summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
According to corroborating staff and client statements, the minor in question was first reported as unresponsive as early as around PM on the evening of the incident. Per medical records, an ambulance was dispatched at about 11: PM, which meant that for approximately four hours the facility did not seek medical attention for what later proved to be an acute condition--an adverse reaction--that the minor was experiencing. Based on interviews and a records review, the preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. The facility is cited on the attached LIC 9099D, a violation of Personal Rights as set forth via the Interim Licensing Standards, Section 87072(c), and specified in the Welfare and Institutions Code, Section 16001.9(a). A copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 03/23/2022, at approximately AM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection at this facility to deliver the findings of the complaint investigation. LPA met Carla Izzarelli, Administrator, with whom the report was discussed. Investigator Chris Krogstad of Community Care Licensing's (CCL) Investigations Branch (IB) conducted the investigation which was opened on 01/05/2022. Interviews were conducted with facility staff, administration, and clients; also done was a review of relevant documentation, including medical records. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: 347005962

complaint_status: SUBSTANTIATED


state: CA

facility_name: PARADISE OAKS - HICKORY

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted with the Director. A copy of this report and the Appeal Rights will be emailed to the agency.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

report_type: Complaint Investigation

met_with: Laynee Kuhn, Director

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Carla Izzarelli, Administrator


raw_content:
Narrative:
Based on evidence gathered and confidential interviews conducted during the investigation, the allegation cannot be substantiated. 10 out of 11 confidential interviews confirmed they had never heard or witnessed the staff member discussing confidential information about clients with others in care. LPA Buchannan was informed that anyone who reported that the staff shared confidential information had done so based on what another client said, rather than from personal observation. Additionally, it was found that clients could overhear conversations in the Case Manager's office from their bathroom, creating a possibility that they may have inadvertently overheard confidential discussions about other clients in care. (See LIC TA) Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and sent to Licensee via email.

Investigation Findings:
13On October 31, 2024 at 1: PM Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program and met with Joanna Barnhill, Assistant Administrator. Prior to the meeting LPA Sarina Buchannan and Tatyana Shulz conducted the 10-day inspection of the Short Term Residential Therapeutic Program on 10/03/2024. No deficiencies were cited during that inspection. LPA Buchannan requested the following documents: The Needs & Services Plans/Individual Behavior Support Plan, client Face Sheets, client roster, staff roster/LIC 500, staff schedule with contact info, case notes, disciplinary files for staff in question, and staff training logs. LPA Buchannan attempted 1 confidential interview and conducted 11 interviews between 10/3/2024-10/15/2024. (Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: VISIT DATE: 10/31/2024


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Though there were substantive corroborating statements from those interviewed describing how a particular staffer's approach was not ideal when it came to providing care, supervision, and engagement to facility clients, there was insufficient evidence that the staff member failed to accord youth the right to live in a safe, healthy, and comfortable environment. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights is being provided to the facility. *This is an amended version of the original report issued on 10/31/2024.* Statements given by interviewed youth and staff were inconsistent as to whether there was improper and/or unsanitary preparation being done by a specific staff-person with food being served to clients. As for the purported emotional abuse, not enough evidence was found to support the claim; a video recording of a staff member's interaction with a client was also reviewed-and though the video showed poor judgement on the staff-person's part during a heated exchange between them and a youth, the recording does not show actions taken by that staffer that rise to the level of being abusive, emotionally or otherwise, to youth. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights is being provided Licensee via email.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Tasha Bradford, Facility Manager.


raw_content:
Narrative:
Consistently, interviewed youth reported that direct-care staff do a good job keeping an eye or maintaining visual of clients in care and that, if anything, the supervision might seem overbearing at times. The reporting youth only made staff aware of these unwanted advances later on in their placement. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the Licensee via email.

Investigation Findings:
13On October 31, 2024 at 1: PM Licensing Program Analyst (LPA) Sarina Buchannan conducted an unannounced inspection of this STRTP, Short Term Residential Therapeutic Program to close the complaint investigation. LPA met with Joanna Barnhill, Assistant Administrator to whom the following report was delivered. Community Care Licensing (CCL) investigated an allegation that there were Inappropriate interactions between youth in the facility. LPA Chad Cabigon officially opened the investigation on 07/23/2024, during which time a tour of the facility grounds was conducted and multiple youth as well as staff were interviewed. Though inappropriate interactions, in the form of touching, between youth were corroborated by at least two clients. These instances never happened in the presence of facility staff, according to the youth who corroborated these occurrences. (Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sarina Buchannan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: VISIT DATE: 10/31/2024

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

met_with: Joanna Barnhill,Assistant Administrator


summary: Complaint Investigation - Unsubstantiated - 5 allegations

raw_content:
Narrative:
Five out of the nine interviews conducted confirmed staff did not handle client's medication properly and staff did not report incidents to appropriate parties including Community Care Licensing (CCL) in a timely manner. The incident report for the missed medications was received on April 18, 2025 however, Community Care Licensing (CCL) did not receive any 24Hr reports regarding the multiple incidents. Interviews conducted confirmed that a staff member had given a client in care medication that seemed to be "moldy". Staff informed that the medication was not moldy but was wet, altering the appearance and client did not want to consume the medication. It was also confirmed by the facility administrator that the medication became wet due to the water cup dripping into the pill cup. In addition, medication was not administered correctly and a client in care was given an additional dose of medication on April 8, 2025, April 9, 2025, April 10, 2025, and April 11, 2025. Additionally, on April 25, 2025 the client was only given a single dose of a required double dosage of medication. Based on LPA Turner's observations and interviews which were conducted and records reviewed, there is a preponderance of evidence to prove the alleged violation occurred, therefore the allegations are found to be SUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee. Seven out of the nine interviews conducted confirmed the allegations staff did not provide a safe environment for minor(s), staff did not safeguard minor's personal property, and staff made inappropriate comments in the presence of minor did not occur. During the investigation LPA Turner was informed by clients in care that they feel safe in the home. Several clients expressed their appreciation of staff members and how well taken care of they are in the facility. Staff informed LPA Turner that they provide a safe environment for clients in care and a safe place for client's belongings. Clients informed that they have space to keep personal belongings and that they have never heard staff making inappropriate comments around them. Three out of four clients stated that staff are very mindful of what they say around them while in care. During the interviews, LPA Turner was notified that clients in care misplace their personal belongings and they have seen other clients in care break or mishandle their belongings to try and get staff or other clients in trouble. Clients confirmed that they have removed some belongings from their room due to incontinence issues from other clients in care. Staff interviewed denied the above allegations regarding inappropriate comments and clients stated that staff only talk about the health and safety of clients in care. Lastly, LPA Turner was notified by staff and clients in care that a client in care has made allegations in the past to try and get staff and clients in trouble. Clients advised LPA Turner that they do not get along with this client in care because they like cause arguments in the house. Staff advised LPA Turner that they are working with this client in care so they can resolve their behavioral issues. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 30, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Facility Administrator, Carla Izzarelli. Prior to the meeting LPA Turner initiated the complaint investigation on March 12, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Contact Sheet, Client Face Sheets, Medication Administration Records(MARS) and Psychotropic Medication Administration Records (PMARS) for the last 3 months, Inventory Log for one client in care, and Needs and Services Plans for all clients in care. LPA Turner conducted nine interviews between March 12, 2025 and May 14, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations are substantiated because there were consistent statements throughout the investigation process. Report continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: VISIT DATE: 05/30/2025

