facility_name: NEWPORT ACADEMY - CRESTVIEW

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on LPA interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there will be a civil penalty assessed on this day. See LIC9099D for details. Exit interview was conducted with HM. Due to technical difficulties with LPA printer, a copy of this report along with appeal rights were discussed and a copy of this report was emailed to the HM.

Investigation Findings:
13On 2/8/2023 at 1:00pm, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Christine Wilson, made an unannounced inspection to the above-listed facility, and met with the House Manager (HM). The purpose of this inspection is to conduct a complaint investigation inspection regarding the above allegation. During the time of inspection, LPA O'Connell and LPA Wilson reviewed facility staff records and conducted staff interviews. LPA O'Connell found: P1 is not listed on the LIC500 and has been working within the facility without a background clearance for more than two weeks. LPA O'Connell and LPA Wilson conducted confidential interviews with: S1, RPD, HM, and HRS [See Confidential Names form (LIC811), dated 02/8/23, for names]. Ontinued on LIC9099C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY - CRESTVIEWFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: Cindi Garcia, House Manager (HM)

complaint_status: SUBSTANTIATED


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 10/16/2025, at 3:40 pm, Licensing Program Analyst (LPA) Nestor Gomez made an unannounced inspection to the above facility for the purpose of concluding the investigation on the above allegation(s) and deliver the findings. LPA spoke with Residenital Counselor (S1), Andrew Westfall and together, discussed the investigative findings. During the investigative process by Licensing program Analyst (LPA), Nestor Gomez, all relevant parties have been accounted for. Supporting evidence includes: client interviews, staff interview, Guardian report, client roster, staff roster, rounds log, Emergency Response Referral Information, screener narrative, DCFS notes and Facility profile. The validity of the allegations could not be determined. The parties interviewed either confirmed or denied the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nestor Gomez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

report_type: Complaint Investigation

met_with: Andrew Westfall - Resideintial Supervisor

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On November 15, 2022, at 9:45AM Licensing Program Analyst (LPA) Nancy O'Connell conducted an announced inspection, at the above-listed facility, for the purpose of conducting a Pre-Licensing Inspection. Licensing staff was met by Mydori Alailima (Program Manager), Regan Mew (Compliance Specialist), Monique Hernandez (Administrator), Cindy Garcia (Residential Supervisor), and Tone Reyes (Director of Residential Services). Staff granted access into the facility, and provided a tour of the entire facility, inside and out. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance. There are no cameras on the facility grounds, but windows on the ground second floor have sensors for security and safety purposes. The medicine room is inaccessible to clients and contains a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. Fire clearance was granted on 11/15/2022. Continued on LIC809C LPA observed the following during inspection: Living Room: plenty of seating (enough for 6 clients) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Garage: attached to home and will be utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. School: equipped with a fully charged fire extinguisher, smoke alarm, 6 desk, 6 computers, and a printer. Bedroom #1 will be occupied by two clients and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 will be occupied by two clients. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 will be occupied by two clients; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Clinical offices- there are four offices that will be utilized as staff offices. They will serve as care coordinator office (located at top of stairwell on second floor), individual therapist office (located by front entrance), counselor office (located by front entrance) and family therapy office (located on first floor by nursing station) and has a private entrance. Administrative component- required notices, emergency procedures, personal rights, and fire clearance was posted in plain sight. Emergency binder was available for reviewed. Facility vehicle was checked for up to date registration, and insurance. A copy of this report was discussed with the facility administrator and will be emailed to the facility due to technical difficulties with the LPA's printer

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Mydori Alailima, Program Manager (PM), and Regan Mew (Compliance Specialist)


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2023 at 9:55am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Christine Wilson conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting a Post-Licensing Inspection. Licensing staff was met by Tone Reyes (Director of Residential Services). Staff granted access into the facility, and provided a tour of the entire facility, inside and out. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance. There are no cameras on the facility grounds, but windows on the ground second floor have sensors for security and safety purposes. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. LPA observed the following during inspection: Living Room: plenty of seating (enough for 6 clients) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Continued on LIC809C (Continued from 809) Kitchen (cont)- During the time of inspection, LPAs observed contents of refrigerator and found that multiple items were improperly store in the refrigerator, that should have been frozen. Additionally six perishable food items in the refrigerator were expired or not labeled.LPA inquired about the reason for non-labeled and expired food items, and FM acknowledged that food items were expired and non-labeled, and should be disposed. Pictures were retained for records. Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by one client and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by one client. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices. They serve as care coordinator office (located at top of stairwell on second floor), individual therapist office (located by front entrance), counselor offices (located by front entrance) and family therapy office (located on first floor by nursing station) and has a private entrance. Administrative component- required notices, emergency procedures, personal rights, and fire clearance was posted in plain sight. Emergency binder was available for reviewed. (Continued on 809C) (Continued from previous 809C) Record file reviews were conducted and LPA's reviewed (1) staff file S1 and (1) client file C1. Due to time constraints LPA's will return on a different day to complete inspection. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, a deficiency will be cited on this day related to CCR 80076(a)(1). See 809D for details. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

met_with: Tone Reyes, Residential Program Director (RPD), and Cindi Garcia, Facility Manager (FM)


summary: Facility Evaluation

raw_content:
Narrative:
On 3/10/23, at 3:00pm, Licensing Program Analyst (LPA) Nancy O'Connell, met with Newport Academy- Crestview staff as well Community Care Licensing Division (CCLD) staff for an informal meeting to discuss general topics related to facility policies. LPA O'Connell participated in an informal conference meeting with the following Attendees: · Kevin Sauk: Licensing Program Manager (with CCLD) · Nancy O'Connell : Licensing Program Analyst (with CCLD) · Christine Wilson: Licensing Program Analyst (with CCLD) · Tone Reyes: Newport Academy Residential Director · Crystal Goodwin: Newport Academy Compliance Manager · Regan Mew: Newport Academy Assistant Compliance Specialist · Annie Gendaszek: Newport Academy Vice President of Compliance · Kerry Lanier: Newport Academy Vice President of HR Operations This video conference meeting was scheduled to discuss concerns that were brought up by the Department related to facility policies and patterns of operation. Topics of discussion included CCLD access to facility records for review, staff fingerprint clearances, and general facility policies related to program operations. LPM Sauk inquired about specific topics and Newport Academy staff provided clarifying answers, along with supporting documentation to all questions posed. A copy of this report was emailed to the Compliance Manager for approval and a signature will be kept on file.

