summary: Facility Evaluation

raw_content:
Narrative:
On 08/25/25 at 9:30am, Licensing Program Analyst (LPA) Kristin Pierotti conducted a required annual inspection. LPA met with Desiree Terry, Facility Administrator and informed of the purpose of the visit. LPA used the CARE Inspection Tool and conducted a tour of the facility site, review of 4 personnel records and 1 resident records, and confidential interviews with 2 staff members and 0 residents. Resident was asleep during the time of inspection. LPA observed the facility to be in good condition, clean and well organized. Kitchen and bathrooms are sanitary. The facility currently has 1 resident and they have their own bedroom with an individual bed and plenty of storage for personal items. The rooms and common spaces are nicely decorated and furnished. Medications, sharps, and chemicals are stored where inaccessible to the residents. LPA observed personnel and resident records to be complete and had all necessary documents. Staff have full background clearances and current first aid training certifications. Residents' records contain current emergency contact information, accurate medication records and cash records. The resident has not been in care for 30 days and therefore the Needs and Services Plan is under development. The resident has not had a medical assessment since being placed. The Facility Administrator provided documentation showing requests for resident's insurance and other records to the resident's social worker. Based on interviews, LPA observed staff to be knowledgeable of facility policies, mandated reporting, and intervention procedures. No deficiencies were observed at this time. An exit interview was conducted and a copy of this report, was left with Desiree Terry, Facility Administrator whose signature confirms receipt.


state: CA

facility_name: BELOVED ONES 9

summary: Facility Evaluation

raw_content:
Narrative:
On 11/26/2025 at 10: AM, Licensing Program Analysts (LPA) Cole Oliver and Kaitlyn Wong conducted a quarterly case management inspection in accordance with the terms agreed upon during the January Noncompliance Conference (NCC). LPAs met with Desiree Terry, Facility Administrator, and explained the purpose of the visit. As outlined in the NCC terms and previous inspections, several requirements were reviewed. The LIC 500 was up to date. The administrator is working the required 30 hours per week at the facility. Staff training records are in compliance, with all staff fully trained at the time of hire and receiving additional training on a quarterly basis and as needed. Facility is utilizing a screening process to hire staff. LPAs observed all staff belongings to be locked in a closet in the hallway. No deficiencies were found. LPAs toured the facility and found it to be clean and in good repair. There were two days of perishable foods and seven days non-perishable foods present. LPAs observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. No deficiencies were found at this time. An exit interview was conducted and a copy of this report was left with Desiree Terry, Facility Administrator whose signature confirms receipt.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator, Desiree Terry


summary: Facility Evaluation

raw_content:
Narrative:
On 11/21/2025 at 10: AM, Licensing Program Analysts (LPA) Cole Oliver and Kaitlyn Wong conducted a quarterly case management inspection in accordance with the terms agreed upon during the January Noncompliance Conference (NCC). LPAs met with Tina Gordan, Facility Manager and explained the purpose of the visit. During the visit one staff and no clients were present. During the inspection Desiree Terry, Facility Administrator was unavailable during the time of the LPAs arrival. The facility staff and staff at neighboring Beloved One's facility had no access to the administrator office to retrieve documents required for the NCC inspection. Facility Administrator was over two hours away due to a work assignment but stated they would be heading back to the facility. LPAs toured the facility and found it to be clean and in good repair. There were two days of perishable foods and seven days non-perishable foods present. LPAs observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPAs observed all staff belongings to be locked in a closet in the hallway. LPAs suspended the inspection due to Facility Manager, Tina Gordan having to leave at 11: AM. LPAs exited the facility at 10: AM after attempting to inspect the terms agreed upon during the January Noncompliance Conference (NCC). LPA Oliver will return at a later date to attempt to complete the NCC inspection. (Cont. on LIC809-C) The facility will be receiving a Type B citation under General Regulations Title 22, Division 6, Chapter 1, Article 06. Section: Personnel Records 80066 (e). Refer to LIC809-D At 12: PM Facility Manager, Vanessa Simeon arrived at the facility. An exit interview was conducted and a copy of this report was left with Vanessa Simeon , Facility Manager whose signature confirms receipt.

met_with: Tina Gordan, Facility Staff


summary: Facility Evaluation

raw_content:
Narrative:
On 1/6/23 and 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a case management inspection at Beloved Ones 9 and spoke with Desiree Terry, Facility Manager. The purpose of the inspection was to discuss Administrative Duties and Qualifications During a Post Licensing Inspection dated 11/29/22, LPA Ng found that the former Administrator has left and there was not a qualified Administrator present at the facility. Facility is being cited for violation of Interim Licensing Standards (ILS): 87064(b)(2) Administrator Qualifications and Duties. Please refer to attached 809D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was sent to Desiree Terry, Facility Manager.