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: MET WITH: Carla Izzarelli, Facility Administrator


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Four out of the six interviews did not confirm the allegations, staff yell at the minor and staff did not meet minor's medical needs, occurred. During the investigation LPA Turner was informed that the youth in question often engages in behavior intended to provoke staff, including yelling at staff members in an attempt to elicit a reaction. The youth has attempted to record interactions with staff that manipulate the circumstances when staff are attempting to maintain structure and ensure safety within the home. The youth received medication after the behaviors ceased. The youth resists following facility procedures, particularly around medication administration. It was confirmed by staff and other youth in care that this youth in question wants the facility to comply with their personal preferences rather than the policies in place. They have stated that the youth's disruptive behavior causes tension in the facility. Lastly, LPA Turner was notified that the youth has been receiving additional support and advocacy and this has greatly impacted the youth's behavior. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On September 24, 2025 at approximately 9: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Facility Administrator, Carla Izzarelli, who granted LPA Turner access to the facility. Prior to the meeting LPA Orlando Areizaga initiated the complaint investigation on July 24, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Contact Sheet, Client Face Sheet, Needs and Services Plans for one client in care, and Incident Reports for the month of July for one client in care. LPA Turner conducted six interviews between August 6, 2025 and September 10, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: VISIT DATE: 09/24/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Carla izzarelli, Facility Administrator


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Five out of the six interviews conducted confirmed the allegation that a staff member spoke inappropriately to a client in care. During the investigation LPA Turner was informed by staff and clients in care that a clinical staff member made inappropriate comments regarding a client's hair, hygiene, and domestic conflicts. The comments were perceived by the facility's staff and youth as disrespectful, unprofessional, and inconsistent with the facility's standards for respectful and trauma-informed care. Despite awareness of the situation, the facility staff failed to intervene or redirect the clinical staff member's behavior, allowing the inappropriate conduct to continue unchecked. It was further confirmed that the clinical staff member did not attempt to de-escalate the situation and escalated the incident. The clinical staff member continued speaking inappropriately to the client, even after repeated verbal requests from the youth to stop. The youth stated they felt uncomfortable and that the staff member's continued comments contributed to their emotional distress. This failure to intervene shows staff did not maintain a safe and supportive environment for youth in care. Based on LPA Turner's observation and based on interviews which were conducted and records reviewed. There is a preponderance of evidence to prove the alleged violation occurred, therefore the allegation is found to be SUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On October 15, 2025 at approximately 10: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Facility Administrator, Carla Izzarelli. Prior to the meeting LPA Turner initiated the complaint investigation on August 13, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Staff and Client Roster, Staff Schedule, Staff Contact Sheet, Client Face Sheets, Incident Reports for the month of August, and Needs and Services Plans for one client in care. LPA Turner conducted six interviews between Auguts 6, 2025 and September 24, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation can be substantiated because there were consistent statements throughout the investigation process. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - HICKORYFACILITY NUMBER: VISIT DATE: 10/15/2025

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90

met_with: Carla Izzarelli, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
CCL reported a decrease in complaints and incident reports. POYS attribute the decline to a more deliberate intake process and screening for better compatibility with the current clients. They also reported they were revamping their level system. In addition, POYS is training house staff to participate more closely with each client and their overall treatment plan. Staff are eliciting more input from youth on what is working/not working with the program. Youth have responded with more engagement. POYS reported they are resuming a higher level of training for staff as more in-person training become available. They have contracted with Relias Learning for staff training. When asked about the status of overnight staff, POYS reported, they have two roamers that are assigned to three homes each. They also have one floater that helps out as needed or if someone calls out. This model is used both for the day shift and nighttime shift. The roamers and floaters meet regularly with staff to discuss client behaviors and needs. Sacramento County had no specific areas of concern. They complimented the discussed areas of change and the graduation of youth. DHCS discussed the pros/cons of the virtual Mental Health review and was appreciative for POYS' feedback on the process. Clarification on mask wearing requirements for POYS clients and staff will be provided as the Department receives details. POYS will submit an electronic Program Statement to include recent revisions. They next meeting is scheduled for September 17, 2021. A copy of this report will be emailed for signatures to Laynee Kuhn. CCL reported a decrease in complaints and incident reports. POYS attribute the decline to a more deliberate intake process and screening for better compatibility with the current clients. They also reported they were revamping their level system. In addition, POYS is training house staff to participate more closely with each client and their overall treatment plan. Staff are eliciting more input from youth on what is working/not working with the program. Youth have responded with more engagement. POYS reported they are resuming a higher level of training for staff as more in-person training become available. They have contracted with Relias Learning for staff training. When asked about the status of overnight staff, POYS reported, they have two roamers that are assigned to three homes each. They also have one floater that helps out as needed or if someone calls out. This model is used both for the day shift and nighttime shift. The roamers and floaters meet regularly with staff to discuss client behaviors and needs. Sacramento County had no specific areas of concern. They complimented the discussed areas of change and the graduation of youth. DHCS discussed the pros/cons of the virtual Mental Health review and was appreciative for POYS' feedback on the process. Clarification on mask wearing requirements for POYS clients and staff will be provided as the Department receives details. POYS will submit an electronic Program Statement to include recent revisions. They next meeting is scheduled for September 17, 2021. A copy of this report will be emailed for signatures to Laynee Kuhn.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Executive Management


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Marla Horne and Jennifer Baca made an unannounced annual inspection to the facility on July 22, 2021 at 11: AM and met with Facility Administrator Stephanie Piring. LPAs conducted an inspection of the facility inside and outside along with Stephanie Piring. LPAs observed one bedroom which was unoccupied. The bedroom contained the appropriate furniture and bedding. The other two bedrooms were occupied by sleeping non-minor dependents who work a night shift. LPAs observed the water temperature of all bathroom and kitchen sinks to be warm. The shower and toilet functioned properly. LPAs observed and tested the carbon monoxide/smoke detector in the hallway. LPAs observed sharps and medications in the staff office in a locked container. LPAs observed the pantry, refrigerator and freezers to be well stocked with perishables and non-perishable food items. Opened food items were wrapped and labeled. LPAs observed laundry items and chemicals locked in closets. An adequate supply of linens, towels and personal hygiene were observed. LPAs observed the facility vans to have working seat belts, blinkers and first aid kit.LPAs observed the facility license posted in the living room area and the staff office. Foster youth rights were also posted in the living room area. The outdoor area was clear of debris and the bedroom screens were clean and free of bugs and dirt. LPAs noticed that there was a possible tripping hazard due to no transition strip on the floor located between the hallway and living room as well as bedroom number two. Overall, the facility appears to be safe, clean and in good repair. No citations were given during this inspection. An exit interview was conducted with Stephanie Piring.

visit_type: Annual

met_with: Stephanie Piring, Facility Administrator Floater


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Marla Horne conducted an unannounced annual inspection at Paradise Oaks Youth Services administrative office located at Sunrise Vista Drive, Citrus Heights. The inspection was a continuation of staff file reviews. LPA reviewed 5 staff files for the Hickory location and 4 staff files for the Antelope location. All required documentation was found in each file. No citations were issued during this inspection. An exit interview was conducted with Lisa Garceau, Human Resources Director.

