summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On January 24, 2022, Licensing Program Analyst (LPA) Sarah Smith arrived at the facility and met with Stella Maris Facility Manager, LaKeicha Chaney regarding the above complaint allegation. During a Health and Safety inspection at the facility on 01/19/2022, LPA Smith observed electrical outlets in bedroom #1 that were missing covers. LPA Smith also noted that the prongs on a electrical plug appear to be burnt. During confidential interviews it was reported that when using the outlet sometimes it cause the eletricity in the home to go out or sparks can be seen. Based on LPA observations, facility is cited for Title Regulations 80087 (a) Buildings and Grounds which poses an immediate health, safety and/or personal rights risk to clients in care. A copy of this report along with appeals rights and LIC421FC were provided to Facility Manager, LaKeicha Chaney. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: 336402176

met_with: LaKeicha Chaney, Facility Manager


state: CA

facility_name: STELLA MARIS GROWTH CENTER II

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
copies of each incident. Confidential interviews revealed that there was an incident where C1 was Absent Without Leave (AWOL) and it was not reported to C1's CSW. However, the CSW for C1 could not be contacted to verify that they did not receive a copy of this incident or the other incidents that CCL did receive. During the health and safety inspection LPA conducted on 11/15/2021 the facility kitchen appeared to be in proper operating condition. Confidential interviews revealed that the facility kitchen was recently remodeled. It was revealed that the kitchen was nonfunctional for approximately one month. Confidential interviews revealed that during this time the Facility Administrator would allow the clients to decide on what they wanted to eat for dinner which included dining out. In the event that the clients did not agree they would be allowed to eat different things. However, on a subsequent visit to the facility it was revealed that the facility oven does not work and one of the burners on the stove top was not function. It is unclear how long the oven has not been functional. Based on confidential interviews and record review, the allegations that staff do not follow proper reporting requirements and facility kitchen is in disrepair may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Facility Manager, Tracy Mitchell. their suspension, S1 was retrained on Personal Rights of the clients in care. Other confidential interviews revealed that the manner in which the staff spoke to C1 was more along the lines of how a grandmother might speak to their own granddaughter. It is not believed that S1 was trying to be mean or out of anger to C1. Confidential interviews also revealed that the placement for C1 is not going well and C1 does not always listen to directives. LPA received consistent confidential information regarding S1 speaking inappropriately to C1. Based on confidential interviews staff spoke inappropriately to minor is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) Chapter 7.5 version 4 standard 87072(C)(11) Personal Rights. Exit interviewed conducted. A copy of this report and appeal rights were given and explained to Tracy Mitchell, Facility Manager.

Investigation Findings:
13On February 04, 2022 at 12:00 p.m., Licensing Program Analyst (LPA), Sarah Smith conducted an inspection with Facility Manager, Tracy Mitchell of Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP), to discuss the investigative findings for the allegation listed above. On 11/15/2021 at 10:55 a.m., LPA conducted a safety inspection of the STRTP, and no immediate safety hazards were observed. During the investigation, LPA obtained copies of records for the facility and the clients in care (C1, C2, C3, C4, and C5). Interviews were conducted with four staff and one client (C1). The County Social Worker (CSW) for C1 is on leave and could not be interviewed. C2, C3, and C4 refused to be interviewed. C5 was on an extended leave with biological family. On November 15, 2021, Community Care Licensing (CCL) received information that staff spoke inappropriately to minor in care. During confidential interviews it was revealed that Staff 1 was suspended on October 31, 2021 without pay for speaking inappropriately to C1. Upon return SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: 336402176

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

report_type: Complaint Investigation

met_with: Tracy Mitchell, Facility Manager

complaint_status: unsubstantiated


raw_content:
Narrative:
was an incident report created by the school. It is unclear where C1 got the vape pen, but it was revealed during confidential interviews that the vape pen was the property of C1's boyfriend who attends school with C1. Confidential interviews revealed that when a client is suspected of being in possession of drugs there is a safety check performed. It was also revealed that after a client returns from being Absent WithOut Leave there is also a safety check performed. During confidential interviews it was revealed that there was an incident where Law Enforcement came to the facility to search C1's belongings because they received a report that there were drugs in their possession. It was also revealed that C1 may have been in possession of ecstasy and tried to give it to another client. It is unclear where C1 is getting the drugs from. During confidential interviews it was revealed that C1 was suspended from school for the incident regarding the vape pen, however when the school called the facility to pick up C1 the school was told that there was no one available to come and get C1 at the time. The school that C1 attends is far from the facility and the staff that were present do not drive that distance. Once there was a staff member able to get C1 staff was told that it was too late to come and get C1 from school. It is unclear if the time frame that these events occurred were unreasonable. With regard to reporting incidents to the authorized representative during confidential interviews it was revealed that the authorized representative for C1 has been on leave. It could not be verified whether or not they were properly notified. Based on confidential interviews and record review, the allegations that a lack of supervision resulting in minor in possession of drugs while at facility, facility staff failed to provide transportation to minor by refusing to pick up minor from school, and facility is not reporting incidents to authorized representative may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report and Appeals Rights were provided and explained to Facility Manager, Tracy Mitchell.

Investigation Findings:
13On February 04, 2022 at 12:30 p.m., Licensing Program Analyst (LPA) Sarah Smith met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell to deliver the finding of the complaint investigation for the above allegations. LPA Smith conducted a safety inspection of the facility on 12/09/2021 at 9:00 a.m. and no immediate deficiencies were observed. During the course of investigating the allegations, LPA Smith conducted confidential interviews with four staff, one client, and school personnel. The County Social Worker (CSW) for C1 is on leave and could not be interviewed. LPA reviewed reports and the records for the facility and clients (C1, C2, C3, C4, and C5). On December 03, 2021, a complaint was received that a lack of supervision resulting in minor in possession of drugs while at facility, facility staff failed to provide transportation to minor by refusing to pick up minor from school, and facility is not reporting incidents to authorized representative. During confidential interviews it was revealed that C1 was caught at school in possession of a vape pen. There UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Sarah Smith LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 02/04/2022

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


raw_content:
Narrative:
and Child #2 (C2) having the ability to engage in inappropriate sexual interactions. Video footage obtained by the facility shows one unidentified male approaching the facility on January 31, 2022 at 12:09 am. A second male was seen running from the facility at 12:54 am, his time of arrival was unable to be determined. Confidential interviews provided conflicting statements as to the age of the males. LPA observation of the video footage is unable to confirm or dispute that the males seen approaching and leaving the facility were adults. Confidential interviews reported C1 and C2 gave the two unknown males access to the facility. Record review revealed staff heard sexual sounds coming from C1 and C2's room at about 12:38 am and attempted to gain access to the room and was told to go away. Record review further revealed that staff went back to the room after an unknown length of time and found the unknown males with C1 and C2, at which time the males ran from the facility. Record review reveals that the facility was operating with adequate staff to client ratios and were conducting safety checks regularly. Other confidential information disclosed that a lack of supervision occurred. LPA received inconsistent information regarding the allegations. Based on video footage, record review, and confidential interviews the allegations alleging lack of supervision resulted in child engaging in inappropriate sexual interaction and uncleared adult gained access into the facility, may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Stella Maris Growth Center II, Facility Manager (FM), Tracy Mitchell.