met_with: Desiree Terry


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 7/3/23 at 12: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted a case management inspection at listed facility and spoke with Desiree Terry, Administrator. The purpose of the inspection was to discuss an incident involving staff allowing a client to use their personal vape, staff giving money to a client in care, and staff bringing a client to an unauthorized location. When reviewing the termination papers for staff, LPA Ng found that the staff (S1) not only was present when the client was purchasing the vape but also allowed the client to smoke their personal vape. The second staff (S2) in question was also present when the client was handed a vape by S1. S2 also admitted to giving the client cash after being told that they were not allowed. In addition, during investigation, it was discovered that a third staff (S3) was terminated due to the staff bringing the same client to their family members house on 5/29/23. LPA discussed the severity of drug use in the facility and the dangers of bringing a client to an unauthorized location. LPA asked Administrator how they will ensure this will not happen to another client. Administrator said they have trackers in each facility vehicle, will install cameras in the car, and will constantly have conversations with staff regarding vapes and other contraband. The facility is being cited deficiencies per Short-Term Residential Therapeutic Program (STRTP) Health and Safety Code (HSC) 1550 (c), 80072(a)(1) Personal Rights, 80065(a) Personnel Requirements, and 80078(a) Responsibility for Providing Care and Supervision. See the attached LIC9099-D for details. At this time, 4 deficiencies are being cited. An exit interview was conducted, appeal rights were discussed, and a copy of this report was left with Desiree Terry, Admimistrator.

Deficiencies:
80065(a): (a)Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.

title:
1
2
3
4
5
6
780065 Personnel Requirements


summary: Facility Evaluation

raw_content:
Narrative:
On 01/23/2026 at 11: AM, Licensing Program Analyst (LPA) Cole Oliver conducted a quarterly case management inspection in accordance with the terms agreed upon during the January Noncompliance Conference (NCC). LPA met with Tina Gordon, Facility Manager, and explained the purpose of the visit. During the visit two (2) staff member and zero (0) clients were present. Facility Administrator Desiree Terry assisted via phone. As outlined in the NCC terms and previous inspections, several requirements were reviewed. The LIC 500 was up to date. The administrator is working the required 30 hours per week at the facility. Staff training records are in compliance, with all staff fully trained at the time of hire and receiving additional training on a quarterly basis and as needed. Facility utilizes a screening process to hire staff. LPA observed all staff belongings to be locked in a closet in the hallway. LPA toured the facility and found it to be clean and in good repair. There were two days of perishable foods and seven days of non-perishable foods present. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. No deficiencies were found at this time. (Cont.on LIC809-C) The facility has met all conditions of the Non-Compliance Conference which started in January 2024. Quarterly inspections shall cease, and Beloved Ones 9 is no longer on Non-Compliance as of 1/23/2026. An exit interview was conducted, and a copy of this report was left with Tina Gordon, Facility manager whose signature confirms receipt. A copy will be emailed to Facility Administrator, Desiree Terry.

met_with: Facility Manager, Tina Gordon


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hanako Primer on February 17th, 2026 at 10:55AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Primer met with Desiree Terry, Administrator, and Tina Gordon, Supervising Facility Manager and inspected the facility inside and out. One client was in care at the time but was disqualified from file review/interview due to residing at the facility for less than thirty days. LPA reviewed five of staff personnel files on site at the facility. LPA inspected staff training records and training curriculum of the annual and on-hire psychotropic medication training. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA provided a copy of this licensing report to Desiree Terry, Administrator. LPA conducted a physical plant inspection of the facility. No deficiencies are being cited at this time. LPA conducted exit interview with Desiree Terry, Administrator.

met_with: Desiree Terry - Administrator


facility_name: BERHE GROUP HOME INC.

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Regarding the allegation that S1 used inappropriate language toward C1, confidential interviews and record review revealed that on the morning of May 8, 2021, C1 was being disruptive and disturbing the other clients in the STRTP after staff had told C1 to stop. C1 then walked out of the facility without permission and began to play basketball. Confidential interviews revealed that S1 went outside after C1 and verbally redirected C1 to get back inside the STRTP. Furthermore, all confidential interviews revealed S1 does not cuss and S1 was not heard using inappropriate or foul language towards C1 during this occurrence. Confidential interviews revealed S1 said to C1 to go back into the STRTP and that S1 was not trying to argue with C1. Additionally, confidential interviews revealed C1 was the one who cussed and used foul language towards S1. Regarding the allegation that S1 hit C1, one confidential interview revealed during the incident noted above, while S1 and C1 were outside, S1 snatched a basketball out of C1's hand and while grabbing the ball S1 scratched C1's arm. This interview revealed C1 had a swollen scratch that lasted about 30 minutes however no other interviews revealed any scratch or mark was seen on C1. S1 denied the need to grab the ball out of C1's hand and denied S1 scratched or accidentally hit C1. A confidential witness interview revealed S1 did not scratch or hit C1 and only grabbed the basketball out of C1's hands. Furthermore, an interview with CSW revealed CSW had no concerns of the STRTP and that C1 has not disclosed any issues to CSW regarding S1 or any other staff. Additionally, CSW disclosed that C1 has made allegations in the past and then has stated those allegations did not happen. Based on confidential interviews and conflicting statements of what occurred, the allegations that S1 used inappropriate language toward C1 and S1 hit C1, may have occurred, however they are not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report, LIC 811 and appeal rights were explained and given to Facility Manager Cedrick Reliford.

