raw_content:
Narrative:
In regard to the allegations that facility staff (S2) are not providing nutritious meals to minors (C1); it was reported that the facility had limited food and that C1 was observed to have lost weight while placed. It was further reported that the facility would prepare food only when they knew social workers were going to visit. Confidential interviews reported that the facility had limited food prepared for the clients and that C1 lost weight while they were placed there. Confidential interviews reported that the facility only prepared real meals when they knew county representatives were going to visit. Other confidential interviews reported that the facility prepared all the required meals throughout the day and week and that it didn't matter who was visiting. Other confidential interviews reported that C1 was a "very picky" eater and would not eat the meals that other clients normally eat. Confidential interviews reported that C1 was allowed to choose their own meals that staff would then prepare for them. In regard to the allegation that facility staff (S2) behavior poses a risk to minors (C1) in the home; it was reported that S1 "smoked marijuana" while on duty and while S1 was in charge of driving clients to excursions. It was also reported that S1 used their cell phone while driving which caused them to be distracted. Confidential interviews reported that S1 smoked marijuana while carrying out their duties as a facility staff. Other confidential interviews reported that no facility staff including S1, were suspected of being under the influence of marijuana or other substances while on duty. Other confidential interviews reported that S1 was no longer an employee of the facility and that they declined a request for an interview to address the allegations against them. In regard to the allegation that facility staff (names not provided) do not intervene between physical altercations between minors (names not provided); it was reported that facility staff do not break up fights between clients (no other details were provided). Confidential interviews reported that when clients fight in the facility; the staff do not intervene. Other confidential interviews reported that all facility staff are trained to intervene and do intervene when clients fight in the facility. Confidential interviews reported that no current client in the facility has reported that there was an incident in which staff ignored clients when they involve in altercations. In regard to the allegation that facility staff (names not provided) are not dispensing medication as prescribed to minors (names not provided); it was reported that all the clients in the facility appeared to be over medicated. Confidential interviews reported that a client made an assessment that they believed other clients' medications made them "sleepy and tired." Other confidential interviews reported that the facility staff dispensed the clients' medication correctly according to their prescription orders. Other confidential interviews reported that no other clients or staff reported any issues with medication distribution within the facility. In regard to the allegation that facility staff (names not provided) are interfering with minors (C1) sleep schedule; it was reported that the clients would have to go to bed early and wake up at 4:30 am to get ready for school. Confidential interviews reported that facility staff made clients go to bed early because they had to wake up at 4:30 am to get ready for school. Other confidential interviews reported that the clients' usual bed time was encouraged to around 9:30 to 10:00 pm, and this was to ensure that all the clients got enough sleep to be ready for the next school day. Confidential interviews reported that "no clients were forced to go to sleep early." Other confidential interviews reported that the usual wake up time for the clients was around 6:00 am and this was to ensure there was plenty of time to wash up, get dressed and eat breakfast. Other confidential interviews reported that if clients woke up before 6:00 am, it was usually voluntarily. Based on confidential interviews, the allegations that facility staff are not providing nutritious meals to minors, facility staff behavior poses a risk to minors in the home, facility staff do not intervene between physical altercations between minors, facility staff are not dispensing medication as prescribed to minors and facility staff are interfering with minors sleep schedule may have occurred 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. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Facility Manager Lakeisha Donald.

Investigation Findings:
13On 04/17/2025, at 1:05PM, Licensing Program Analysts (LPAs) Joon Choi and Claudia Aguilera conducted an unannounced visit to Stella Maris Growth Center III Short Term Residential Treatment Program (STRTP) and met with Facility Manager Lakeisha Donald to deliver the investigative finding for the allegations listed above. On 02/26/2025, Community Care Licensing received allegations that facility staff are not providing nutritious meals to minors, facility staff behavior poses a risk to minors in the home, facility staff do not intervene between physical altercations between minors, facility staff are not dispensing medication as prescribed to minors and facility staff are interfering with minors sleep schedule. On 02/27/2025, LPA Joon Choi conducted a health and safety inspection at the STRTP, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed client 2 (C2) and staff 1 (S1). Client 1 (C1) and Staff 2 (S2) were not able to be interviewed as both declined LPA's request for an interview. Continued on the Next Page. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: STELLA MARIS GROWTH CENTER IIIFACILITY NUMBER: VISIT DATE: 04/17/2025

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

met_with: Lakeisha Donald, Facility Manager


state: CA

facility_name: STELLA MARIS GROWTH CENTER III

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On March 24, 2025, at 9:30AM, LPA initiated the investigation at the STRTP and interviewed Facility Manager. There were no immediate deficiencies observed. In addition, LPA Caballero visited the facility to conduct more interviews, and no immediate deficiencies were observed. During the investigation, LPA Caballero interviewed clients (C1, C3 and C4), two staff, and a County Social Worker. Client #5 declined an interview and Client #2's whereabouts were unknown due to C2's runaway status. LPA reviewed pertinent documents from clients' files. Regarding the allegations that staff did not prevent the minor from causing self-harm and staff did not prevent minor from possibly engaging in CSEC activity, it was alleged that a client was being a danger to self and that a client engaged in prostitution and had unprotected sex with older individuals. There were no further details regarding the alleged violations. During the investigation, a confidential interview stated that staff handled suicidal ideations well and that STRTP staff would send a therapist to talk to client #1(C1) when needed or to the office for supervision. Another confidential interview reported that clients have therapy, and it is a place to stop and speak about clients' emotions. One confidential interview stated that C1 did not self-harm in the STRTP, but the incident occurred outside during the runaway. Furthermore, it was reported that C1 would run away from days at a time and it was hard to pinpoint where C1 attempted self-harm. Other confidential interviews refused to disclose information about C1's CSEC activity. Another confidential interview reported that C1 began to open to staff about prostitution and needed to make more money, but C1 still was reluctant to talk about runaway activity outside of the STRTP. County Social Worker stated that they did not have major concerns about the care and supervision of staff. County social worker stated that C1 showed signs of prostitution here and there but C1 was introduced to trap homes when placed at this STRTP by client #2(C2). In regard to the allegation staff did not provide adequate supervision of minors in care, it was reported that a client was observed with bruises. A confidential interview stated that supervision in the STRTP was adequate with room checks every fifteen to twenty minutes. The same interview refused to provide information regarding the bruises on client #1(C1). Another confidential interview stated that C1 would run away from days at a time and it was difficult for C1 to open about things that happened outside of the STRTP. One confidential interview stated the supervision in the STRTP is adequate because staff conduct room checks. Another confidential interview disclosed that staff have activities for clients in care like Knotts Berry Farm, Soak City, pool parties, and other winter activities. Other confidential interviews did not have information regarding the alleged violation. A confidential interview reported that most of the time staff did not know that C1 was going to do harm but refused to disclose any information regarding the bruises on C1's body. County Social Worker stated that they did not have major concerns about the care and supervision of staff. Based on confidential interviews, the allegations that staff did not prevent client #1(C1) from causing self-harm, staff did not prevent C1 from possibly engaging in Commercial Sexual Exploitation of Children activities (CSEC), and staff did not provide adequate supervision to 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 Ashton Porter via email due to technical difficulties.

