfectant, cleaning solutions, sharps & knives and medication are kept locked and inaccessible to the clients. The facility has a complete first aid kit and a fire extinguisher that was serviced on 4/10/2023. Carbon monoxide/smoke detectors were tested and observed to be operable. The facility's room temperatures was maintained at a safe and comfortable temperature. The hot water temperature was safe. There are no firearms on the premises. The facility phone system is operable. OPERATIONS Facility maintains a register of clients and the register is available upon request. No citations were given. The inspection will be resume at a later date. An exit interview was completed and a signed copy of this report was emailed to the facility administrator.

met_with: Jonathan Flores-Interim Administrator


facility_name: SAILS WESTBROOK CRISIS

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
BFD removed food bolus from the client's mouth and started CPR. EMTs performed advanced life support services to client and transported client to the hospital. Client passed away at the hospital. Confidential interviews obtained by the Department confirm that one staff was on duty supervising one client in placement. The staff went to the restroom and left client unsupervised for 20 minutes. Staff found the client unresponsive after using the restroom. The client's Individual Program Plan (IPP) show that client was on a Dysphagia diet due to history of aspiration. Client has a known dangerous propensity of picking up objects from the floor and putting objects in client's mouth. Client had a prior history of respiratory arrest from choking in the past year. Placement agency records show that client is to have 1:1 supervision at all times. Confidential interviews reveal that staff on duty left client unsupervised while staff was in the restroom. Based on information obtained during the investigation conducted by the Department, the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. This poses an immediate Health, Safety, or Personal Rights risk to clients in care. A deficiency citation is issued under Title 22, Division 6, Chapter 1, Article Continuing Requirements under Group Home Regulations Responsibility for Providing Care and Supervision. This report and a Plan of Correction was discussed with the facility representative and copies of the following reports: LIC 9099, LIC 9099C, LIC 9099-D, LIC 811 (Confidential Names dated September 8, 2021) and Appeal Rights forms were provided at the conclusion of the inspection.

Investigation Findings:
13On September 8, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The Department received a complaint alleging that a client, who was left unsupervised, choked on food resulting in client's death. The facility submitted an incident report informing the Department of the incident. The Department's Investigations Branch (IB) obtained confidential records regarding the incident. The confidential records reveal one staff was present at the facility supervising one client when the incident occurred. Staff went to the restroom and left client unsupervised for about 20 minutes. When staff exited the restroom, staff found client on the ground, unresponsive, with a laceration to the head. Staff called 911 and was instructed to perform chest compressions by the 911 operator. Staff did not start CPR prior to the arrival of Emergency Medical Technicians (EMTs) Bakersfield Fire Department (BFD) found client in the corner of the room, curled up on the ground. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS WESTBROOK CRISISFACILITY NUMBER: VISIT DATE: 09/08/2021

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

met_with: Mauricio VIllatoro, Executive Director

complaint_status: SUBSTANTIATED


met_with: Mauricio Villatoro, Executive Director

narrative: BFD removed food bolus from the client's mouth and started CPR. EMTs performed advanced life support services to client and transported client to the hospital. Client passed away at the hospital. Confidential interviews obtained by the Department confirm that one staff was on duty supervising one client in placement. The staff went to the restroom and left client unsupervised for 20 minutes. Staff found the client unresponsive after using the restroom. The client's Individual Program Plan (IPP) show that client was on a Dysphagia diet due to history of aspiration. Client has a known dangerous propensity of picking up objects from the floor and putting objects in client's mouth. Client had a prior history of respiratory arrest from choking in the past year. Placement agency records show that client is to have 1:1 supervision at all times. Confidential interviews reveal that staff on duty left client unsupervised while staff was in the restroom. Based on information obtained during the investigation conducted by the Department, the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. This poses an immediate Health, Safety, or Personal Rights risk to clients in care. A deficiency citation is issued under Title 22, Division 6, Chapter 1, Article Continuing Requirements under Group Home Regulations Responsibility for Providing Care and Supervision. This report and a Plan of Correction was discussed with the facility representative and copies of the following reports: LIC 9099, LIC 9099C, LIC 9099-D, LIC 811 (Confidential Names dated September 8, 2021) and Appeal Rights forms were provided at the conclusion of the inspection.