Investigation Findings:
13On July 27, 2021 at 11:00 am, Licensing Program Analyst (LPA), Jessica Rubio arrived at Berhe Group Home (STRTP), Lead Staff Betty Winfree granted access to the STRTP. LPA Rubio met with Facility Manager Cedrick Reliford, to discuss the investigative findings of the allegations listed above. On May 19, 2021 at 10:30 am, LPA Rubio conducted a safety inspection of the facility. No safety hazards were observed and no deficiencies were cited. During the investigation, confidential interviews were conducted with clients 1 - 6 (C1, C2, C3, C4, C5, C6), staff 1 and 2 (S1, S2) and county social worker of C1 (CSW). LPA Rubio obtained copies of the client and staff rosters and the needs and services plan for C1. On May 14, 2021, Community Care Licensing (CCL) received a complaint alleging staff member used inappropriate language toward minor and staff member hit minor; specifically, that S1 got into a verbal altercation with C1 and S1 hit C1 on C1's arm. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Christina Barnes LICENSING EVALUATOR NAME: Jessica M Rubio LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 07/27/2021

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

report_type: Complaint Investigation

met_with: Cedrick Reliford

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
the facility had motion sensors. Record review and confidential interviews corroborated that residents would crawl in and out of each other's rooms in order not to be detected by motion sensors. Based on confidential interviews and record review the allegation lack of supervision resulted in foster child (Child #1 [C1]) being sexually abused is substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of California Code of Regulations (CCR) regulation 80078(a) The licensee shall provide care and supervision as necessary to meet the client's needs. The facilities violation of CCR regulation 80078(a) requires the facility to be assessed an immediate civil penalty per Health and Safety Code 1548(c)(1). An Enhanced Civil Penalty (ECP) determination is pending. If an ECP is assessed a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of the report was discussed and provided along with Civil Penalty assessment and appeal rights to Berhe Group Home Inc., Facility Manager, Cedric Reliford.

Investigation Findings:
13On November 22, 2022 at 11:00 am Licensing Program Analyst (LPA), Nicole Strickland, met with Berhe Group Home Inc., Facility Manager, Cedric Reliford to deliver the finding for the above stated allegation. The investigation was conducted by Special Investigator (SI) Marlon Williams and LPA Strickland and included interviews with two foster youth (Child #1 [C1] and Child #2 [C2], three staff (Staff #1 [S1], Staff #2 [S2], and Staff #3 [S3]), and Administrator (ADM). In addition, county records and facility records were reviewed. On May 17, 2022, Community Care Licensing (CCL) received an allegation lack of supervision resulted in foster child (Child #1 [C1]) being sexually abused. Specifically, it was reported C1 was sexually abused by other residents in care while staff were in other rooms of the facility. Confidential interviews provided consistent statements of sexual acts taking place in the resident's rooms at night when staff were busy performing other duties. Confidential interviews reported that the doors to residents' rooms and hallways in SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 11/22/2022

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

met_with: Cedric Reliford

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
C1 lashed out at C2 and threw a cup at C2 stating C2 was laughing at C1. C2 then hit C1 by C1's right eye. The staff asked the clients to break it up and the clients stopped. C1 walked outside to the front of the facility. Two staff were in the kitchen supervising the clients. The incident happened so fast that the staff were unable to prevent it. C1 sustained a small mark, the size of pencil lead, under C1's right eye. The staff provided ice to C1. It was further reported C1 and C2 got along like brothers. Sometimes they got along and there were no incidents. Other times, both clients instigated arguments with each other and sometimes hit each other. The LPA received consistent information the staff intervened when the clients fought with each other. The staff always asked the clients to stop and separated the clients. The clients were very young and were always messing with each other or trying to get each other in trouble. The staff constantly had to redirect the clients. The LPA received consistent information the clients were never left unsupervised and there were two to four staff working when the clients were present at the facility. The LPA did not receive any evidence to support the staff did not prevent altercations between the clients. However, other confidential information was received indicating C2 beat up C1 six to 12 times and sometimes the staff did nothing. The staff told C1 to go back inside the facility, while C2 was allowed to continue playing. Based on confidential interviews, the allegations C1 sustained bruises on C1's cheek, underneath C1's eye and a scratch under C1's eye from another client and C1 gets beats up every other day by the client may have happened or are valid, however there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were provided to Betty Winfree.