met_with: Laynee Kuhn, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Marla Horne conducted a unannounced annual inspection at the facility on 7/29/21 at 4: PM. The inspection was a continuation to review client files. There were not any clients at the facility during the inspection. One client is on a home visit and two non-minor dependents were at work. The files contained all the required documentation. An exit interview was conducted with Sonia Lewis, Facility Social Worker.

met_with: Ann Gooch, Assistant Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/21 at 1: PM, the third collaborative quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 27. Three locations: Madison, Sunset and Old Auburn currently have no foster youth placed. The following were present on an MS Teams virtual meeting: · CCL: Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst (LPA), Cindy Johnson, LPA, Tammy Hill, LPA · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director POYS reported a staff and family moved into Sunset after their home burned down approximately 2 weeks ago. Annual inspections were completed for all their facilities in June and July, resulting in Technical Advisory/Advisory Notes and no deficiencies cited. CCL will provide the electronic program statement revisions to System of Care. Program statement revisions for the SAY population was submitted but still needs to be reviewed and approved. LPA Marla Horne will review by October 20, 2021. Incident reports regarding smoking on grounds was discussed. Both trauma-informed practices and harm reduction protocols were discussed. Harm reduction practices have not been approved by the Department. POYS is reminded that incident reports should document interventions including staff discouraging youth from smoking. CCL pointed out youth smoking in the backyard is still smoking on grounds which may require additional case management inspections. CCL requested program statement revision to Transportation services to add details of exceptions to provide transportation to youth when extreme weather, youth not feeling well or after hours. CCL requested incident reports be typed due to the difficulty of reading the handwritten reports. At this time there are multiple POYS staff that still hand write reports. This has been an ongoing conversation between POYS and CCL. CCL requests all reports be typed by November 1, 2021. POYS declined this request. CCL requested all youths' names be included in one incident report rather than referring to other involved youth as "peer". CCL recommended using a legend to submit the report to CCL and redacting the names for POYS purposes. POYS declined the request due to confidentiality. The CCL request was requested and approved through upper management and noted not to be a HIPPA violation. CCL requested incident reports and timeframes be more specific. Antecedent information is specific and thorough, yet more follow up details or resolution information is needed and requested. CCL recommended POYS to Technical Support Program (TSP) for incident report writing. POYS approved the recommendation. Sacramento County had no specific areas of concern. DHCS had no specific areas of concern. Due to the upcoming impact of FFPSA on program statements, a deadline for the revisions was not determined and will be included at the time of the FFPSA changes. No further meetings are scheduled

met_with: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director,


summary: Facility Evaluation

raw_content:
Narrative:
On 1/21/22 at 11:35am, Licensing Program Analyst (LPA) Stephanie Lor met with Administrator to conduct a case management inspection concerning youth smoking illegal substances. LPA Lor spoke with Administrator about the incident report submitted on 1/2/22. Staff reported that Alcohol and Other Drug services and education have been offered to the youth, but youth is refusing services. A prevention plan is being developed for the youth and will be implemented next week. The plan include incentive offerings and alternative activities. LPA Lor also met with the youth and had a discussion with her about smoking. No deficiencies were cited. An exit interview was conducted with the staff and will be emailed to the facility. This case management inspection will be closed. No further investigations needed.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, (LPA) Tana Kinder conducted an unannounced case management inspection with the administrator on 3/3/2022 related to an incident report dated 2/28/2022. LPA inspected the facility with the administrator. LPA observed enough perishable/non-perishable food for 4 clients for 8 days/4 weeks. LPA inspected the refrigerator, freezer and pantry. The administrator tested the smoke detectors which were in good repair. LPA observed 2 fire extinguishers that were fully charged. There are 2 common areas for the clients to socialize in, as well as their bedrooms. LPA observed marijuana in the second bedroom sitting on the night stand next to the bed on the right side of the room. The administrator just came on duty and the male staff that was on shift was unable to go into the second bedroom because the client, was not wearing a shirt and was only wearing her bra. The Administrator reported that Alcohol and Other Drug services have been offered to the youth, as well as anger management classes after attending court on 3/1/2022 and is now willing to participate. A PPCFT is being held on 3/8/2022 for the youth. The plan will include incentive offerings and alternative activities. A copy of the report will be provided to LPA after meeting. LPA Lor met with the youth and had a discussion with the youth about smoking. No deficiencies were cited. An exit interview was conducted with the administrator a copy of the report will be emailed to the facility. This case management inspection will be closed. No further investigation is needed.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 4/6/22 at 12:11pm, Licensing Program Analyst (LPA), Stephanie Lor emailed the Director to inquired about an incident report received by Community Care Licensing on 3/24/22 regarding youth smoking. On the report, it did not state what the staff did to prevent the youth from smoking. Director stated that staff are constantly prompting the youth about not smoking at the facility. Director will ensure that staff are writing that information on the report. A copy of this report will be emailed to the facility. This case management inspection will be closed. No further investigation is needed.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/7/ Licensing Program Analyst (LPA) Jean Stidman met with Carla Izzarelli Administrator for the purpose of conducting a complaint investigation, LPA interviewed a client for a complaint with a different facility.

met_with: Carla Izzarelli Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 6/16/22, LPA Caplinger conducted an unannounced inspection for the purpose of conducting two client interviews for an investigation related to another licensed facility. LPA met with administrator, Carla Izzarelli and 809 was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
LPA Caplinger conducted an unannounced inspection to the facility on 7/27/22 for the purpose of delivering findings for another Paradise Oaks location that is currently closed. LPA met with Facility Manager, Rebecca Jessen, and a walk through of the facility was conducted. No deficiencies were cited during this inspection. Exit interview was conducted with Rebecca Jessen and a copy of this report was left at the facility.

met_with: Rebecca Jessen; Facility Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
This is an amendment and supersedes the original report on 9/16/22 issued by Licensing Program Analyst (LPA) Stephanie Lor who conducted a required annual inspection for the purpose of delivering the amended report. Deficiency on cash resource was overturned. On 9/16/22 at 9:24am, Licensing Program Analyst (LPA) Stephanie Lor, LPA Jacqueline Carmona, and LPA Shalisa Stiger made an unannounced visit at the agency for the purpose of completing a required Annual Inspection. During the inspection, the LPAs met with the Administrator. LPA conducted a walk-through of the facility inside and out. The required posters are posted: employee posters, emergency forms, disaster plan, emergency exits, licensee, hippa, foster rights poster, and mental health poster. LPAs reviewed 5 staff files, and 4 client files during the inspection. Prior to the inspection, LPA reviewed: annual fees, administrator certificate, accreditation, waivers and exceptions, and personnel roster. LPA inspected the following: Physical Plant: There is 1 living room with 3 couches, 2 sitting chairs, a shelf for books, and tv. The hallway has a linen closet, a washer and dryer, and a locked drawer for chemical. Bedroom 1, 2, and 3 have 2 twin size beds with dressers. There are 2 bathrooms in the facility (1 bathroom in the master's bedroom). The kitchen has a table, chairs, utensils, spices, pots and pans in the cabinets. The menu is posted on the refrigerator. There is a trash can with lid, 3 fire extinguishers and 1 first aid kit. The classroom space is used for staff and youth. There are 2 freezers and 1 refrigerator with food in the classroom space. There are 4 locked cabinets filled with utensils, gloves, and cleaning chemicals. The recreation room has a table, a desk computer, and storage for art materials. There is a locked storage in the front for snacks and can goods. The staff office has 2 locked cabinets for medication, sharps, folders, and cooking essentials. A type B was issued for missing window screens. () Operation: All requirements met. No citation cited for this section of the domain. Disaster Preparedness: All requirements met. No citation cited for this section of the domain. Staffing: All requirements met. No citation cited for this section of the domain. Client records: Tv was given for the emergency list, 1 file missing ambulatory status form and missing care plan. Type B was given for 1 file immunization record. Core/Therapeutic Services: All requirements met. No citations given for this section of the domain. Clients with Special Health Care Needs: All requirements met. No citations given for this section of the domain. An exit interview was conducted with the Administrator. A copy of the report will be email to the facility.