Investigation Findings:
13On August 4, 2025, at 9:30AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) Head of Service Ashton Porter to discuss the investigative finding for the above stated allegations involving client in care listed on the Confidential Names List (LIC811) dated 08/4/25. On March 17, 2025, Community Care Licensing received information alleging that staff did not prevent the minor from causing self-harm, staff did not prevent minor from possibly engaging in Commercial Sexual Exploitation of Children activities (CSEC), and staff did not provide adequate supervision to minor in care. 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 IIIFACILITY NUMBER: VISIT DATE: 08/04/2025

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

report_type: Complaint Investigation

met_with: Head of Service-Ashton Porter

complaint_status: unsubstantiated


raw_content:
Narrative:
Regarding the allegation that staff do not provide adequate supervision resulting in minors engaging in inappropriate behavior with other clients, it was specifically reported that a client was sexually abusing other minors in the home, and no further details were provided. During the investigation, a confidential interview denied sexual abuse in the STRTP and that clients engaged in inappropriate interactions and staff were unaware. Another confidential interview stated that client #2(C2) and client #3(C3) messed with each other and touched each other's breast area but it was not serious. Another confidential interview stated that they were not witnessing any inappropriate sexual interactions from C2. The same interview reported that hearing general talk within the STRTP regarding clients engaging inappropriate behaviors, however, they had not personally witnessed such incidents. Other confidential interviews indicated that they had not heard of or received reports of sexual interactions between clients in care. Confidential interviews stated staff conducted room checks every fifteen minutes and staff were not aware that clients were engaging in inappropriate interactions. A confidential interview reported that inappropriate sexual interactions occurred outside of the STRTP with males when C1 and C2 would run away. County social worker reported that there were reports about inappropriate sexual interactions going on in STRTP between the clients in care. CSW stated that she didn't believe it was sexual abuse and the STRTP began to increase their supervision after the reports were made. Based on confidential interviews, the allegation that staff do not provide adequate supervision resulting in client #2 engaging in inappropriate behavior with other clients 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 Facility Manager Doris Santiago and Head of Service Ashton Porter via email.

Investigation Findings:
13On September 3, 2025, at 12:46PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) Facility Manager Doris Santiago to discuss the investigative finding for the above stated allegation involving client in care listed on the Confidential Names List (LIC811) dated 09/03/25. On April 10, 2025, Community Care Licensing received information alleging that staff do not provide adequate supervision resulting in minor engaging in inappropriate behavior with other minors. On April 14, 2025, at 10:20AM, LPA initiated the investigation at the STRTP and there were no immediate deficiencies observed. In addition, LPA conducted interviews with clients (C2, C3, and C4) and three staff. Client # 5 declined an interview and client #1's whereabouts were unknown due to C1's runaway status. 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 IIIFACILITY NUMBER: VISIT DATE: 09/03/2025

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

met_with: Facility Manager-Doris Santiago


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
communication. Information from confidential interviews stated there were no incidents of verbal abuse. County Social Workers also stated there have been no concerns or reports of verbal abuse. It was stated that staff are very patient and considerate towards clients. It was reported that the facility is storing expired food and has vermin and insects. It was stated that the facility cleans the facility daily and nightly. It was reported that food is inspected daily to ensure there are no expired foods at the facility. Staff stated there are insects during the summer, but reported no vermin. It was reported that the facility does have a service to treat the facility for insects. Information stated there were no concerns regarding the allegations. Information from confidential interviews stated there were no concerns regarding expired food, but stated there were insects in the facility. It was reported that clients were bitten by bugs occasionally. Information that a company does treat the bugs was corroborated. Information obtained from county social workers stated there were no concerns. LPA was unable to obtain detailed information regarding the allegation due to clients refusing to be interviewed. Based on interviews and information obtained facility storing expired food and facility has vermin and insects, may or may not have occurred; therefore, the allegations are unsubstantiated at this time. Exit interview conducted and a copy of the reports and appeal rights will be provided to the facility.

Investigation Findings:
13On November 17, 2021, Licensing Program Analyst (LPA) Jazmond Harris conducted a visit to the facility and met with Facility Manager, Doris Santiago in order to deliver the findings for the listed allegations.The visit was conducted in order to provide the findings for the investigation pertaining to the listed allegations. LPA Harris initiated the investigation on July 15, 2021. During the investigation, LPA Harris conducted interviews with Facility Manager, Staff Members, County Social Workers, and one out of five clients. LPA Harris was unable to interview additional clients due to clients refusing. LPA Harris obtained pertinent information regarding the allegations. On July 13, 2021, Community Care Licensing received information which stated facility staff speak inappropriately to youth, facility stores expired food and facility has vermin and insects. Information obtained stated that staff talk about clients "behind their back" and are verbally abusive. Information obtained from staff members stated that communication between staff and clients is minimal, but positive. Information stated there is no verbal abuse towards clients. Information stated there have been no advisements of inappropriate UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 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 IIIFACILITY NUMBER: VISIT DATE: 11/17/2021


summary: Facility Evaluation

raw_content:
Narrative:
On 05/19/2021 at 10: AM, Licensing Program Analyst Cheraki Davis conducted a SB Psychotropic Medication tele-inspection and met with Doris Santiago, Facility Manager. The inspection was conducted via tele-inspection using video conference due to COVID-19. A virtual health and safety inspection were completed and no immediate deficiencies were observed. All files and medication documents were sent to LPA Davis on dates prior to inspection. A medication count was also conducted via video conference on this date. LPA reviewed one client record and reviewed two staff records for the facility. LPA began two staff interviews via video conference at 10: AM. LPA attempted to interviewed one child currently taking psychotropic medication via video conference at 11: AM, client refuse to be interviewed. No deficiencies being cited at this time. An Advisory Note for Technical Violation LIC 9102TV was provided to Doris Santiago, Facility Manager. LPA conducted an exit interview with Doris Santiago, Facility Manager at 11: AM. LPA emailed the LIC809 & LIC811 to Doris Santiago, Facility manager upon completion with a request for signature for the LIC809. Original signed copies will be placed in the facility file.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Doris Santiago, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 16, 2021, Licensing Program Manager (LPM) Natasha Dunlap and Licensing Program Analyst (LPA) Jazmond Harris conducted a post-licensing inspection of the facility. Upon arrival, LPM and LPA met with Facility Manager, Doris Santiago. The facility was toured inside and out at 1: PM. There are currently six clients in placement (See Confidential Names List (LIC 811) dated June 16, 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 and appears to be following the posted menu. 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 staff office. A complete First Aid Kit was locked and stored in the staff office as well. 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. 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 has a pool which is appropriately fenced and secured with a wrought iron exterior. The enclosure was measured to be over 5 feet tall, with a self-latching gate that swings outward. During the facility inspection, LPM Dunlap and LPA Harris observed broken tile pieces by the pool area. LPM Dunlap asked for the tile to be removed from the area where clients have access. Per Facility 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 Facility Manager, Designated Managers, and Therapist. Licensee is in the process of obtaining Mental Health Certification. LPM and LPA reviewed 5 clients files. Client files were complete. Client #5's updated needs and service plan will be sent to LPA Harris at a later time. Three staff files were reviewed. Staff files were missing Tuberculosis Test Results and documents will be sent to LPA Harris for verification. CPR/First Aid Certificates were observed and were valid. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPM and LPA discussed the following with Facility Manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts, as well as incidents involving emergency interventions. LPM and 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 will be provided to the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On September 8, 2021, Licensing Program Analysts (LPAs) Jazmond Harris and Sarah Smith conducted an annual inspection of the facility. Upon arrival, LPAs met with Facility Manager, Doris Santiago. The facility was toured inside and out at 10: AM. There are currently four clients in placement (See Confidential Names List (LIC 811) dated September 8, 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 will be properly charged and serviced. Servicing information will be provided to LPA Harris. Licensee maintains an adequate supply of perishable and non-perishable foods. The menu was not posted as clients requested the menu to be altered. LPA Harris also requested the menu be updated and posted. Proof of the posted menu will be sent to LPA Harris. 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 staff office. A complete First Aid Kit was locked and stored in the staff office as well. 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. LPAs advised Facility Manager that a document indicating that clients can possibly share a bedroom, must be provided to and signed by clients. The document should be filed in the clients'. LPAs observed adequate shelf and closet space for client's belongings. Per Interim Licensing Standards, clients should have a locked container available in order to store contraceptives and have access to the key. Per interview and observation, clients do not have the items. LPAs will provide technical assistance. 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 has a pool which is appropriately fenced and secured with a wrought iron exterior. The enclosure was measured to be over 5 feet tall, with a self-latching gate that swings outward. The pool appeared to be cleaned and free of excessive debris. Per Facility 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 Facility Manager, Designated Managers, and Therapist. Licensee is in the process of obtaining Mental Health Certification. LPAs reviewed four clients' files. Client #2 and #4 is missing their updated needs and service plan; citation to follow. All four clients refused to be interviewed by LPAs. Five staff files were reviewed. CPR/First Aid Certificates were observed and were valid. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. During staff interviews, staff were unable to answer questions regarding needs and service plans, trauma informed care, and emergency intervention plans. LPA will follow up with Administrator in order to ensure staff are trained in the listed areas. LPAs discussed the following with Facility Manager: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts, as well as incidents involving emergency interventions. LPAs 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 811 and 9099-D will be provided to the facility.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Latricia Rogers and Licensing Program Manager Angela King conducted a case management inspection August 24, 2022 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, 6 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care staff and 4 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 24, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments and crisis management 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 and LPM Angela King observed training records showing 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..