Investigation Findings:
13On 03/15/23 at 3: PM Licensing Program Analyst (LPA), Belinda Torres, met with Bettty Winfree, Lead Staff, for the purpose of issuing the investigative finding to the allegations listed above. The LPA inspected the facility on 05/24/22 at 9: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with five out of five clients and four staff. On 05/15/22, Community Care Licensing (CCL) received a complaint alleging on 05/14/22, client #1 (C1) was observed to have bruises on C1's cheek, underneath C1's eye and a scratch under C1's eye which were caused by another client. It was further alleged C1 gets beats up by the other client every other day. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Belinda Torres LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 03/15/2023

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

met_with: Bettty Winfree


raw_content:
Narrative:
information received by Licensing Office stated that these allegations had occurred, and that C1 was sodomized by C2 and sexually assaulted by C3 during the time that they had resided at this facility. SI Jackson was unable to interview C2 and C3 due to their current contact information and whereabouts being unknown. Based on confidential information obtained during the course of this investigation, the allegations that Client # 1 (C1) was sexually assaulted by other minors in care during the time that they had resided at this facility, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Rueben Arrieta conducted an inspection to the facility on November 04, 2022, at 2:18pm. No immediate hazards observed. Special Investigator (SI), Charlotte Jackson interviewed three Staff (S1, S2 & S3), one of three foster children (C1), as well as reviewed client and facility records. Community Care Licensing received information on October 28, 2022, alleging that Client # 1 (C1) was sexually assaulted by other minors in care during the time that they had resided at this facility. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. IB investigator obtained conflicting information during interviews. Confidential interviews denied allegations that C1 was sexually abused or assaulted during the time that they had lived at the facility. According to confidential interviews, C1 never disclosed nor informed facility staff of any alleged sexual assault/s by other clients in the home. While other confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 03/23/2023

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

met_with: Rueben Arrieta


raw_content:
Narrative:
Regarding the allegation that staff failed to pick up a client from school, a confidential witness reported that C1 was not picked up from school after being suspended. Details from confidential interviews denied that staff failed to pick up a client from school. Details gathered from confidential interviews stated that staff completes pick up logs to document school pickups. Additional details gathered from confidential interviews stated that sometimes clients in care would have to wait to get picked up but there were limited details as to how long clients would have to wait or how often this would occur. Based on record review and confidential interviews, the allegation that staff failed to pick up a client from school, may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted, appeal rights were discussed and provided. A copy of the report was given to Travell Washington, Facility Manager.

Investigation Findings:
13On January 26, 2024 at 9:30 am Licensing Program Analyst (LPA), Emina Preciado, arrived at Berhe Group Home Inc. and met with Travell Washington, Facility Manager, to deliver findings on the above-mentioned allegation. LPA Belinda Torres conducted a health and safety assessment of the facility on January 24, 2023 and no immediate deficiencies were observed. The investigation included interviews with two staff (S1 and S2), four out five foster youth (C1, C2, C3, and C5). One of five foster youth (C4), is no longer a foster care dependent, and after multiple attempts, LPA was unable to interview C4 as part of this investigation. In addition, county and facility records were reviewed. On January 20, 2023, Community Care Licensing (CCL) received an allegation that staff failed to pick up a client from school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 01/26/2024

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

met_with: Travell Washington, Facility Manager


raw_content:
Narrative:
Specifically, it was reported that C1 doesn't like the group home because a person there is a freak that does freaky things to C1 and C1 is not allowed to talk about it. It was also reported that C1 alluded this person to be a worker at the group home. During the investigation, there was no corroborating evidence to support the above allegations. Although the Department received detailed information regarding the allegations, confidential interviews revealed conflicting statements to if the incidents occurred. Based on confidential interviews, the allegations that due to lack of supervision C1 is being harassed and staff member makes C1 feel uncomfortable, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP), Aaron Ramsey, Chief Operations Officer.

Investigation Findings:
13On April 03, 2025 at 11:55AM, Licensing Program Analyst (LPA) Sarah Lo met with Aaron Ramsey, Chief Operations Officer, to deliver the finding for the above complaint allegation at Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP). On 06/18/24, LPA Linda Haynes inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with four staff (S1, S2, S3, S4), four clients (C1, C2, C3, C4), and County Social Worker (CSW). LPA was unable to located C5 and C6 for an interview. In addition, the Clients' Needs and Service Plan and County Investigation Narrative were reviewed. On September 09, 2024, Community Care Licensing received allegations that due to lack of supervision minor (C1) is being harassed and staff member makes minor (C1) feel uncomfortable. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 04/03/2025

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

met_with: Aaron Ramsey, Chief Operations Officer


raw_content:
Narrative:
Confidential interviews denied the allegations and revealed that C1 was exhibiting aggressive behaviors towards to S2 by cursing and calling them names. Confidential interviews revealed that S2 verbally redirected C1 to stop jumping on and off the couch, however, C1 did not follow prompt. Other confidential interviews admitted they did not listen to S2's redirections and was misbehaving and that S2 stepped on C1's foot and yelled at C1 to stop misbehaving. Also, it was reported that C1 asked a staff to move themselves because the couch C1 slept on was uncomfortable. Confidential interviews revealed that they were not offered a comfortable bed to sleep on. Other confidential interviews revealed that there were two beds available for C1 to sleep on, however, C1 refused to sleep on the bed and chose to sleep on the couch. Based on confidential interviews, the allegations that S2 engaged in aggressive behavior with C1 in care, staff does not ensure C1 is provided a comfortable bed in good repair and S2 yelled at C1 in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP), Cedrick Reliford, Program Manager.

