summary: Facility Evaluation

raw_content:
Narrative:
On December 16, 2021, Licensing Program Analyst (LPA) Lorena Valenzuela arrived at Pinta Home Short Term Residential Therapeutic Program (STRTP) to conduct a Plan of Correction (POC) follow up visit to determine compliance with a plan of correction (POC) plan for the deficiency cited on 11/22/2021. Program Administrator Denise Samano was on the telephone during the review of the report. On 11/22/2021, the facility's hot water temperature in client Restroom #1 measured to be over the allowed temperature, measuring over 125 degrees Fahrenheit. On 12/16/2021, LPA Valenzuela measured the temperature in Restroom #1 and it measured to be over 130 degrees Fahrenheit. Based on observation , the POC plan where the facility was to maintain the hot water temperature to be between 105 and 120 degrees Fahrenheit was found to not be in compliance. Therefore, the facility is being cited under Title 22, Section 80088 (e) (1) Fixtures, Furniture, Equipment and Supplies. The facility is being fined a civil penalty due to repeating the same violation within 12 months. A copy of this report, LIC 809-d, LIC 421FC and appeal rights was provided and discussed with Administrator Sterling Kirk.

met_with: Administrator, Sterling Kirk


state: CA

facility_name: PINTA HOME

summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2022, Licensing Program Analyst (LPA's) Lorena Valenzuela met with Pinta Home Short Term Residential Therapeutic Program (STRTP) Head of Service Gregory B. Johnson and Program Administrator Denise Samano and Executive Director Larnel Jackson on the phone. The purpose of this case management is to discuss information received during a review of facility documents and interviews conducted. LPA Valenzuela conducted a review of facility records on November and December 2021, as well as conducted interviews with witnesses. It was revealed that Administrative Staff # 1 (AS1) and Administrative Staff #2 (AS2) knowingly received fifteen First Aid and Cardiopulmonary Resuscitation (CPR) cards for personnel without having the personnel complete the training required for the First Aid and CPR cards to be considered valid. In addition, AS1 and AS2 had personnel who work directly with children, continue to work at the facility without having a current and valid First Aid and CPR card on file. Based on records review and interviews, the Department has determined that the licensee did not ensure adequate oversight and accountability was provided to the STRTP program, to ensure compliance with applicable laws and regulations. The facility is cited for violation of the STRTP Interim Licensing Standards (ILS), Version 4, Section 87063 (a)(11) Accountability. An exit interview was conducted where the citation and plan of correction was discussed with Gregory B Johnson and over telephone with Denise Samano and Larnel Jackson. A copy of this report, appeal rights were provided to Gregory B Johnson.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Denise Samano, Gregory B Johnson


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 17, 2022, an informal office tele-conference was held via Microsoft Teams video platform with representatives from East Valley CHARLEE Inc. Short Term Residential Therapeutic Program (STRTP) facilities, including representatives from Pinta Home, facility # 360906534 and Santa Maria Home, facility # 360906507. In attendance were: STRTP representatives Executive Director Larnel Jackson, Program Administrator Denise Samano, Administrator Francine Haynes, Administrator Sterling Kirk, and Head of Service Gregory B. Johnson. And from San Bernardino county Children and Family Services Amy Guisa. Also, in attendance from Community Care Licensing (CCL) were: Regional Manager (RM) LaCresha Cook, Licensing Program Manager's (LPM) Christina Barnes and Cheraki Davis and Licensing Program Analyst's (LPA) Lorena Valenzuela and Valerie Wilson. The following was discussed with the facility: • Facility Oversight • Accountability • False information • Staff Training • Operational needs Regional Manager (RM) Cook stated the reason for the meeting were concerns regarding the Board of Directors lack of oversight and accountability. RM Cook stated, based on information received, it was found the facility issued fifteen First Aid and Cardiopulmonary Resuscitation (CPR) cards for personnel without having the staff complete the entire certification process which included, video review and hands on compression training. (continued on page 2) RM expressed concerns for lack of accountability and lack of a plan to ensure compliance with licensing regulations. RM asked the facility how the facility will resolve these concerns. ED Jackson stated that he oversees PA Samano and stated that he thought everything was being done to ensure compliance. ED Jackson stated that during the COVID 19 pandemic he did not visit the facilities. ED Jackson stated that he trusted things were being done but "did not verify". RM Cook stated that due to facility disseminating false documents to the Department the facility is being cited. Based on interview, document reviews, the facility is cited under STRTP Interim Licensing Standards (ILS), Version 4, Section 87063 (a) Accountability. The Department is requesting a written Plan of Action detailing how the board of directors will ensure that oversight of program operations and internal controls are adequate and effective for the management of the short-term residential therapeutic program pertaining to: accountability, lack of oversight by Management, administrator duties, delineation of Management responsibilities, lack of staff supervision, staff training, continuous quality improvement policies, procedures, and practices, and how operational needs of the facility will be addressed on a continuous basis. The office conference also provided the opportunity for the STRTP representatives, CCL and county representative, Amy Guisa to discuss concerns regarding placement and acceptance of youth into the STRTP. RM reminded the facility that they must demonstrate the willingness and capacity to assess and determine the appropriateness of placement within the program, consistent with the population to be served on an individualized basis for each child referred by the placing agency. At the conclusion of the conference, RM Cook thanked the facility representatives. A copy of this report, LIC 809-D was emailed to Executive Director Larnel Jackson for signature. Appeal rights were provided. Original signed report will be placed in the facility file. LPA Wilson stated that the CPR, First Aid vendor was contacted, who confirmed, that in order for the CPR First aid cards to be valid, the personnel would have to complete both an online video training and an in-person hands on training. Interviews conducted by LPA Wilson and Valenzuela revealed that 15 staff were issued cards without completing the hands-on training. LPA Valenzuela expressed concerns regarding the CPR First Aid training sign in sheets submitted to the Department and personnel who signed in as having completed the training which was later revealed that some personnel had not completed the training. RM Cook asked the facility to explain the process for training. Program Administrator (PA) Denise Samano stated the CPR training consisted of a video training, and hand on compression training with an instructor. PA Samano stated that she was responsible to ensure the CPR and First Aid training was conducted and completed. RM Cook asked who was responsible to verify the personnel who signed training sign in sheets attended the video and hands on training. PA Samano stated she was responsible for setting up the training and overseeing it was completed. PA Samano stated she did not follow up to see who had completed the compression training. PA Samano stated she oversaw who attended the video training, however it is possible that some personnel did not complete the video training in its entirety. PA stated there was at least one staff person signed in to have watched the video but left early and did not watch the video entirely. Executive Director (ED) Larnel Jackson stated there will be a plan to ensure CPR cards are kept current and that they will not let this occur again. He further stated, there is "no excuse" for not having the cards on file. PA stated that during the CPR training she was occupied with many tasks and duties. PA Samano stated that when an administrative employee had stopped working at the facility in July 2021, she took on the responsibilities of that staff person and repeatedly stated, "there was a lot going on". San Bernardino representative Amy Guisa asked who was supporting PA Samano in her duties, as PA appeared to be overwhelmed. ED Jackson stated that PA Samano was doing her job and PA Samano kept him updated on everything regarding the facilities. ED stated that a Quality Improvement personnel left in July 2021, and after this date another personnel Ricky Chali, who is also the Child and Family Team (CFT) Facilitator and in charge of billing, is taking on the role and tasks of ensuring quality assurance/improvement. ED Jackson stated, he interviewed applicants for the quality improvement position however, he has not yet hired anyone for that role. RM Cook asked who trained Mr. Chali for the role in quality improvement? ED stated he had personally trained Mr. Chali. (continued on page 3)