Investigation Findings:
13On June 8, 2022 at 9:25am Licensing Program Analyst (LPA), Nicole Strickland, met with Stella Maris Growth Center II, Facility Manager (FM), Tracy Mitchell, to deliver the finding for the above stated allegations. LPA conducted an inspection of the facility on February 14, 2022 at approximately 2:08 pm, immediate deficiencies were observed, and citations were issued. The investigation was conducted by LPA Strickland and included interviews with, four of four foster children (Child #1 [C1], Child #2 [C2], Child #3 [C3], and Child #4 [C4]), two staff members (Staff #1 [S1] and Staff #2 [S2]) and three County Social Workers (CSW#1, CSW#2, CSW#4). One confidential witness did not respond to LPA's request for an interview and therefore was not interviewed. In addition, video footage, county records and facility records were reviewed. On February 7, 2022, Community Care Licensing (CCL) received two allegations alleging lack of supervision resulted in child engaging in inappropriate sexual interaction and uncleared adult gained access into the facility. Specifically it was reported two unknown males gained access to the facility resulting in Child #1 (C1) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 06/08/2022

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


raw_content:
Narrative:
On April 28, 2022, at 12:25PM Licensing Program Analyst (LPA) S. Smith initiated the investigation at Stella Maris Growth Center Short Term Residential Therapeutic Program (STRTP). At 1:40PM, LPA S. Smith conducted a safety inspection, and no immediate hazards were observed. Additionally, LPA Smith conducted interviews with Staff 1 (S1), Client 1 (C1), Client 2 (C2), and Client 3 (C3). Client 4 (C4) refused to be interviewed. On April 21, 2022, Community Care Licensing received a complaint alleging that minor is not provided clothing. Confidential interviews stated that the STRTP provides clients with $150.00 clothing allowance. Confidential interviews further stated that clients shop for clothing on a quarterly basis. A confidential interview stated that C5 did not have a lot of clothes. It was disclosed that C5 had been expedited a clothing allowance due to the lack of clothing. Confidential interview further stated that C5 did complain that C5 was being made fun of at school for wearing the same clothes. Confidential interview further stated that this was an issue at beginning of C5's placement at the STRTP. A confidential interview stated that it took the STRTP longer to issue a clothing allowance for C5 than other clients who were placed at the STRTP. A confidential interview stated that C3 was in placement at the STRTP for two months and had not been awarded a clothing allowance. During file review, LPA Smith noted in the STRTP's program statement on page 313 of Adequate clothing, STRTP provides $75.00 clothing allowance per month to each child and NMD. Based on confidential interviews the facility is not providing clients with the monthly $75.00 clothing allowance as stated in their program statement. Confidential interviews stated that the STRTP provides clients with a $50.00 monthly clothing allowance. Based on confidential interviews and file reviews, the preponderance of evidence standard has been met, and the allegation that C5 was not provided clothing is supported and proven by evidence. The facility is cited for violation of Short-Term Residential Treatment Facility (STRTP) Interim Licensing Standards Section 87022.1(a) PROGRAM STATEMENT Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager Tracy Mitchell. On April 28, 2022, at 12:25PM Licensing Program Analyst (LPA) S. Smith initiated the investigation at Stella Maris Growth Center Short Term Residential Therapeutic Program (STRTP).At 1:40PM, LPA S. Smith conducted a safety inspection, and no immediate hazards were observed. Additionally, LPA Smith conducted interviews with Staff 1 (S1), Client 1 (C1), Client 2 (C2), and Client 3 (C3). Client 4 (C4) refused to be interviewed. On September 14, 2022, at 12:18PM, Licensing Program Analyst (LPA) Cynthia Urena interviewed staff 2 (S2) at the STRTP. On September 19, 2022, LPA Urena conducted telephone interviews staff (S3), staff 4 (S4), and one County Social Worker (CSW). During the investigation alleging that minor had access to dangerous objects, confidential interviews denied witnessing that C3 had a knife or other dangerous object while C5 was placed at the STRTP. A confidential interview stated that law enforcement conducted a search of C3's room and did not find a knife or other dangerous object in C3's belongings. Confidential interviews conducted denied having a dangerous or sharp object in possession. Confidential interviews added not seeing clients with dangerous objects. Another confidential interview stated that C5 had self-harming behaviors while in care and may have used sharp objects, however, the STRTP did not report these incidents to CSW on a timely manner. Regarding staff yelling at minor while in care or staff did not treat minor with dignity and respect. A Confidential interview stated that staff do not yell at clients but stated that staff can be disrespectful at times. Another confidential interview stated that staff do not yell at clients, but when clients are not listening, it is not unusual for staff to raise their voices. Confidential interview continued stating not witnessing staff being disrespectful to clients. Another confidential interview stated not hearing staff yelling at clients. The confidential interview added that when clients were loud staff do raise their voices to be heard. Other confidential interviews denied yelling at C5 and denied being disrespectful to C5 when placed at the STRTP. Another confidential interview stated that C5 did not report any concerns about the staff treatment at the STRTP. Based on confidential interviews, the allegations that C3 had access to dangerous objects, staff yells at C5 while in care, and that staff does not treat C5 with dignity and respect may have occurred, however, it is not supported or proven by evidence. There was not a preponderance of evidence to support or deny the allegations, therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager Tracy Mitchell.

Investigation Findings:
13On September 21, 2022, at 10:40AM, Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris Growth Center Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell to deliver the investigative findings for the above stated allegation. On April 21, 2022, Community Care Licensing received a complaint alleging that minor has access to dangerous objects, staff yells at minor while in care, staff does not treat minor with dignity and respect, and minor is not provided clothing. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 09/21/2022