Deficiencies:
80088(b): Deficient Practice Statement
1
2
3
4sBased on observation, the licensee did not comply with the section cited above. Bedroom 1, 2, 3, and bathroom are missing window screens, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/07/2022
Plan of Correction
1
2
3
4

met_with: Carla Izzarelli, Administator

title:
Fixtures, Furniture, Equipment and Supplies

(b) All window screens shall be in good repair and be free of insects, dirt and other debris.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/22, Licensing Program Analyst (LPA) Stephanie Lor called the Administrator to follow up regarding a client interview during the 9/16/22 annual inspection. The follow up was regarding statement of staff denying youth phone calls. The Administrator explained their phone protocol to LPA (see 812 for details). This case management investigation is closed. No further investigation is needed.


summary: Facility Evaluation

raw_content:
Narrative:
On January 27, Licensing Program Manger (LPM) Dara Campos, Regional Office Manager Margo Castaneda, and Licensing Program Analyst (LPA) Stephannie Verna held an Informal Conference Meeting from 1: PM to 2: PM to discuss concerns. The meeting was facilitated by LPM Campos. Attendees included (in-person) Paradise Oaks Youth Services staff, Laynee Kuhn (Executive Director), Stephanie Fischer (Administrator), Amanda Lee (administrator) and Board Member Al Werner, as well as (Via Teams Meeting), Shawn Wade Fresno County Social Worker, Julie Leong, Case Manager Mateo County Behavioral Health, Khoa Nguyen Stanislaus County Social Worker, and Tia Carter Sacramento County Social Worker. The topics discussed included: Absent without Permission Temporary Release (TR) Communication with local law enforcement Cancelling Missing Person reports Incident Report details No deficiencies were cited during today's meeting. A copy of this report was provided to Laynee Kuhn, Executive Director.

met_with: Laynee Kuhn, Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a case management regarding an incident report received by The Department on 9/13/2023. LPA met with the Administrator who assisted with this inspection. The facility was clean and in good repair. The incident which was disclosed on 9/13/2023 involving youth and a client from another facility engaged in sexual activity while absconding from care. Based on interviews conducted with the Administrator and Case Manager, it was confirmed that the incident took place while youth and the other client was AWOL'd at a park outside the facility. Youth and the other client absconded from care on 8/18/23 and 8/19/23. Staff attempted to intervene and redirect clients into staying at their respected facilities. After returning to the facility, youth disclosed to staff they were sexually assaulted by the other client and was overheard by staff saying they were going to report "rape" as retaliation against the other client. Staff took the youth for medical treatment on 8/18/23, 8/19/23 and 8/25/23 and each time, youth refused sexual assault assessment and kit. LPA Stiger observed youth's signed voluntary release on 8/19/23 declining sexual assault services. The facility reported the disclosed incident to Law Enforcement/ Citrus Heights Police Department, submitted SCAR reports and reported it to youth's Probation Officer. An exit interview was conducted, and a copy of this report was given to the Administrator. This case management investigation is closed.


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a case management regarding an incident report received by The Department on 9/13/2023 regarding Medication Error. LPA met with the Administrator who assisted with this inspection. LPA Stiger observed 3 of 3 client bedrooms to have all required furnishings, bed linens, and storage space for client clothing and personal items. Living room has couches, new television, and new carpet. Front Door was observed to have damage showing the wood split in several areas. LPA Stiger obtained a photo of front door. Facility was clear of hazards and observed to be clean and safe. Exterior was clean and free of debris. Case Management- The incident report received indicated client's medication was off count by one (1) pill and staff's initials were missing from 9/7/2023. Client 1 is due to take their medication twice daily. LPA Stiger observed and obtained copies of the medication log. Client does not have a signed JV-223 due to parents having medical consent. LPA Stiger will receive the updated Needs and Services plan to be emailed from the Case Manager. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management investigation needs further investigation.