Deficiencies:
87063(a): accountability, lack of oversight by Management, administrator duties, delineation of Management responsibilities, lack of staff supervision, staff training, continuous quality improvement policies, procedures, and practices, and how operational needs of the facility will be addressed on a continuous basis. ED will submit plan to CCL by due date 03/04/2022.
8
9
10
11
12
13
14

met_with: Larnel Jackson, Denise Samano, Gregory B Johnson, Francine Haynes, Sterling Kirk

title:
1
2
3
4
5
6
787063 (a) ACCOUNTABILITY.The board of directors or other governing body including, but not limited to, an individual natural person who is a licensee, shall be active in ensuring oversight and accountability, and shall perform, at a minimum, the following duties...1
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4
5
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7ED Larnel Jackson agrees to submit a written Plan of Action detailing how the board of directors will ensure that oversight of program operations and internal controls are adequate and effective for the management of the STRTP program pertaining to


summary: Facility Evaluation

raw_content:
Narrative:
On 05/30/2023 at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced case management inspection and met with Leonard Haynes, the Facility Manager (FM) of Pinta Home Short-Term Residential Treatment Facility (STRTP), to discuss the incident report dated 05/19/2023 regarding Client 1 (C1). On 05/22/2022, Community Care Licensing received an incident report from the STRTP Facility. Per the incident report, on 05/19/2023, the facility reported that staff #1 (S1) did not follow correct Pro-Act restraint guidelines according to the Facility's Emergency Intervention Plan when utilizing a restraint on C1. It was reported that S1 observed C1 with C1's medication in their hand and that C1 was showing this medication to another client. It was reported that S1 instructed C1 to return the medication to S1, but that C1 refused and ran down the hallway, away from S1. S1 then called Staff 2 (S2) for assistance. It was reported that when S2 arrived to assist, C1 had their arms behind their back as S1 was trying to retrieve the medication. It was also reported that S1 had a hold of C1's arm and was advised by S2 to let go of C1's arm so that it would be easier to de-escalate C1. It was reported that Facility Manager (FM) and Administrator (AD) responded to the facility and assisted with de-escalating C1. FM advised LPA Choi that after S1 reported the incident details and admitted to grabbing and holding C1's arm instead of waiting for S2 to assist, S1 was suspended from work for grabbing and holding C1's arm. LPA was advised there was no video surveillance within the facility. Based on confidential interviews, a records review of facility documentation of the incident and the facility Emergency Intervention Plan, and an admission from S1 that they did utilize an improper use of a restraint on a client, the STRTP is being cited for violation of STRTP ILS, Personal Rights 87072(c)(11), To be free of physical...emotional, or other abuse, and from corporal or unusual punishment,...infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature...This poses an immediate health, safety, or personal rights risk to the children in care. Exit interviews were conducted. A copy of this report and appeal rights were given and explained to Facility Manager Leonard Haynes.

met_with: Leonard Haynes, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst's (LPA's) Leslie Covarrubias and Guadalupe Munoz on November 21, 2023 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA's Covarrubias and Munoz met with Administrator, Francine Haynes and inspected the facility inside and out. LPA's reviewed two of child's records and three of staff personnel files on site at the facility. LPA's reviewed two of child's psychotropic medications and medication records. LPA's interviewed three of staff on site to discuss the facilities policies and procedures of operation. LPA's interviewed two of children currently prescribed psychotropic medication. During the inspection the LPA's observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA's provided a copy of this licensing report to Administrator, Francine Haynes.

met_with: Administrator, Francine Haynes


summary: Facility Evaluation

raw_content:
Narrative:
On February 4, 2025, at 3: PM, Licensing Program Analyst (LPA) Jason Dalton met with Administrator (ADM) of Pinta Home Short-Term Residential Treatment Facility (STRTP) Nateika Cullors, Facility Manager, to deliver a case management deficiencies report. Information obtained by Community Care Licensing (CCL) revealed a concern regarding the response of staff (S3) toward a client (C1) during an incident occurring in November 2024. A case management investigation was initiated with the facility on November 19, 2024. The investigation included interviews two staff [(ADM) and Staff #1(S1)], three client (C1-C3), and one County Social Worker. A record review of facility documentation was also conducted as part of the investigation. On November 15, 2025, Community Care Licensing received an incident report from the STRTP Facility. Per the incident report, on 11/14/2024, Client #1 (C1) had a behavior episode in which Staff #3 (S3) was attempting to assist in the de-escalation of C1. The report further noted a physical interaction between C1 and S3 occurred and at some point S3 responded by biting C1 on the arm. Confidential interviews and record review provided consistent accounts of C1 of having a behavior episode during which S3 bit C1 on C1's right arm. Based on confidential interviews and record review the facility is being cited for violation of Interim Licensing Standards (ILS) standard 87065.2(b)(3) PERSONNEL DUTIES Administration of discipline and setting of limits for behavior that are consistent with trauma-informed care standards. An exit interview was conducted, and a copy of this report, confidential names list (LIC 811) and appeal rights were given to Nateika Cullors, Facility Manager.

met_with: Nateika Cullors, Facility Manager


facility_name: PLAN-IT LIFE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegation that staff are not properly supervising minors and did not provide any further specific details regarding staff supervision. Based on interviews and record reviews the allegation that staff did not properly supervise a minor while in care, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sharon Hancock.

Investigation Findings:
13On September 30, 2021 at 12:00pm, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Sharon Hancock. LPA Ronnesha Fountain conducted a tele-inspection of the facility on February 25, 2021 at 10:36 am and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not properly supervise a minor while in care. Specifically, it was reported that C1 was observed by C2 doing inappropriate sexual behaviors. Confidential staff interviews reported that C2 reported to staff that C1 was acting out sexually in C1's bedroom. Confidential interviews reported that this was the first time that staff became aware and took appropriate action. Additional confidential interviews reported that this was the first time this type of incident occurred. Some confidential interviews disclosed having no issues with staff supervision at the facility while other confidential interviews stated that the allegation was true. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 09/30/2021

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

report_type: Complaint Investigation

met_with: Sharon Hancock

complaint_status: unsubstantiated


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegation that staff are not properly supervising minors and did not provide any further specific details regarding staff supervision. Based on interviews and record reviews the allegation that staff did not properly supervise minors, resulting in C1 and C2 engaging in inappropriate activities, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sharon Hancock.