met_with: Charles Ohaeri, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 31, 2022, Licensing Program Analyst (LPA) Cynthia Urena conducted an annual inspection of the facility. Upon arrival, LPA met with Facility Manager, Doris Santiago. The facility was toured inside and out at 9:40AM. There are currently six clients in placement (See Confidential Names List (LIC 811) dated August 31, 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/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. The menu was posted and it provided weekly meals, snacks and alternative food menu options. The following forms were posted. Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. LPA informed Facility Manager that the updated Personal Rights must be posted. LPA will email the updated form to Facility Manager. Medications are locked and centrally stored in the staff office. A complete First Aid Kit was locked and stored in the staff office as well. 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 observed 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. 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 Administrator, Lead Facility Manager, Facility Manager, Shift Managers, Head of Service, and Clinical Therapist. LPA Urena reviewed staff and client files. LPA Urena interviewed two staff and one client. There were 3 clients on grounds during the time of the inspection. All clients denied to be interviewed after LPA Urena 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.


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, 2022, at 8:40AM, Licensing Program Analyst (LPA) Cynthia Urena, conducted an in person visit to the facility to follow- up on the deficiencies noted on September 12, 2022. Lpa C. Urena met with Youth Counselor Tyressha Earl and conducted a walk through of the facility. LPA observed that updated postings of foster children's personal rights has been posted. Additionally, LPA observed that mattresses for all clients have been replaced and are in good repair. Regarding the food, Facility Manager Doris Santiago stated that clients are being included in the shopping list menu. Licensee provides an open space on the menu that allows clients to participate in food selections Additionally, Licensee provided LPA with a copy of the new menu. Regarding client furniture LPA C. Urena observed that the drawer located in room two has not been repaired or replaced as advised by LPA on September 12, 2022. Facility Manager LaKeicha Chaney informed LPA C. Urena that Licensee has a drawer and is in the process of replacing it. Facility Manager provided LPA C. Urena with a photo of the replacement drawer on the day of this visit. Licensee will send LPA C. Urena a photo further showing that the drawer has been replaced and located in C5's room.

met_with: Youth Care Counselor-Tyressha Earl


summary: Facility Evaluation

raw_content:
Narrative:
On December 12, 2022, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena arrived unannounced at Stella Maris Growth Center III Short Term Residential Therapeutic Program (STRTP) for a case management. LPA Urena was met by Youth Care Counselor/Shift Manager Shawnte Arredondo. LPA Urena was informed that the census for the STRTP is six. At: 11: AM, LPA Urena conducted a Health and Safety inspection and no immediate deficiencies were observed. At 11: AM, LPA Urena attempted to view the STRTP's video camera recordings for the night of October 31, 2022, to November 1, 2022. LPA Urena observed Facility Manager (FM), Doris Santiago attempting to retrieve the recordings. LPA Urena was later informed that the recordings could only be accessed within 30 days, and the dates that LPA Urena was requesting to view were no longer available. Therefore, for those reasons LPA Urena was unable to view the recordings and no additional information could be obtained. Additionally, LPA Urena reviewed Client 1 (C1's) file and requested copies. On November 10, 2022, Community Care Licensing received a Special Incident Report stating that Client 1 (C1) was found unconscious on the facility's front yard by two staff members (S2, S3). Furthermore, it was stated that S2, and S3 observed unknown vehicle pass by on the STRTP's cameras and also saw someone knocking at the door. However, the report did not specify any details. LPA Urena provided FM a copy of the Special Incident Report, and a copy of the 24-hour notice that Community Care Licensing received from the STRTP on the date mentioned above. FM agreed that the report needed more clarification. This case management is being extended due to the need to gather additional information. A Copy of this report was discussed and provided to Facility Manager, Doris Santiago.

met_with: Facility Manager, Doris Santiago


summary: Facility Evaluation

raw_content:
Narrative:
On March 14, 2023 at 12: PM Licensing Program Analyst (LPA) Jessica Peete arrived unannounced at Stella Maris Growth Center III to interview C1 regarding C1's previous placement. A copy of this report and the LIC 811 was given to the Facility Manager Doris Santiago.

met_with: Doris Santiago Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 01, 2023 at 11: AM, Licensing Program Analyst (LPA), Lisi Leon arrived unannounced at Stella Maris Growth Center III Short Term Therapeutic Program (STRTP) and met with Facility Manager, Doris Santiago. The purpose of this visit was to deliver an amended report.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Latricia Rogers conducted a case management inspection August 8. 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, 8 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 8, 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. A copy of this report was discussed and provided to Doris Santiago- House Manager. This is an amended version of the original report created on 8/8/2023.

met_with: Doris Santiago- House Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 11/07/2023, Licensing Program Analyst (LPA) Sarah Lo arrived unannounced at facility to conduct a case management inspection for the purpose of obtaining signatures.

met_with: Shawnte Arredondo, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On September 25th, 2024, at 11: AM Licensing Program Analyst (LPA) Maryjane Perez met with Facility Manager LaKeicha Donald. During the inspection LPA M. Perez observed there to be four holes patched with dry wall and one hole patched with plywood. The wall with the one hole patched with the plywood needs to be painted over as part of their plan of correction. LPA observed the plywood was not painted over and the Administrator requested an extension. Based on LPA observations and the facility needing an extension the facility is being issued a technical violation of the California Code Regulations 80087(a). Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. A copy of this report was discussed and provided to Facility Manger LaKeicha Donald.