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a case management regarding an incident report received by The Department on 9/13/2023 regarding Medication Error. LPA met with the Administrator who assisted with this inspection. LPA Stiger observed 3 of 3 client bedrooms to have all required furnishings, bed linens, and storage space for client clothing and personal items. Living room has couches, new television, and new carpet. Front Door was observed to have damage showing the wood split in several areas. LPA Stiger obtained a photo of front door. Facility was clear of hazards and observed to be clean and safe. Exterior was clean and free of debris. Case Management- The incident report received indicated client's medication was off count by one (1) pill and staff's initials were missing from 9/7/2023. Client 1 is due to take two (2) tablets by mouth before bedtime. LPA Stiger observed and obtained copies of the medication log and signed JV-223. LPA Stiger will receive the updated Needs and Services plan by email from the Case Manager. LPA Stiger conducted interviews with Administrator, Case Manager and two (2) clients. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management investigation needs further investigation.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a follow up case management regarding an incident report received by The Department on 9/13/2023 regarding Medication Error. Initial case management was conducted on 9/21/2023. LPA met with the Administrator who assisted with this inspection. The incident report received indicated client's medication was off count by one (1) pill and staff's initials were missing from 9/7/2023. Client 1 is due to take their medication twice daily. LPA Stiger observed and obtained copies of the medication log. Client does not have a signed JV-223 due to parents having medical consent. During the investigation, it was confirmed that Client 1 did miss dosage of two (2) pills and only received one (1) pill when administered. Administrator provided a correction memo to staff to included additional training. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management is closed and a Technical Violation was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a follow up case management regarding an incident report received by The Department on 9/13/2023 regarding Medication Error. Initial case management was conducted on 9/21/2023. LPA met with the Administrator who assisted with this visit. Case Management- The incident report received indicated client's medication was off count by one (1) pill and staff's initials were missing from 9/7/2023. Client 1 is due to take two (2) tablets by mouth before bedtime. LPA Stiger observed and obtained copies of the medication log and signed JV-223. During the investigation it was confirmed that Client 1 did not miss their medication dosage during this incident but it was discovered that the staff who administered the medication did not initial the medication log when provided to Client 1. Administrator provided a correction memo to staff and included additional training. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management is closed and a Technical Assistance was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 28, 2023, at 10: AM, Licensing Program Analyst (LPA) Shalisa Stiger made an unannounced visit at the facility for the purpose of completing a required Annual Inspection. During the inspection, LPA met with the Administrator. LPA conducted a walk-through of the facility inside and out. The required posters are posted: employee posters, emergency forms, disaster plan, emergency exits, licensee, HIPPA, Foster Youth Bill of Rights poster, and mental health poster. LPA reviewed 5 staff file and 4 client files during the inspection. Prior to the inspection, LPA reviewed: annual fees, administrator certificate, accreditation, waivers and exceptions, and personnel roster. LPA inspected the following: Physical Plant: There is 1 living room with 3 couches, 2 sitting chairs, a shelf for books, and tv. The hallway has a locked linen/hygiene closet, new washer and dryer, and a locked closet for chemicals. Bedroom 1, 2, and 3 have 2 twin size beds with dressers. There are 2 bathrooms in the facility (1 bathroom in the master's bedroom) clean and free of debris. The kitchen has a table, chairs, utensils, pots and pans in the cabinets. Water temperature at 105.4. The menu is posted on the refrigerator. There is a trash can with lid, 3 fire extinguishers and 1 first aid kit. The classroom space is used for staff and youth. There are 2 freezers and 1 refrigerator with food in the classroom space. There are 4 locked cabinets filled with utensils, gloves, and cleaning chemicals. The recreation room has a table, a desk computer, and storage for art materials. There is a locked pantry in the front for snacks and canned goods. The staff office has 2 locked cabinets for medication, sharps, folders, and cooking essentials. Operation: All requirements met. No citation cited for this section of the domain. Disaster Preparedness: All requirements met. No citation cited for this section of the domain. Staffing: All requirements met. A Technical Assistance was given due to initial training missing from staff file. The facility will provide LPA Stiger with documentation to show staff initials BM with training completed within 90 days of hire and annual training logs for staff to be emailed to LPA Stiger at: shalisa.stiger@dss.ca.gov by COB January 3, 2024. Client records: All records requirements met. No citations given for this section of the domain. LPA interviewed two (2) out of four (4) clients. One (1) client is on an approved home visit and one (1) client currently absconded from care. Missing person's report was made and incident was received by CCL on 12/27/23. Core/Therapeutic Services: All requirements met. No citations given for this section of the domain. An exit interview was conducted with the Administrator. A copy of this report will be provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2024, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a case management regarding an incident report received by The Department on 2/27/24 regarding a Medication Error from 2/25/24. LPA met with the Administrator who assisted with this inspection. The incident report received indicated client's medication was off count by two (2) pills on 2/25/24. Client's prescription indicates three (3) pills to be taken in the evening and staff only distributed one (1) pill instead of three (3). LPA Stiger observed and obtained copies of the medication log. LPA Stiger was advised client was discharged from facility on 3/5/24. Administrator provided LPA Stiger the client's county social worker contact information to follow up. Staff is due back in the facility on 3/12/24 and will be provided training to review medication policies and ensure understanding. An exit interview was conducted with the Administrator and a copy of this report was given to the facility. This case management needs further investigation.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/13/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the amended findings of a complaint investigation completed on 10/31/2024. LPA met with Tasha Bradford, Facility Manager. A copy of this report is being provided to the facility.

met_with: Tasha Bradford, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 2, 2025 at approximately 1:00, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting a Case Management. LPA Turner met with Facility Administrator, Carla Izzarelli, who granted LPA Turner access to the facility. Community Care Licensing (CCL) received two incident reports dated April 11, 2025 and April 25, 2025, in which a client had missed three doses of their medication, and were given a double dosage of another medication. CCL received an additional incident report dated June 24, 2025, in which the same client had missed two doses of their medication. During this inspection a tour was conducted of the facility, the facility is in compliance. LPA interviewed two staff members and the following records were requested and obtained: Staff Roster and Client Roster, Staff Medication Training, and Medication Log for June 2025. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with James Penn, Assistant Administrator

met_with: James Penn, Assistant Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 16, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting a Case Management. LPA Turner met with Facility Administrator, Carla Izzarelli, who granted LPA Turner access to the facility. Community Care Licensing (CCL) received two incident reports dated April 11, 2025 and April 25, 2025, in which a client had missed three doses of their medication, and were given a double dosage of another medication. CCL received an additional incident report dated June 24, 2025, in which the same client had missed two doses of their medication. LPA Turner observed the following deficiency: · Medication refused not properly documented and handled. (See LIC TV) This case management is closed, no further investigation is needed. An exit interview conducted and a copy of this report was left with Carla Izzarelli, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/14/22 at 2:40pm, Licensing Program Analyst (LPA) Stephanie Lor made an unannounced visit to conduct a case management on 4 incident reports received by Community Care Licensing on 5/16/22, 5/23/22, 5/27/22, and 5/30/22 regarding medication issue. LPA conducted interviews with 2 staff and reviewed 2 clients medication files. During the course of the review, it was determined that staff did not give the correct amount of medication to 2 youth on different dates. An exit interview was conducted with Administrator and a copy of this report will be emailed tocarlaizzarelli@paradiseoaks.org. This case management is closed and the facility has been cited for 4 occasions of medication error (see LIC 809D).

met_with: Carla Izzarelli, Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 19, 2023, Licensing Program Analyst (LPA), Shalisa Stiger made an unannounced visit to conduct a follow up case management. LPA met with the Administrator who assisted with this visit. During the visit LPA Stiger observed damage to the front door of the facility that occurred during a client crisis. LPA Stiger provided a Plan of Correction to repair the door by January 19, 2024. An exit interview was conducted with the Administrator and this case management investigation is closed. A copy of this report was provided to the facility.

Deficiencies:
80087(a): 1
2
3
4
5
6
7

title:
1
2
3
4
5
6
780087(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirment is not met as evidence by

description:
1
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3
4
5
6
7


summary: Facility Evaluation

raw_content:
Narrative:
On May 22, 2024 at 2:45pm Licensing Program Analysts (LPAs), Tatyana Shulz and Farhaan Sarangi made an unannounced inspection to conduct a case management regarding an incident report received by the Department on 2/27/2024 regarding a medication error, client was not provided the correct dosage of over-the-counter medication on 2/25/2024. LPA met with Administrator, Carla Izzarelli who assisted with the inspection. LPAs conducted a walk through of the facility and made observations. LPAs observed that the facility is clean and at a comfortable temperature with all exits free from obstruction. LPAs observed no sharps, hazardous items or toxins. In addition, all the sharps are locked and inaccessible to the clients in care. Based on interviews conducted with parties involved including, facility staff, Social Worker, and Administrator, it was confirmed that the incident took place. In addition, the facility has also been assessed Technical Violations in the past for the same type of incidents on several occasions for this year. An exit interview was conducted and a copy of this report and the Appeal Rights were discussed and given to Administrator, Carla Izzarelli during today's inspection. This case management inspection is closed.

met_with: Administrator- Carla Izzarelli


summary: Facility Evaluation

raw_content:
Narrative:
On April 9, 2026 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP) to follow up on an incident report received by the department on March 9, 2026. LPA met with Nicole Johnson, Facility Manager. LPA conducted a walk though of the interior and exterior of the facility. LPA Turner conducted one staff interview. This case management is closed, no further investigation is needed. An exit interview conducted and a copy of this report was left with Nicole Johnson, Facility Manager.

met_with: Nicole Johnson, Facility Manager


facility_name: PARADISE OAKS - MADISON

raw_content:
Narrative:
The details in the initial allegation, staff sexually assaulted minors in care was lacking specificity. After obtaining additional information on 10/1/2020, the allegation in this case is already being investigating in other cases. For these reasons, the other investigations needed to be completed to determine if any additional investigation would be needed. After the other cases (23-CR-20200203171258 and Case Management Investigations on 12/31/2019, 2/12/2020, and 7/27/2021) concluded, no new information was obtained, and no additional investigation was needed. The previous cases investigated these same allegations and no further investigation is needed. Based on the investigation, interviews conducted and records reviewed in this investigation and the previous cases, the allegation is UNSUBSTANTIATED at this time, meaning that the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. Facility signature is on hard copy. A copy of all reports and appeal rights were provided to the facility via email.