met_with: Crystal Goodwin, Compliance Manager (CM)


summary: Facility Evaluation

raw_content:
Narrative:
On September 9 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Jhane Haynes conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting an Annual Required Inspection. Licensing staff was met by staff Ahziry Reynoso and Cindi Garcia, who granted access into the facility, and provided a tour of the entire facility, inside and out. Regan Mew, Compliance Specialist (CS) joined inspection during records review portion. General overview: This is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance as well as extra facility items. There are no cameras on the facility grounds. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature. During the time of inspection, LPAs observed bees present around the outside perimeter of the facility and RS provided evidence of a work order LPA observed the following during inspection: Living Room: plenty of seating (enough for 10 people) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Continued on LIC809C Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by one client and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by one client. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by one client; it has one full size adjoining bathroom in good repair. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients will not enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices/therapy rooms. They serve as care coordinator office, individual therapist office, counselor offices, and family therapy office which has a private entrance. Administrative component- required notices, emergency procedures, personal rights, facility license and fire clearance were posted in plain sight. Emergency binder was available and reviewed. LPA reviewed Quarterly Meeting Minutes for last three quarters. LPAs inspected the facility vehicle which is able to transport 8 people and confirmed operating headlights, blinkers, horn brakelights, emergency kit, current insurance and registration. Record file reviews were conducted and LPA's reviewed (5) staff files for S1, S2, S3, S4, and S5 and (1) client file for C1. LPA O'Connell observed that the facility does not maintain a completed Needs and Services Plan (NSP) for C1 and CS reports that the facility develops "treatment plans" in lieu of NSPs. LPA O'Connell informed CS of the regulatory requirements for maintaining information related to the NSP, and CS confirmed that the facility does not currently have NSPs documents for clients. Due to time constraints LPA's will return on a different day to complete inspection. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, one deficiency will be cited today. See LIC809D for details. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

visit_type: Annual

met_with: Cindy Garcia, Residential Supervisor (RS)


summary: Facility Evaluation

raw_content:
Narrative:
On October 9 at 9:00am, Licensing Program Analyst (LPA) Nancy O'Connell conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting an Annual Inspection. Licensing staff was met by staff Antonio Reyna who granted access into the facility, and provided a tour of the entire facility, inside and out. Regan Mew, Compliance Specialist (CS), Kathy Donofrio, Human Resources Assistant (HRA), and Lahni Salanoa, Residential Manager (RM), joined the inspection during records review portion. General overview: This facility serves up to six (6) male & female children ages 12-17 years old. It is a two-story home with 3 bedrooms, 3.5 bathrooms, 4 offices, a living room, dining room, kitchen, breakfast area, family room, garage, gym equipment, laundry area, classroom, and a backyard. There is no body of water on site. The backyard has chairs, tables, room for leisure activities and relaxation, as well as a locked shed that will maintain items necessary for facility maintenance as well as extra facility items. There are no cameras on the facility grounds. The nursing station is inaccessible to clients and contains client medications, a first aid kit, refrigerator for medications, fire extinguisher, and medical log binders that are secure. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions and the perimeter was observed to be secure. LPA measured the temperature of the water and measured within the safe temperature. LPA observed the following during inspection: Living Room: plenty of seating (enough for 10 people) and is adjacent to dining area Dining Room: equipped with a large table and seating for 8 people. Kitchen: equipped with a refrigerator, cooktop, oven, two sinks, microwave, eating area. Plenty of cabinet Continued on LIC809C space. Knives / Sharp objects are stored in a locked box and inaccessible to clients. Chemicals and cleaning solutions are kept in locked cabinets underneath the sinks. Garage: attached to home and is utilized as exercise room. Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Detergent chemicals were secured in locked cabinets within laundry area. Upstairs Hallway clients are provided with hygiene products which are secured in locked cabinets. Bedroom #1 is occupied by two clients and has two twin size beds on each side of the room, adequate closet and drawer space, and the bedroom is in good repair. There is a non-functional fireplace. Bedroom #2 is occupied by two clients. It has two twin sized beds, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has two twin sized beds, adequate closet/drawer space, and one full size adjoining bathroom in good repair. Nursing station- located on the first floor. Maintains a first aid kit, and first aid supplies. There is also a small refrigerator for storage of client medication that requires refrigeration if needed. Nursing station along with supplies kept in locked/secure and clients cannot enter office at any time. Medication log and prescribed medications were observed and accounted for. Clinical offices- there are four offices that are utilized as staff offices/therapy rooms. They serve as care coordinator office, individual therapist office, counselor office, and family therapy office which has a private entrance and adjoining bathroom. Administrative component- required notices, emergency procedures, personal rights, facility license and fire clearance were posted in plain sight. Emergency binder was available and reviewed. Vehicle-LPA inspected the facility vehicle which is able to transport 8 people and confirmed operating headlights, blinkers, horn brake lights, emergency kit, current insurance and registration. Record file reviews: record reviews were conducted and LPA reviewed five (5) staff files for S1, S2, S3, S4, and S5 and five (5) client files for C1, C2, C3, C4, and C5. See Confidential names list, LIC811, dates 10-9-25, for names. Staff/Client interview: required interviews were conducted based off of the census. LPA conducted confidential interviews with S1, S2, C3, and C5. See Confidential names list, LIC811, dates 10-9-25, for names. During the time of inspection, LPA reviewed and completed all sections of the Group Home Care Tool (physical plant, operational requirements, disaster preparedness, emergency interventions, staff records, client records, client with special healthcare needs. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there are no deficiencies cited today. A copy of this report was discussed with the staff and a copy of this report was provided to the staff.

met_with: Antonio Reyna, Care Coordinator (CC)


facility_name: NEWPORT ACADEMY - DEL CERRO

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
It was further reported that the facility is very dirty with old food all over the floor, counter tops and doorknobs. It was also reported that the licensee contracts out for a cleaning service on the weekends, but it's not enough and the bathrooms don't get cleaned. It was alleged that the facility is not kept in clean, sanitary conditions for clients at all times. Consistent confidential interviews confirmed that the facility has an outside cleaning service that cleans the house two times a week. During the visit, LPA and LPM observed the cleaning service personnel present and cleaning the facility. The facility was observed to be clean and sanitary and confidential interviews did not corroborate that the facility is not kept clean. It was also alleged that staff do not ensure bathrooms are in good repair. Confidential interviews confirmed that one of the facility restrooms has been out of service for renovations for approximately two months. During the inspection, LPA and LPM observed that the bathroom was still out of service and that renovations were taking place during the visit. A confidential interview reported that one bathroom toilet was previously clogged, as a result of a client's diagnosis; however, the toilet was repaired the next day. During the visit, it was observed by LPA and LPM that the facility has four additional bathrooms, and the two bathrooms regularly used by clients were in good repair. Confidential interviews reported that there has not been a time when multiple restrooms were out of order. Based on confidential interviews and observations, the allegations that staff do not ensure facility is kept in clean, sanitary condition for youth at all times and staff do not ensure bathrooms are in good repair are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Maria Fernanda Herrera and a copy of this report and appeal rights were provided. This is an amended version of the original report created on 07/10/2025.