investigation_findings: 13On September 8, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The Department received a complaint alleging that a client, who was left unsupervised, choked on food resulting in client's death. The facility submitted an incident report informing the Department of the incident. The Department's Investigations Branch (IB) obtained confidential records regarding the incident. The confidential records reveal one staff was present at the facility supervising one client when the incident occurred. Staff went to the restroom and left client unsupervised for about 20 minutes. When staff exited the restroom, staff found client on the ground, unresponsive, with a laceration to the head. Staff called 911 and was instructed to perform chest compressions by the 911 operator. Staff did not start CPR prior to the arrival of Emergency Medical Technicians (EMTs) Bakersfield Fire Department (BFD) found client in the corner of the room, curled up on the ground. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS WESTBROOK CRISISFACILITY NUMBER: VISIT DATE: 09/08/2021

allegations: SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


raw_content:
Narrative:
Client stated that they were hit on the face and eye before by staff. However, client did not identify anyone being present to witness the staff hitting client or in what context. Staff had similar statements and denied hitting clients or observing any staff hit clients. Staff stated that one client is verbal, and another client is non-verbal. Two staff stated that around the time of this investigation an incident occurred where a client had to be restrained. Staff stated that one client started to hit another client and staff stepped in to protect client who was being hit. Staff had similar recollections in stating that one staff grabbed the wrist of the client who was hitting the other client and as staff were trying to pull client off of the other client both staff and client who staff were trying to restrain all fell to the floor. Staff further stated that staff pulled client up off the floor and asked client if they were okay. Client identified their face hurting and staff noticed a red mark. Staff administered an ice pack to client and checked client for any other injuries. However, staff denied ever hitting client in that incident or any other incidents. All staff stated that restraints are used as a last resort and are only conducted when a client are conducting self-harming behaviors or harming someone else. Staff stated they first try to redirect clients if client misbehave. LPA reviewed incident reports and supportive documents provided by facility and no complaints were made or incidents documented where a client was taken to the hospital for injuries after being placed in a restraint. LPA was unable to contact county social worker and therapist, but no documents identified a problem with client's placed in the home or facility staff. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 03/30/ Licensing Program Analyst (LPA) Claudia Portillo made an announced visit to the Sails Westbrook facility on behalf of LPA Dawn Mahecha to deliver the findings to the above identified complaint investigation. LPA Portillo spoke with Administrator (NAME) and informed Administrator of investigative findings. Investigation consisted of the following: On 12/15/ LPA Joshua Rarela conducted 10-day inspection to facility (see LIC 811 confidential names, dated December 15, 2021). Between 3/14/22 and 3/16/ LPA Elnora Smith interviewed one (1) child and five (5) staff including administrator. Additionally, LPA attempted in to interview additional staff, county social worker (CSW) and therapist. On 3/22/ LPA reviewed documents received and on 3/23/ LPA Mahecha reviewed interviews and information provided. Investigation revealed the following: It was alleged that client was hit by staff. Interviews conducted with client did identify a staff hitting a client. However, client was unable to identify which staff hit client when or where. (continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Claudia Portillo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS WESTBROOK CRISISFACILITY NUMBER: VISIT DATE: 03/30/2022