Investigation Findings:
13Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services (POYS) Administrative Office on 7/27/2021 at 2: PM. LPA Johnson spoke with Laynee Kuhn, Executive Director to discuss the findings and concluding the investigation. LPA Johnson informed Ms. Kuhn this case was investigated by the Department's Investigator Jami Eaton and LPA Cindy Johnson. The investigation included: on 8/24/20, the initial 10-day complaint investigation inspection was conducted at POYS Administrative Office included: reviewing records of Former Resident 1 (FR1) and Former Staff 1 (FS1). (see LIC811 dated 7/27/2021). Copies of documentation of FR1 obtained include: Placement agreement, Contact List, Needs & Service Plan, & CFT Meeting Notes; for FS1: California Driver's license, Returned Mail, Personnel Action Form with termination date 12/20/2019, Address Change form, Communication Notes dated 12/19/2019, Incident Report dated 12/19/2019, Communication Notes dated 12/18/2019, Statement by FS1 dated 12/13/2019, Internal Investigation dated 12/13/2019, and Internal Investigation dated 2/13/2019 & 2/17/2019, Clearance Transfer Request, LIC 508, Signed Duty Statement, and training log. Interviews were conducted with Former Resident 2 (FR2) on 10/1/2020 (see LIC811 dated 7/27/2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Cindy Johnson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - MADISONFACILITY NUMBER: VISIT DATE: 07/27/2021


summary: Facility Evaluation

raw_content:
Narrative:
On 06/18/21 at 1: PM, the second collaborative a quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. The first meeting was held on March 19, 2020. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 28. Two locations have closed, Linda Creek on 2/3/21 and Violets on 5/11/21. The following were present on an MS Teams virtual meeting: · CCL: Margo Castaneda, Regional Manager, Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst. · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director, Thomas Harrer, Clinical Director POYS provided a status update of the CARF evaluation stating the accreditation approval is over two months out due to backlogs from covid. An extension of approval is in effect. The Mental Health review by Dept. of Health Care Service (DHCS) was completed in April 2021 and at this time POYS is working with DHCS in providing the plan of corrections. POYS reports numerous clients recently graduated from high school. Some graduates are enrolled in community college, some are working, some are seeking transitional housing programs, and some are still figuring things out. Distance learning challenges were reported to be with band-width issues both from the schools and at the facilities. Distance learnin CCL reported a decrease in complaints and incident reports. POYS attribute the decline to a more deliberate intake process and screening for better compatibility with the current clients. They also reported they were revamping their level system. In addition, POYS is training house staff to participate more closely with each client and their overall treatment plan. Staff are eliciting more input from youth on what is working/not working with the program. Youth have responded with more engagement. POYS reported they are resuming a higher level of training for staff as more in-person training become available. They have contracted with Relias Learning for staff training. When asked about the status of overnight staff, POYS reported, they have two roamers that are assigned to three homes each. They also have one floater that helps out as needed or if someone calls out. This model is used both for the day shift and nighttime shift. The roamers and floaters meet regularly with staff to discuss client behaviors and needs. Sacramento County had no specific areas of concern. They complimented the discussed areas of change and the graduation of youth. DHCS discussed the pros/cons of the virtual Mental Health review and was appreciative for POYS' feedback on the process. Clarification on mask wearing requirements for POYS clients and staff will be provided as the Department receives details. POYS will submit an electronic Program Statement to include recent revisions. They next meeting is scheduled for September 17, 2021. A copy of this report will be emailed for signatures to Laynee Kuhn.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services Main Office to initiate a Required Annual on 6/23/2021 at 10: AM with Laynee Kuhn, Executive Director, due to this facility not currently having any placements. Areas discussed: annual fees & outstanding fees, updated Administrator Certificate, waiver for 40 hours of annual staff training; and updated Emergency Disaster Plan (per H&S Code 1565). The status of other requirements was discussed, and current/updated version is being requested, for the following: · CARF International Accreditation was conducted 4/26/21-4/28/21, new certificate is pending · Mental Health Contract is renewed annually with Sacramento County · Mental Health Program approval- is currently in process of renewal and making corrections. · Emergency Intervention Log, via Board Meeting Minutes for the past 6 months, LPA Johnson followed Ms. Kuhn to the facility location and conducted the inspection. The following items were observed and evaluated by LPA Johnson: Posted items in the facility: Facility License, Emergency Mass Casualty Disaster Plan, Foster Youth Personal Rights, Foster Youth Ombudsman posters, exit routes, COVID-19 handwashing instructions with health & safety information. Kitchen- 4 refrigerators were present and tested below 45 degrees F, one frig was missing the door handles; 2 freezers were present and tested at zero degrees. Refrigerators and freezers had various areas that needed cleaning and/or removal of old food (onion). Area to post menus is available. Hot water temperature tested within the regulatory range of 105-120 degrees (120 degrees). Knives and Sharps will be stored and locked inside the staff office. However, none are currently present. Dishwasher is operable. There are no refrigerated medications. Trash can has a lid. Kitchen window is missing a screen. No disinfectants or cleaners are stored in the kitchen. Living Area- Furniture is clean and in good repair, except one couch to be disposed. Smoke & Carbon monoxide detectors are present and operable. Two windows were missing screens. Carpet was in good repair. Flooring in the staff office has two areas of damaged/ ripped linoleum. Bedrooms- There are 3 client bedrooms with double occupancy. All had the required furnishings, except Bedroom #2 only had one dresser. A drawer was missing exterior knobs. The facility has the required items for a bed: mattress pad, fitted sheet, top sheet, pillow and mattress in good repair, even if not on the bed; extra linen supply was present. Two windows were missing screens and window seal needed cleaning. Smoke detectors are operable. There are no staff bedrooms. Vent in hallway has dirt and rust. Bathroom- There are 2 client bathrooms (regular & master) and 1 staff bathroom. Hot water temperature tested exceeded the regulatory range of 105-120 degrees: 123, 122, and 127 respectively. The master bath: toilet was not operable & had no water; sink did not drain and needed cleaning. The shower rod in the regular bathroom is mostly rusted. Tub/showers were clean and operable. Buildings and Grounds- Fire extinguisher was serviced in 2021. Carbon monoxide detector and smoke detector were tested and working. Cleaning & Chemical Supplies were not accessible. Passageways are clean and free of obstructions. Facility has no bodies or water, cameras, or firearms on the premises. Outdoor fencing has a few areas that need additional support. Agency has engaged with the neighbors for repairs. Facility Telephone was not operable or present. Front door was replaced, but surrounding molding and exterior bricks is incomplete, needing repair. Detached structure (store) was inspected and does not store dangerous items. Medication- Medication is stored and locked in the filing cabinets inside the staff office, when it is present. Since no youth are currently placed, no medication or documentation were present to inspect. First aid kit was incomplete, missing adhesive tape and antiseptic solution. Since this facility is currently not occupied with clients and staff are not assigned to this location, file reviews and interviews were not conducted. Prior to resuming operations of this facility, the following items remain needed: Updated forms: LIC 308, 500, 610C If the administrator is changed, an updated board resolution and valid certificate. Adequate food supply- 2 days of perishable, 1 week of non-perishable and snacks Monthly menus and activity schedule need to be posted. Adequate dishware and cooking utensils. Hygiene supplies. Inspection of facility vehicle Beds have all required items No deficiencies are being cited due to no clients in placement. The agency should address all items prior to resuming the operation of the facility. Exit interview conducted and reports discussed with Laynee Kuhn, Executive Director; copies of documentation were provided to the facility, via email.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/21 at 1: PM, the third collaborative quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 27. Three locations: Madison, Sunset and Old Auburn currently have no foster youth placed. The following were present on an MS Teams virtual meeting: · CCL: Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst (LPA), Cindy Johnson, LPA, Tammy Hill, LPA · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director POYS reported a staff and family moved into Sunset after their home burned down approximately 2 weeks ago. Annual inspections were completed for all their facilities in June and July, resulting in Technical Advisory/Advisory Notes and no deficiencies cited. CCL will provide the electronic program statement revisions to System of Care. Program statement revisions for the SAY population was submitted but still needs to be reviewed and approved. LPA Marla Horne will review by October 20, 2021. Incident reports regarding smoking on grounds was discussed. Both trauma-informed practices and harm reduction protocols were discussed. Harm reduction practices have not been approved by the Department. POYS is reminded that incident reports should document interventions including staff discouraging youth from smoking. CCL pointed out youth smoking in the backyard is still smoking on grounds which may require additional case management inspections. CCL requested program statement revision to Transportation services to add details of exceptions to provide transportation to youth when extreme weather, youth not feeling well or after hours. CCL requested incident reports be typed due to the difficulty of reading the handwritten reports. At this time there are multiple POYS staff that still hand write reports. This has been an ongoing conversation between POYS and CCL. CCL requests all reports be typed by November 1, 2021. POYS declined this request. CCL requested all youths' names be included in one incident report rather than referring to other involved youth as "peer". CCL recommended using a legend to submit the report to CCL and redacting the names for POYS purposes. POYS declined the request due to confidentiality. The CCL request was requested and approved through upper management and noted not to be a HIPPA violation. CCL requested incident reports and timeframes be more specific. Antecedent information is specific and thorough, yet more follow up details or resolution information is needed and requested. CCL recommended POYS to Technical Support Program (TSP) for incident report writing. POYS approved the recommendation. Sacramento County had no specific areas of concern. DHCS had no specific areas of concern. Due to the upcoming impact of FFPSA on program statements, a deadline for the revisions was not determined and will be included at the time of the FFPSA changes. No further meetings are scheduled