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

met_with: Facility Manager-Tracy Mitchell


raw_content:
Narrative:
facility is not taking measures to ensure the facility is free of insects. Based on the allegations that staff do not meet C1's medical, and educational needs a confidential interview stated that as of January 19, 2022, C1 had not seen a doctor. Confidential interviews revealed that there were challenges in keeping C1 at the school of origin due to transportation issues with the STRTP, and there was a delay on the part of the school district in enrolling C1 into a new school. There was no documentation provided to ensure that staff did enroll C1 within the allotted time. Confidential interviews indicated that there was a delay by program staff in getting C1 to see a doctor to refill medication. Confidential interviews indicated that the reason for a child not receiving medical attention was due to issues with medical insurance. Confidential interviews continued stating that for non-medical emergencies clients are taken to urgent care. Another confidential interview stated that staff keep record and document each time a client requests to go to the doctor. Another confidential interview stated that medical appointments often get rescheduled due to client refusal. Based on the allegation that staff are not following plan for therapeutic needs a confidential interview stated that clients are seen by the therapist once a week. Confidential interview continued stating that staff keep a log of those meetings. Confidential interview also stated that therapeutic services vary from client to client and there are times when clients refuse therapy. Another confidential interview stated that C1 had not seen the therapist. Another confidential interview stated not knowing how often clients see the therapist. It is unknown if C1 refused services or if services were offered to C1. Based on the allegation that C1 is not accorded dignity a confidential interview stated that staff make comments that result in clients feeling bad. More specifically, staff clapped their hand in front of C1's face when C1 was speaking. Confidential interviews stated that clients are accorded with dignity and respect by program staff, and when issues among clients or staff arise the house therapist facilitates meetings to address any concerns. Interviews indicated conflicting statements. Based on the allegations that staff are allowing smoking on facility grounds confidential interviews denied witnessing staff smoking; and that smoking on facility grounds is prohibited. Another confidential interview also denied seeing staff smoking at the facility. There were no witnesses to the incident. Continued on LIC C Page Based on the allegation that facility is not taking measures to ensure the facility is free of insect's confidential interviews stated seeing ants throughout the bathroom, and that the facility is prone to getting ants during summertime however, the facility does have someone who comes and sprays. Confidential interview also stated that clients are advised to eat all food at the kitchen and not in their rooms to keep ants from getting into client's bedrooms. It is unknown how long the insects were in the facility prior to having an exterminator out to the facility. Based on confidential interviews, the allegations that staff do not meet C1's medical needs, staff are not following plan for therapeutic services, staff do not meet C1's educational needs, staff do not accord dignity to C1, staff are allowing smoking on facility grounds, and facility is not taking measures to ensure the facility is free of insects. may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Facility Manager, Tracy Mitchell.

Investigation Findings:
13On November 10, 2022, at 9: AM, Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell to deliver the investigative findings for the above stated allegations. On January 19, 2022, at 2: PM, Licensing Program Analyst (LPA) Sarah Smith initiated the investigation at the STRTP and interviewed three staff (S1 - S3) and two clients (C1, C2). On October 17, 2022, LPA Cynthia Urena continued an interview with one staff (S4), and on November 2, 2022, LPA Urena interviewed a County Social Worker (CSW). On January 10, 2022, Community Care Licensing received a complaint alleging that staff do not meet C1's medical needs, staff are not following plan for therapeutic services, staff do not meet C1's educational needs, staff do not accord dignity to C1, staff are allowing smoking on facility grounds,... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 11/10/2022

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

met_with: Facility Manager, Tracy Mitchell


raw_content:
Narrative:
Confidential interviews reported conflicting statements of resident's participation in and recruiting of residents for CSEC activity. A second allegation alleging lack of supervision resulted in minor (Child #1 [C1]) AWOLing (Absent Without Leave) while in care was received by Community Care Licensing (CCL). Confidential interviews and record review provided conflicting reports of residents AWOLing while in care and how AWOLing is handled at the facility. Some confidential interviews denied AWOLing occurs while other confidential interviews reported staff attempt to discourage the residents from AWOLing by talking with the residents and attempting to redirect them. Confidential interviews and record review could not confirm or dispute the allegation. Community Care licensing (CCL) a third allegation alleging Minor (Child #1 [C1]) was being threatened by another minor (Child #2 [C2]) in care. Confidential interviews and record review provided conflicting reports of threats being made by C2 or any other resident in care. Confidential interviews reported C2 has a strong dominate personality and is a leader. Confidential interviews report residents followed C2 and did what C2 wanted to be accepted by C2, additional confidential interviews reported C2 uses C2's strong dominate personality to intimidate and threaten residents. Confidential interviews and record review could not confirm or dispute the allegation. Based on record review and confidential interviews the allegation of lack of supervision resulted in minor (Child #1 [C1]) engaging in CSEC (Commercially Sexually Exploited Children) activity while in care, lack of supervision resulted in minor (C1) AWOLing (Absent Without Leave) while in care, and Minor(C1) was being threatened by another minor (C2) in care may or may not have occurred, however they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Stella Maris Growth Center II Facility Manager, Tracy Mitchell.

Investigation Findings:
13On December 15, 2022 at 1:07pm Licensing Program Analyst (LPA), Nicole Strickland, met with Stella Maris Growth Center II Facility Manager, Tracy Mitchell, to deliver the findings for the above stated allegations. LPA Smith conducted an inspection of the facility on March 9, 2022 at approximately 3:30 pm and no immediate deficiencies were observed. The investigation included interviews with five foster youth (Child #1 [C1], Child #2 [C2], Child #3 [C3], Child #4 [C4], and Child #5 [C5]), five staff members (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4], and Staff #5 [S5]) In addition, county records and facility records were reviewed. On March 8, 2022, Community Care Licensing (CCL) received an allegation alleging lack of supervision resulted in minor (Child #1 [C1]) engaging in CSEC (Commercially Sexually Exploited Children) activity while in care. Specifically it was reported when C1 was placed at Stella Maris Growth Center II, C1 was being sexually trafficked. Confidential interviews and record review could not confirm or dispute the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 12/15/2022

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


raw_content:
Narrative:
Confidential interviews reported that a minor in care (C1) "barely gets food" and that C1 does not like the food that the facility provides. Confidential interviews reported that the facility does not make enough food for the clients. Confidential interviews also reported that the facility staff had been told about the food clients do not like, but the facility continues to purchase the same food. Confidential interviews reported that the clients are provided with breakfast, lunch, and dinner and that the facility buys snacks. Confidential interviews reported that the clients have asked for a "variation" in the prepared foods. Confidential interviews reported that the staff tried to keep the clients happy by purchasing different foods. Confidential interviews reported that grocery receipts were provided by the facility, which showed a variety of food purchases for the clients. Confidential interviews reported that the refrigerator was fully stocked with perishable food during facility inspections, and the dry foods pantry was fully stocked with non-perishable food. Community Care licensing received another allegation that the facility has mold. Confidential interviews reported that the mold was in the client's rooms. Other confidential interviews reported that they had not seen mold in the facility. Confidential interviews reported that no mold was seen, but a little paint was peeling from the ceiling. Confidential interviews reported that the peeled paint was addressed by applying new paint. During a follow-up facility inspection, photos of all the client rooms were taken, and there was no paint peeling. Community Care licensing received another allegation that the facility is unkempt. Confidential interviews reported that the facility appeared clean and free of excessive debris during two unannounced visits conducted by LPAs. Confidential interviews reported that the facility staff only cleaned up if clients threatened to call Community Care Licensing. Other confidential interviews reported that staff "are pretty good at cleaning" the facility daily. Other confidential interviews reported that they do not know how often the staff cleans the facility. Other confidential interviews reported that the facility staff cleans up daily all around the facility. Based on inconsistent confidential interviews, the allegation that the facility does not provide adequate food, the facility has mold, and the facility is unkempt, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and provided to Facility Manager, Tracy Mitchell