Investigation Findings:
13On July 10, 2025, Licensing Program Analyst (LPA) Lisa Bernabe and Licensing Program Manager (LPM) Dawn Segura met with Maria Fernanda Herrera, Residential Supervisor, to initiate an investigation of the above allegations. During the visit an inspection of the facility was conducted, and no immediate deficiencies were observed. During the investigation, LPA Bernabe interviewed four staff and two clients. Pertinent records were collected. On July 1, 2025, Community Care Licensing (CCL) received allegations that staff do not ensure facility is kept in clean, sanitary condition for youth at all times and staff do not ensure bathrooms are in good repair. It was reported that the facility staff do not do any cleaning at the home. It was reported that the toilets get clogged, and the children are going to the bathroom on the floor in the bathroom. It was also reported that the children are having to hold their urine for extended periods of time until a staff can take them to the staff bathroom. See LIC 9099-C for continuation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Lisa Bernabe 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: NEWPORT ACADEMY - DEL CERROFACILITY NUMBER: VISIT DATE: 07/10/2025


summary: Facility Evaluation

raw_content:
Narrative:
On April 10, 2023, at 11:00AM, Licensing Program Analyst (LPA) Carol Anderson conducted an announced pre-licensing inspection. LPA met with Joseph Vaccaro, Executive Director, Crystal Goodwin Compliance Manager/Facility Administrator, Ellen Asquith, Residential Director and Whitney Rodgers, Compliance Specialist. The facility is a five bedroom, three bathroom single-family home, with attached garage. The applicant is applying for a group home with the capacity of six ambulatory clients' ages 12-17 years old. LPA inspected the interior and exterior of the facility. Living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 105 degrees F. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. The staff and client files will be electronically stored on computer database and will be accessible for Community Care Licensing (CCL) to review at any time. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Fire clearance was approved. Smoke detectors are operating and fire extinguishers are properly charged and serviced. Clients will be allowed to make and receive confidential telephone calls. There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. The applicant has been informed that the address to this facility is available to the public. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the applicant on this date. Based on the facility pre-licensing inspection and facility records' review, no deficiencies were noted at time of the inspection. Upon managers final review, the license will be provided. An exit interview was conducted with Joseph Vaccaro, Executive Director. Due to printer failure, the LIC 9099s were emailed to Administrator Crystal Goodman,Compliance Manager/Facility Administrator.

met_with: Joseph Vaccaro


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2023, at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced post-licensing inspection, no one was at the facility. LPA contacted Crystal Goodwin, Regional Licensing and Compliance Manager West Coast & Texas via cellphone. She stated that staff will arrive shortly. 10:45AM, Facility Group Home Administrator Ellen Asquith arrived at the facility to conduct the post-licensing inspection accompany LPA. There are currently no clients residing at this facility. Due to no clients residing at this facility, no staff are currently working at this facility. LPA interviewed Facility Group Home Administrator Ellen Asquith. LPA inspected the interior and exterior of the facility. The facility is a five bedroom, three bathroom single-family home, with attached garage, living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 105 degrees. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. Board of Director meetings minutes to be emailed to LPA The Backyard is set up as follows: LPA observed the facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Based on observations made during the post-licensing inspection, there are no deficiencies observed during today's inspection. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was given to Program Administrator Ellen Asquith.

met_with: Ellen Asquith


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2024, at 10:00AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced annual/required inspection, no one was at the facility. LPA contacted Crystal Goodwin, Regional Licensing and Compliance Manager West Coast & Texas via cellphone. She stated that staff will arrive shortly. April 30, 2024, at 10:30AM, Care Coordinator, Level 1, Maylin De Leon and Ariana Peinado, Care Coordinator, Level 3, arrived at the facility to conduct the annual/required inspection. There are currently no clients residing at this facility. LPA inspected the interior and exterior of the facility. The facility is a five bedroom, three bathroom single-family home, with attached garage, living room, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, Staff/ nursing area has locked cabinet for medication and first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in the hall closet, Sharp knives will be locked in a drawer in the kitchen area. Hot water temperature reading at 110 degrees. The bedrooms (downstairs) are set up as follows: Bedroom 1: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 2: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Bedroom 3: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, bathroom located inside bedroom. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. Board of Director meetings minutes to be emailed to LPA. The Backyard is set up as follows: LPA observed the facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Based on observations made during today's inspection, there are no deficiencies. An exit interview was conducted, and a copy of this report was given to Care Coordinator Level Maylin De Leon.

met_with: Maylin De Leon


summary: Facility Evaluation

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Narrative:
On April 24, 2025 at 10: AM, Licensing Program Analyst (LPA) Abby Saeteurn arrived at the facility unannounced to conduct a Case Management visit and met Mailyn De Leon, Residential Supervisor. Community Care Licensing received a Special Incident Report (SIR) from the facility, dated 03/30/2025, in which it was reported that C1 was administered the wrong dose of medication due to the Electronic Medical Record (EMR) not being updated. Based on information gathered, further information is needed and the case management will be extended. Verbal consent was received from Facility Administrator, Crystal Goodwin to conduct an exit interview with Mailyn De Leon. An exit interview was conducted and copy of this report was provided to Maylin De Leon , Residential Supervisor.

visit_type: Case Management

met_with: Maylin De Leon, Residential Supervisor


summary: Facility Evaluation

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Narrative:
On June 20, 2025, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an annual inspection of the facility. The facility was toured inside and out with Maylin De Leon, Residential Supervisor (RS). The home is a one-story residence with 3 bedrooms and 3 bathrooms and 2 half-baths. There are five clients placed currently. Facility was maintained and there were no blockages to walkways or entryways. Glass doors and windows at entry were clean and in good repair. The facility is positioned away from the main road, and up an elevated driveway. It is situated in a corner lot which has a side walkway with both wheelchair access and stairs to gain entry to the home. An LIC 500 dated 4/17/2023 was reviewed and all staff were verified in Guardian. Review of 5 employee files were done electronically with assistance from RS and Blanca Galindo of Human Resources. Whitney Rogers assisted with review of 5 client files electronically. Both employee files and client files had all regulatory paperwork, education, needs and services plans, and identification. All health screenings were validated at hire, and trainings were up to date. An inspection of the facility was as follows: There is a large classroom with capability of 12 users which would have their own monitor, and work space. There was a working television with streaming capabilities. There were books, chairs, and items for hand use and fidgeting. There was a copy/fax machine available for printing. There was a care coordinator's office which housed a landline phone, and emergency escape plan notebook and literature. In this area was client contraband, and allowances. Extra keys for facility vehicle, and for doors, were kept in this office space. Scanner/copier was contained in this office as well for filing purposes as all files are kept electronically. Attached to care coordinator's office was the client medications room. All medications were stored within locked cabinets or locked refrigerator. There was a 1st aid kit with all necessary items included. Extra bandaging, and antiseptics were kept on hand. The community room was well lit with lamps in corners of the room. There were several couches and individual slouch seating for clients. There is a TV and board games for clients. There are no video games in the facility. Client rights posters were visible in room. The kitchen had both standing refrigerator and freezer. Both were stocked with dated foods, which contained milk products, condiments, and frozen items. Current menus were posted with meals and snacks for the week. There was fresh fruit available for clients as well as bread and tortilla chips. There were no knives at the facility as food comes prepared from a neighboring facility, Bonsall, and there is no need for their usage. There is a patio which leads from the kitchen to the outside pool area. The patio has a large wooden table with 6 chairs for clients. The pool is 6' deep and has a Magna latch lock securing the mesh gate. The perimeter has been measured and the mesh netting meets licensing standards. There is an outside garage that is detached and houses amenities. Inside was a ping pong table, soccer net, treadmill, boxing bag with 2 sets of boxing gloves, a guitar, and a standing keyboard. Emergency shut-off valves were labeled outside of the garage. The perimeter of the outside of the facility had (3) terraces. Each terrace had fruit trees and walkways that were not blocked and maintained. There is a locked cellar underneath the therapists offices. It has been locked since the property was purchased, and the previous owner may have stored wine there in the past. The door is barred shut and there is no access to it. There is an outer-deck area for seating and for scenic viewing. Inspection of the bedrooms yielded no health and safety concerns. All rooms had 2 twin beds with mattress covers, sheets, and comforters. There were closets for shoes and clothing, and dressers with at least 3 drawers available for each client. There is a laundry room with both washer and dryer. Laundry soaps and softeners were locked in a closet with other chemicals, out of client reach. Restroom #1 had a shower, and clean sundries. Restroom #2 had a shower and clean sundries. All items were in good repair and water temperature met guidelines. Other restrooms contained sinks and toilets, and no shower amenities. There are 3 therapy rooms for clients which were in use at the time of inspection. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to facility representative, Maylin De Leon, Residential Supervisor, along with a Confidential Names List (LIC 811).