raw_content:
Narrative:
Investigation revealed the following: It was alleged that client was hit by staff. Interviews conducted with client initially did identify a staff hitting a client. However, client was unable to identify which staff hit client when or where. Client stated that they were hit on the face and eye before by staff. However, client did not identify anyone being present to witness the staff hitting client or in what context. In later interviews client denied the allegation and stated that they were not hit by staff and got along with staff and clients in the home. Staff had similar statements and denied hitting clients or observing any staff hit clients. Staff stated that one client is verbal, and another client is non-verbal. Two staff stated that around the time of this investigation an incident occurred where a client had to be restrained. Staff stated that one client started to hit another client and staff stepped in to protect client who was being hit. Staff had similar recollections in stating that one staff grabbed the wrist of the client who was hitting the other client and as staff were trying to pull client off of the other client both staff and client who staff were trying to restrain all fell to the floor. Staff further stated that staff pulled client up off the floor and asked client if they were okay. Client identified their face hurting and staff noticed a red mark. Staff administered an ice pack to client and checked client for any other injuries. However, staff denied ever hitting client in that incident or any other incidents. All staff stated that restraints are used as a last resort and are only conducted when a client are conducting self-harming behaviors or harming someone else. Staff stated they first try to redirect clients if client misbehave. LPA reviewed incident reports and supportive documents provided by facility and no complaints were made or incidents documented where a client was taken to the hospital for injuries after being placed in a restraint. LPA was unable to contact county social worker and therapist, but no documents identified a problem with client's placed in the home or facility staff. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 04/29/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Sails Westbrook facility to obtain further information and documents to deliver the findings to the above identified complaint investigation. LPA spoke with Administrator Ty Scherer and informed Administrator of investigative findings. Investigation consisted of the following: On 12/15/ LPA Joshua Rarela conducted 10-day inspection to facility (see LIC 811 confidential names, dated December 15, 2021). Between 3/14/22 and 3/16/ LPA Elnora Smith interviewed one (1) child and five (5) staff including administrator. Additionally, LPA attempted in to interview additional staff, county social worker (CSW) and therapist. On 3/22/ LPA reviewed documents received and on 3/23/ LPA Mahecha reviewed interviews and information provided. On 4/29/ LPA interviewed one (1) child, Administrator and staff. LPA obtained documents requested including: Special incident report and Needs and service plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS WESTBROOK CRISISFACILITY NUMBER: VISIT DATE: 04/29/2022


raw_content:
Narrative:
LPA spoke with the Regional Center Social Worker who confirmed that the facility agreed to have 2 on 1 staffing for C1; however, the placement safety plan is pending review in regards to the staffing ratio requirement for C1 at this facility. There were no concerns by the Regional Center Kern County Social Worker in regards to C1 at this facility. Based on information obtained during the investigation conducted by the Department, the preponderance of evidence standard has been met, therefore, the above allegation is Substantiated. A deficiency citation is issued under Title 22, Division 6, Chapter 1, Article Continuing Requirements under Group Home Regulations Responsibility for Providing Care and Supervision. This report and a Plan of Correction was discussed with the facility representative and copies of the following reports: LIC 9099, LIC 9099C, LIC 9099-D, LIC 811 (Confidential Names dated November 10, 2022) and Appeal Rights forms were provided at the conclusion of the inspection.

Investigation Findings:
13On November 10, 2022 at 12:00PM, Licensing Program Analyst (LPA) Janeth Chavez conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The Department received a complaint alleging that the facility did not meet the requirement for on-duty childcare staff. Placement agency records shows that the facility agrees to provide continuous two (2) on one (1) staffing for C1 while in the facility and to have 1:1 supervision at all times. Confidential interviews obtained by the Department confirm that in fact there was only one (1) staff on duty supervising C1 on 06/11/22. However, the facility did have one staff present providing care and supervision to C1 at all times on 06/11/2022. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Janeth Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SAILS WESTBROOK CRISISFACILITY NUMBER: VISIT DATE: 11/10/2022