Investigation Findings:
13On 01/24/2023, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center II Short Term Residential Treatment Facility (STRTP) to deliver the investigative findings for the allegations listed above. On 05/25/2022, LPA Sarah Smith conducted an initial health and safety inspection at the facility, and no immediate health and safety hazards were observed. On 01/6/2023, LPA Choi conducted a follow-up health and safety inspection of the facility, and no immediate health and safety hazards were observed. The investigation included interviews with clients (C1, C2, C4 and C6) and staff (S1, S2 and S3). LPA obtained pertinent documentation during this investigation, such as medication logs, allowance logs, facility repair invoices, clothing receipts, grocery receipts, and a pest control exterminator invoice. LPA attempted to interview C3, C5, and C7 but could not interview C3 and C5 due to their unknown whereabouts, and C7 refused to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 01/24/2023

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


raw_content:
Narrative:
LPA attempted to interview C1 but was unsuccessful after several attempts. The interviews that were provided to the LPA were not consistent and did not provide any specific details regarding personal rights violations and staff not providing adequate food to C1. Based on interviews and record reviews the allegations that staff got into a physical altercation with C1, staff failed to meet C1's needs and S1 denied food to C1, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to LaKeicha Chaney.

Investigation Findings:
13On February 8, 2023 at 12:00pm, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Tracy Mitchelle. LPA Sarah Smith conducted an inspection of the facility on February 17, 2022 at 12:45 pm and no immediate deficiencies were observed. Two of three clients (C1, C2, C3), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff #1 (S1) got into a physical altercation with C1, staff failed to meet C1's needs and S1 denied food to C1. Confidential staff interviews reported that C1 was placed at this facility from August 24, 2021 through February 02, 2022 and C1 was involved in numerous incidents. Confidential staff interviews reported that staff did meet C1's needs. Confidential staff interviews reported that C1 had returned from an absent without leave (AWOL) and was under the influence. Confidential interviews reported that C1 wanted to cook food on the stove and due to her condition staff did not allow C1 to cook. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: LaKeicha Chaney


raw_content:
Narrative:
On February 15, 2023, at 3: PM, LPA Urena continued the investigation at the STRTP and conducted two client interviews (C2, C3) and one staff interview (S4). LPA attempted to conduct an interview with client #4 (C4) however, C4 declined to be interviewed. In regard to the investigation that staff are not ensuring education stability for minor in care, confidential interviews stated that C1 attends an independent study program that does not require C1 to be at school daily. Confidential interviews continued stating that whenever C1 wakes up and indicates to staff that C1 is ready staff would transport C1 to school. Other confidential interviews stated that C1 is not attending school as required based on C1's enrollment paperwork agreement. Confidential interviews further stated that when school staff attempted to reach the STRTP program staff to discuss C1's academic needs staff have not been responsive. Confidential interviews further stated that although C1's school program is not attendance base C1 is required to be present at school four times each week. Another confidential interview stated that C1 is not at school regularly due to health-related issues and because at times staff have refused to provide C1 with transportation. Another confidential interview stated that C1 admitted to making false statements about the school schedule and stated that staff did not question C1 because C1 is on top of schoolwork. Confidential interview continued stating that there have been occasions when staff do procrastinate to pick up C1 from school that has resulted in C1 becoming anxious while waiting for transportation. Another confidential interview stated not being aware that staff are not providing educational stability for C1 while in care. Confidential interview further stated that CSW recently learned that C1 is doing really well in school. Confidential interview also stated that a reason that C1 misses school can be a result of C1's absent without leave (AWOL) status. Another confidential interview witnessed staff refusing to take C1 to school and staff could not provide C1 with a reason for the refusal. Another confidential interview stated not knowing if staff provide clients with educational stability due to not being enrolled in school yet. LPA was provided inconsistent information regarding the allegation. Regarding the allegation that staff are not ensuring that minor is fed while in care, confidential interviews stated that C1 informed school staff that C1 had not eaten food in three days. Confidential interviews further stated that when school staff attempted to feed C1, C1 gagged and did not appear to be feeling well. Other confidential interviews stated that C1 was observed by program staff refusing to eat despite staff encouragement. Confidential interviews further stated that program staff informed C1's therapist about C1's refusal to eat. Another confidential interview stated that C1 refused to eat due to not feeling well. Confidential interview denied that program staff were not providing C1 with meals while in care. Other confidential interviews stated that there is food at the facility, and that staff occasionally cook warm meals for clients in care. Another confidential interview maintained that program staff did make the therapist aware that C1 was refusing to eat. Confidential interview further stated that following a school incident C1 was being monitored by program staff more frequently. Confidential interview further denied that staff refused to provide C1 with food while in care. LPA received inconsistent information regarding the allegation. Based on the confidential interviews, and record review the allegations that staff are not ensuring educational stability for C1 while in care, and that staff are not ensuring C1 is fed while in care, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report and appeal rights were provided to Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell.

Investigation Findings:
13On March 1, 2023, at 2: PM, Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell to deliver the investigative finding for the above stated allegations. On December 12, 2022, Community Care Licensing received a complaint alleging that staff are not ensuring educational stability for minor in care, and that stadd arenot ensuring minor is fed while in care. On December 5, 2022, at 12: PM, Licensing Program Analysts (LPAs) Cynthia Urena and Karen Beal initiated an investigation at the STRTP. LPAs conducted a Health and Safety Inspection, and no immediate deficiencies were observed. LPA Urena obtained copies of the Short-Term Residential Therapeutic Program staff and client files, and conducted three staff interviews (S1, S2, S3). On January 26, LPA Urena interviewed two witnesses and one client (C1) and February 9, LPA interviewed a County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 03/01/2023

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


raw_content:
Narrative:
The confidential interviews indicated that staff at the facility are trained to de-escalate situations by giving the clients verbal warnings. If that does not stop the situation, the staff will intervene by stepping in between the clients and separating them into different facility areas to calm the situation. In addition, confidential interviews reported that staff must notify the facility manager of the incident and report to law enforcement if needed. Other confidential interviews revealed that the staff at the facility have never encouraged the clients to have any physical altercation. The staff usually intervenes by following facility protocols to assist with calming the clients down by talking to them or separating them for them to calm down. Based on confidential interviews, the allegation that staff encourages minor (C1) to engage in physical altercations with other minor (C2) in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Facility Manager, Tracy Mitchell. *This is an amended 9099 page that was originally issued on 04/11/2023*