Investigation Findings:
13On May 21, 2025 at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Cedrick Reliford, Program Manager, to deliver the finding for the above complaint allegation at Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP). On 10/01/24, LPA Linda Haynes inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with five staff (S1, S2, S3, S4, S5), two clients (C1, C2), and County Social Worker (CSW). In addition, the Clients' Needs and Service Plan, Special Incident Report and County Investigation Narrative were reviewed. On September 26, 2024, Community Care Licensing received allegations that staff (S2) engaged in aggressive behavior with youth (C1) in care, staff does not ensure youth (C1) is provided a comfortable bed in good repair and staff (S1) yelled at youth (C1) in care. Specifically, it was reported that a staff hurt C1 for unknown reasons and a staff was heard yelling in the background. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 05/21/2025

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

met_with: Cedrick Reliford, Program Manager


raw_content:
Narrative:
or any other facility staff punch clients or use corporal punishment. Facility staff denied that they used corporal punishment of any kind. County social workers contacted did not have concerns that facility staff punched or hit clients. Another confidential witness informed LPA that facility staff pushed a client on one occasion. Other information received stated the allegation occurred. LPA received conflicting information regarding the allegation. Based on confidential interviews the allegation staff hit minor, may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Cedrick Reliford.

Investigation Findings:
13On September 12, 2025, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz met with Berhe Group Home Inc. Short Term Residential Therapeutic Program (STRTP) Program Director, Cedrick Reliford, to issue the finding for the above allegation involving client (C1) and staff (S1) listed on the confidential names list (LIC 811) dated September 12, 2025. The complaint was jointly conducted by LPA Almaraz and LPA Linda Haynes. On January 29, 2025, at 11: AM LPA Haynes conducted a health and safety inspection of the STRTP, and no deficiencies were observed. Furthermore, LPA Haynes conducted one staff (S1) interview and one client (C1) interview. During the investigation LPA Almaraz interviewed four of five clients (C2, C3, C4, C5), three staff (S1, S2, S3), and contacted four county social workers (CSW2, CSW3, CSW4, CSW5). On January 21, 2025, the Department received a complaint alleging STRTP staff hit minor. It was specifically alleged that on or around January 21, 2025, S1 punched C1 on the right arm. Confidential witnesses provided consistent statements that they had not observed S1...(continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 09/12/2025

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


raw_content:
Narrative:
Other confidential interviews revealed that C1 and C2 were horse playing and it was an accident. Confidential interviews further revealed that staff did not know about the inappropriate touching until a month later because C1 was embarrassed. Other information obtained stated that the allegation occurred. Based on confidential interviews and record reviews, the allegation that staff do not prevent inappropriate interaction between minors, may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to Residential Program Director (RPD) Cedric Reliford.

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

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


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, 2021 at 11: AM, Licensing Program Analysts (LPAs) Cindy Hamilton and Lisi Leon conducted an SB Psychotropic Medication Inspection. During the inspection, LPAs Hamilton and Leon met with Cedrick Reliford, Facility Manager and inspected the facility inside and out. LPAs reviewed three client records on site at the facility at 11: AM. LPAs reviewed three staff personnel files on site at the facility at 3: PM. LPAs interviewed three staff on site at 1: PM. LPAs interviewed one of three clients currently taking psychotropic medication at 1: PM. No deficiencies observed at this time. LPAs conducted an exit interview and provided a copy of this report to Cedrick Reliford, Facility Manager upon completion.

met_with: Cedrick Reliford, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/07/22, Licensing Program Analyst (LPA), Belinda Torres, and CCL Deputy Director, Kevin Gaines, met with Cedrick Reliford, Senior Facility Manager, and Judy Berhe, CEO, for the purpose of conducting an annual random inspection of the facility. No clients were present during the time of inspection. A physical plant inspection was completed. The facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space, including a outdoor basketball hoop. All facility smoke detectors and carbon monoxide detectors are in operating order. Licensee maintains an adequate supply of perishable and non-perishable foods. The menu was posted and food items were present for the listed dinner meal. All required forms are posted including the complaint procedures, visitation policies, LIC 610B Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in a locked box within a double locked file cabinet. The hot water was tested and the reading was 108 degrees. There are three bedrooms with two twin beds in each room. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Each bedroom had a dresser for each client that provides more than three drawers of storage and a closet/portable storage for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. No room is commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. The licensee has current national accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) and current Mental Health Program Approval from the Department of Health Care Services. Licensing fee payments have been paid and there is currently a balance of zero. *** *** The licensee maintains a written record of the facility's emergency intervention plan staff training. The LPA reviewed the board of directors meeting minutes for 06/23/22 and 09/26/22. The meetings are held quarterly. The minutes included the board's discussion of incident reports, outstanding complaints and program operations. There are no deficiencies to be cited at this time. Due to time constraints, the inspection will have to be completed on a subsequent day. The licensee shall send an updated facility sketch to the LPA by 10/14/22. A copy of this report was provided to Judy Berhe.