summary: Facility Evaluation

raw_content:
Narrative:
On June 5, 2025, at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn met with Program Director Ellen Asquith to deliver a case management deficiencies report. According to a Special Incident Report (SIR) received by Community Care Licensing (CCL) on March 30, 2025, C1 was reported to have received the incorrect dose of a medication due to the facility's Electronic Medical Record (EMR) not being updated. Based on confidential interviews and records review, it was revealed that on March 29, 2025, S4 provided C1 with the incorrect dose of medication due to multiple electronic medical records being maintained. Confidential interviews revealed that on March 23, 2025, at 7: PM, C1 was prescribed two 50 mg capsules of a psychotropic medication by S5. Confidential interviews revealed that on March 28, 2025, at 3: PM, S1 made adjustments to C1's medications in an attempt to taper off C1 and lowered the dose to 1 capsule of 50 mg. At the time of the dosage adjustment, S1 did not discontinue the electronic medical record previously prescribed by S5, which led S4 to give C1 the incorrect dose on March 29, 2025. Confidential interviews revealed S2 was able to catch the discrepancy and notified S3 who ensured S1 removed the outdated electronic medical record on March 30, 2025, at 11: AM. Based on Interviews and record reviewed, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 1, Section Children's Records (b)(16)(E) An exit interview was conducted with Program Director, Ellen Asquith. A copy of this report and appeal rights were provided and reviewed with Ellen Asquith, whose signature on this report confirms receipt of these documents.

met_with: Ellen Asquith, Program Director


summary: Facility Evaluation

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Narrative:
On April 21, 2026, Licensing Program Analyst (LPA) Cynthia Velasquez, conducted an annual inspection of the facility. The facility was toured inside and out with Whitney Rodgers, Compliance Specialist (CS). The home is a one-story residence with 3 bedrooms and 3 bathrooms and 2 half-baths. Facility was maintained and there were no blockages to walkways or entryways. Glass doors and windows at entry were in good repair. The facility is positioned away from the main road, and up an elevated driveway. It is situated in a corner lot which has a side walkway with both wheelchair access and stairs to gain entry to the home. There are 5 office/staff offices, a laundry area, garage, 1 classroom, 1 sitting area, a dining room, kitchen, and built-in pool. During this inspection, it was noted that the home is being re-modeled for future selling. The last client left facility in March 2026. Due to reconsideration and planning, this facility is being sold. The licensee will keep license open in case they purchase a different home and will notify the department. There are no clients placed currently, and no staff.

met_with: Whitney Rodgers, Compliance Specialist


facility_name: NEWPORT ACADEMY - FLORES

summary: Facility Evaluation

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Narrative:
On April 24, 2023, at 12:30PM, Licensing Program Analyst (LPA) Carol Anderson conducted an announced pre-licensing inspection. LPA met with Joseph Vaccaro, Executive Director and Ellen Asquith, Residential Director. The facility is four bedrooms, five bathrooms single-family home, with attached garage. The applicant is applying for a group home with the capacity of six ambulatory clients' ages 12-17 years old. LPA inspected the interior and exterior of the facility. Living room, therapy rooms, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room where medications will be locked in a locked cabinet, first aid kit with first aid manual, Disinfectants and cleaning solutions will be locked in therapist office. Sharp knives will be locked in the kitchen pantry. Hot water temperature was reading in the kitchen sink 108 degrees F. Bedroom set up as follows: Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1. Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2. Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. The staff and client files will be electronically stored on computer database and will be accessible for Community Care Licensing (CCL) to review at any time. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Fire clearance was approved. Smoke detectors are operating, and fire extinguishers are properly charged and serviced. Clients will be allowed to make and receive confidential telephone calls. here is no weapon in the home. There are no cameras located inside or outside of the facility as stated Joseph Vaccaro, Executive Director. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property per Joseph Vaccaro, Executive Director the barn shed will not be used at anytime. The applicant has been informed that the address to this facility is available to the public. All special incident reports (SIR's) will be sent via e-mail to: cclpaccr@dss.ca.gov. The reporting requirements were reviewed with the applicant on this date. Upon managers final review, the license will be provided. An exit interview was conducted, a copy of this report was discussed left with Joseph Vaccaro, Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2023, at 12:50PM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility for the purpose to conduct an unannounced post-licensing inspection. LPA met with Facility Group Home Administrator Ellen Asquith. There are currently no clients residing at this facility. Due to no clients residing at this facility, no staff are currently working at this facility. LPA interviewed Facility Group Home Administrator Ellen Asquith. LPA inspected the interior and exterior of the facility. The facility is four bedrooms, five bathrooms single-family home, with attached garage. Living room, therapy rooms thought out the facility, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room, first aid kit with first aid manual, Disinfectants and cleaning solutions locked in therapist office. Sharp knives locked in the kitchen pantry. Hot water temperature was reading at 67 degrees. Per Ellen Asquith, Facility Administrator propane company will be contacted to have the hot water repaired. Also, per Ellen Asquith, there will be no clients placed at this facility until hot water is corrected by December 28, 2023. Bedroom 1: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1.Bedroom 2: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2.Bedroom 3: designated for two clients, two twin beds, two night stands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted.Smoke detectors are operating, and fire extinguishers are properly charged.There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property. Based on observations made during the inspection, no deficiencies observed during today's inspection. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was given to Program Administrator Ellen Asquith.