Investigation Findings:
13On September 30, 2021 at 1:00pm, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Sharon Hancock. LPA Ronnesha Fountain conducted a tele-inspection of the facility on April 07, 2021 at 10:59 am and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not properly supervise minors resulting in C1 and C2 engaging in inappropriate activities. Confidential staff interviews reported that staff became aware that C1 and C2 had engaged in sexual activity with one another, however staff was unaware of when or where this alleged incident had occurred. Confidential staff interviews reported that staff took appropriate action and increased the supervision with C1 and C2. Some confidential interviews disclosed that this incident did not occur at the facility and others reported that the incident never occurred. Other confidential interviews stated that the allegation was true. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 09/30/2021

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


raw_content:
Narrative:
This poses an immediate Health, Safety or Personal Rights risk to the children in care. The STRTP is being issued a citation for violations of the Interim Licensing Standards, Chapter 7.5, Version 3, Sections 87072(d)(11) Personal Rights. See attached LIC 9099D for cited deficiency. An exit interview was conducted, appeal rights explained and a copy of this report was provided to Sharon Hancock, along with the LIC 811. Information obtained from confidential interviews revealed was inconsistent as to whether C1 injured self-due to acting out and assaulting S1 or being extremely upset during the incident. The interviews that were provided to the LPA were not consistent regarding the allegation that a minor sustained an injury while in care due to care and supervision issues or staff violating client personal rights. Based on interviews and record reviews the allegation that C1 sustained an injury while in care, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sharon Hancock.

Investigation Findings:
13On October 14, 2021 at 11:00am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Sharon Hancock. LPA Ronnesha Fountain conducted an inspection of the facility on April 02, 2021 at 1:32 pm and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff #1 (S1) pushed C1. Confidential staff interviews reported that C1 became upset with S1 and C1 assaulted S1. Confidential interviews reported that S1 attempted to use de-escalation techniques on C1 but was unsuccessful. S1 then pushed C1 and became verbally aggressive with C1. Additional staff interviews report that another staff member then intervened, trading places with S1. All of the persons interviewed corroborated this information. Based on record review and interviews S1 did pushed C1. The preponderance of evidence standard has been met, therefore the allegation S1 pushed C1 is found to be Substantiated. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: 336408020

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Erika Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2


raw_content:
Narrative:
Several witnesses corroborate that even though marijuana is not allowed within the facility, clients will ignore the rules and risk consequences by sneaking in the marijuana and using it while at the facility. Staff corroborate that clients cannot be searched upon returning from absconding the facility and will often sneak drugs, such as marijuana, back into the facility. Several witnesses corroborate this is true. While C1 was able to sneak marijuana into the facility, S1 took immediate action and called law enforcement. The majority of witnesses corroborate this information. Based on interviews conducted and information obtained, the allegation that C1 had access to marijuana while in care at the STRTP, may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to Youth Care Counselor, for original signature. Signed report will be placed in facility file.

Investigation Findings:
13****This is an amended report of the original LIC 9099 dated 09/14/2022.**** On September 14, 2022, at 2: PM, Licensing Program Analyst (LPA) Erika Lopez arrived at the Short-Term Residential Therapy Program (STRTP) facility and met with Youth Care Counselor. LPA Lopez conducted a facility risk assessment interview with FM and proceeded to issue the investigative finding for the above allegations. During the investigation, LPA requested documents from client 1 (C1's) file including placement agreement, copy of C1's needs and service plan from time of allegation, special incident reports involving C1, incident reports involving law enforcement and C1, and facility roster at time of allegation. LPA Escobar conducted interviews with staff 1 (S1), client 2 (C2), and client 3 (C3), and C1's county social workers (CSW1 and CSW2). LPA Ronnesha Fountain interviewed staff 2 (S2) at the time of the initial ten-day inspection to initiate the complaint with the facility on 10/07/21 at 10: AM, no health or safety concerns were observed. It was alleged that on or around 09/28/21, C1 had access to marijuana while in care of the STRTP. Specifically, it was reported that after an altercation with S1, C1 went to the backyard and began to smoke marijuana. S1 then called law enforcement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Erika Lopez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 09/28/2022

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

met_with: Youth Care Counselor - Sharon Handcock


raw_content:
Narrative:
Confidential interviews reported that staff explained the consequences of negative behavior, such as losing privileges like video game time but no physical discipline or threats. The Department received another allegation that staff (unknown) inappropriately spoke to a minor (FC1). It was reported that staff told a client (FC1) they wanted to "punch FC1 in the face." Other confidential interviews reported that no staff ever said anything like this to any client of the facility. Confidential interviews reported that clients never heard any staff saying they wanted to punch FC1 in the face or any other remark that was threatening or inappropriate. LPA received inconsistent statements regarding these allegations. Based on inconsistent confidential interviews, the allegations that staff threatened the minor (FC1) while in care and staff spoke to minor (FC1) in an inappropriate manner, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, and appeal rights were explained and given to Facility Manager, Darla Alexander.

Investigation Findings:
13On 10/25/2022, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Plan-It Life Short Term Residential Treatment Program (STRTP) to deliver the investigative findings for the allegations listed above. LPA Choi conducted a health and safety inspection of the facility on 10/4/2022. No immediate health and safety issues were observed. The investigation included interviews with clients (FC1, FC2, FC3, FC4, and FC5), other clients (OC1, OC2, OC3, and OC4), and staff (S1, S2, S3, S4, S5). On 03/11/2022, Community Care Licensing received an allegation that staff (unknown) threatened a minor (FC1) while in care. It was reported that a staff member threatened to harm a client if they didn't follow the rules. Confidential interviews reported that a staff member threatened a client by informing them they would harm them if they didn't follow the rules. Other confidential interviews reported that no staff member ever used any verbal threats against clients. Confidential interviews reported that staff has never used physical discipline on clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 10/25/2022

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

met_with: Darla Alexander, Facility Manager


raw_content:
Narrative:
Other confidential interviews revealed staff did not verbally abuse C1, however, it was reported staff was verbally abusive. Furthermore, confidential interviews revealed C1 was denied food and snacks and staff did not like C1. Based on confidential interviews and record review, the allegation that staff denied C1 food while in care may have occurred, however, it is not supported or proven by evidence. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were provided to Facility Manager, Jermaine Manassa.

Investigation Findings:
13On April 19, 2023 at 10: AM, Licensing Program Analyst (LPA), Lisi Leon, met with Plan-It Life, Inc Facility Manager, Jermaine Manassa, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA Leon conducted a safety and health inspection on April 20, 2022 and there were no immediate health or safety deficiencies. LPA Leon conducted interviews with two staff [Staff #1 (S1 and Staff #2 (S2)], three residential clients [Client #1 (C1), Client #3 (C3), Client #5 (C5)] and one county social worker (CSW). LPA Leon obtained copies of the facility and client roster including schedules and reviewed client records. On April 14, 2022, Community Care Licensing (CCL) received an allegation that staff denied minor food while in care. Specifically, staff is verbally abusive to C1 and when C1 asks for a snack, C1 is denied snack. Confidential interviews revealed staff offered breakfast, lunch and dinner to all clients and there are no witnesses to staff denying any food to clients. Further confidential interviews reveal snacks were offered to clients at certain times, however, the sugary snacks were kept locked and were offered at designated times. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 04/19/2023

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

met_with: Facility Manager, Jermaine Manassa


raw_content:
Narrative:
Based on interviews and record reviews the allegations that C1 was threatened and physically abused by C2, and staff did not prevent C1 from being, may have occurred, however is not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Jermaine Manassa.