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


raw_content:
Investigation Findings:
13On August 13, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Sails Westbrook Group Home with the purpose of delivering findings for the above complaint allegation. LPA Lofton met with Princess Miller, Direct Care Staff and discussed the findings. During the complaint investigation, LPA Lofton conducted confidential interviews with facility staff, complainant, and social workers. During the investigation, LPA Lofton conducted confidential interviews. During the conducted interviews, facility staff denied the allegation. All interviewed staff denied smoking or knowing of anybody that smoked marijuana at the facility. Based on the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Princess Miller- Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On September 7, 2021, Licensing Program Analysts (LPA) Jean Herring conducted an unannounced inspection at the facility at 10: AM. LPA met with Ty Scherer, Administrator. The purpose of the inspection was to conduct an Annual/Required inspection of the facility. The group home is licensed to serve two (2) developmentally disabled clients, ages 7 - 17, ambulatory and non-ambulatory. Currently in placement are two clients placed by Kern Regional Center. Facility operates within license capacity and limitations.This facility is a one-story home with three (3) bedrooms, two (2) full bathrooms, one (1) office, kitchen, dining, and living room. Physical Plant The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are locked in a cabinet located in the garage. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in a cabinet by the dining area. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one carbon monoxide detector in the facility. Facility provides basic laundry services. Room temperatures are maintained at 70 degrees F. The hot water temperature was tested and measured at 108 degrees F. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. Each client has his/her own bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. LPA provided one (1) Advisory Note-Technical Violation (LIC9102TV) during this inspection. An Annual/Required Continuation inspection is required. An exit interview was completed and a signed copy of this report was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/08/21, Licensing Program Analyst (LPA) Jean Herring conducted an unannounced inspection of the facility at 9: AM. LPA met with Ty Scherer, Administrator. The purpose of the inspection was to conduct a Case Management - Annual Continuation inspection of the facility. During this inspection, LPA reviewed client and staff records and interviewed three(3) staff. Clients were not interviewed as they could not be qualified to be interviewed due to their mental capacity, developmental disability and/or other conditions (e.g. non-verbal). Client Records. LPA reviewed two(2) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, needs and services plan, grievance procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records. LPA reviewed five (5) personnel records. All individuals subject to criminal records review have been fingerprinted and signed a Criminal Record Statement. Personnel records are maintained on the licensee, administrator and each employee. Documentation of the required education and experience requirements are maintained in the personnel file. Personnel records contain documentation of 24-hour initial training, and 40-hour annual training in addition to CPR and First Aid. During this inspection, the following deficiencies were observed: - Two(2) out of five(5) personnel records do not contain health screening. - One(1) out of five(5) personnel records has no TB clearance documents. - Three(3) out of four(4) facility managers' personnel records do not contain proof of facility manager training as required. The facility was cited for the deficiencies listed above. The facility was also given Advisory Notes (Technical Violations). A signed copy of this report was provided to the facility representative along with Confidential Name/s list (LIC 811). Appeal rights explained.


facility_name: SAINT NICHOLAS GROUP HOME, LLC

raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) David Hiett me with Administrator Denice Bunag regarding a complaint investigation at the Group Home. The purpose of the inspection was to deliver the findings for the above allegation. During the course of the investigation, LPA Hiett conducted confidential interviews, reviewed files and documentation and inspected the facility. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that client was hit while in care, therefore, the above allegation is unsubstantiated. Appeal Rights were provided and discussed and no deficiencies were cited. An exit interview was conducted and a copy of the report was left with the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: David Hiett LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Denice Bunag


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted a pre-licensing inspection for a Group Home license and met with the Licensees Denice Bunag and John Tambuan. The entire home was toured, inside and out. The application is to provide services to children and teens ages 7 to 18 with developmental disabilities. There are 3 bedrooms, 2 with an occupancy of 1 and 1 with an occupancy of 2. There is an outbuilding with 2 rooms for staff use. The garage has been converted into a staff lounge area that can also be used for client uses and an additional area used for storage. Toxic materials are stored in a locked cabinet in the kitchen next to a washer and dryer. There is a locked medication drawer where prescription medications are stored and a small refrigerator for refrigerated medications. All bedrooms have adequate dresser and closet space. There are carbon monoxide/smoke detectors throughout the facility along with adequate fire extinguishers. There is a complete first-aid kit located in the kitchen. All required postings are present. Applicant understands that the hot water temperature must be maintained within the regulation range of 105-120 degrees and was measure at 120F. The knives will be stored in a locked kitchen drawer. A copy of this report has been shared with the facility