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2024, at 11:40AM, Licensing Program Analyst (LPA) Carol Anderson made an unannounced annual/required inspection. LPA met with Care Coordinator, Level 1, Maylin De Leon and Ariana Peinado, Coordinator Level 3. There are currently no clients residing at this facility. LPA inspected the interior and exterior of the facility. The facility is four bedrooms, five bathrooms single-family home, with attached garage. Living room, therapy rooms thought out the facility, study room, group therapy room, family room, laundry room and kitchen. Staff offices are located throughout the facility, medication room, first aid kit with first aid manual, Disinfectants and cleaning solutions locked in therapist office. Sharp knives locked in the kitchen pantry. Hot water temperature was reading 118. Bedroom 1: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom#1. Bedroom 2: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize. Also, there is an attached bathroom inside the bedroom #2. Bedroom 3: designated for two clients, two twin beds, two nightstands, closet space and one eight cubic feet dress drawer for both clients to utilize, Also, there is an attached bathroom inside the bedroom #3. Personal Rights, Emergency Disaster Plan, Facility Sketch and Menu posted. Smoke detectors are operating, and fire extinguishers are properly charged. There is no weapon in the home. There are no cameras located inside or outside of the facility. The Backyard is set up as follows: Facility has a pool which is appropriately fenced and secured with a mesh fence. The enclosure was measured to five-foot-high feet, self-closing access gate that opened away from the pool, with a self-latching device. The backyard is fully fenced. Also, patio furniture. Storage shed located in the backyard. Large area with grassy area. Barn shed located on the lower level of the property. Based on observations made during today's inspection, there are no deficiencies. An exit interview was conducted, and a copy of this report was given to Care Coordinator Level Maylin De Leon.


facility_name: NEWPORT ACADEMY - GOLDEN

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Narrative:
clients however, there were conflicting statements from staff about the supervision of the clients during the PM shift, described as 3: PM to 11: PM. Confidential staff interviews revealed that staff were to be stationed on the landing of the stairs when clients were in their bedrooms but some staff indicated that this was not always the case. Staff indicated that if chores and charting needed to be done, it left clients unsupervised for periods of times. Staff indicated that the PM staff are not required to document the periodic 15 minute checks indicating the sleeping position. Staff were consistent in their statements that the 15 minute checks regarding sleeping position is required of the overnight staff and that these are to be documented. While the incident did occur, staff and clients interviewed were not consistent in their statements about supervision of the clients in their rooms that may have allowed for an inappropriate interaction between clients as indicated in the complaint allegation. As a result of this, the allegation that a lack of supervision resulted in minors engaged in inappropriate sexual behaviors while in care is UNSUBSTANTIATED at this time meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and documentation was provided to Ms. Saravia.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection on 10/13/23 at 2: PM and met with Dinnielle Saravia, House Manager to discuss the findings of the allegation as stated. LPA Hill informed NAME that the complaint investigation included an initial inspection at the facility on 7/26/23 where interviews were conducted with staff and C1 (see LIC811 dated 10/13/23). LPA Hill interviewed C2 on 7/26/23 at another facility and additional staff from 10/10/23 through 10/13/23. The allegation is related to a consensual sexual interaction that occurred on or about 7/14/23 between C1 and C2 in their shared bedroom. Confidential interviews with staff did not indicate any inappropriate interactions between C1 and C2 that required heightened supervision prior to this incident. Confidential interviews with clients showed that clients knew the staff patterns for checking on clients in their bedrooms and that they had the wherewithall to hear when staff were approaching/entering the room(s) to check on UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 10/13/2023

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

met_with: Dinnielle Saravia, House Manager


raw_content:
Narrative:
The Department has investigated the complaint that Staff inappropriately touched minor. During, confidential interviews C1 refused to speak with the investigator regarding the complaint investigation. It was reported that C1 has a history of making false allegations and was unable to provide details regarding the allegation to staff. S2 stated that when S2 saw S1 and C1 interact, S2 did not see anything inappropriate or concerning. It was reported by staff that S1 is very direct, strict, a stickler with rules and sets good boundaries and C1 may not have liked that. S1 only worked at Newport Academy-Golden three times, on 11/17/2023, 11/21/2023 and on 12/05/2023. When S1 would have been on shift there would have been two to three facility staff in total. S1 denied the allegation that S1 touched minor inappropriately. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has investigated the complaint that Staff made inappropriate comments towards minor. During, confidential interviews C1 refused to speak with the investigator regarding the complaint investigation. It was reported that C1 has a history of making false allegations and was unable to provide details regarding the allegations to staff. S2 stated that when S2 saw S1 and C1 interact, S2 did not see anything inappropriate or concerning. It was reported by staff that S1 is very direct, strict, a stickler with rules and sets good boundaries and C1 may not have liked that. S1 only worked at Newport Academy-Golden three times, on 11/17/2023, 11/21/2023 and on 12/05/2023. When S1 would have been on shift there would have been two to three facility staff in total. S1 denied the allegation that S1 made inappropriate comments to C1. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has investigated the complaint that Staff are not providing a comfortable environment for minor. During, confidential interviews. C1 refused to speak with the investigator regarding the complaint investigation. C1 would not provide any details regarding not having a comfortable environment. LPA observed there to be a comfortable environment during a visit on 12/15/2023 when C1 and C2 were conducting their daily actives and talking with staff. S1 denied that there was an uncomfortable environment for C1. Based on the investigation, observation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No title 22 regulations were cited during today's inspection. Due to a printer error a copy of the report and appeal rights will be emailed.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit to the facility on 5/2/2024 at 1: PM, and LPA spoke with the supervisor to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 12/15/2023. The initial 10-day complaint inspection was conducted by LPA Mary Shelton, at the agency on 12/15/2024 which, included a Physical Plant Inspection of the facility and obtaining of relevant documents: face sheets for all youths in the home, the most current needs and services plans for each of the youths, and incident rep orts for the youths. For staff LPA Shelton requested any corrective action plans related to staff, a current LIC 500 and client roster. LPA Shelton informed the facility that the Department of Social Services IB Investigator, Sergio Guerra, Badge #249, conducted part of the investigation. The investigator conducted interviews with S2 and Bio-Mother and LPA Shelton conducted an interview with S1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Mary Shelton 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Dinnielle Saravia, Residential Supervisor


raw_content:
Narrative:
Investigation showed that facility staff were aware that C1 and C2 were "too friendly" with one another and staff attempted to supervise the youth at all times but, given the staffing ratio of one staff to three clients, and the acuity of the youth in care, it was difficult at times to maintain supervision. Interviews with current and previous staff members indicated that C1 and C2 were "overly friendly" and "sneaky" in their relationship with one another, leading to a time when C1 and C2 left their respective rooms at least one time at night to "meet up in the hallway". Confidential interviews with staff failed to indicate any staff members being aware of any inappropriate touching or a romantic relationship between C1 and C2 and failing to intervene. LPA Hill was informed that there were some boundary violations between C2 and S1 in that S1 discussed their personal life with C2 and that C2 may have "held that over [S1]", indicating that C2 may have been granted privileges including not being supervised appropriately. LPA Hill found that no additional staff that could corroborate this allegation but another youth in care indicated that one of the youths would "sneak into their room" at night without staff knowing to "make out" with their roommate. LPA Hill attempted to reach out to C1 and C2 but neither youth would consent to an interview. Youths' respective parent/guardian relayed that, since their youth returned from care, they were concerned about the supervision of the youth in the facility due to this relationship developing and being allowed to "blossom", causing undue harm and further trauma since being in care. Regarding the allegation that staff sleep during their shift, confidential interviews revealed that there were numerous allegations made by youth about various staff but there was never any evidence to corroborate this allegation against any of the staff employed by the agency. Confidential interviews with staff indicate that Residential Supervisors and other staff did sporadic check-ins during the overnight shift to verify allegations as they surfaced but were unsuccessful. While the allegations continued to be made, investigation did not indicate a time when any staff were found to be asleep during that shift or any other shift despite the continued allegations. As a result of the investigation and interviews conducted, the allegations that staff are allowing minors to engage in inappropriate behavior(s) while in care, that staff do not provide adequate supervision to minors, and that staff sleep during shift(s) are UNSUBSTANTIATED at this time meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview was conducted to Ms. Saravia and documentation was provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill made an unannounced complaint inspection on 5/29/24 at 2: PM and met with Dinnielle Saravia, Resident Supervisor to discuss the complaint findings. LPA Hill informed Ms. Saravia that the investigation included an initial inspection on 3/6/24 and a subsequent inspection on 5/6/24. Collateral inspections were conducted on 4/24/24 and 5/10/24 where interviews were conducted. LPA Hill interviewed six staff, including previous staff, and one previous client. LPA Hill attempted to interview C1 and C2 (see LIC811 dated DATE) but the parent/guardian for these youth refused to cooperate with the investigation citing trauma-related concerns. The allegations that staff are allowing minors to engage in inappropriate behavior(s) while in care and that staff are not providing adequate supervision to minors are related to allegations that C1 and C2 had an inappropriate relationship while in care and that while the staff were present and knew, they did little to nothing to maintain supervision and boundaries between the youth as needed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 05/29/2024