met_with: Facility Manger- LaKeicha Donald


summary: Facility Evaluation

raw_content:
Narrative:
On October 18, 2024, at 9: AM, Licensing Program Analysts (LPAs) Maryjane Perez and Joon Choi arrived at Stella Maris Growth Center III Short-term Residential Therapeutic Program (STRTP) to conduct annual required inspection. LPAs met with Facility Manager (FM) Doris Santiago who granted us access into the home. Currently, there were 5 ambulatory clients in the home and licensed for a capacity of 6. The Facility was toured both inside and out with the Facility Manager. The home is a one story house and consist of: Office: That holds medications, allowance, locked sharps, and fire extinguisher #1 inspected Aug. Bathroom #1: Water runs at 119 degrees Bedroom #1: Furnished with 2 twin beds with fitted sheets and blankets as well as a closet and dresser with plenty of storage space. Bedroom #2: Furnished with 2 twin beds, a closet and plenty of storage space. It sleeps one client Bedroom #3: Furnished with 2 twin beds, a closet and plenty of storage space. It sleeps two clients and has Bathroom #2. The water in bathroom #2 reaches 105.2 degrees Living room: Has couches and TV as well as board games. Kitchen: Has plenty of food stocked with clean utensils, fire extinguisher #2 inspected Aug. 2024. Garage/ Laundry Room: Kept clean and holds back up refrigerator and freezers. Washer and dryer with detergent. Backyard: Enclosed with fence and had side gate along with a storage shed and therapy room with a bathroom. There is a pool with a 5ft'7in gate surroundings it. All bedrooms were arranged for one child per bed. There were adequate drawer and closet pace for children's belongings. The smoke and carbon monoxide detectors were checked and were working properly. The facility cars had proof of insurance and registration all up to date, there was a fire extinguisher #3 that was up to date, first aid kit with all supplies intact. LPAs interviewed 2 staff and 3 client. LPAs reviewed 5 staff files and 5 client files. During file review one deficiency was observed: CCR 80066 (a)(11) Personnel records tuberculosis test documents as specified in section 80065 (g). An exit interview was conducted, and a copy of this report along with the LIC 809D and 5 technical assistances were reviewed and provided to facility manager Doris Santiago.

met_with: Facility Manager- Doris Santiago


summary: Facility Evaluation

raw_content:
Narrative:
On 11/20/2024 at approximately 12:00PM, LPA Joon Choi visited Stella Maris III STRTP and met with Facility Manager LaKeicha Chaney. LPA explained the purpose of the visit was to interview a client currently placed here. LPA explained the client is being interviewed for a complaint (#19-CR-20241115154319) associated to a different facility (#336427951). During the visit, LPA interviewed one client)

met_with: LaKeicha Chaney, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 11, 2024 at approximately 10: AM, LPA Joon Choi arrived unannounced at Stella Maris Growth Center III - Short Term Residential Treatment Program (STRTP) and met with Facility Manager Lakeicha Chaney. LPA explained the purpose of the visit was to interview a client that is currently placed at this facility - for a separate complaint not associated to this facility. (#19-CR-20241119170011, facility #336427951). During the visit, LPA interviewed one client.

met_with: Lakeicha Chaney, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jose Gonzalez on October 2,2025 at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Gonzalez met Administrator, Charles Oheari and Facility Manager, Doris Santigo and conducted a tour of the facility. During the visit there were three staff present and one at the facility. LPA reviewed one client record and one staff (S1) personnel files on site at the facility. LPA reviewed one client psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child on site that is currently prescribed psychotropic medication. (See LIC 812) During the inspection the LPA observed the following deficiencies Administrator file missing. The facility is being cited for Documentation of successful completion of training is required to be maintained in the personnel record for each direct care staff member by STRTP ILS § §87065.1(e)(7) LPA provided a copy of this licensing report to Administrator Charles Oheari.

met_with: Administrator Charles Oheari


summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2022, at 11: AM Licensing Program Analyst (LPA) Cynthia Urena conducted a case management inspection based on information received during the annual inspection that was conducted on August 31, 2022. LPA Urena met with Facility Manager Doris Santiago and conducted a walk through of the facility. LPA Urena observed that the facility did not have the updated personal rights posted as advised by LPA on August 31, 2022. Facility is being cited for the violation of Interim Licensing Standard (ILS) 87072(a)(1). Each facility licensed to provide foster care for children and nonminor dependents shall post a current listing of a foster child's rights, as specified in Health and Safety Code Section 1530.91. (1) The rights listed on this posting shall be consistent with the list of rights specified in Welfare and Institutions Code section 16001.9(a) and as set forth in this Section. LPA conducted an inspection of all clients mattresses. LPA observed that C1-C4 have mattresses that were ripped, stained, and in need of replacement .C2 has a broken bed frame. The dresser that is located in C5's room has a top drawer that is missing handles. Facility is being cited for violation of Interim Licensing Standard (ILS) 87088(c)(1) (c) The licensee shall provide and make readily available to each child the following furniture, equipment and supplies necessary for personal care and maintenance of personal hygiene:(1) An individual bed maintained in good repair; equipped with good springs and a clean mattress; and supplied with pillow(s) which are clean and in good repair. Based on confidential interviews conducted by LPA on August 31, 2022 it was reported that clients are having issues with the food the facility is providing. Confidential interviews stated that clients are not being offered to be part of the menu planing or grocery shopping as they were before. LPA additionally observed that the weekly lunch menu options has the same food options for the weeks of 08/01/22 through 09/18/222. Facility is being cited for violation of Interim Licensing Standard 87076(6) As agreed, upon with a licensee, a child shall have the opportunity to plan meals, grocery shop, and store and prepare food. Continued on page Lastly, staff did to report the incident that occurred 09/03/22 within the required time frame as specified on Interim Licensing Standard (ILS) 87061(j)(1) The incident involved injury to C1, and law enforcement was contacted. Community Care Licensing received an email of the report on 09/07/22 which was four days after the incident had occurred. The facility is being cited for violation of Interim Licensing Standard (ILS) 87061(j)(1) The licensee shall submit reports to the Department, using form LIC 624-LE or a report containing all the information required in LIC 624-LE, regarding any incident that involves law enforcement contact with a child in the facility. (1) The licensee shall make an initial report to the Department no later than the next business day following each incident. The initial report shall include all information described in Section 87061(j)(2)(A) through (E) that is known to the licensee at the time the report is made.


summary: Facility Evaluation

raw_content:
Narrative:
On February 1, 2023, at 11: AM, Licensing Program Analyst (LPA) Cynthia Urena arrived unannounced to Stella Maris Growth Center III Short-Term Residential Therapeutic Program (STRTP). LPA Urena met with Facility Manager, Doris Santiago to deliver the finding of a case management. On November 10, 2022, Community Care Licensing (CCL) received a Special Incident Report indicating that Client 1 (C1) was found unconscious on the facility's front yard by two staff members (S2, S3). Additionally, it was reported that prior to the incident a vehicle was observed passing by the facility. It was also reported that S2 and S3 saw someone knocking at the front door of the facility, however, the report did not specify any other details. Due to the inconsistency of the report a case management was initiated to gather additional information. On December 12, 2022, at 11: AM, LPA Urena arrived at the STRTP to initiate a case management. LPA Urena was met by staff 1 (S1) who granted LPA Urena access into the home. LPA conducted a health and safety inspection, and no immediate deficiencies were observed. Furthermore, LPA Urena attempted to view the STRTP's video camera recordings for the nights of October 31, 2022, to November 1, 2022, however, LPA Urena was informed that the recordings were no longer available. LPA Urena also reviewed Client 1 (C1's) file and conducted an interview with one staff (S1). LPA Urena attempted to conduct an interview with C1, however, C1 could not be reached for an interview. LPA Urena also interviewed two witnesses. During interviews, LPA Urena received contradictory information related to the incident. It was reported that the staff member who witness the events was not the same staff member who wrote the report. Although the incident was reported to CCL within the required timeframe the report did not contain all the required information relevant to the incident that was being reported. Moreover, LPA was unable to obtain video footage as it was stated in the incident report that staff observed the incident via the facility camera. **Continued on LIC C page 2** **Continued from LIC 809 page 1** It was indicated that the videos were deleted and no longer available. Therefore, STRTP is being cited for not reporting according to Interim Licensing Standard (ILS) SECTION 87061(i)(1)(2) REPORTING REQUIREMENTS. An exit interview was conducted and a copy of this report, along with LIC D, and appeal rights was provided to Facility Manager, Doris Santiago.