Investigation Findings:
13On 04/11/2023 at 10:02am, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Tracy Mitchell to deliver the findings for the above complaint allegation at Stella Maris Growth Center II Short Term Residential Therapeutic Program. On 03/16/2023 at 10: AM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with Lead Facility Manager (LFM), Facility Manager (FM), two Child Care Workers (S1 and S2), and three Clients (C1-C3). Needs and Services Plans and case notes were reviewed. On March 10, 2023, Community Care Licensing received an allegation that stated that staff encourages minor (C1) to engage in physical altercations with other minor (C2) in care. It was reported that the staff encourages clients (C1 and C2) to fight with each other. The confidential interviews reported that staff at the facility would never encourage clients to engage in physical fights and have not seen any staff encouraging physical altercations. The clients are reminded to respect each other and follow the house rules. *This is an amended 9099 page that was originally issued on 04/11/2023* UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 04/11/2023

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


raw_content:
Narrative:
It was also reported that clients know about the safe available for use, however, due to the tedious steps of checking in and out personal items, the client does not like using the safe facility box. Community Care Licensing also received an allegation that stated that staff does not prevent children (C1) from smoking in the facility. The confidential interviews reported that when a client (C1) is seen smoking in the facility, C1 is verbally asked to stop smoking immediately, and if the client does not stop, law enforcement is contacted. Another confidential interview reported that a substance abuse program is being offered to C1. Confidential interviews disclosed that the County Social Worker is aware of C1 smoking and working with C1 to join a substance abuse program. Community Care Licensing also received an allegation that stated that staff does not prevent Inappropriate interaction between children in care (C1 & C3). The confidential interviews reported that staff at the facility would never encourage clients to fight. The confidential interviews indicated that staff are trained to de-escalate situations by giving the clients verbal warnings. If that does not stop the situation, the staff will intervene by stepping in between the clients and separating them into different facility areas to calm the situation. In addition, confidential interviews reported that staff must notify the facility manager of the incident and report to law enforcement if needed. Another confidential witness stated that the staff makes attempts to stop the fight and separated C1 and C3. Community Care Licensing also received an allegation stating that staff does not ensure the child attends school. The confidential interviews reported that the staff makes multiple attempts in the morning to wake the clients up and get them ready for school. Another confidential interview reported that the Administrator had a meeting with the clients and spoke to them about the importance of going to school and have come up with an incentive program to encourage the clients to attend and stay in school. Based on confidential interviews, the allegations that staff do not safeguard minors' personal items, staff do not prevent children from smoking in the facility, staff do not prevent Inappropriate interaction between children in care, and staff do not ensure that child attends school may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Lead Facility Manager, LaKeicha Chaney..

Investigation Findings:
13On 05/05/2023 at 11:18am, Licensing Program Analyst (LPA) Sarah Lo met with Lead Facility Manager, LaKeicha Chaney, to deliver the findings for the above complaint allegations at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). On 03/24/2023 at 1: PM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three Staffs (S1-S3), three Clients (C1-C3), and County Social Worker (CSW). Needs and Services Plans and case notes were reviewed. On March 21, 2023, Community Care Licensing received an allegation that stated that staff does not safeguard minors' (C3) personal items. The confidential interviews reported that C3 reported her tablet was lost in the facility, and the staff assisted in locating the tablet but was not found. Another confidential interview reported that the staffs will let the clients know that there is a safe box available for them to safeguard their personal items, and a key is given to the client to keep. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 05/05/2023

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

met_with: LaKeicha Chaney, Lead Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
The confidential interviews indicated that the facility complies with the one-staff to three-client ratio. If help is needed, the facility manager can call another staff to come on-site within 30 minutes. Confidential interviews stated that the facility manager ensures the facility has enough staff to supervise the clients adequately. Based on confidential interviews, the allegation that facility staff do not prevent youths from smoking in the facility and facility staff are not properly supervising youths in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Tracy Mitchell, Facility Manager.

Investigation Findings:
13On April 21, 2023, Community Care Licensing received an allegation stating that facility staff does not prevent youths (C1, C2, and C3) from smoking. The confidential interviews reported that when a youth is observed smoking in the facility, the staff will immediately ask the youth to stop, complete a room search, and confiscate contraband in the youth's possession. In addition, the staff will contact management and write a special incident report, and law enforcement will be contacted if the youth does not comply with the facility rules. Confidential interviews stated that the staff follows the facility procedures to prevent youth from smoking in the facility. Community Care Licensing also received an allegation that stated that facility staff is not properly supervising youths in care. The confidential interviews reported that the staff checked on the youths every 15-30 minutes to see how they were doing. Continue on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 06/26/2023


raw_content:
Narrative:
Community Care Licensing received another allegation that stated staff (S2) threatened a minor (C1) in care and staff (S2) spoke inappropriately to a minor (C1) in care. A confidential interview revealed that C1's relative called the facility and threatened the staff over the phone using profanity words toward staff. Confidential interviews stated that staff said nothing to C1's relative but asked C1 to hang up the phone with C1's relative. A confidential witness stated that they never heard staff threatening C1 in care or had seen staff threatening C1 in care. A confidential interview revealed that the staff does not speak inappropriately to minors and has never used profanity words or name-calling toward minors in care. Confidential witnesses stated that they never heard staff threatening a minor (C1) in care, have seen staff threatening a minor in care, or used profanity or name-calling towards any minors at the facility. Based on confidential interviews and records review, the allegations that the staff (S2) handled minor (C1) in a rough manner, staff (S2) threatened minor (C1) in care, and staff (S2) spoke inappropriately to minor (C1) in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and LIC 811 was provided to Facility Manager, Tracy Mitchell.

Investigation Findings:
13On 06/26/2023 at 12:05 pm, Licensing Program Analyst (LPA) Sarah Lo met with Facility Manager, Tracy Mitchell, to deliver the findings for the above complaint allegations at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). On 04/11/2023 at 1: PM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three Staffs (S1-S3), four Clients (C1-C4), and the County Social Worker (CSW). Needs and Services Plans and case notes were reviewed. On April 04, 2023, Community Care Licensing received an allegation that the staff (S2) handled minor (C1) in a rough manner. The confidential interview indicated that the staff at the facility do not use physical discipline or roughly handle minors. Another confidential interview stated that the staff is never forceful with any of the minors in care and would give them verbal warnings if they misbehaved. Continued on LIC 9099-c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 06/26/2023

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


raw_content:
Narrative:
Another confidential interview revealed that a Child and Family Team meeting was conducted to address the concerns C3 was having, and the youths (C1 and C2) in the facility were made aware of not consuming C3's preferred food items. Other confidential witnesses stated they have always observed the facility to have adequate food in the refrigerator and pantry for the youths (C1-C3) in care. Confidential interviews indicated that the staff would ensure that C3's preferred food items are placed in a location that C3 will have access to, and staff will make sure that clients C1 and C2 will not eat C3's food items. In addition, during the inspection, LPA observed seven days of non-perishable food and two days of perishable food. Community Care Licensing also received an allegation stating that staff does not allow minor (C3) to manage their own money while in care. The confidential interview reported that C3 was denied purchasing food with allowance money because C3 has not been following the program nor attending school. Confidential interviews stated that the staff allowed clients (C1-C3) to use their (C1-C3) allowance money, and the client's (C1-C3) money allowance was not withheld for disciplinary purposes or any other reason. Other confidential witnesses stated that clients (C1 and C2) had never heard of the staff not allowing C3 to manage their (C3) money. Based on inconsistent confidential interviews, the allegations that the staff does not ensure that a minor (C3) has sufficient food while in care and that the staff does not allow minor (C3) to manage their own money while in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Tracy Mitchell, Facility Manager.