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

met_with: Dinnielle Saravia, Resident Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an announced visit on 1/24/22 at 1: PM and met with Michelle Good, Residential Director to conduct a Pre-Licensing Visit. LPA observed that the facility is clean and safe for potential clients. LPA observed that there are three dual occupancy rooms for clients. One of the rooms needs dowels in the closet for clients to hang their belongings. LPA observed that the smoke detectors are not inner-linked and that they were functioning during the inspection. LPA did not find a carbon monoxide detector on the top floor where client rooms are located and did advise that it needs to be installed prior to accepting clients. LPA observed that the hot water is not functioning at this time and Ms. Good states that it was due to an electrical part that needs to be ordered and installed. LPA advised that no clients can be accepted until the hot water is fixed and functioning. Ms. Good shall provide proof of water heater being fixed prior to accepting any clients in care. LPA observed several fire extinguishers throughout the house but none of them are tagged with the last inspection date by the fire department. The facility shall ensure that all fire extinguishers are tagged with the proper inspection tag as required. Other than the issues discussed in this document, LPA found no other issues barring the facility from obtaining their license. LPA is recommending licensure at this time. Exit interview conducted and document provided to the agency.

met_with: Michelle Good, Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection to the facility on 5/5/22 and met with Michelle Good, Residential Director to discuss the following incident. The incident happened on 4/4/22 where C1 went to the hospital as a result of an unauthorized absence and another incident that occurred on 4/11/22 where C1 placed a pillow over the face of another client in the facility. C1 was subsequently taken to the hospital to be evaluated and then discharged from the program. LPA arrived at the facility on 5/5/2022 to ask facility for client face sheet, Needs and Services Plan, pre-placement appraisal documentation, and a copy of the discharge policy signed by the parent/guardian. LPA informed Ms. Good that the incident report from 4/4/22 documenting an unauthorized absence is not required to be reported to the Department as the document states "Client was never out of staff's sight." meaning that while C1 walked about and even left the property, it is not an unauthorized absence requiring notification to the Department as C1 was not out of staff's sight. The incident of 4/11/22 where C1 engaged in an unsafe behavior needs further evaluation and LPA shall return to conclude the evaluation of this incident. LPA also requested case notes related to behaviors that lead to the decision to discharge C1 as Ms. Good states that there was more than the incident articulated in the 4/11/22 incident. LPA did provide the agency with a copy of the regulation related to Removal and Discharge Procedures 84068.4 in Title Regulations. Exit interview was conducted and documents were provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection visit on 5/27/22 at 8: AM and met with Michelle Good, Residential Director who assisted with the inspection. LPA toured the facility inside and out and observed that the physical plant of the facility was in substantial compliance with Title Regulations. LPA observed that the facility had three dual occupancy client rooms, two full restrooms were stocked with appropriate soap, paper towels and toilet paper as required and were all functioning and had hot water. LPA observed that the fire extinguishers are placed throughout the facility and were inspected as on 1/26/22. LPA observed that one of the client's beds were not made and that fitted sheet was in the room but not on the bed. LPA observed that the facility kitchen was well stocked and had the required perishable and non perishable food as required. LPA observed that there were adequate snacks for clients at the facility. LPA did speak to the facility about nutritional needs for one of the youth at the facility. LPA reviewed two client files and two staff files while at the facility and observed that the facility is not doing Needs and Services Plans as required. LPA did observe treatment plans for the youth but they did not have the required elements as noted on the Needs and Services Plans. During the annual inspection, the facility was cited for 84065(d)(3) Personnel Requirements for no proof of facility manager training; 84065(i)(3)(M) Personnel Requirements for not having proof of Medication Training for staff; 80069(a) Client Medical Assessment for not having the proper medical assessment completed for C1 who had been at the facility for more than 30 days; 84070(c)(1) Children's Records for not having a Needs & Services Plan in the clients' files. Exit interview was conducted and documents were provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection on 1/25/23 at 12: PM and met with Shanic Davidson, Residential Supervisor. Michelle Good finalized the report and signed and received documentation related to the inspection. LPA toured the inside of the facility and observed that the facility was clean and sanitary during the inspection. LPA observed that the smoke detectors were functioning as required and that the facility has a carbon monoxide detector on each floor that functioned as required. LPA observed that there are three dual occupancy rooms in the facility that were all equipped with the required bedding, storage and furniture as required for the clients in care. LPA observed that the bathrooms were clean and toilets, showers and sinks were functioning as required. LPA observed that the water temperature in the client bathrooms was 118 degrees Fahrenheit. LPA observed that the fire extinguishers in the facility were last inspected on 1/11/2023 by the fire inspector. LPA observed that the kitchen was appropriately stocked with food and snacks as required. LPA observed that there were three cooks that were doing meal preparation during the inspection. LPA did not issue any citations at the facility during the inspection but did provide the facility with two technical violations and one technical assistance. The technical violations are related to making the air conditioner inaccessible to clients and maintaining documentation related to drills. The technical assistance document is related to training facility staff on emergencies and disasters. LPA interviewed clients who were willing to be interviewed and interviewed three staff during the inspection. LPA advised Ms. Good that the inspection is not complete and that an additional inspection is needed. Exit interview conducted and documentation was provided to the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection on 1/26/23 at 9: AM and met with Breana Bertolino, Administrator. The purpose of the inspection today was to review medication records for clients and to review client files. LPA Hill observed that there were several missing items related to client files and citations were issued as follows: Children's Records - psychotropic medication authorization is required in the client files and refusal documentation. In addition, documentation related to needs and service plan authorization by parent/guardian prior to implementation, proof of client vaccinations are obtained upon admission, proof that the authorized representative has been provided discipline policies, removal/discharge polices, and complaint/grievance procedures, and that the facility has treatment plans that are thorough and include all required aspects of the needs and services as required. Exit interview was conducted with Ms. Bertolino and documents were provided.