visit_type: Annual

met_with: Cedrick Reliford & Judy Berhe


summary: Facility Evaluation

raw_content:
Narrative:
On 10/11/22 at 9: AM, Licensing Program Analyst (LPA) Belinda Torres met with Cedrick Reliford, Senior Facility Manager, and Judy Berhe, CEO, for the purpose of continuing the annual random inspection of the facility. During the inspection, the LPA completed a review of five client records. Due to time constraints, the Health Related Services portion of the client file reviews and the remaining portions of the inspection will have to be completed on a subsequent day. There are no deficiencies to be cited at this time. A copy of this report was provided to Judy Berhe.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/19/22 at 10: AM, Licensing Program Analyst (LPA) Belinda Torres met with Cedrick Reliford, Senior Facility Manager, and Judy Berhe, CEO, for the purpose of continuing the annual random inspection of the facility. During the inspection, the LPA completed a review of five staff records, staff interviews and client interviews. The LPA received information that staff are monitoring four out of five clients telephone calls. The licensee does not have court orders prohibiting confidential calls for each of the four clients. Based on record review and interviews, the licensee did not ensure the facility was in compliance with the clients personal right to make, send, and receive confidential telephones and other electronic communications, unless prohibited by court order. The facility is cited under Interim Licensing Standards, Short Term Residential Therapeutic Program, Articles 1 through 10, 87072(c)(8). A copy of this report, LIC Proof of Correction and the appeal rights were provided to Judy Berhe.


summary: Facility Evaluation

raw_content:
Narrative:
On January 9, 2023 at 1: PM, Associate Governmental Program Analyst (AGPA) Kim Robinson met with the short term residential treatment program (STRTP) facility manager, Cedrick Reliford, in order to assess an Enhanced Civil Penalty (ECP). On November 22, 2022, the Department concluded a complaint investigation. The complaint alleged that the nine-year-old child #1 (C1) suffered sexual assault while residing in the STRTP. The allegation of staff failure to properly supervise the children was determined substantiated, and the STRTP was cited from the California Code of Regulations, Title 22, Section 80078 (a) Responsibility for Providing Care and Supervision. An immediate civil penalty of $500.00 was assessed. See the Confidential Names List, LIC 811, dated January 9, 2023. Based on the consistent investigative interviews gathered, the Department has determined that an enhanced civil penalty is warranted for the STRTP staff failing to provide care and supervision for C1, resulting with sexual assault. The Penal Code section 11165.2 defines general neglect as the negligent treatment or maltreatment of a child, including acts or omissions, by a person responsible for the child's welfare under circumstances indicating harm or threatened harm to the child's health or welfare. This section describes a number of more or less direct and (always) willful acts that constitute physical abuse. Pursuant to the Enhanced Civil Penalty law, Health & Safety Code section 1548 (f)(1)(E), the Department will be issuing an immediate civil penalty of $2,000.00. An exit interview was completed, and appeal rights discussed. A copy of this report, the Confidential Names List, Appeal Rights and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the facility manager. The signed copy will be retained in the facility file.

met_with: Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 8, 2024 at 2:09PM, Licensing Program Analyst (LPA) Adaleyci Caballero arrived at the facility to conduct an unannounced collateral visit for the purpose of conducting interviews regarding Berhe Group Home Inc. Facility Number 366401709. Exit interview was conducted and a copy of this report was provided to Facility Manager Travell Washington.

met_with: Facility Manager-Travell Washington


summary: Facility Evaluation

raw_content:
Narrative:
On January 10, 2024 at 1:54PM, Licensing Program Analyst (LPA) Adaleyci Caballero arrived at the facility to conduct an unannounced collateral visit for the purpose of conducting an interview regarding Berhe Group Home Inc. Facility Number 366401709. Exit interview was conducted and a copy of this report was provided to Facility Manager Betty Winfree via email.

met_with: Facility Manager-Betty Winfree


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Sarah Lo on 04/17/24 at 09:30 am. The case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA met with Aaron Ramsey, Administrator and inspected the facility inside and out. LPA reviewed five children's records on site at the facility. LPA reviewed five staff personnel files on site at the facility. LPA reviewed five child's psychotropic medications and medication records. LPA interviewed five children that are currently prescribed psychotropic medication at their assigned school after the facility visit. No deficiencies are being cited at this time. LPA provided a copy of this licensing reporting and conducted an exit interview with Aaron Ramsey, Administrator.