summary: Facility Evaluation

raw_content:
Narrative:
On April 25, 2024, at 5:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility for the purpose of conducting interviews. LPA Linley toured the facility with Charles Ohaeri, Facility Administrator. LPA inspected three bedrooms and two bathrooms. Upon inspecting bathroom #1, the bottom of the cabinet floor underneath the sink was wet and the board was warped and damaged. In bathroom #2, the walk in shower had mold on the bottom of the floor, the sides of the shower, and the shower door. The shower faucet was dripping and could not be fully turned off during LPA's inspection. There were missing drawer knobs to pull out the dresser drawers in bedroom #2 and #3. Based on LPA's observation, the facility is cited for violation of the California Code of Regulations, Title Division Six, regulation 80087(a) Buildings and Grounds. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Charles Ohaeri. A copy of this report and appeal rights were given to Charles Ohaeri. A copy of this report will be placed in the facility file.

met_with: Charles Oheri


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 08/28/24, Licensing Program Analyst (LPA) Maryjane Perez arrived at facility to initiate a complaint investigation and conducted a health and safety inspection. During the inspection, LPA observed two holes in the hallway leading to the bedrooms, two holes in clients bedroom, and a hole in another clients bedroom. Additionally in the master bathroom the sink was clogged with dirty water underneath the sink the cabinet door was broken. Facility manager stated that there was a maintenance order placed for the holes and provided a picture of the text to maintenance. Regarding the clogged sink, FM stated that this happened today and maintenance is coming to fix it today. Based on LPA's observation, the facility is cited for violation of the California Code of Regulations, Title Division Six, regulation 80087(a) Buildings and Grounds: The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. See Lic 809d

Deficiencies:
80087(a): Buildings and Grounds

met_with: Facility Manger- LaKeicha Donalds

title: Buildings and Grounds


summary: Facility Evaluation

raw_content:
Narrative:
On 01/02/2024 at approximately 10: AM, LPA Joon Choi conducted a case management with Facility Manager Lakeicha Donald. The purpose of the case management was to address two deficiencies that were observed during a health and safety inspection of the facility that was conducted during a 10-Day complaint visit. During the health and safety visit, LPA observed that the window in client room #1, would not open and was apparently stuck in place, and also a drawer in room #1 is inoperable. The dresser drawer in client room #2 is not on stable footing as it "wobbles." LPA also observed there was a distinct sewage related odor in the restroom of client room #3, which is the privilege room where the client's have their own restroom. During the case management, LPA interviewed one staff and three clients. The facility is being cited for violation of Interim Licensing Standards (ILS) section 87072(c)(1), Personal Rights: The Licensee shall ensure that each child...live ina safe, healthy and comfortable home. Type A violation for the sewage related odor and Type B violations for the broken window and dresser drawers. An exit interview was conducted and Facility Manager Lakeicha Donald was provided with a copy of this report, LIC 809D and appeal rights.

met_with: Lakeicha Donald, Facility Manager


facility_name: STEPSS RESIDENTIAL FACILITY FOR YOUTH

summary: Facility Evaluation

raw_content:
Narrative:
On December 09, 2025, Licensing Program Analysts (LPA) Cynthia Robinson and Licensing Program Manager (LPM) Cheraki Davis met with STEPSS Residential Facility for Youth, applicant Regina Napper to complete Component II, the face-to-face interview, for the Short Term Therapeutic Residential Program (STRTP) application process. Also present were prospective Administrator, Hilary Moffet and prospective Administrator Assistant, Arsema Clayton. The applicant previously attended Component I, the STRTP orientation, on November 22, 2022. The purpose of today's meeting was to address any questions or concerns and to review the application packet and process, ensuring that the applicant, designated administrator, and all relevant parties understand and can provide the services outlined in the Program Statement and Plan of Operations in compliance with Community Care Licensing regulations. LPA reviewed the application documents, addressing and correcting discrepancies on the LIC forms required for STRTP application. Policies and procedures submitted as part of the application, including discipline policies, program description, population to be served, and personal rights, were also reviewed. The facility staff plan was discussed to ensure compliance. The applicant does not yet have direct care staff but stated that a temporary staffing plan is in place. LPA provided the applicant with the corrections of the submitted LIC forms, Plan of Operation and Program Statement. LPA informed the applicants and attendees of the next steps in the application process and applicants stated they will work on revisions and submit by December 19, 2025. An exit interview was conducted, and a copy of this report was provided to the applicant.

met_with: Applicant, Regina Napper


facility_name: STOCKDALE BOYS CENTER

raw_content:
Narrative:
Information obtained through confidential interviews and a virtual walk through inspection revealed that the GH has an ample amount of perishable and non- perishable foods available to clients. Staff indicated clients are provided three meals a day that adhere to U.S. Department of Agriculture guidelines with an option for snacks between meals. Staff indicated that some snacks (Sweat snacks) are locked up due to clients trying to make meals out of them causing an unbalanced diet. Information obtained from C1 and C4 revealed that the facility has plenty of food available and further disclosing that some clients like eating out every single meal if they could. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the GH Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was sent via email to the GH Administrator.

Investigation Findings:
13On May 20, 2021 at 4:30 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a teleconference inspection to the above Group Home (GH) and met with GH Administrator Marcy Madison. The purpose of the teleconference was to deliver the finding for the above complaint allegation. The investigation to the above allegation was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with Administrator (ADM) on 5/13/21, 3 staff members (S1, S2, S3) on 5/17/21, 2 of 5 clients (C1 and C4) on 5/17/21 and 3 clients (C2, C3 and C5) declined to be interviewed. (Reference Confidential Names Form LIC 811, dated November 10, 2020). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: STOCKDALE BOYS CENTERFACILITY NUMBER: VISIT DATE: 05/20/2021