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) David Hiett conducted an unannounced post-licensing inspection for a Group Home license and met with the Licensees Denice Bunag and John Tambuan. Based on record reviews, 3 staff currently do not have CACI clearance. LPA Hiett assessed civil penalties totaling $1500 (3 employees x 5 days (max) @ $100/day). Inspection will be completed on a subsequent visit.. A copy of this report has been shared with the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) David Hiett met with Denice Bunag to discuss concerns brought forth by the North Bay Regional Center (NBRC) regarding the recent discharge of 2 clients (see LIC812s dated 6/17/22 and 6/20/22). NBRC has determined that the clients were discharged under circumstances contrary to the agreement between NBRC and the licensee (see attached LIC812). These circumstances include failure to give notice of intent to discharge to NBRC, failure to serve population identified in agreement with NBRC and improper discharge. LPA Hiett has reviewed the discharges involved and determined that a Title 22 has occurred (see LIC812D). A copy of this report was given to the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) David Hiett made a visit to the facility to complete a post-licensing inspection and met with Administrator Denice Bunag.. There was 1 staff on duty at the site in addition to the Administrator, and 1 client was present. LPA Hiett interviewed the Administrator, 1 staff and 1 client (see attached). The facility is licensed for 4 clients and there is currently 1 client in residence. LPA Hiett used the inspection tool to conduct the facility inspection. LPA Hiett reviewed the files for current resident and staff members. All files were complete. Staff training was current and meets requirements. Staff are cleared and have current CPR and CPI certificates. Resident records were complete. Medications are stored properly, and logs are well maintained. The facility is operating according to the license. The facility site and grounds were inspected. The facility is clean and sanitary. There are no obstructions or bodies of water. Per Administrator, there are no firearms or ammunition on the premises. Chemicals and cleaning solutions are kept in a locked storage closet. Medications and resident funds are kept in a locked storage room, with the funds in a locked safe. Sharps are kept in a locked drawer in the kitchen. There were no Title 22 deficiencies cited this date. An exit interview was conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) David Hiett conducted an unannounced visit for the purpose of an Annual Inspection. LPA Hiett met with Administrator Denice Bunag. The one client in placement was attending school and was not in the home. Ms. Bunag was the only staff present. LPA Hiett toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The group home is licensed to serve 4 children, boys and girls ages 7- 17 years for behavioral and mental health treatment. The home operates within the capacity and limitations of the license. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


facility_name: SAN DIEGO CENTER FOR CHILDREN

summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Confidential interviews did not identify who the staff member was, the date of the incident and there were no witnesses to the allegation. Based on confidential interviews, the allegation that staff sexually abused a minor while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report along with appeal rights, were provided to Michelle Drake, Shift Supervisor.

Investigation Findings:
13On October 30, 2023, at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Michelle Drake, Shift Supervisor of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On September 11, 2023, Community Care Licensing's (CCL) Investigations Branch Bureau (IB), Investigator Annette Renquist was assigned the investigation. On September 14, 2023 at 09: AM, LPA Jauregui conducted an initial complaint investigation and met with Anneka Adame, Lead Shift Supervisor. The investigation, consisted of confidential interviews with one client (C1), three staff (S1-S3), three witnesses (W1-W3) and review of documents: employee schedule, client admission information, application for residential treatment, colored photographs of the unit, and incident reports. On September 11, 2023, the Department received an allegation that staff sexually abused a minor while in care. It was reported that C1 was fondled by a staff member. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 10/30/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Michelle Drake, Shift Supervisor


raw_content:
Narrative:
Confidential interviews indicated C1 returned to the unit, escalated hitting the hand sanitizer dispenser on the wall and punching the wall. Confidential interviews indicated S1 initiated a hold for the safety of S1 and C1. Confidential interviews indicated C1 was escalated during the hold, lunging their body forward. Confidential interviews indicated C1 obtained bruises and scratchers on their arms however, It is unknown whether the injuries were self-inflicted due to C1 engaging in property damage or caused by staff. Based on confidential interviews and documents reviewed, the allegation that facility staff caused injury to minor, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, a copy of this signed report along with appeal rights was provided to Yasmin Williams, Clinical Program Manager.