summary: Facility Evaluation

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Narrative:
On January 27, Licensing Program Manger (LPM) Dara Campos, Regional Office Manager Margo Castaneda, and Licensing Program Analyst (LPA) Stephannie Verna held an Informal Conference Meeting from 1: PM to 2: PM to discuss concerns. The meeting was facilitated by LPM Campos. Attendees included (in-person) Paradise Oaks Youth Services staff, Laynee Kuhn (Executive Director), Stephanie Fischer (Administrator), Amanda Lee (administrator) and Board Member Al Werner, as well as (Via Teams Meeting), Shawn Wade Fresno County Social Worker, Julie Leong, Case Manager Mateo County Behavioral Health, Khoa Nguyen Stanislaus County Social Worker, and Tia Carter Sacramento County Social Worker. The topics discussed included: Absent without Permission Temporary Release (TR) Communication with local law enforcement Cancelling Missing Person reports Incident Report details No deficiencies were cited during today's meeting. A copy of this report was provided to Laynee Kuhn, Executive Director.


summary: Facility Evaluation

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Narrative:
On 9/15/23, about 10: AM, Licensing Program Analyst, (LPA) Uchenna Ajaero attempted to conduct an annual visit at this facility. On arrival there was no one on site. LPA called the phone number listed, (916) 965-9469) but it went to voice mail which announced that LPA could not leave a message. LPA will retry another day.

met_with: Attempted Visit


summary: Facility Evaluation

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Narrative:
On 9/28/23 about 10: AM, Licensing Program Analyst, (LPA) Uchenna Ajaero attempted for conduct a Randon Annual inspection visit but there was no staff or client present. A call to the office disclosed there is no placement at that location at this time and so there is no staff present. LPA Ajaero contacted Lynee Kuhn who agreed to have a staff, the Administrator of the Madison Location, Stephanie Piring meet LPA at the location tomorrow morning by 10: AM.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/29/23, Licensing Program Analyst, (LPA) Uchenna Ajaero made an unannounced random annual investigation visit to this facility and met Stephanie Piring, Floating Administrator. The Administrator took the LPA on a tour of the facility. The building has a clothing closet which is a full room with clothes serving all the youths in all their other 5 facilities. At this time this facility is closed. There are no youths in the home now and there is no staff at the premises, and there is no plan in the near future to begin placement. This facility had youths at some point back in 2020. The facility has 3 bedrooms. One bedroom has a full bath and there is another full bath in the hall way. Each room has a closet. The facility has a kitchen, laundry, large living room area with boxes, and furniture, clothes storage room, and an overflow storage area. There is a van parked outside. During the tour LPA Ajaero observed: Fire extinguisher serviced 8/2/23; Working smoke alarm, carbon monoxide detector. Posted items in the facility: Facility License, Emergency Mass Casualty Disaster Plan, Foster Youth Personal Rights, Foster Youth Ombudsman posters, exit routes, floor plan, COVID-19 handwashing instructions with health, HIPPA Compliance notice & safety information. No interview was conducted of any youth or staff because there is no one at the facility at this time. Exit interview was conducted. No citation was issued.