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

met_with: Marcy Madison - Administrator


raw_content:
Narrative:
However, when the client is out on community pass, C1 does not watch their insulin and consume whatever they want to eat. C1 was taken to the hospital due to high sugar levels; C1 is not calculating intake of carbs. When C1 was first placed at the facility, staff cooked and prepared separate meals for them but they refused to eat. The physician informed C1 can have whatever they want to eat and check blood sugar levels and adjust with insulin. Trained staff observe the administration of insulin. Insulin is self-administered by the client. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Based on the information gathered, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On December 14, 2023, at 4: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of a complaint investigation. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: Administrator, three staff, and two clients on June 7, 2023. The LPA was unable to contact the County Social Worker (CSW) after several attempts. The LPA reviewed Needs & Services Plan, Child and Family Team (CFT) Meetings, Blood Glucose Target Range, Blood Sugar Logs, 90-day Clinical Reviews, Intensive Care Coordination (ICC) Service Note, and material about diabetes; medications, checking the blood sugar, insulin for client (C1, see Confidential Names LIC 811, dated December 14, 2023). It was alleged that facility staff did not assist minor with their medical issue. Staff denied the allegation stating client's insulin intake is checked every four hours. Staff check and watch C1's insulin and diet. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: STOCKDALE BOYS CENTERFACILITY NUMBER: VISIT DATE: 12/14/2023

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

met_with: Yolanda Hernandez, Rehabilitation Specialist


raw_content:
Narrative:
The Administrator indicated that they were unaware of an incident regarding this allegation and that no one had disclosed this type of incident. The Administrator specified that they were surprised at the allegation, because Ref. #2 was afraid of Ref. #1. The LPA was unable to obtain sufficient evidence to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On August 14, 2025 at 3:35 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation involving Clients (see Confidential Names, LIC Ref. #1 and #2 dated August 14, 2025). The LPA met with Administrator, Marcy Mardison and Supervisor, Delphine Luster. On May 5, 2025, Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: two clients, Ref. #1 at the facility on May 7, 2025 and Ref. #2 at the new placement on May 28, 2025; the Administrator on August 6, 2025. After a few attempts the LPA was unable to contact the clients' authorized representatives. The LPA reviewed the clients' Needs & Services Plan and incident reports. There was a statement that Ref. #2 pulled a knife on Ref. #1 and threatened Ref. #1 if Ref. #1 did not perform oral copulation on Ref. #2. Ref. #1 refused to participate in the investigation. Ref. #2 denied the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: STOCKDALE BOYS CENTERFACILITY NUMBER: VISIT DATE: 08/14/2025

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

met_with: Marcy Madison


summary: Facility Evaluation

raw_content:
Narrative:
On 10/26/2020 at 11: AM, Licensing Program Analysts (LPAs) Juliet Robles and Janeth Chavez conducted a post-licensing virtual inspection of the Short Term Residential Therapeutic Program (STRTP) and met with the Administrator Marcy Madison. The (LPAs) along with the facility staff conducted a virtual tour of the facility inside and outside. There are 5 clients currently residing in the home. Tour: (11:35AM) The following was observed during the inspection. The facility is a single-family home in a residential neighborhood. There is a family room, dining area, kitchen, 3 bedrooms, 2 bathrooms, group home office, garage, patio and back yard. All areas are appropriately furnished. The facility is clean, safe, and sanitary. There is adequate supply of perishable and non-perishable food. Kitchen utensils, dishes, glasses were found clean adequate and in good condition. There is a refrigerator and freezer in the garage. The facility provides nutritious snacks between meals and the weekly menu is posted by the kitchen area. Medications, first aid kit, all cleaning supplies and laundry detergent, sharp knives, client files are stored and secured out of the reach of clients. The facility license, emergency disaster plan, activity calendar, ombudsman complaint procedure and personal rights were observed to be posted on the wall. The smoke alarm, fire extinguishers and carbon monoxide monitor are in good working condition. There are no bodies of water on the property. The Administrator stated that there are no firearms or any other item that may be considered as weapon in the Facility. Fire/earthquake drills are conducted once a month and kept in a log. There were no physical plant deficiencies noted at the time of this inspection. Report Continues on Next Page At 12: PM LPAs interviewed two staff. A file review was conducted at 1:00PM and included 2 staff files and 2 clients files. There are currently two clients taking medication. Client files contained an original admission agreement. Files for clients currently taking prescribed medication contained all the required documentation such as the medical consent forms and authorizations. Overall, clients are provided adequate services in accordance with their needs and services plan and are being updated. Staff files contained criminal record clearances or exemptions and child abuse index check, job descriptions, required training and work evaluations. All documents were complete and signed by employee. All staff requiring training, including Mandated Reporter, Emergency Intervention, initial and annual training, was current. All adult individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemption. In accordance with California Code of Regulation, Title 22, Division 6. Exit interview was conducted. A copy of the LIC 809, LIC 809C, LIC 858, and LIC859 were provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/27/21 at 10:30AM, Licensing Program Analysts (LPAs) Janeth Chavez and Raymond Wu conducted an unannounced Annual/Required, on site inspection, at the Facility to evaluate compliance with rules and regulations, and to assess the Facility's continuing ability to meet regulatory requirements. The LPAs met with Facility Manager Supervisor, Delphine Luster and stated the purpose for the inspection. Facility Administrator arrived to facility at noon. Upon LPAs arrival there are 5 clients present in the facility. At 11: AM, LPAs along with Staff 1 conducted a walk through of the entire grounds and observed the overall maintenance and operation of the Facility. The Facility is licensed to provide 24-hour services and supervision to male clients ages 12 to 17 and Non-minor dependents. LPAs did not observe any bodies of water. At the time of this inspection, the LPAs observed the clients being supervised by two staff members and the staff appeared to be providing proper care and supervision. At the time of this inspection, the facility physical plant level of maintenance meets regulatory requirements and is in good repair. Passageways are unobstructed. No disinfectants/cleaning materials were accessible to clients. There are plenty non-perishable foods for one week and perishable food for more than two days, and there were plenty meal snacks. The medications are locked and only accessible to staff capable of administering the medications. Facility operates within license conditions and limitations including capacity limitations. The Facility license is posted in a prominent place. The fire extinguisher and smoke alarms including the carbon monoxide monitor are operational. The first aid kit is available and complete. During the inspection process the Administrator provided the following: Staff Training Handbook; Emergency Disaster plan, and facility file indicating emergency drills have been conducted, and their Disaster and Mass Casualty Plan; Facility Sketch and fire escape plan; Planned Activity Schedule; Meals Menu for past three months; Current Personal Rights Listing and reporting requirements; Neighborhood complaint procedures; Biannual review of Emergency Intervention Plan; Monthly Log of Restraints; Medication Log; List of staff certified (in writing) to use or participate in emergency intervention (restraints). At 11:30AM, the LPAs reviewed a random sample of staff/personnel and minor/non-minor dependents records. Client and staff records were complete and up to date. The Administrator provided the Client's Roster, Personnel LIC 500, and staff schedule. All individuals who work at the facility, or have contact with clients, have a current criminal record clearance or exemption, Child Abuse Index Check clearance/Live-Scan fingerprints and/or association. LPAs inspected the facility operational requirements, planned activities, register of clients, safeguards for children/youth's cash allowances, emergency procedures, emergency intervention plan, and emergency intervention staff training, documentation and reporting requirements. The facility staff ratio meets regulatory requirements. The Administrator and staff are fully qualified to perform their assign duties of their individual position. As per administrator, Staff are instructed to report personal rights violations and to provide a safe, healthy and comfortable environment to clients in care. All clients in placement attend school, extracurricular, cultural, and personal enrichment activities. Clients can contact CCLD or Foster Care Ombudsman in confidence without threats, punishment or retaliation. The facility uses a Toyota Sienna as a means for transporting clients to and from school, extracurricular activities and medical appointments. The van seats 7 passengers. The facility maintains a mileage and maintenance log of the vehicle and have current vehicle insurance. LPAs inspected the van and contains all safety fixtures required by law. The Facility Administrator ensures that Title 22 along with the Facility Program Statement, Staff Training Handbook and other Group Home requirements are followed and understood. Also, that reporting requirements are followed and enforced. At the time of this inspection, LPAs observed no specific reason for concern and did not observe hazards, and/or obvious health and safety issues in the Facility premises. At the time of this inspection the Facility is operating within Title 22 requirements. An exit interview was conducted and Copy of this report, Clients Record/Resident's Records Review (LIC 858), Staff Of Staff/Volunteer Records Review (LIC 859) were provided to the Facility Administrator.