Investigation Findings:
13On January 5, 2024, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection. The purpose of the inspection is to deliver the findings for the above allegation and met with Yasmin Williams, Clinical Program Manager. LPA Jauregui conducted an inspection of the facility on August 29, 2023, and no deficiencies were noted. During the investigation, LPA Jauregui conducted three staff interviews (S1, S2, S4), one client interview (C1), LPA attempted to interview S3, however, after numerous attempts LPA was unsuccessful due to S3 no longer employed at the facility. LPA Jauregui reviewed witness statements, SIR of video footage and viewed footage of the incident at the facility. On August 24, 2023, Community Care Licensing (CCL) received the allegation that facility staff caused injury to minor. Confidential interviews indicated C1 was in the game room and became sad. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 01/05/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
However, other confidential interviews stated that C1 was inconsistent with hygiene. C1 would change underwear but will put the same clothes back on again. Additionally, confidential interviews reported that C1 wouldn't use soap, just water. Furthermore, confidential interviews disclosed that C1 would be prompted to brush their teeth, however, C1 would not want to do so. Confidential interviews indicated clients are not forced; they are encouraged to complete tasks. Confidential interviews stated that a hygiene checklist was established for C1, and it helped C1's improving their hygiene. Based on confidential interviews, the allegation that staff are not ensuring that C1's hygiene needs are being met while in care, may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this signed report was provided to Anneka Adame, Lead Shift Supervisor

Investigation Findings:
13On July 10, 2024, at 5: PM, Licensing Program Analyst (LPA) Lucero Jauregui and Licensing Program Manager (LPM) Dawn Segura arrived at the facility unannounced and met with Anneka Adame, Lead Shift Supervisor to deliver the investigative finding regarding above allegation. LPA Jauregui initiated the complaint investigation and conducted an inspection of the facility. LPA didn't observe any safety hazards. During the inspection, LPA Jauregui interviewed three staff (S1-S3), one client (C1), and obtained C1's needs and services plan. On January 19, 2024, the Department received the allegation that staff are not ensuring that a youth's hygiene needs are being met while in care. It was reported that C1 was wearing the same clothes; C1 was not brushing their teeth and was not showering. Confidential intereviews revealed that C1 was told to shower and C1 has the required items to complete their hygiene. Confidential interviews indicated C1 was showering and changing clothes every day. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/10/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Anneka Adame, Lead Shift Supervisor


raw_content:
Narrative:
During the investigation, confidential interviews indicated C2 was changing clothes with the door open with their undergarments still on. Confidential interviews denied C2's body parts to be exposed. Confidential interviews stated that staff observed C2 pulling up their pants, however, staff was not aware that an exposure occurred. Confidential interviews continued stating that there was no video footage of the allegation. Other witnesses didn't have any information regarding the allegation as C1 refused to disclose anything. Based on confidential interviews and record review, the allegation that staff did not provide adequate supervision resulting in minors engaging in inappropriate behavior, may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this signed report was provided to Anneka Adame, Lead Shift Supervisor.

Investigation Findings:
13On July 10, 2024, at 5: PM, Licensing Program Analyst (LPA) Lucero Jauregui and Licensing Program Manager (LPM) Dawn Segura arrived at the facility unannounced and met with Anneka Adame, Lead Shift Supervisor to deliver the investigative finding for the above allegation. On November 29, 2023, LPA Jauregui initiated the complaint investigation and conducted an inspection of the facility. LPA didn't observe any safety hazards. During the inspection, LPA Jauregui interviewed five staff (S1-S5), one client (C2), obtained C1's needs and services plan, C2's needs and services plan and Special Incident Report dated 11/18/23. LPA was unable to interview C1 due to C1 refusal of interview. On November 20, 2023, the Department received the allegation that minor is engaging in inappropriate behavior with another minor in care due to lack of supervision. It was specifically reported that C2 showed C2's penis to C1, however, the facility cameras could not confirm if this occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/10/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Other confidential interviews stated that the allegation was a rumor. The confidential interviews continued stating that the inappropriate interactions between C1 and C2 were consensual. Record review revealed that C1 and C2 went on two outings at the same time and staff did not observe inappropriate boundaries. LPA received conflicting information. Based on confidential interviews and record review, the allegation that staff did not provide adequate supervision resulting in minors engaging in inappropriate behavior, may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this signed report was provided to Anneka Adame, Lead Shift Supervisor.