facility_name: PARADISE OAKS - MARIPOSA

raw_content:
Narrative:
Quarterly Reports, Behavioral Intervention Plans, Discharge Report, and Individual Education Plan. Copies of facility documentation of S1 was also provided including Personnel Record, Child Abuse Reporting Policy, Allegations of Abuse Policy, Statement Acknowledging Requirement to Report Suspected Child Abuse, Training Records, Facility Communication and Meeting Notes, Performance Evaluations and Disciplinary Notice. Client interviews were conducted with C1, C2, C3, C3, C4, C5, C6, C7, C8, from 8/30/2020 to 4/29/2021. Staff interviews were conducted with S1, S2, S3, S4, S5, S6, S7, S8, S9, S10, S11 from 3/25/2021 to 4/29/2021. Additional interviews were conducted with Witness 1 and Witness 2 on 7/27/2020 and 4/13/2021. County Social Workers (CSW) Nina Allen and Michelle Fitzgerald-Panelle were interviewed on 9/25/20 and 4/8/2021 (see LIC811 dated 7/27/2021). On 2/12/2021, Citrus Height Police Department provided a copy of Police Report #CH20-05787. Unsuccessful interviews were attempted with C9, Witness 3 and CSW Lakisha Purham-Davis on various dates (see LIC811 dated 7/27/2021). The first allegation is whether S1 had a sexual relationship with C1 or C2. S1, C1 and C2 denied there was a sexual relationship. Ten staff were interviews and all heard rumors or conversations S1 was having a sexual relationship with C1 and/or C2 but did not witness anything. In addition, C1 reported to two staff there was not a sexual relationship with S1. However, it was reported C2 confirmed to other residents that C2 had oral sex with S1. Based on the investigation, interviews conducted and records reviewed, the complaint allegation is UNSUBSTANTIATED at this time meaning that the allegation is meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. Facility signature is on hard copy. A copy of all reports and appeal rights were provided to the agency via email. Quarterly Reports, Behavioral Intervention Plans, Discharge Report, and Individual Education Plan. Copies of facility documentation of S1 was also provided including Personnel Record, Child Abuse Reporting Policy, Allegations of Abuse Policy, Statement Acknowledging Requirement to Report Suspected Child Abuse, Training Records, Facility Communication and Meeting Notes, Performance Evaluations and Disciplinary Notice. Client interviews were conducted with C1, C2, C3, C3, C4, C5, C6, C7, C8, from 8/30/2020 to 4/29/2021. Staff interviews were conducted with S1, S2, S3, S4, S5, S6, S7, S8, S9, S10, S11 from 3/25/2021 to 4/29/2021. Additional interviews were conducted with Witness 1 and Witness 2 on 7/27/2020 and 4/13/2021. County Social Workers (CSW) Nina Allen and Michelle Fitzgerald-Panelle were interviewed on 9/25/20 and 4/8/2021 (see LIC811 dated 7/27/2021). On 2/12/2021, Citrus Height Police Department provided a copy of Police Report #CH20-05787. Unsuccessful interviews were attempted with C9, Witness 3 and CSW Lakisha Purham-Davis on various dates (see LIC811 dated 7/27/2021). Another allegation is whether S1 had an inappropriate relationship with C1 or C2 resulting unprofessional conduct. C1 admits to more than ten inappropriate incidents with S1. While many of the incidents were identified as occurring after S1 resigned, the investigation was unable to determine if the below incidents occurred before or after S1 resigned. Those incidents include: C1 reported S1 provided him with marijuana 12-13 times, S1 called C1 extremely late on his cell phone multiple times, S1 took C1 to S1's personal residence four times and spent the night twice. S1 encouraged C1 to AWOL and provided transportation. S1 rented a hotel room for C1. The most egregious incidents occurred when S1 obtained and provided C1 the address of a person that assaulted him. S1 showed C1 a "Glock" handgun and allowed C1 to hold it while at S1's residence. Then S1 told C1 to "take care of him". In addition, S1 told C1, her ex-fiancé was abusive and suggested C1 "shoot him up". On 4/12/2021, an electronic search was conducted and determined a firearm is not legally registered to S1. None of the statements made by C2 were consistent. It is noted that S1 was disciplined by the licensee for incidents reported by staff. Based on the investigation, interviews conducted and records reviewed, the complaint allegation is UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. Facility signature is on hard copy. A copy of all reports and appeal rights were provided to the agency via email.

Investigation Findings:
13Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services (POYS) Administrative Office to conduct an unannounced complaint investigation inspection on 7/27/2021 at 12: PM. LPA Johnson spoke with Laynee Kuhn, Executive Director to discuss the findings of the complaint investigation and allegations stated above. LPA Johnson informed Ms. Kuhn this case was investigated by the Department's Investigator Jaime Eaton and Lori Rodriguez. The investigation included: on 7/15/2020, POYS provided notification of an incident that a former Staff 1 (S1) person had contact with a current Client 1 (C1) and C1 spent the night at S1's home. Photos of Snapchat conversation was also provided. Subsequently the Department received a complaint with the same allegation. On 8/6/2020, the initial 10-day complaint investigation tele-inspection was conducted with the facility. Additional details were obtained alleging S1 also had an inappropriate relationship with C2. Copies of facility documentation of C1 and C2 were provided on various days including: placement agreements, contact information, physical and medical information, intake documentation, CFT notes, Need & Service plans, JPPM notes, incident reports, progress notes, Close Supervision, Safety Watch, Placement Preservation Meeting Notes, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Cindy Johnson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 07/29/2021

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


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted with the Director . A copy of this report and the Appeal Rights will be emailed to the agency.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Laynee Kuhn, Director


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Narrative:
On the allegation of lack of supervision resulting in altercation between youth in the facility, based on interviews and incident reports, it was confirmed that the facility moved the youth to a different house due to an altercation with another peer. Incident reports dated 6/3/22 also confirmed that information. On the allegation lack of supervision resulting in youth in possession of marijuana, based on interviews conducted, it was reported that youth obtained substances while on awol. In addition, self-searches and room searches were conducted. It was also reported that prompts are given when youth are seen using substances. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were cited. An exit interview was conducted with the Director. A copy of this report and the Appeal Rights will be emailed to the agency.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


raw_content:
Narrative:
LPA was unable to interview the youth due to being in a 30-day visit pass and was not able to verify how the youth obtained the medication. Additionally, it was confirmed in the interviews that facility staff adequately supervise youths in care. When youths abscond from care, staff shadows youths, redirect and prompt self-search if needed once youths return to the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report and the Appeal Rights were provided to the agency.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Administrator, Jovan Metoyer


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Narrative:
Documentation further shows that drills were done on all three shifts. The monthly drills are a protocol set forth by the facility's Program Statement, whereas the Health and Safety Code only requires drills to be conducted at least once every three months. Based on LPA's interviews and a records review, the preponderance of evidence standard has been met; therefore the allegation is found to be Substantiated. No citation is being issued due to the aforementioned mitigating circumstances-a Technical Violation Advisory Note (LIC 9102-TV) is being issued. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility. -the facility in each of those unannounced on site inspections, was not found to be in disrepair; multiple outside Social Workers also reported, based on their visits to the facility, similar observations about the STRTP grounds-that the facility is maintained in good repair. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On October 29, Licensing Program Analyst (LPA) Zaria Turner conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met Jovan Metoyer, Facility Adminstrator with whom the following report was discussed: The investigation was opened on 06/21/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and facility records were requested; interviews were conducted with facility staff, youth, and county Social Workers as part of the investigation. A records review found that for the month of May, 2024, there was no documented disaster drill conducted-interviews with Program personnel corroborate that no monthly safety drill was done for that month. However, records indicate that emergency response drills were done for all other months from the start of the year up to the date of this complaint. Report conitnued on LIC9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/29/2024

met_with: Jovan Metoyer, Facility Administrator


raw_content:
Narrative:
The one youth who was positively identified or described by the reporting party did not, themselves, confirm any staff violations being perpetrated on any youth in the facility. That same youth reported that staff were present during an incident that closely resembles the one in the complaint-according to this youth, facility staff intervened appropriately. That youth did not report ever having been physically abused or mistreated throughout their time in Paradise Oaks. The youth indicated that they felt safe in the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On October 29, Licensing Program Analyst (LPA) Zaria Turner conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met Facility Administrator, Jovan Metoyer with whom the following report was discussed: The investigation was opened on 06/21/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and facility records were requested; interviews were conducted with four facility staff, a youth (the only one available over multiple onsite inspections), and two county Social Workers as part of the investigation. For most of the details in the complaint report, no other interviewed individual corroborated them; obtained statements from youth and staff alike provided descriptions of an incident in question that were inconsistent with each other. Report continued on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/29/2024