Investigation Findings:
13On September 06, 2023, at 10:05am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with facility Jermaine Manassa. Lisi Leon conducted an inspection of the facility on September 29, 2022, at 12:10 pm and no immediate deficiencies were observed. Four of four clients (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was threatened and physically abused by C2, and staff did not prevent C1 from being. More specifically, C1 no longer felt safe at the facility due to the allegations. Confidential staff interviews reported that staff immediately intervened when they overheard C1 and C2 threatening each other. Confidential interviews reported that C1 was not in any physical altercations or physically hit by C2 while at the facility. The interviews that were provided to the LPA were not consistent regarding the allegations that are listed above and did not provide any further specific details regarding staff supervision and personal rights violation. Continued on page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 09/06/2023

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

met_with: Jermaine Manassa


raw_content:
Narrative:
this facility. While other confidential information received by Licensing Office stated that S1's past conduct does pose a risk to minors in care. There were no other known witnesses to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Staff # 1's (S1) conduct poses a risk to minors in care, more specifically that S1 had a history of inappropriate sexualized behaviors which poses a risk to children in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Youth Care Counselor, Stacy Denman to discuss the investigative findings for the above stated allegation. Licensing Program Analysts (LPAs), Linda Haynes and Daniel Mena conducted an inspection to the Group Home (GH) on March 17, 2023, at 11:15am and on January 03, 2024, at 11:40am. No immediate hazards observed. LPA Mena interviewed Facility Manager (FM), Facility Administrator (AD), three staff (S1, S2 & S3), six of six foster children in care (C1, C2, C3, C4, C5 & C6), as reviewed client and facility records. Community Care Licensing received information on March 13, 2023, alleging that Staff # 1's (S1) conduct poses a risk to minors in care, more specifically that S1 had a history of inappropriate sexualized behaviors which poses a risk to children in care. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPA Mena obtained conflicting information during interviews. Confidential interviews denied allegations of any inappropriate sexualized or inappropriate behaviors involving S1 with any clients in care. According to confidential interviews, although S1 is a younger staff and is liked by the clients, there have never been any incidents nor accusations of any inappropriate interactions involving S1 and clients in care since becoming employed at UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 01/12/2024

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

met_with: Stacy Denman


raw_content:
Narrative:
In addition, confidential interviews reported that the staff does not allow the minors in care to consume alcohol or marijuana. Confidential interviews reported that the minors are always supervised. The interviews provided to the LPA were inconsistent regarding the allegations that staff was not properly supervising C1 and did not provide any further details regarding staff supervision. Based on inconsistent confidential interviews and record reviews, the allegations that minors (C1- C2) in care are consuming marijuana and alcohol and that staff do not prevent harassment between the minors (C1 and unnamed minors) in care are unsubstantiated. The allegation may have occurred, however is not supported or proven by evidence. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Juan Denny..

Investigation Findings:
13On March 12, 2024, at 8:55 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera met with Plan It Life Short Term Residential Therapeutic Program Manager Juan Denny to deliver the investigative findings for the allegations stated above. LPA Linda Hayes conducted a health and safety inspection of the facility on March 17, 2022, at 10:57 am, and no immediate deficiencies were observed. During the investigation, interviews were conducted with four children in placement (C1, C2, C3, and C4), and three staff (S1, S2, and S3) and a Facility Administrator were interviewed. Community Care Licensing (CCL) received an allegation that minors (C1 and C2) in care are consuming marijuana and alcohol, and staff do not prevent harassment between minors (C2 and unnamed minors). Confidential interviews reported that C1 was called inappropriate names by the minors (specific names unknown), and no further information was provided. Confidential interviews reported that staff does intervene and will verbally redirect the minors who are making inappropriate comments. Confidential interviews reported that when a minor leaves the facility without permission and later returns to the facility, the minors has returned under the influence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 03/12/2024

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

met_with: Juan Denny


raw_content:
Narrative:
Attempts were made by LPA Urena to interview C4, C5 however, clients declined to be interviewed and no additional information was obtained. On December 14, 2023, Community Care Licensing (CCL) received a complaint alleging that staff do not prevent the minors from having access to drugs, and that staff did not prevent a minor from fighting another minor. It was specifically reported to CCL that C1 has access to nicotine and marijuana in wax form and that C1 and other clients obtain these products out of care and use these products at the facility. It was also reported CCL that C1 was observed with a nose injury that was a result of a fight in care. During the investigation there was no corroborating evidence to support the allegation. Confidential interviews reported that C1 engages in drug use while not in care, away from the facility. Other confidential interviews stated that C1 has been in possession of drug paraphernalia in care, and that staff respond to the incidences by removing the items and following facility protocol. Other confidential interviews reported not observing C1 in possession of drugs in care but have observed C1 under the influence of a substance when returning to the facility. The statements received are inconsistent in determining if a violation of lack of supervision by facility staff is a result of C1 having access to drugs. There were no other known witnesses to the allegation and two clients refused to comment on the allegation. Regarding the allegation that staff did not prevent C1 from engaging in a fight with another minor in care. Confidential interviews provided inconsistent statements about whether the injury to C1's nose was a result of a fight due to staff not intervening. Confidential interviews indicated that there was a nose injury due to a fight at the facility. Some confidential interviews reported that the injury was not due to a fight but rather due to a skin problem and was treated in care. Other confidential interviews stated that there was no injury observed on C1's nose and that fights in care involving clients are stopped by staff in a timely manner. There were no other known witnesses to the allegation. Based on confidential interviews, and record review the allegations that staff do not prevent the minors from having access to drugs, and that staff did not prevent C1 from fighting another minor, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Youth Care Counselor, Sharon Hancock.

Investigation Findings:
13On March 13, 2024, at 11: AM, Licensing Program Analyst (LPA), Cynthia Urena met with Plan-it-Life Inc, Banning Short Term Residential Therapeutic Program (STRTP) Youth Care Counselor, Sharon Hancock to deliver the investigative finding for the above stated allegations. On December 20, 2023, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena initiated the investigation at the STRTP and collected pertinent documents from the STRTP program staff and client files. A Health and Safety inspection of the facility was conducted with the Administrator and no deficiencies were observed. LPA advised the Administrator that Phillippe Miles with the Community Care Licensing Division (CCLD) Investigations Branch (IB) would be leading the investigation. Investigator, Miles interviewed one client (C1) and a facility staff member. LPA Urena conducted additional interviews with two of four clients (C2, C3,), four facility staff members (S1, S2, S3, S4) and one county staff member. (**Conintued on LIC C**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 03/13/2024

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

met_with: Youth Care Counselor, Sharon Hancock


raw_content:
Narrative:
Confidential interviews continued reporting that soon after the facility's phone call with the school; the facility sent a staff to provide C1 with return transport. Confidential interviews disclosed that C1 was provided with return transportation on the day a complaint was made but that there were times that other clients, including C1, were not provided transportation. Based on confidential interviews, the allegation that staff (S1) did not ensure minor (C1) had transportation from school, may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Assistant Facility Manager Alta Carr. This is an amended report for an LIC 9099C originally created on 5/17/0224. The facility representative's signature is missing on the original LIC 9099C. Facility representative Sharon Hancock signed this amended LIC 9099