Investigation Findings:
13On 07/13/2023 at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Tracy Mitchell, Facility Manager, to deliver the findings for the above complaint allegations at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). On 06/30/2023 at 10: AM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with five staff (S1-S5), three clients (C1-C3), and three County Social Workers (CSW1-CSW3). Needs and Services Plans and case notes were reviewed. On June 26, 2023, Community Care Licensing received an allegation that staff does not ensure that a minor (C3) has sufficient food while in care. The confidential interview revealed adequate food in the facility; however, other youths (C1 and C2) were consuming C3's preferred food items. Continued on LIC 9099-c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 07/13/2023

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Additionally, a confidential interview indicated that S1 admitted to fault for not checking the dosage on C1's doctor's prescription against the medication prescription received at the pharmacy. Furthermore, a confidential interview stated that S3 had given C1 an extra dose of medication as a result of the overdose. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that the staff over medicated a minor (C1) while in care is substantiated. The STRTP is being cited for violations of California Code of Regulation (CCR), Title 22, Division Six, Section 80075(b). An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Brigid Osonwa, Youth Care Counselor.

Investigation Findings:
13On 02/16/2024 at 01:15pm, Licensing Program Analysts (LPAs) Sarah Lo and Cynthia Velasquez met with Brigid Osonwa, Youth Care Counselor, to deliver the findings for the above complaint allegation at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). On 08/30/2023 at 09: AM, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff (S1-S4) and one client (C1). Needs and Services Plans and case notes were reviewed. On August 23, 2023, Community Care Licensing received an allegation stating that the staff over medicated a minor (C1) while in care. Specifically, it was stated that C1 overdosed due to staff giving C1 too much medication. A confidential interview stated that the pharmacy had printed the wrong prescription label with the incorrect dosage. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 02/16/2024

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

met_with: Brigid Osonwa, Youth Care Counselor

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
A confidential interview stated that C6 smacked C1's butt in the bedroom and C6 would hug C1 which was not welcoming. Other confidential interviews stated that C1 never reported to the staff about C6 smacking C1's butt but the staff are aware of the excessive hugging. The staff had talked with C6 about the excessive hugging and C6 has stopped. The staff had reassigned bedrooms so that C1 and C6 are no longer roommates. Other confidential interview stated they have no concerns for the care and supervision provided by the staff. Based on inconsistent confidential interviews, the allegations stated that staff are not preventing inappropriate interactions between minors in care and staff are not preventing minor from physically abusing other minor while in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP), Tracy Mitchell, Facility Manager.

Investigation Findings:
13On 04/24/2024 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo met with Tracy Mitchell, Facility Manager, to deliver the finding for the above complaint allegations at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). On 10/24/23, LPA inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with three staff members (S1-S3), six clients (C1-C6) and a County Social Worker (CSW). Clients' Needs and Services Plans and case notes were reviewed. On October 20, 2023, Community Care Licensing received allegations stating that staff are not preventing inappropriate interactions between minors in care and staff are not preventing minor from physically abusing other minor while in care. Specifically, it was stated that C6 would smack C1 on the butt really hard. (Continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 04/24/2024

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


raw_content:
Narrative:
Regarding the allegation that facility staff inappropriately interacted with a client in care, it was specifically alleged that a staff member was having a sexual relationship with C1. During the investigation, confidential interviews stated that S5 interacted inappropriately with C1. It was added that S5 had tried to take C1's pants and bra off. Additional confidential interviews denied that staff had inappropriately interacted with any clients. LPA received conflicting information. Based on confidential interviews, the allegation that S5 inappropriately interacted with C1 may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On July 11, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Stella Maris II Short Term Residential Therapeutic Program (STRTP) and met with Youth Care Counselor Brigid Osonwa to deliver the finding for the allegation stated above involving the STRTP staff and clients (C1, C2, C3, C C5 and C6) as listed on the Confidential Names List (LIC 811) dated July 11, 2024. On February 21, 2024, LPA Enriquez initiated the investigation at the STRTP and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the STRTP, no immediate health and safety hazards were observed. During the inspection, LPA interviewed staff S1, S2, S3, S4, C1, C2, C3, C4, C5 and C6. On February 20, 2024, Community Care Licensing (CCL) received a complaint alleging that facility staff inappropriately interacted with a client in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 07/11/2024

met_with: Youth Care Counselor- Brigid Osonwa


raw_content:
Narrative:
Regarding the allegation that minor is being neglected while in care, it was specifically alleged that C6 disclosed that being in a group home does affect C6's mental health. During the investigation, confidential interview stated that C6 wants to be moved to a foster home because no one is getting better in the home. Additional confidential interviews stated that all clients including C6 gets therapy by in-house therapist and head of services throughout the week. It was added that C5 refuse to take C5's prescribed medications. LPA attempted to interview C2, C3, C4 and C5, however, they refused to be interviewed. LPA was unable to gather additional information. Based on confidential interviews, the allegation that C5 is being neglected while in care may have occurred, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On July 11, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Stella Maris II Short Term Residential Therapeutic Program (STRTP) and met with Youth Care Counselor Brigid Osonwa to deliver the finding for the allegation stated above involving the STRTP staff and clients (C1, C2, C3, C C5 and C6) as listed on the Confidential Names List (LIC 811) dated July 11, 2024. On April 18, 2024, LPA Enriquez initiated the investigation at the STRTP and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the STRTP, no immediate health and safety hazards were observed. During the inspection, LPA interviewed staff S1, S2, S3, C2, C3, C4, C5 and C6. On April 12, 2024, Community Care Licensing (CCL) received a complaint alleging that minor is being neglected while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 07/11/2024