met_with: Delphine Luster


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin on 12/01/22 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Marcy Madison, Administrator, and inspected the facility inside and out. LPAs reviewed two (2) children's records and two (2) staff personnel files on site at the facility. LPAs reviewed two (2) children's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facilities policies and procedures of operation. LPAs were unable to interview children currently prescribed psychotropic medication due to refusal. LPAs provided a copy of this licensing report to Marcy Madison, Administrator. No deficiencies are being cited at this time. LPAs conducted exit interview with the Administrator.


summary: Facility Evaluation

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Narrative:
On November 15, 2023, at 12:57 p.m., Licensing Program Analyst (LPA) John Bonilla arrived at the Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of conducting an unannounced Case Management inspection regarding a Special Incident Report (SIR) received by the Department on November 6, On November 6, 2023, the Department received an SIR stating that on October 24, a client (C1) (see LIC Confidential Names list dated 11/15/23) had become angry after several incidents that morning led to C1 being shadowed by STRTP Facility Manager (S1). S1 interrupted what was perceived to be a drug purchase when an unknown vehicle approached the facility. C1 stormed into facility, again followed by S1, where C1 began destroying property such as walls and televisions and began making threats of violence against S1, another facility manager present (S2), and the Mental Health Specialist (S3). C1 broke into the facility's office, causing further destruction inside the office, including breaking open the facility's medication cabinet and ingesting prescription pills belonging to self and others. Paramedics were called upon staff observing C1 emptying pill bottles into mouth. Paramedics responded after police arrived, resulting in C1 being taken to hospital. During this inspection, LPA interviewed the three facility staff present on the day of the incident. LPA asked for pertinent documents such as C1's NSP, Staff and Client Roster, the Safety Plan devised for client upon placement, relevant SIRs, and staff training related to de-escalation techniques. No deficiencies were cited during this inspection. A signed copy of this report and LIC811 were provided to Delphine Lester. Exit interview conducted. Further follow-up is required.

met_with: Delphine Lester, Facility Manager


summary: Facility Evaluation

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Narrative:
On December 7, 2023, at 11:10 a.m., Licensing Program Analyst (LPA) John Bonilla arrived at the Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of following up on an unannounced Case Management inspection regarding a Special Incident Report (SIR) received by the Department. LPA met with Delphine Lester, Facility Manager. On November 6, 2023, the Department received an SIR stating that on October 24, a client (C1) (see LIC Confidential Names list dated 11/15/23) had become angry after several incidents that morning led to C1 being shadowed by STRTP Facility Manager (S1). S1 interrupted what was perceived to be a drug purchase when an unknown vehicle approached the facility. C1 stormed into facility, again followed by S1, where C1 began destroying property such as walls and televisions and began making threats of violence against S1, another facility manager present (S2), and the Mental Health Specialist (S3). C1 broke into the facility's office, causing further destruction inside the office, including breaking open the facility's medication cabinet and ingesting prescription pills belonging to self and others. Paramedics were called upon staff observing C1 emptying pill bottles into mouth. Paramedics responded after police arrived, resulting in C1 being taken to hospital. During the inspection, LPA interviewed the three facility staff present on the day of the incident. LPA asked for pertinent documents such as C1's NSP, Staff and Client Roster, the Safety Plan devised for client upon placement, relevant SIRs, and staff training related to de-escalation techniques. LPA also reviewed STRTP's Program Statement. Investigation and confidential interviews revealed that during the incident, STRTP attempted to de-escalate a situation and called law enforcement as per Program Statement procedure, but a manual restraint was not performed due to safety concerning size and weight ratio. . No deficiencies were cited during this inspection. The STRTP was given a Technical Violation and a Technical Advisory. See LIC9102TV and LIC9102TA. A signed copy of this report, LIC9102TV and LIC9102TA were provided to Delphine Lester. Exit interview conducted. Appeal Rights provided. No further action is required.


summary: Facility Evaluation

raw_content:
Narrative:
On December 7, 2023, at 11:10 a.m., Licensing Program Analyst (LPA) John Bonilla arrived at the Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of conducting an unannounced Case Management inspection. LPA met with Delphine Lester, Facility Manager. During a tour of the facility on November 15, 2023, LPA observed a hallway bathroom for the clients, and three bedrooms for the clients. One of the bedrooms is a "master bedroom" which has its own restroom, only accessible through the bedroom itself. No deficiencies were cited during this inspection. The STRTP was issued a Technical Violation. See LIC9102TV. Exit Interview conducted. A signed copy of this report and LIC9102TV were provided to Delphine Lester. No further action is required. Appeal Rights provided.


summary: Facility Evaluation

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Narrative:
On November 13, 2024, at 12:27 p.m., Licensing Program Analyst (LPA) John Bonilla arrived unannounced at Stockdale Boys I Short Term Residential Therapeutic Program (STRTP) for the purpose of conducting a Required - Year inspection. LPA met with Delphine Luster, Facility Manager Supervisor. A tour of the facility was conducted, and LPA reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, and Core/Therapeutic Services. LPA also interviewed or attempted to interview four (4) clients. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked in a closet and sharps are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in office. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 69 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. No more than 2 clients share a bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. ... Operational Requirements: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. The board of directors regularly conducts meetings to review and discuss the STRTP's operation. Cash resources are kept on the facility premises in a locked and secure location. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Core/Therapeutic Services: Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. During today's inspection, the STRTP was provided four (4) Advisory Notes/Technical Violations (LIC9102TVs). An exit interview was conducted A signed copy of this report, LIC Confidential names list dated 11/13/24, LIC9102TVs, and appeal rights were provided to Delphine Luster. A follow-up is required to complete inspection.


summary: Facility Evaluation - 1 deficiency

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Narrative:
On January 14, 2025, at 11:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up inspection at Stockdale Boy Center I, a Short-Term Residential Program (STRTP), for the purpose of continuing an Annual inspection. LPA met with Delphine Luster, Facility Manager Supervisor. During this inspection, LPA reviewed the remaining domains in the Compliance and Regulation Enforcement (CARE) tool: Staff Records and Client Records. Staff Records: LPA reviewed four (4) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review are fingerprint cleared and associated to the facility at the time of the inspection. Client Records: LPA reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records reviewed include, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. During today's inspection, the STRTP was issued one (1) Type B deficiencies and provided six (6) Technical Advisory Notes/Technical Violations (LIC9102TVs). An exit interview was conducted. A signed copy of this report, LIC809-D, LIC Confidential names list dated 01/14/25, LIC9102TVs, and appeal rights were provided to Ms. Luster. Inspection complete.