Investigation Findings:
13On 05/17/2024, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Short Term Residential Treatment Program (STRTP) and met with Assistant Facility Manager (FM) Alta Carr, to deliver the investigative finding for the allegation listed above. On 04/29/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed clients 1, 3, 4 and 5 (C1, C3, C4, C5), staff 1 (S1) and a confidential witness. Client 2 (C2) declined LPA's request for an interview. On 04/22/2024, Community Care Licensing received an allegation that staff (S1) did not ensure minor (C1) had transportation from school. It was reported that C1 had finished the school day and was not being provided return transportation to the facility. It was further reported that the facility advised the school to advise C1 to walk back to the facility as the facility had no available vehicles. Confidential interviews reported that the facility mistakenly thought there were no available vehicles for client transport.(Continued next page) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 05/17/2024

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

met_with: Alta Carr, Assistant Facility Manager


raw_content:
Narrative:
Confidential interviews reported that the facility didn't provide the incident to the authorized representative until this facility was approached regarding the incident. Other confidential interviews reported that the facility staff (S1) provided C1's incident report to both Community Care Licensing and C1's Authorized Representative on the day of the incident. LPA received a conflicting information. Based on confidential interviews, the allegation that staff (S1) did not report incident involving minor (C1) in care as required may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Youth Care Counselor Stacy Denmon.

Investigation Findings:
13On 11/22/2024, at 09:46AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life-Banning, Short Term Residential Treatment Program (STRTP) and met with Youth Care Counselor Stacy Denmon, to deliver the investigative finding for the stated allegation involving the STRTP staff and client as listed on the confidential names list (LIC811) dated 10/04/2004. On 09/27/2024, Community Care Licensing received a complaint alleging staff did not report incident involving minor in care as required. On 10/04/2024, LPA Joon Choi conducted a health and safety inspection of the facility and obtained pertinent documents. In addition, LPA interviewed Client 1 (C1) and Staff 1 (S1). County Social Worker was unable to be interviewed due to not responding to LPA's request for a return telephone call. In regard to the allegation that staff (S1) did not report incident involving minor (C1) in care as required; it was reported that on 09/24/2024, C1 was involved in a fight at school and C1 was physically restrained by the school security personnel causing injury to C1. It was further reported that the facility did not report this incident in a timely manner to C1's authorized representatives. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 11/22/2024

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

met_with: Stacy Denmon, Youth Care Counselor


raw_content:
Narrative:
reported that it was not known when, if ever, the facility last offered internet access to the clients. Confidential interviews reported that the facility does not provide minors with wireless internet access when clients need the internet for schoolwork. Other confidential interviews reported that the facility does provide internet access for clients, but it is required per facility guidelines that the clients use the internet in the common area of the facility so that staff can properly supervise. Other confidential interviews reported that the clients want to use the facility internet in the privacy of their own room and often decline the facility's offer for internet use in the common area of the facility. Other confidential interviews reported that the facility staff would take the clients to the library to use the internet when the clients want privacy. LPA received inconsistent information. In regard to the allegation that staff are not providing minors (C1-C6) with appropriate age activities, it was reported that C1-C6 would like outings that are age appropriate. It was further reported that the facility provided outings for the clients that are more suitable for minors. Confidential interviews reported that the facility does not provide recreational activities that are age appropriate or mature for their current clients' age group. Other confidential interviews reported that the facility provides recreational activities that are agreed upon beforehand by the clients. Other confidential interviews reported that for the most part, the clients enjoy taking part in the outings offered by the facility, such as going to the arcade or amusement parks. Confidential interviews reported that during a health and safety inspection of the facility, the facility's activities calendar was clearly posted. LPA received inconsistent information. Based on confidential interviews and document review, the allegations that staff are not providing the minors a form of communication while in care and staff are not providing minors with age appropriate activities may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Sharon Hancock.

Investigation Findings:
1308/14/2025, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life-Banning, Short Term Residential Treatment Program (STRTP) and met with Facility Manager Sharon Hancock to deliver the investigative finding for the above stated allegations. On 05/15/2025, Community Care Licensing received a complaint alleging that staff are not providing the minors with a form of communication while in care and staff are not providing minors with age-appropriate activities. On 05/19/2025, LPA Joon Choi conducted a health and safety inspection of the facility and obtained pertinent documents. In addition, LPA interviewed clients 1, 2, 3, 5 and 6 (C1-C3, C5-C6), staff 1, 2 and 3 (S1-S3). Client 4 (C4) was unable to be interviewed as they were absent without leave (AWOL) during the investigation. In regard to the allegation that staff are not providing the minors (C1-C6) a form of communication while in care; it was reported that the facility does not provide C1-C6 with access to internet. It was further CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 08/14/2025

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

met_with: Sharon Hancock, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Veronica Whitaker conducted a case management inspection on October 12, 2021, at 10: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 5 out of Direct Care Staff and 5 out of 5 youth files as identified on the LIC 811 confidential names dated 10/12/2021, were reviewed. 3 out of Direct Care Staff and 4 out of 5 youth were interviewed. The Plan of Operation including policies and procedure were reviewed.

met_with: Dana Taylor


summary: Facility Evaluation

raw_content:
Narrative:
On March 18, 2022, Licensing Program Analyst (LPA) Michael Almaraz arrived at Plan It Life Short Term Residential Therapeutic Program (STRTP) and met with facility manager Kevin Festa. The purpose of the inspection was to interview client #1 (C1) see confidential names list (LIC 811) dated March 18, 2022, in regard to a previous placement. A copy of the LIC 811 and LIC 809 was provided and explained to Kevin Festa.

met_with: Kevin Festa


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem conducted a case management inspection 9/14/22 at 10am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 9 out of Direct Care Staff and 2 out of 2 youth files were reviewed. 4 out of Direct Care Staff and 1 out of 2 youth were interviewed. (See the Confidential Names List, LIC 811, dated September 14, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Yem observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Interim Administrator Sonchray Garrett,

met_with: Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA Erika Lopez, made an inspection to the facility to amend report dated 09/14/22.