raw_content:
Narrative:
Although a witness statement reported assisting C1 sneak the adult into the facility, other confidential statements denied having direct knowledge of the incident or being aware of an unauthorized adult on facility grounds. Likewise, a confidential interview reported that C1 later recanted and denied all allegations. Additionally, multiple confidential interviews consistently reported that staff regularly conducted room checks during their shifts by opening client bedroom doors and visually checking to ensure each client was accounted for. On the day of the incident, documentation shows that facility staff observed C1 on the grounds before C1 eloped. The documentation also noted that while C1 was off the grounds, C1 was seen with an unidentified person. However, the documentation did not mention that staff saw the unidentified person on facility grounds and reported that C1 returned to the facility alone. In regard to the allegation that facility staff did not provide adequate supervision resulting in youth (C1) engaging in inappropriate behaviors with unknown person(s) on the phone while at the facility. While confidential interviews acknowledged that C1 and other clients send time on their phones texting and calling friends, there were no witnesses to corroborate the allegation. Confidential interviews did not report a lack of supervision and denied any knowledge of C1 having inappropriate telephone conversations. Based on confidential interviews and pertinent documentation, the allegations that facility staff did not provide adequate supervision resulting in youth (C1) having sex with an unknown adult while at the facility and engaging in inappropriate behaviors with unknown person(s) on the phone while at the facility may have happened or be valid, but there is not preponderance of evidence to prove that the alleged violations occurred. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, the LIC 811, and appeal rights were explained and given to Facility Manager Doris Santiago.

Investigation Findings:
13On February 13, 2025, at 12: PM, Licensing Program Analyst (LPA) Jessica Peete made an unannounced visit to Stella Maris Growth Center Short Term Residential Therapeutic Program (STRTP) and met with Facility Manager, Doris Santiago, to deliver the investigative finding for the allegations mentioned above. The investigation was conducted by Special Investigator (Inv) Dennis Seng of the Community Care Licensing (CCL) Investigations Bureau. The investigation included interviews with the clients in care (C1-C4), STRTP staff (S1-S8), and the County Social Worker (CSW). On August 15, 2024, Community Care Licensing (CCL) received an allegation facility staff did not provide adequate supervision resulting in youth (C1) having sex with an unknown adult while at the facility. It was alleged on December 28, 2023, due to the lack of supervision C1 was able to sneak an unidentified adult into the STRTP without the facility staff's knowledge. During the investigation Inv Seng did not obtain any evidence to support the allegation. (Continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jessica M Peete LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 02/13/2025

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

met_with: Doris Santiago Facility Manager


raw_content:
Narrative:
Regarding the allegation that staff did not prevent a minor from being physically abused, it was alleged that a minor hit another minor repeatedly in the face with a closed fit and pulled their hair while the minor was sitting on the front seat of the facility's vehicle. During the investigation, a confidential interview stated that C1 was seated inside the STRTP vehicle, waiting for S1 to return, while speaking with their social worker. At that time, C2 exited the STRTP, pulled C1's hair and initiated a physical altercation. The same interview reported that C1 called out for S1, but S1 did not hear. Another confidential interview stated that C1 refused to exit the vehicle because they had already planned to go out for dinner. S1 was inside the STRTP to address C2 and C3, who had recently returned from running away, and to document the incident in the logbook. While S1 was inside, C2 went outside again and attacked C1. Furthermore, it was reported that while C1 was inside the STRTP vehicle discussing C2's biological mother, C2 exited the facility and engaged C1 in a physical altercation without S1's knowledge. A confidential interview stated that S1 could not leave the facility with C1 because C2 and C3 had recently returned form runaway. This let C1 be upset and refuse to exit the vehicle. The same interview indicated that S1 moved in and out of the STRTP, but ultimately C1 refused to leave the vehicle despite encouragement. Additionally, S1 went back inside to contact the facility manager, at which point C2 struck C1. Reports indicate that S1 did not observe the physical contact or injuries on C1. When S1 was later informed that C2 had struck C1, S1 observed C1 with a flushed face while C1 remained seated with their seat belt on and no sign of distress was observed. Based on confidential interviews, the allegation that staff (S1) did not prevent client #1(C1) from being physically abused may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, Appeal Rights, and LIC811 were provided to Ashton Porter via email due to technical difficulties.

Investigation Findings:
13On August 20, 2025, at 10:13AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Head of Service Ashton Porter to discuss the investigative finding for the above stated allegation involving client in care listed on the Confidential Names List (LIC811) dated 08/20/25. On April 21, 2025, Community Care Licensing received information alleging that staff did not prevent a minor from being physically abused. On April 28, 2025, at 9:35AM, LPA initiated the investigation at STRTP and there were no immediate deficiencies observed. In addition, LPA Caballero visited the facility to conduct more interviews. During the investigation, LPA Caballero interviewed clients (C1, C2, and C4) and three staff. Client # 3 declined an interview and client #5 was on a home visit. The county social worker was not interviewed due to unsuccessful attempts. LPA reviewed pertinent documents from clients' files UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 08/20/2025

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

met_with: Head of Service-Ashton Porter


raw_content:
Narrative:
Regarding the allegation staff handled minor in a rough manner resulting in injury, it was alleged that a staff member put hand around a client's neck and a client began to hit staff as the client felt threatened by staff. During the investigation, a confidential interview stated that staff #1(S1) and client #1(C1) were going back and forth over keeping the light on or off in C1's bedroom and S1 slapped C1's hand and put S1's hands around C1's neck. The same interview reported that C1 punched S1 and S1 slammed C1 to the ground. Another confidential interview stated that S1 was trying to supervise the clients inside of C1's bedroom because C3 had sneaked into the STRTP during late hours from the other STRTP Stella Maris Growth Center III. The same interview reported that S1 had already called law enforcement due to C2 being there but wanted the lights on in the room to supervise the clients. The interview continued by stating that the clients turned the light off in the room and S1 turned the light back on at one-point S1 and C1 were turning the light on and off and C1 slapped S1 on the hand. Furthermore, it was reported that S1 turned the light on again and C1 started to punch S1 and grab S1 by S1's hair. S1 slipped from the ice on the floor and C1 and S1 were on the floor while S1 was trying to get C1 to calm down. CSW stated that she received inconsistent information regarding the allegation. Other confidential interviews indicated that a slap was heard inside the room, however, no one observed either S1 or C1 slap each other's hand. The witnesses observed C1 and S1 on the floor. LPA received inconsistent information regarding the alleged violation. There were no other witnesses to this incident. In regard to the allegation that staff engaged in verbal altercation with minor, it was reported that staff engaged in an argument with a client regarding keeping the bedroom light on. A confidential interview indicated that S1 and C1 argued back and forth about the light but denied that it constituted a verbal alteration. Another interview described the situation as a power struggle between S1 and C1 over turning the light on and off. A separate interview reported no yelling from S1 but confirmed that S1 and C1 argued about keeping the bedroom light off. CSW stated receiving inconsistent information regarding the alleged violation. Based on confidential interviews, the allegations that staff #1(S1) handled client #1(C1) in a rough manner resulting in injury and engaged in verbal altercation with C1 may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, Appeal Rights, and LIC811 were provided to Head of Service Ashton Porter.