Deficiencies:
84068.2(b): Needs and Services Plan

(b) The needs and services plan shall identify the child's needs in the following areas

met_with: Breana Bertolino, Administrator


summary: Facility Evaluation - 2 deficiencies

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced collateral inspection to the administrative offices for the agency on 1/26/23 at 3: PM and met with Breana Bertolino, Administrator. The purpose of the inspection today was to review staff files. LPA Hill reviewed staff documentation while at this location and did cite the facility for the following training records and documentation as needed for the staff. Exit interview conducted and document was provided to Ms. Bertolino.

Deficiencies:
84361(f): Documentation and Reporting Requirements

(f) The licensee must maintain a monthly log of each use of manual restraints. The log must include
84065(i): Personnel Requirements

(i) Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16-hour training as specified in (1) and (2) below


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 7/20/23 at 9:45 am and met with Breana Bertolino, Program Manager to discuss the following incident reports. * 7/14/23 - Incident report details that C1 (see LIC811 dated 7/20/23) was administered incorrect medications. LPA Hill informed Ms. Bertolino that in the future the incident report needs to detail the name of the staff who incorrectly administered the medication in addition to proof of training and/or disciplinary action of the staff for the inappropriate administration, as applicable. LPA Hill requested this documentation while at the facility. Another staff person did this documentation/training and is on vacation at this time. The facility shall provide this documentation by 7/24/23. * 6/8/23 - Incident report details that C2 felt uncomfortable around S1. LPA Hill received information related to the investigation and informal counseling related to the situation. LPA Hill requested proof of re-training related to the situation. LPA Hill interviewed C2 during the inspection today. * 2/25/23 - Incident report details that C3 had a phone call and was visibly upset after. Staff checked in on youth while in their room after youth had punched the wall. Staff then stepped away from youth again, knowing that C3 was not back to baseline and C3 punched the wall again, causing youth to fracture their hand and having to go to the emergency room for treatment. LPA Hill requested the policy on this and asked about why staff did not call for another staff to stay in the room with C3 since they knew that C3 was still escalated. Ms. Bertolino states that all three staff working during this incident are still working and states that a Root Cause Analysis will be conducted and updated documentation will be provided. Exit interview conducted and documentation provided.

met_with: Breana Bertolino, Program Manager


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 7/26/23 at 11:20 am and met with Breana Bertolino, Program Manager. LPA Hill made the inspection to interview a staff person related to a 6/8/23 incident detailing that a youth felt uncomfortable around S1 (see LIC811 dated 7/26/23) who is an educational staff. LPA Hill observed that S1's statement sharply contrasts the statements made by C1, thereby leading to an unsubstantiable allegation made by C1. No additional follow-up is needed at this time. LPA Hill also asked Ms. Bertolino about the documentation requested related to the 7/14/23 medication error that was discussed during the 7/20/23 inspection as well. LPA Hill requested proof of training for S2 and/or disciplinary action of the staff for the medication error while at the facility. Ms. Bertolino will provide the proof of staff write up but the training has not been completed yet. As soon as the this is completed, Ms. Bertolino will provide this to Licensing. LPA Hill also asked Ms. Bertolino to provide the proof of the Root Cause Analysis training for the three staff present related to the 2/25/23 incident as well. This incident was related to S3 leaving C2 alone, or not having S4 or S5 switch out with them even though S3 had reasonable knowledge to believe that C2 might hurt themselves due to C2 being in an escalated state and having already punched a wall. Once S3 stepped out of the room, C2 then punched a wall inflicting injury to themselves. Ms. Bertolino states that there is one staff that has not completed their part of the documentation and that this will be provided upon completion as requested. Exit interview was conducted with Ms. Bertolino and document was provided during the inspection.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced annual inspection to the facility on 3/20/24 at 12: PM and met with Dinnielle Saravia, Residential Supervisor, who assisted with the inspection. LPA Hill toured the facility inside and out and observed that the facility is clean, safe and sanitary at this time. At the time of this inspection, there are no clients in care. LPA Hill observed that there are three dual occupancy client rooms and that the rooms were equipped with bedding and clothing storage as required. LPA Hill observed that the smoke detectors were working properly during the inspection. LPA Hill observed that there are two carbon monoxide detectors in the area of the client rooms that were functioning properly. LPA Hill observed that the food preparations were happening in the facility during the inspection as the facility prepares the food for all three of the agency's houses from this house. Food is transported in a manner that maintains the heat of the food items. LPA Hill observed that the facility has four restrooms accessible to youth and all restrooms were clean and tidy and had paper towels and soap as required. LPA Hill observed that the toilets flushed in all restrooms and that there was hot water in all of the sinks of the restrooms. LPA Hill observed that the two showers accessible to the youth were working as required. LPA Hill observed that the kitchen was clean and that kitchen staff were preparing dinner during the inspection today. The fridges and freezers were full of fresh fruit and vegetables as required. LPA Hill observed that the facility has a reserve of snack items for the youth in care and that there are items stored at this house for other houses as well. LPA Hill observed that the facility has a home gym for the youth in care and that there is a classroom accessible to youth to maintain academic studies. This facility has a library accessible to youth for reading, visitation if necessary, leisure or other activities as needed. There were no citations issued during the annual inspection today. Exit interview conducted and documentation provided to the facility.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 5/8/24 at 11: AM and met with Dinnielle Saravia, Residential Supervisor. LPA Hill discussed an incident report dated 4/28/24. This incident report details that a client (C1) (see LIC811 dated 5/8/24) felt uncomfortable with a staff being in the room with them during a doctor visit. LPA Hill interviewed one client during the inspection today. The staff involved (S1) was not working during today's inspection. LPA Hill also spoke to staff Dinnielle Saravia, Residential Supervisor, and Michelle Good, Residential Director, as well as clinical staff about this incident. LPA Hill informed the facility that further investigation is needed at this time. Exit interview conducted and document was provided to the agency.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an unannounced case management inspection on 6/21/24 at 3: PM and met with Michelle Good, Residential Director. LPA Hill informed Ms. Good that the inspection today is to finalize an open case management inspection related to the 5/8/ Case Management Inspection. The initial incident report dated 4/28/24 was related to an incident where in C1 (see LIC811 dated 6/21/24) felt uncomfortable with S1 being in the room with them during a doctor visit where C1 needed to change into an exam gown. LPA Hill conducted confidential interviews with C1 and S1 and did determine that while C1 felt uncomfortable about staff presence, there was no malicious intent on behalf of S1 by being in the room. S1 felt it prudent to be in the room with S1 as there were potentially dangerous items accessible to youth. S1 was formally counseled by the agency and has been trained that youth have rights to privacy during examinations and/or doctor visits and that unless youth explicitly request staff presence, staff cannot assume that they need to be present. This concludes the investigation into this incident. LPA Hill also informed Ms. Good that today's inspection is related to an incident report dated 6/10/24 indicating youth had joined a virtual meeting for their Step Program via Zoom and, upon joining the meeting, realized it was compromised, exposing youth to inappropriate material. Ms. Good states that staff immediately shut down the meeting but not prior to youth seeing the inappropriate content. Due to this, the agency is making adjustments to their day to either ensure that there is adequate time to arrive at the physical meeting in time to attend or missing the meeting for the week. Ms. Good states that they will not be utilizing the platform of Zoom moving forward due to the apparent ability to hack this platform. No citations were issued and documentation was provided to Ms. Good. End of document.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 4/23/25 at 2: PM and met with Dinnielle Saravia, Administrator, to discuss two separate incident reports. The first incident report dated 4/5/25 involved a disclosure made by C1 (see LIC811 dated 4/23/25) about being assaulted by a doctor. LPA Hill inquired about the incident and conducted interviews of staff. LPA Hill was informed no follow up occurred prior to C1's discharge on 4/9/25. No follow up is necessary at this time. The second incident report dated 4/8/25 involved an inappropriate sexual contact between C2 and C3 and was observed and reported by C4.LPA Hill learned that the agency conducted an internal investigationLPA Hill requested the agency provide the internal investigation. Additional follow up is necessary. Also discussed during the inspection was the closing of bedroom doors. LPA Hill advised that the closing of the doors when there are two clients in the room lends to issues of supervision, depending on the circumstances and specific incidents. LPA Hill advised that the clients do have a right to close the door but when there is more than one client in the room, closing the door could lend to supervision issues. Agency states that this was an issue with their Joint Commission. LPA Hill advised that this was not a fire inspection stipulation nor is this a licensing issue. LPA Hill did advise the agency that incident reports need to be timely in that the initial incident report should be provided within 24 hours and the follow up written reports need to be provided to the Department within the seven days as required by Title Regulation. Exit interview was conducted and document was provided.