summary: Facility Evaluation

raw_content:
Narrative:
On 11/29/2022 at 09:08 am, Licensing Program Analyst (LPA), Sarah Lo, conducted and unannounced annual inspection at Plan-It Life, Inc., Short Term Residential Therapeutic Program (STRTP). LPA was met at the facility by Darla Alexander, Facility Manager (FM) and was granted entry into the facility for an annual inspection. FM stated the census is six and currently there are three out of six clients present. LPA began a physical plant inspection at 09:15 am and included the following checks: The facility was toured inside and out with FM. The home is a one-story residence with three bedrooms and three bathrooms. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. At 09:36 am, LPA Lo observed in Bedroom #1 with both dressers are not in good repair and a missing window screen. At 09:45 am, LPA Lo observed in Bedroom #2 with a flimsy and unsteady dresser that is not in good repair, missing a second dresser, and a missing window screen. At 09:55 am, LPA Lo observed in Bedroom #3 with a dresser not in good repair and is missing a second dresser. Per CCR 80088(b) All window screens shall be in good repair and be free of insects, dirt and other debris. Per ILS 87088(c)(4)(a) The licensee shall provide and make readily available to each child the following furniture, equipment and supplies necessary for personal care and maintenance of personal hygiene: Portable or permanent closets and drawer space in the child's bedroom to accommodate the child's clothing and personal belongings. A minimum of two drawers or eight cubic feet (.2264 cubic meters) of drawer space, whichever is greater, shall be provided for each child. The hot water in the client bathrooms are within the required temperature between 105 degrees F to 120 degrees F. LPA Lo also observed all trashcans in the bedrooms and bathrooms did not have lids. Per CCR 8088(f)(1) Solid waste shall be stored, located and disposed of in a manner that will not transmit (continue on LIC 809-c) communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. All containers, including movable bins, used for storage of solid wastes shall have tight-fitting covers kept on the containers; shall be in good repair, shall be leakproof and rodent-proof. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the staff office. The medication logs are kept updated and the dispensing records had no discrepancies. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Cleaning supplies and chemicals are locked and stored in a locked storage area in the hallway. Sharp knives are inaccessible and stored in a locked box in the staff office. The First Aid Kit is in the staff office and contained all required supplies. The facility's smoke detectors in all bedrooms were checked and were operable. The carbon monoxide detectors are linked with the facility smoke detectors and located in all bedrooms and throughout the facility were operable. There are no guns or weapons in the facility as stated by FM. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, and current menu. At 10:27 am, LPA Lo observed no covering around the fireplace located in the dining area. Per CCR 80088(c) Fireplaces and open-faced heaters shall be inaccessible to clients to ensure protection of the clients' safety. At 10:35 am, LPA Lo observed the facility outside grounds was messy with palm tree branches, bushes around the block walls of the swimming pool are not trimmed. Per CCR 80087(c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard shall be kept free of obstruction. At 10:41 am, LPA Lo observed six holes ranging the size of a tennis ball to a size of a soccer ball along the house block walls. Per ILS 87087.2(a) Children shall have access to safe outdoor activity space. Emergency exits were free from obstruction. There is a swimming pool located at the rear of the facility, which is locked and inaccessible to clients. The pool is surrounded by a wrought iron fence measured over 5 feet tall with a gate that self-latches and opens outward. Due to time constraints, LPA Lo will return to complete the inspection at a later date. An exit interview was conducted and a copy of this report, LIC 809c, LIC 809d along with the appeal rights were provided to Facility Manager, Darla Alexander.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On 12/06/2022 at 09:17 am, Licensing Program Analyst, Sarah Lo, arrived at Plan-It Life Short Term Residential Therapeutic Program (STRTP) to complete an Annual Continuation. LPA Lo was greeted by Administrator Dana Taylor and was granted access to the facility. Administrator stated the current census is six and there are no firearm on facility. LPA Lo visited the facility on 11/29/2022 to complete inspection of the Physical Plant, Operational Requirements, Disaster Preparedness, Core Therapeutic Services and Emergency Intervention Plan. At 09:31 am, LPA Lo began review of five staff files (S1-S5) assisted by Administrator Dana Taylor and Facility Manager Darla Alexander, who assisted with staff training files and assisted with this area of the inspection. At 10:39 am, LPA Lo observed through file review that S2 and S5 is missing Tuberculosis (TB) test result. Per CCR 80066(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator, and each employee. Each personnel record shall contain the following information: (11) Tuberculosis test documents as specified in Section 80065(g) and CCR 80065(g)(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. At 11:08 am, LPA observed through file review that S2 and S5 is missing medical/physical clearance. Per CCR 80066(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator, and each employee. Each personnel record shall contain the following information: (10) A health screening as specified in Section 80065(g). (continue on LIC 809-c). At 11:39 am, LPA Lo began review of five client files (C1-C5) assisted by Administrator Dana Taylor and Facility Manager Darla Alexander, who assisted with this area of the inspection. At 12:03 pm, LPA Lo observed through file review that C1 and C2 is missing the facility policies and procedures regarding the child's removal and/or transfer is not signed by the client. Per Interim Licensing Standards (ILS) section 87070(c) If it is determined that the facility can provide the services necessary to meet the child's needs, the following additional information shall be maintained in the child's record: (2) Signed copies of the facility's policies and procedures regarding the child's removal and/or transfer; discipline; and complaints. At 12:17 pm, LPA Lo observed through file review that C2 and C4 is missing the initial medical examination. Per California Code of Regulations (CCR) section 80069(a) Except for licensees of ARFs, prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client, as specified in Section 80069(c), which enables the licensee to determine his/her ability to provide necessary health related services to the client. The assessment shall be used in developing the Needs and Services Plan. At 12:35 pm, LPA observed through file review that C2 and C4 is missing the Tuberculosis (TB) test result. Per California Code of Regulations (CCR) section 80069(c) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases. At 01:26 pm, LPA Lo conducted two staff interviews (S1 and S2). At 02:32 pm, LPA Lo conducted two client interviews (C2 and C6). Deficiencies are being cited based on LPA observations and file reviews; see LIC D. An exit interview was conducted and a copy of this report and appeal rights were given to Administrator Dana Taylor.

met_with: Dana Taylor, Adminstrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst, Dina Camara and Licensing Program Manager, Angela King and Licensing Program Analyst Raymond Canal conducted a case management inspection 6/1/23 at 11: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811,dated 6/1/2023). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and master treatment plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Dina Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. A copy of this report was discussed and provided to Assistant Director, Dana Taylor and Jermaine Manassa, Facility Manager.

met_with: Dana Taylor, Assistant Director and Jermaine Manassa, Facility Manager


summary: Facility Evaluation

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On 6/5/2024 at approximately 10: AM, LPAs Joon Choi and Maryjane Perez arrived at Plan-It Life, Inc. Corporate Office - River Crest Dr., Suite N, Riverside, CA 92507, and met with Administrator Dana Taylor (AD) and Youth Care Counselor (YC) Sharon Hancock, for the purposes of conducting an Annual Inspection for Plan-It Life STRTP (Banning) Facility #336408020. At 10:33 am, LPAs were assisted by YC for conducting four client file reviews At 11:15 am, LPAs were assisted by YC and Earl Richards Human Resources Staff (HR) for conducting five staff file reviews. Based on record reviews, one deficiency was cited during this visit and four Technical Advisories were provided: 1) Type B CCR 80066(a)(11) Tuberculosis test documents as specified in Section 80065(g). One staff file had an expired Tuberculosis test. Technical Advisories: 1) 87065.1(c) (c) The licensee shall maintain, and implement a written plan for the supervision, evaluation, and training of all direct care staff. 2) 87070(b)(12) (b) The following information regarding the child shall be obtained and maintained in the child's record: (12) Consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. 3) 87070(c)(2) (c) If it is determined that the facility can provide the services necessary to meet the child's needs, the following additional information shall be maintained in the child's record: (2) Signed copies of the facility's policies and procedures regarding the child's removal and/or transfer, discipline, and complaints. 4) 87068.2(d) (d) The licensee shall ensure and document how the child, and their authorized representative(s), and the child and family team collaberated in the development of the needs and services plan, including in determining the date and location of the meeting. An exit interview was conducted, and a copy of this report and appeals rights was provided to Administrator Dana Taylor.