met_with: Aaron Ramsey, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 19, 2025, Licensing Program Analyst (LPA), Jacob Ortega, LPA Raina Perez, and LPM Nicole Strickland, met with Cedrick Reliford, Senior Facility Manager (FM), for the purpose of conducting a two year annual inspection of the facility. LPA's and LPM conducted a physical plant inspection and were assisted by FM. The facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space, including a outdoor basketball hoop. All facility smoke detectors and carbon monoxide detectors are in operating order. Licensee maintains an adequate supply of perishable and non-perishable foods. The menu was posted and food items were present for the listed dinner meal. All required forms are posted including the complaint procedures, visitation policies, LIC 610B Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in a locked box within a double locked file cabinet. The hot water in the client bathroom was tested and the reading was 115 degrees, which is with in regulations. There are three bedrooms with two twin beds in each room. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Each bedroom had a dresser for each client that provides more than three drawers of storage and a closet/portable storage for additional storage. Bedrooms are arranged so that no more than two clients share a room and there is one client per bed. No room is commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. The licensee has current national accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) and current Mental Health Program Approval from the Department of Health Care Services. Licensing fee payments have been paid and there is currently a balance of zero. ****** During the inspection, the LPA completed a review of five staff records and five clients. All records contained required documentation, however FM was unable to provide documentation that QI reports were requested for clients 1-3 (C1-C3). A technical advisory was provided to the facility to document attempts to obtain information. Based on observations and records reviewed, no other health and safety hazards were observed. A copy of this report along with the confidential names list (LIC 811) was provided to the facility manager.

met_with: Cendrik Reilford


summary: Facility Evaluation

raw_content:
Narrative:
On November 22, 2022, at 11:54 am Licensing Program Analyst (LPA), Nicole Strickland, met with Berhe Group Home Inc., Facility Manager,Cedric Reliford to deliver a case management deficiencies report. According to information obtained by Community Care Licensing (CCL) there have been several incidents occurring at the facility which record review was unable to provide evidence of these incidents being reported to CCL as required by California Code of Regulations (CCR) 80061(b)(1)(E) Reporting Requirements. These incidents include an incident between Child # 2 (C2) and Child #4 (C4) which occurred on 2/18/2022, another incident occurring on 2/28/2022 involving Child #1 (C1), and an incident occurring 2/28/2022 between C1 and C2. The facility is being cited for violation of California Code of Regulations (CCR) regulation 80061(b)(1)(E) REPORTING REQUIREMENTS: (b)(1)(E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. A copy of the report was discussed and provided along with appeal rights to Berhe Group Home Inc., Facility Manager,Cedric Reliford


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Leslie Covarrubias on January 26, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Covarrubias met with Cedrick Reliford, Facility Manager and inspected the facility inside and out. LPA reviewed five of child's records and two of staff personnel files on site at the facility. LPA reviewed five of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed three of children currently prescribed psychotropic medication. During the inspection the LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Cedrick Reliford.

met_with: Facility Manager, Cedrick Reliford


raw_content:
Narrative:
Confidential interviews revealed that S1 does not cuss at any of the clients in the home and S1 is not in a gang nor does S1 throw gang signs. Other confidential interviews revealed that the allegation is true. The allegation that staff do not prevent inappropriate interactions between minors specifically refers to the clients in the home "pantsing" each other and C2 putting their fingers in C1's butt on the outside of C1's clothes while C1 was brushing their teeth in the bathroom. Confidential interviews revealed that while the clients in the home were "pantsing" each other staff did intervene however it took several minutes for the "pantsing" to stop. Confidential interviews further revealed that C2 did put their finger in C1's butt. The review of documents did not reveal any need for extra supervision of either C1 or C2. Other information obtained stated the allegation is true. Based on confidential interviews and record reviews, the allegation that S1 does not treat C1 with respect and Staff do not prevent inappropriate interactions between minors, may have occurred, however, they are not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to Residential Program Director Cedric Reliford.

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

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
it would have been very difficult for incident to have happened without staff intervention. While other confidential information received by Licensing Office stated that these allegations had occurred. There were no other known witnessed to these allegations. Based on confidential information obtained during the course of this investigation, the allegation that Child # 1 (C1) was sexually assaulted by another minor in care, more specifically that C1 was sexually assaulted by Child # 2 (C2) while in their bedroom, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Lead Staff, Lakeisha Paxton to discuss the investigative findings for the above stated allegation. Special Investigator (SI), Wilfredo Vasquez conducted an inspection to the facility on May 19, 2021. Special Investigator (SI), Vasquez interviewed Seven Staff (S1, S2, S3, S4, S5. S6 & S7), four foster children (C1, C2, C3 & C4), County Social Worker (CSW), Police Detective (PD), Facility Administrator (FA), as well as reviewed police, client and facility records. Community Care Licensing received information on May 16, 2022 alleging that Child # 1 (C1) was sexually assaulted by another minor in care, more specifically that C1 was sexually assaulted by Child # 2 (C2) while in their bedroom. Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. IB investigator obtained conflicting information during interviews. Confidential interviews denied that C2 had ever sexually assaulted or inappropriately touched C1. Confidential interviews stated that staff provides proper supervision at all times, and that UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 10/14/2022

met_with: Lakeisha Paxton


raw_content:
Narrative:
On June 14, 2022, Community Care Licensing received information alleging that a staff hit a client. It was specifically alleged that S1 smacked C1's hand when trying to get out of a door. A confidential interview described the "smack" as more of a tap and it was unknown if it was an accident or not. Confidential interviews reported that all staff are nice. COO did not have concerns about the care from staff. Based on confidential interviews, the allegation that a S1 hit a C1 in care may have occurred, however, it is not supported or proven by evidence. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Lead Staff Cynthia Sanchez