met_with: Dinnielle Saravia, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 5/30/25 at 8: AM and met with Dinnielle Saravia, Administrator. LPA Hill conducted the inspection for the purposes of interviewing youth in care related to an incident that occurred on 4/8/25. LPA Hill learned upon arrival that only one youth of the three that need to be interviewed were still in the program. LPA Hill interviewed one youth and obtained information related to the other two. LPA Hill informed the facility that additional investigation is needed at this time and that it may take an additional 30 days to complete the investigation. End of inspection at this time.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 5/13/25 at 3: PM and met with David Parraz, Residential Supervisor to discuss an incident report follow up. LPA Hill informed NAME that the inspection is a follow up to an initial inspection conducted on 4/23/25, where it was discussed that C1 (see LIC811 dated 5/13/25) disclosed abuse to S1 on 4/5/25. In interviewing staff at the facility, it was discussed that while the disclosure was made to S1, direct care staff are not to question youth about the specifics when abuse is reported or disclosed, rather they are to provide the information for clinical staff to then have a meeting with youth to provide support for youth in a trauma informed manner and assist youth in processing the traumatic incident. LPA Hill was informed that the agency did not provide this follow up with C1 prior to C1 discharging from the facility. When asked why this was not done, it was noted that they did not have a valid reason. As a result of the agency not providing the follow up with C1 following the disclosure of a traumatic incident, the agency was cited for violation of Title Regulation Section 80078(a) Responsibility for Providing Care and Supervision as the agency did not provide the care necessary to assist a youth in dealing with the disclosure of the a traumatic event. Exit interview was conducted and documents were provided to Mr. Parraz, along with the appeal rights.

met_with: David Parraz, Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced case management inspection on 6/5/25 at 2:10 and met with Dinnielle Saravia, Administrator. LPA Hill conducted the inspection for the purposes of interviewing S1 related to an incident report dated 4/8/25. LPA Hill interviewed S1 while at the facility. The incident report details an inappropriate interaction between C1 and C2 that occurred at the facility while youth were on the balcony of the facility and staff were not in the immediate area supervising youth. The report detailed that C2 made an allegation of an inappropriate interaction with C1. An interview with C1 indicates that this information may not be accurate. C2 did not return LPA Hill's calls about this incident. There is not sufficient evidence to prove that the incident occurred. LPA Hill informed Ms. Saravia that while there is not conclusive evidence that an inappropriate interaction happened between youth, there was information disclosed during confidential interviews indicating that staff are not supervising youth in care as they have been trained to do. Confidential interviews indicate that staff are using their phones to watch videos, be on social media, or other actions that leave youth unsupervised. As a result, the facility was cited for violation of Title Regulation, Section 80078(a) Responsibility for Providing Care and Supervision as staff are to provide care and supervision as necessary to meet the client's needs. Confidential interview indicated that youth are not being supervised appropriately as they are on their phones or otherwise not supervising youth in care. Exit interview was conducted and documents provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced case management inspection at the facility on 03/05/2026 for the purpose of discussing incident reporting and record-keeping expectations. LPA met with Sara Koerlin, Operations Manager, who assisted with the inspection. LPA informed Sara Koerlin, Operations Manager, that the Department received information that a reportable incident occurred on 9/9/2025 but was not reported to Licensing as required by Title General Regulations Section 80061(b) Reporting Requirements. This investigation was conducted by LPA Aleza Ruiz. The incident in question alleges that a staff provided a youth in care with an unauthorized substance. This information was disclosed to facility staff but was not reported to Licensing per this regulation. The facility was cited as initial notifications of unusual or special incidents are required to be provided to Licensing within 24 hours of the reportable incidents, and the submissions of the full or complete incident reports are required within seven days. LPA also informed the facility that records must be maintained at the facility and available for Licensing to review upon request. During this investigation, the facility acknowledged that an internal investigation was conducted but when LPA Ruiz requested these records, the facility could not provide them. LPA Ruiz was informed that the staff person responsible for this documentation no longer works for the facility and that they did not have any documentation related to this internal investigation. The facility was cited for Title Division Group Home Regulations Section 84066(b)(6), Personnel Records, as the licensee is required to maintain personnel records including a record of each work performance. This would include records related to internal investigations involving possible staff misconduct.

met_with: Sara Koerlin, Operations Manager


raw_content:
Narrative:
Regarding the allegation that staff shared a THC vape pen with a minor, of the nine confidential interviews conducted, only one interview provided information confirming this allegation second hand. It was reported during this confidential interview that the client tested positive for the substance, but documentation and additional interviews deny any positive drug test for the client while at the facility. This incident was investigated by the facility, but no documentation for the internal investigation could be provided as the staff person responsible for the documentation for this incident no longer works for the agency. Documentation of the allegation was dated 9/9/2025 but this incident report was not submitted to Community Care Licensing until 1/14/2026. The other confidential interviews were either inconsistent or did not provide any evidence to support the allegation. Based on LPA's interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur.; therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights are being provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Chad Cabigon arrived unannounced at the facility on 03/05/2026, at approximately 2: PM, for the purpose of delivering findings for the complaint allegation above. LPA met with Sara Koerlin, Operations Manager (OM). OM was informed that the complaint investigation was conducted by LPA Aleza Ruiz. LPA Ruiz initiated the investigation at the facility on 10/17/2025 where a Health and Safety Inspection was conducted. During the investigation, LPA Ruiz conducted confidential interviews with seven staff, one client, one parent, and an attempted interview with another client, and reviewed records including: Needs and Service Plans for youth in care, staff training logs, placement roster, serious incident reports, facility complaint history, case notes, staffing roster and other relevant records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: NEWPORT ACADEMY - GOLDENFACILITY NUMBER: VISIT DATE: 03/05/2026

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