summary: Facility Evaluation

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Narrative:
On June 6, 2024 at 08: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced annual inspection at PlanIt Life (Banning) Short Term Residential Therapeutic Program (STRTP). LPA was met by Administrator Dana Taylor (AD). The facility is situated in a residential neighborhood and is a 3 bedroom, 3 bathroom (2 bathrooms for clients, 1 for staff) - single story home with a living room, family room, dining room, kitchen, two car garage, and backyard with a patio and fenced swimming pool. There is a staff office and a separate therapist's office, with a staff restroom. The facility's two registered vehicles are parked in the drive way full-time and have the required current registration, valid/current insurance and first aid kits. LPAs observed the following postings located in the front entry way and common area: facility license, grievance procedures, Personal Rights, Foster Youth Bill of Rights, the contact information for the California Foster Care Ombudsman is on the Foster Youth Bill of Rights poster, visitation policies, and grievance procedures. LPAs began a physical plant inspection at 09: AM assisted by AD. LPA inspected the facility's kitchen, dining area, refrigerators, food storage areas, garage, living room, faimly room, staff office, therapy office, three client bedrooms (B1,B2,B3) and the backyard pool area. The client bedrooms were arranged so that no more than two clients are were assigned to a room, and there is one client per bed, there were individual dresser drawers and a shared closet. Each client room had the appropriate linens, pillows, comforters, and mattresses are in good repair. Extra linens and client hygiene supplies are stored hallway closets . The living room had a couch with a coffee table and the family room had a functional television. The dining room had a dining table with enough chairs for all the clients and some staff. Cleaning supplies such as chemicals are kept locked in the staff office. Sharp utensils and cooking knives are inaccessible to clients and locked in the staff office. Licensee maintains an adequate supply of food and a variety of snacks for clients. LPAs observed a minimum seven day non-perishable foods in the pantry and a two day perishable supply of food in the kitchen and garage refrigerators. There is adequate indoor and outdoor activity space; all exits, and walkways were free from obstruction. Client records are kept in the staff office and their full client files are kept in the facility's corporate office. Per AD, there are no weapons or guns on facility grounds. The facility's outside grounds (front yard, backyard and side areas) were also inspected and were found to be clean, well maintained, and free of observable hazards. The swimming pool had the required locked fencing surrounding the entire pool. The facility has an operable carbon monoxide detector located in the hallway near the staff office and additional smoke detectors are located throughout the facility including client's rooms. LPAs observed the facility had three fire extinguishers, with one located in the kitchen, one in the staff office and one in the garage. Each fire extinguisher was fully charged and inspected in October of 2023. The medications are centrally stored in the staff office, in a locked cabinet. The facility had a First Aid Kit in the staff office. The washer and dryer are located in an entry way before the garage and are accessible to clients with staff supervision. The laundry detergents are kept locked in a cabinet in the garage. The Kitchen had a fully stocked refrigerator, and the gas stove and dishwashing machine were operational. There were no cleaning supplies observed to be lying around unattended in the kitchen. The kitchen cabinets had plenty of pots, pans, plates and bowls for the clients to use. The hot water in the client bathroom measured 105.5 degrees Fahrenheit and was within the specified 105 to 120 degree range. LPA observed that each client's hygiene items such as shampoo, toothpaste, soap, lotion, and deodorant were in their rooms. Facility also had an extra supply of hygiene and beauty items in case clients run out. The facility has two vehicles used to transport clients to appointments, schools and recreational activities. Each vehicle had no damage. The inside upholstery was intact for each vehicle. The brake lights and signals were operational. There was a fully stocked first aid kit in each vehicle as well as current registration and proof of insurance. At 10: AM with the assistance of AD, we then reviewed the facility's Operational Requirements. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 10: AM with the assistance of AD, we then reviewed the facility's Disaster Preparedness Requirements. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 11: AM with the assistance of AD, we then reviewed the facility's Emergency Intervention Plan. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 11: AM with the assistance of AD, we then reviewed the facility's Core Therapeutic Services. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. Based on observations and record reviews, no deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Administrator Dana Taylor.


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an accusation. Other confidential interviews indicated that no facility staff were observed or overheard making such statements toward C1 or any other client. Additional confidential interviews reported that C1 recanted their original statement regarding this allegation. Regarding the allegation that minor C3 made inappropriate comments toward C1, including a statement that "C1 is gay." No additional details were provided. Confidential interviews indicated that C3 verbally threatened C1 and physically pushed C1 on one occasion. Other confidential interviews reported that staff did not observe C3 verbally threaten C1. Additional confidential interviews confirmed that staff witnessed C3 physically push C1 on one occasion and that staff intervened immediately and redirected C3. Confidential interviews also reported that C1 stated they felt protected by facility staff. It was reported that C1 attempted to wear their shirt in a manner that exposed their midriff and was instructed by staff to pull their shirt down. Confidential interviews indicated that C1 preferred to wear clothing that exposed their midriff. One confidential interview reported that C1 overheard S3 making fun of this clothing style. However, other confidential interviews reported that S3 instructed C1 to cover themselves because their attire was making other clients uncomfortable and that no insulting or inappropriate comments were made regarding C1 or their clothing. Based on confidential interviews and document review, the allegations that staff made an inappropriate accusation towards C1, staff did not prevent a minor from making inappropriate comments towards another minor, and staff are making inappropriate comments about C1's clothes may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Sharon Hancock.

Investigation Findings:
13On 12/19/2025, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life-Banning, Short Term Residential Treatment Program (STRTP) and met with Facility Manager Sharon Hancock to deliver the investigative finding for the above stated allegation. On 08/05/2025, Community Care Licensing received a complaint with allegations that staff made an inappropriate accusation towards a minor, staff did not prevent a minor from making inappropriate comments towards another minor, and staff are making inappropriate comments about minors clothes. On 08/14/2025, LPA Joon Choi conducted a health and safety inspection of the facility and obtained pertinent documents. In addition, LPA interviewed clients 1 and 3 (C1, C3) and staff 1, 2 and 3 (S1-S3). Client 3 was unable to be interviewed as they declined LPA's request. In regard to the allegation that staff 3 (S3) accused minor C1 of "selling their body." No additional details were provided. During confidential interviews, C1 stated they did not recall S3 or any other staff making such CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFEFACILITY NUMBER: VISIT DATE: 12/19/2025

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


summary: Facility Evaluation

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On 7/30/2025 at approximately 1:35pm, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Plan It Life Short Term Residential Treatment Program (STRTP) Riverside House. LPA met with Youth Care Counselor Yamka Mendez and explained the reason for the visit; that there might be an unauthorized staff member (S1) that has been allowed to work at this facility, prior to obtaining a full criminal background clearance. During the visit, LPA Choi obtained the facility's Guardian Employee Roster and email/forwarded it to Human Resources Administrator Earl Richards (HR). Per a brief phone interview with HR, it was concluded that S1's employment / start date at this facility was authorized in error. The facility is being cited for violation of Title 22, Division 6, Chapter 1, Article 03, Application Procedures: CCR 80019(e)(2): (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California Clearance or a criminal record exemption as required by the Department. A copy of this report (LIC 809), deficiencies page (LIC 809D) and appeals rigthts was provided to Yamka Mendez. This LIC 809 is an amended document to an LIC 809 created on 7/30/2025. LPA Joon Choi created this LIC 809 under the incorrect facility profile. Please refer to the correct facility Plan It Life 336407591 for this Case Management visit.