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

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Narrative:
On May 2, 2025, at 12:45 p.m., Licensing Program Analysts (LPAs) Ashley Ruacho and John Bonilla conducted an unannounced Case Management - Incident inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an incident report (IR) received by the Department. LPAs met with Delphine Luster, Facility Manager. On March 27, 2025, the Department received an IR stating that an incident had occurred on March 26, 2025 regarding a client (C1) (See LIC Confidential Names list dated 05/02/25) who had been found in possession of two BB guns and two knives while away from the facility. During this inspection, LPAs requested documents including client roster, facility personnel report, school information, and viewed C1's needs and services plan. LPAs interviewed two staff and one client. No deficiencies were issued at this time. Exit interview conducted. Due to limited information, a continuation of this case management is required.

met_with: Delphine Luster, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 4, 2025, at 12:00 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Incident follow-up inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an incident report (IR) received by the Department. LPA met with Delphine Luster, Facility Manager. On March 27, 2025, the Department received an IR stating that an incident had occurred on March 26, 2025 regarding a client (C1) (See LIC Confidential Names list dated 05/02/25) who had been found in possession of two BB guns and two knives while away from the facility. During this inspection, LPA discussed findings with the STRTP Facility Manager, including that the client did not store the weapons at the STRTP, and that the incident occurred away from the facility and staff supervision. Confidential interviews revealed inconsistent statements as to whether the client ever brought the items into the STRTP. Professional contacts did not have any concerns at this time. No deficiencies were issued at this time. Exit interview conducted. Signed copies of this report and LIC811 were provided to Delphine Luster, Facility Manager. No further action required.


summary: Facility Evaluation

raw_content:
Narrative:
On August 4, 2025, at 12:21 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Incident inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an incident report (IR) received by the Department. LPA met with Delphine Luster, Facility Manager. On August 1, 2025, the Department received an IR stating that an incident had occurred on July 31, 2025 regarding two clients (C1, C2) (See LIC Confidential Names list dated 08/04/25) alleging that a third client had touched them on separate occasions in an inappropriate sexual manner. During this inspection, LPA interviewed three (3) clients, a fourth declined to be interviewed. LPA also interviewed two staff. No deficiencies were issued at this time. Exit interview conducted. Signed copies of this report and LIC811 were provided to Delphine Luster, Facility Manager. Follow up is required.


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2025, at 11:15 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Incident follow-up inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an incident report (IR) received by the Department. LPA met with Delphine Luster, Facility Manager. On August 1, 2025, the Department received an IR stating that an incident had occurred on July 31, 2025 regarding two clients (C1, C2) (See LIC Confidential Names list dated 08/04/25) alleging that a third client (C5) had touched them on separate occasions in an inappropriate sexual manner. During this inspection, LPA interviewed one client and one staff. Throughout the case management inspections, LPA interviewed four clients and three staff. Staff stated that the nocturnal shift is responsible for monitoring clients and doing room checks, and denied that such an incident occurred. Confidential interviews revealed animosity between the clients, and conflicting statements, including two of four clients, regarding whether the alleged incident occurred or not. No Title 22 or ILS deficiencies were found during this inspection. Exit interview conducted. Signed copies of this report and LIC811 were provided to Delphine Luster, Facility Manager. Appeal rights provided. No further action required. This is an amended version of the original report created on 10/15/25.


summary: Facility Evaluation

raw_content:
Narrative:
On October 21, 2025, at 10:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Other inspection for the purpose of delivering an amended report of a LIC Case Management inspection, originally delivered on October 15, 2025. LPA met with Yolanda Hernandez, Mental Health Specialist. No deficiencies were cited during this inspection. Exit interview conducted. A signed copy of this report was provided to Yolanda Hernandez, Mental Health Specialist. No further action required.


summary: Facility Evaluation

raw_content:
Narrative:
On November 7, 2025, at 01:45 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an Incident Report (IR) received by the Department. LPA met with Delphine Luster, Facility Manager. On October 30, 2025, the Department received an IR indicating that a client (C1) (See LIC Confidential Names list dated 11/07/25) at the STRTP had an unknown bruise under their right eye, which the client declined to speak to staff about. Relevant Facts and Findings Confidential interviews revealed that the bruise was the result of a quick, random exchange between two clients while in the privacy of their bedroom. Clients stated that staff was present on site, but not in the bedroom and there was nothing that could have prevented the incident as it was random. Interviews revealed that the situation has stabilized and there are no further concerns. No Title 22 deficiencies were discovered during the inspection. A signed copy of this report and LIC811 were provided to facility representative. No follow-up required. Appeal rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 4, 2025, at 12:41 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Proof of Correction (POC) inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). LPA met with Delphine Luster, Supervisor Facility Manager. The STRTP was issued a Type B deficiency during an earlier Case Management inspection, for ILS 87075(c). LPA was presented proof of corrections indicating the staff member who had administered a medication in error had undergone refresher training in the administration of medicine. No additional deficiencies were cited during this inspection. Signed copies of all licensing reports were provided to Delphine Luster. Exit interview conducted. No further action required. Appeal rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 4, 2025, at 10:38 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management inspection at Stockdale Boys Center, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow up on an Incident Report (IR) received by the Department. LPA met with Delphine Luster, Supervisor Facility Manager. On November 19, 2025, the Department received an IR indicating that on November 17, 2025, a client (C1) (See LIC Confidential Names list dated 12/04/25) at the STRTP was administered and given the wrong medication by a staff member. Relevant Facts and Findings LPA's interview revealed that a staff member (S1) grabbed the wrong medication during the morning rush to get the clients to school. S1 realized the mistake and had C1 go to the restroom to spit out medication, then took C1 to urgent care immediately thereafter. C1 was referred to Emergency Room at the hospital instead. C1 was seen by the doctor, and instructed to stay home for remainder of day. S1 underwent retraining on medications as a result. The facility was issued a Type B deficiency during this inspection under ILS 87075(c), which states that "Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(13)." A signed copy of this report and LIC811 were provided to facility representative.No follow-up required. Appeal rights provided.


summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024, at 2: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at the above-named facility the purpose of the visit was to review incident reports. LPA met with Delphine Luster- Facility Manager. On December 3, 2024, LPA met with Delphine Luster- Facility Manager and requested copies of incident reports and law enforcement reports for the last 3 months. In review of documents provided to LPA, an incident on November 21, 2024, was not observed. Police were called out to the facility and a police report was made. LPA asked facility manager if an incident report was sent to CCL. Facility manager could not provide the proof it was sent. Based on this information, the facility is being cited for California Code of Regulations, Title 22, Division Section 87061(j) Reporting Requirements. See 809D. Exit Interview conducted and a copy of this report including LIC 811 (confidential names list) and appeal rights were left with Delphine Luster- Facility Manager

met_with: Delphine Luster- Facility Manager


facility_name: STOCKDALE BOYS CENTER II

raw_content:
Narrative:
Confidential statements obtained during the investigation were unable to corroborate the allegation as there were no statements obtained to support the allegation. Facility staff denied subjecting any physical abuse to facility clients in care or witnessing a staff or a client choke another facility client at any point in time. Based on the information gathered, the allegation is unsubstantiated as the preponderance of evidence to prove the allegation was not met although the allegation may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On May 3, 2022 at 10: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA interviewed facility staff on 2/11/22 and 2/18/22 and facility clients on 5/3/22 (see Confidential Names Form dated May 3, 2022). LPA also reviewed documents including the placing agency service logs and records, the facility client's Needs and Services Plan, facility incident reports, and facility personnel records. It was alleged that a facility client was choked by an unknown individual. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: STOCKDALE BOYS CENTER IIFACILITY NUMBER: VISIT DATE: 05/03/2022

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

met_with: Iraina Holliday, Facility Supervisor