Investigation Findings:
13On August 20, 2025, at 11:00AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Head of Service Ashton Porter to discuss the investigative findings for the above stated allegations involving client in care listed on the Confidential Names List (LIC811) dated 08/20/25. On May 29, 2025, Community Care Licensing received information alleging that staff handled minor in a rough manner resulting in injury and staff engaged in verbal altercation with minor. On June 4, 2025, at 12:37PM, LPA initiated the investigation at the STRTP and there were no immediate deficiencies observed. In addition, LPA Caballero visited the facility to conduct more interviews. During the investigation, LPA Caballero interviewed clients (C1, C2, C3, C5), four staff, and the Administrator. Client # 4 declined an interview and Client #6 was on a home visit. A County Social Worker (CSW) was interviewed. LPA reviewed pertinent documents from clients' files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIFACILITY NUMBER: VISIT DATE: 08/20/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2021, Licensing Program Analyst (LPA) Jazmond Harris conducted an annual inspection of the facility. Upon arrival, LPA met with Facility Manager, Tracy Mitchell. The facility was toured inside and out at 10: AM with Facility Manager. There are currently six residents in placement (See Confidential Names List (LIC 811) dated September 22, 2021. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. Due to the facility's kitchen being remodeled, the facility will provide an update menu in accordance to the facility's ability to operate. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the hallway closet. The facility has 3 bedrooms and are arranged so that no more than two clients share a room. Each bedroom has two beds and there is one client per bed. LPA Harris advised the facility to ensure that all clients are in agreement to share a bedroom, per licensing standards. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water in the client bathroom sink was measured and deemed to be safe. Facility does not have a pool or any open bodies of water. Per Faciltiy Manager, there are no firearms or weapons in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator, Charles Ohaeri is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employes General Manager, Designated Managers, Child Care Worker and Social Workers. Licensee is in the process of obtaining Mental Health Certification. LPA Harris reviewed staff and client files. Files were complete. LPA Harris interviewed staff and clients. No concerns or issues were advised. LPA Harris discussed the following with the Facility Manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of client records and interviews with staff, the Licensee appears to be meeting CFT and Core Services/Supports requirements. Exit interview conducted and copy of this report, along with the LIC 9099-D will be provided to the facility.

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Latricia Rogers & Licensing Program Manager Angela King conducted a case management inspection on July 13,2022 @ 9:43 am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 9 out of Direct Care Staff and 4 out of 4 youth files were reviewed. 3 out of Direct Care Staff and 2 out of 4 youth were interviewed. (See the Confidential Names List, LIC 811, dated July 13, 2022). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Latricia Rogers observed documentation of completed training records indicating staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Charles Ohaeri, Administrator.

visit_type: Case Management

met_with: Charles Ohaeri


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On August 24, 2022, Licensing Program Analyst (LPA) Cynthia Urena conducted an annual inspection of the facility. Upon arrival, LPA met with Lead Facility Manager, LaKeicha Chaney. The facility was toured inside and out at 9: AM with LaKeicha Chaney Lead Facility Manager. There are currently six residents in placement (See Confidential Names List (LIC 811) dated August 24, 2022. A physical plant inspection was completed and included the following checks: Facility grounds are clean; free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for client's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in the hallway closet. The facility has 3 bedrooms and are arranged so that no more than two clients share a room. Each bedroom has two beds and there is one client per bed. LPA Urena advised the facility to ensure that all clients are in agreement to share a bedroom, per licensing standards. There is adequate shelf and closet space for client's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The facility has two bathrooms for clients' use. The bathrooms were in working order. The hot water in the client bathroom sink was measured and deemed to be safe. Facility does not have a pool or any open bodies of water. Per Faciltiy Manager, there are no firearms or weapons in the facility. Facility appears to be meeting the terms and conditions of their license. Administrator, Charles Ohaeri is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employes Lead Manager, Facility Manager, Shift Managers, Head of Service, and Clinical Therapist. LPA Urena and LPM Dunlap reviewed staff and client files. LPA Urena interviewed two staff. There were 3 clients on grounds during the time of the inspection. All clients denied to be interviewed after LPA Urena and LPM Dunalp made two request to be interviewed. Based on record review Facility cited, see LIC D for deficiencies. Exit interview conducted and copy of this report, along with the LIC 809-D and Appeals Rights will be provided to the facility.

Deficiencies:
87070(c): Children's Records

(c) If it is determined that the facility can provide the services necessary to meet the child's needs, the following additional information shall be maintained in the child's record


summary: Facility Evaluation

raw_content:
Narrative:
On January 6, 2023 at 9: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). Upon LPA Choi's arrival to the facility, facility staff advised their census was four clients. LPA Choi asked the staff member how many other staff members were present, and the staff advised they were alone in the facility and that the Facility Manager (FM) had left the facility to purchase tea. Within 10 minutes, FM returned to the facility and explained that since the clients were sleeping in their rooms, FM felt comfortable with leaving the facility for a few minutes. LPA Choi advised the FM that the facility would be issued a Technical Violation for violation of Interim Licensing Standards for Short Term Residential Treatment Facilities (STRTP) 87065.5(a)(1) Direct Care Staff/Child Ratios (a) In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum. FM was advised that a future violation may and could result in the facility being cited for a Type A or Type B violation of ILS regulations.


summary: Facility Evaluation

raw_content:
Narrative:
On March 1, 2023, at 3: PM Licensing Program Analyst (LPA) Cynthia Urena met with Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell, regarding a case management inspection at the facility. The purpose of the inspection is to obtain additional information regarding information received by LPA on February 15 ,2023. LPA Urena conducted interviews with three staff members (S1, S2, S3) and two clients (C1, C2). LPA attempted to conduct an interview with client #3 however, C3 refused to be interviewed. Additionally LPA requested copies of pertinent documentation to further assist with the case management. A copy of this report was provided to Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP) Facility Manager, Tracy Mitchell

met_with: Facility Manager, Tracy Mitchell.


summary: Facility Evaluation

raw_content:
Narrative:
On July 26th, 2023 at 11: AM Licensing Program Analyst (LPA), Emina Preciado, conducted a collateral visit at Stella Maris Growth Center II Short Term Residential Therapeutic Program (STRTP). LPA met with Tracy Mitchell, Facility Manager. The purpose of the visit was to conduct an interview with a resident client. Exit interview conducted and a copy of this report was given to Tracy Mitchell, Facility Manager.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Latricia Rogers conducted a case management inspection August 16, 2023, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 16, 2023). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. Lpa L. Rogers observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Tracy Mitchell- House Manager.

met_with: Tracy Mitchell- House Manager