Investigation Findings:
13On July 10, 2024, at 5: PM, Licensing Program Analyst (LPA) Lucero Jauregui and Licensing Program Manager (LPM) Dawn Segura arrived at the facility unannounced and met with Anneka Adame, Lead Shift Supervisor to deliver the investigative finding regarding above allegation. LPA Jauregui initiated the complaint investigation and conducted an inspection of the facility. LPA didn't observe any safety hazards. During the inspection, LPA Jauregui interviewed two staff (S1-S2), two clients (C1-C2), obtained C1's needs and services plan, C2's needs and services plan and staff witness statements. On October 4, 2023, the Department received the allegation that staff did not provide adequate supervision resulting in minors engaging in inappropriate behavior. It was reported that during an outing at the aquarium C2 "fingered" C1 without C1's consent. During the investigation, confidential interviews reported that the inappropriate touching happened different times in the van, during outings, and at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/10/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Confidential interviews indicated C1 has a disability where they can't hold their balance. Confidential interviews indicated C1 used the door handle to steady themselves while in the shower causing the door to crack open. Confidential interviews indicated staff checked with clients who were in view of the shower to find out if they saw anything. Confidential interviews indicated an additional chair was placed in the shower to assist C1, and staff stood by the door while C1 showered. Confidential interviews indicated that C1 wasn't intentionally exposing themself. Although C2 did see C1's private parts, the investigation yielded that it wasn't intentional and did not result from a lack of supervision. Based on confidential interviews, the allegation that a youth exposed their private parts to another youth at the facility may have occurred, however, the allegation is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Anneka Adame, Lead Shift Supervisor.

Investigation Findings:
13On August 16, 2024, at 1: PM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Anneka Adame, Lead Shift Supervisor to discuss the investigative findings for the allegation noted above. LPA Jauregui conducted an inspection of the facility on January 25, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed three clients (C1-C3) and three staff (S4-S6). LPA attempted to interview two staff (S7-S8), however, after numerous attempts LPA was unsuccessful. On January 24, 2024, it was reported to Community Care Licensing (CCL) that a youth exposed their private parts to another youth at the facility. It was reported that C1 was getting out of the shower and was undressed. C1 was using the door handle to steady themselves and accidently opened the door, exposing themselves and private parts to a peer. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/16/2024

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


raw_content:
Narrative:
Confidential interview indicated C1 and C2 were having a conversation when C2 asked C1 if they wanted to see it, and, according to confidential interview, C2 showed their private area to C1. Confidential interview did not yield any information to determine when the alleged incident occurred or any other witnesses to the alleged incident. The investigation yielded no information to corroborate the allegation. Based on confidential interviews, the allegation that staff did not prevent minors from engaging in inappropriate interaction, may have occurred, however, the allegation is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report and appeal rights were provided to Anneka Adame, Lead Shift Supervisor.

Investigation Findings:
13On August 16, 2024, at 1: PM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Anneka Adame, Lead Shift Supervisor to discuss the investigative findings for the allegation noted above. LPA Jauregui conducted an inspection of the facility on March 13, 2024, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed one client (C1). LPA attempted to interview one client (C2), however, after numerous attempts LPA was unsuccessful. On March 7, 2024, it was reported to Community Care Licensing (CCL) that staff did not prevent minors from engaging in inappropriate interaction. It was reported that C1 mentioned that C2 exposed their penis to C1; however, the date of when the incident occurred was not stated. Confidential interview indicated C2 was in their bedroom and C1 was standing in the doorway of their own bedroom. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: LUCERO JAUREGUI LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/16/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0