met_with: Yamka Mendez, Youth Care Counselor


facility_name: PLAN-IT LIFE TEMECULA HOUSE

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LPA Fountain was provided with video surveillance and it was disclosed that minors smoking inside the group home has been an ongoing issue. Confidential interviews reported that minors are not allowed to smoke at the facility, and staff are trained on redirecting a client who is ever observed smoking. Lpa R. Fountain received a video in which it was alleged to be C1 sitting on a bed, smoking from an unknown vaping device. The video is not clear on the location as to where C1 was at the time. Confidential interviews who witnessed the video identified C1 as being in the video; however, there is no room (location) identifiers that indicate where C1 was at during the time. Based on confidential interviews and record review, the allegation that staff did not prohibit C1 from smoking inside the facility may have occurred; however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of the report was discussed and provided along with appeal rights to Plan-It Life (Temecula House) STRTP , Administrator, Joe Jones.

Investigation Findings:
13On December 30, 2021 at 9:30 am Licensing Program Analyst (LPA) Ronnesha Fountain met with Plan-It Life (Temecula House) STRTP , Administrator Joe Jones to deliver the findings for the above stated allegation. LPA Fountain conducted an in-person inspection at the facility at 01:43 pm on Thursday, June 22, 2021; client files were reviewed, and pertinent documents were obtained. Lpa R. Fountain was unable to complete two of three client (C1, C2, C3) interviews. One client is no longer placed at the facility and whereabouts are unknown at this time and one client was unavailable to be interviewed. In addition, interviews with conducted with two of staff (S1 and S2) and contact made to the County Social Worker (CSW). The Department received a complaint on June 14, 2021, alleging that staff did not prohibit foster child (C1) from smoking inside the facility. More specifically, it was reported that C1 was smoking marijuana while at the STRTP. Due to technical issues, a hard copy was provided to the facility. Signature is on File. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Ronnesha Fountain LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 12/30/2021

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

met_with: Joe Jones


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Continued from page Staff shared with LPA that minors will come back to the facility from AWOL under the influence of substances without determining how minors gained access. LPA interviewed minors (C1 and C2) and they denied doing drugs or acquiring drugs with assistance from facility staff and did not have any information regarding how drugs are purchased. CCL received another allegation, regarding facility staff not meeting minor's medical needs, it was specified in confidential interviews (FM, ADM, and CEO) that staff are supposed to take minors to their medical appointment and a medical appointment form is filled out even when appointments are refused. Confidential interviews indicated that appointments were made for C1, however, C1 refused to attend these appointments. C1 confirmed appointment refusals, however, the facility inconsistently documented C1's refusals. Based on confidential interviews and record review, the allegations that the facility staff are taking minors to buy drugs and staff not meeting minor's medical needs may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. An exit interview is conducted and a copy of this report, LIC 811, and appeal rights were given and explained Plan-It Life Temecula Facility Manager, Katrina Vasquez.

Investigation Findings:
13On March 3, 2022 at 5: PM, Licensing Program Analyst (LPA), Val Wilson, met with Plan-It Life Temecula Facility Manager, Katrina Vasquez, to deliver the finding for the above stated allegations regarding the Short Term Residential Therapeutic Program (STRTP). LPA conducted a health and safety inspection of the STRTP on June 28, 2021 at approximately 12: PM and no immediate deficiencies were observed. Interviews were conducted with Facility Manager (FM), Administrator, Chief Executive Officer (CEO), one Youth Care Counselor (S1) and Child 1 and Child 2 (C1, C2). Additionally, Child 1 (C1) Client Record files and House Log entries were reviewed. On June 22, 2021, Community Care Licensing (CCL) received allegations that the facility staff are taking minors to buy drugs and facility staff are not meeting minor's medical needs. Regarding facility staff taking minors to buy drugs, confidential interviews denied that minors were able to purchase drugs with the assistance of staff. Confidential interviews shared that minors are within staff visual while visiting the park and staff (S1, S2, FM, and ADM) deny observing minors purchase drugs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Valerie Wilson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 03/03/2022

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

met_with: Katrina Vasquez


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Further confidential interviews reveal C1 got upset when FM told C1, C1 could not go to the skate park because of a recent injury. Other confidential interviews revealed C1 got upset and started to break tables, chairs and removed the TV from the wall and threw it outside and punched holes in the wall. Furthermore, confidential record review reports C1 damaged the facility, however, other confidential interviews reveal S1 threw the bowl at C1. Based on confidential interviews and record review, the allegation that staff threw a bowl at C1 while in care may have occurred, however, it is not supported or proven by evidence. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator, Joe Jones.

Investigation Findings:
13On March 7, 2023 at 4: PM, Licensing Program Analyst (LPA), Lisi Leon, met with Plan-It Life, Inc, Administrator, Joe Jones to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA Leon conducted safety and health inspection on March 25, 2022 and there were no immediate health or safety deficiencies. LPA Leon conducted interviews with one Facility Manager (FM), Client #2 and Client #4 (C2, C4) and one Facility Manager (FM), and one staff (S1) and attempted interviews with six County Social Workers. LPA Leon obtained copies of the facility roster including schedules and reviewed client records. On March 21, 2022, Community Care Licensing (CCL) received an allegation that staff threw a bowl at a minor while in care. Specifically, staff threw a fruit bowl at C1's chest. Confidential interviews revealed there were no witnesses to staff throwing a bowl at C1, however, did see a bowl on the floor. ***Continued on 9099-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 03/07/2023

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

met_with: Facility Administrator, Joe Jones


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which included not leaving the facility without permission and was provided a warning that the next occurrence of C1 leaving the facility without permission would result with C1 being removed from the program. Confidential interviews reported supervision included putting eyes on the residents to ensure residents were present and accounted for. Although some confidential interviews denied a lack of supervision, other confidential information received disclosed C1 constantly would leave the facility absent without permission. Based on record review and confidential interviews the allegation alleging staff do not provide adequate supervision to the minors, may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Plan it Life Administrator, Joe Jones.

Investigation Findings:
13On June 20, 2023 at 3:07pm, Licensing Program Analyst (LPA), Nicole Strickland, met with Plan it Life Administrator, Joe Jones, to deliver the finding for the above stated allegation. A Health and safety inspection of the facility was conducted on July 7, 2022, and no immediate hazards were observed. The investigation included interviews with County Social Worker (CSW), Administrator (ADM), two staff (Staff #4 [S4] and ADM), and two foster youth (Child #2 (C2) and Child #4 (C4). Multiple attempts were made and unsuccessful in obtaining interviews with additional confidential witnesses. In addition, facility records, county records, and Riverside County Sheriff's Department record was reviewed. On June 29, 2022, Community Care Licensing (CCL) received an allegation alleging staff do not provide adequate supervision to the minors. Specifically, it was reported the residents "come and go as they please." Confidential interviews reported Child #1 (C1) had a history of leaving the facility without permission. Confidential interviews and record review revealed C1 was encouraged to run C1's program UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 06/20/2023

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