Investigation Findings:
13On May 30, 2023 at 8: AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Berhe Group Home Inc. Lead Staff Cynthia Sanchez to discuss the investigative findings for the above stated allegation involving a client in the facility. On June 23, 2022, at 2: PM, LPA Belinda Torres initiated the investigation at the facility and a safety inspection was conducted. There were no immediate hazards observed. During the visit, LPA B. Torres interviewed one Client (C1). On March 19, 2023, LPA A. Caballero visited the facility for additional interviews; LPA A. Caballero interviewed three Clients (C2, C3, C4) and one Staff (S2). Staff #1 (S1) was not interviewed due to no longer working at the facility and there was no current contact information. Lpa a. Caballero interviewed Chief Operations Officer (COO) Aaron Ramsey. 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 CCLD Regional Office, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 05/30/2023

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

met_with: Lead Staff- Cynthia Sanchez


raw_content:
Narrative:
Regarding the allegation that staff did not prevent physical altercations between clients, a confidential witness reported that C1 would get beaten up by C3 almost daily. Other confidential interviews denied that staff does not prevent physical altercations between clients. Details from confidential interviews stated that staff will de-escalate and separate clients from one another in order to prevent altercations. Additional information gathered from interviews stated that staff will have clients speak to one another about issues to prevent altercations or have clients sign a behavior contract. Records reviewed and confidential witnesses confirmed that if physical altercations did occur staff would intervene. During CSW visits, C1 was not observed with any marks or bruises. Furthermore, C1 expressed that they felt happy at the facility and enjoyed interacting with C3. Regarding the allegation that staff did not prevent inappropriate interactions between clients, it was alleged that C2 sexually assaulted multiple clients in the home. One confidential interview stated that on one occasion C2 exposed their private area. Other confidential interviews denied that staff did not prevent inappropriate interactions between clients or that C2 sexually assaulted clients. More than one confidential witness confirmed that staff would prevent inappropriate interactions between clients. Records reviewed indicated that C2 was removed from the home. LPA received inconsistent information regarding the allegation. Based on record review and confidential interviews the allegations mentioned above, may or may not have occurred; However, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted, appeal rights were discussed and provided. A copy of the report was given to Lead Staff, Lawrence Villips.

Investigation Findings:
13On September 12, 2023 at 2:47 pm Licensing Program Analyst (LPA), Emina Preciado, arrived at Berhe Group Home Inc. and met with Lawrence Villips, Lead Staff, to deliver findings on the above-mentioned allegations. LPA Belinda Torres conducted a health and safety assessment of the facility on October 19, 2022 and no immediate deficiencies were observed. The investigation included interviews with two staff (S1 and S2), three out of three foster youth (C1, C2, and C3). One of three county social workers (CSW's) did not respond to LPA's request for an interview and was therefore not interviewed. In addition, county records and facility records were reviewed. On October 13, 2022, Community Care Licensing (CCL) received two allegations alleging that staff did not prevent physical altercations between clients and staff did not prevent inappropriate sexual interactions between clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Emina Preciado LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 09/12/2023

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

met_with: Lawrence Villips, Lead Staff


raw_content:
Narrative:
Confidential interviews revealed that C1 was upset and did not follow verbal redirection and became irate towards S1 and hit S1 in the head. Additionally, confidential interviews revealed that S1 pushed and held C1 on the couch to calm C1 down and C1 got their arm out and punched S1 in their nose. Other conflicting interviews revealed that they did not hold down C1 and they did not elbow C1 in their face. Based on confidential interviews, the allegation that S1 engaged in a physical altercation with C1 in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP), Aaron Ramsey, Cheif Operations Officer.

Investigation Findings:
13On April 03, 2025 at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Aaron Ramsey, Cheif Operations Offcier, to deliver the finding for the above complaint allegation at Berhe Group Home, Inc. Short Term Residential Therapeutic Program (STRTP). On 09/06/24, LPA Linda Haynes inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with the Administrator (AD), Senior Facility Manager (SFM) one staff (S1) and six clients (C1, C2, C3, C4, C5, C6). In addition, Clients' Needs and Service Plan and County Investigation Narrative were reviewed. On September 09, 2024, Community Care Licensing received an allegation that staff (S1) engaged in a physical altercation with minor (C1) in care. Specifically, it was reported that S1 and C1 had exchanged a few words and C1 had hit S1 resulting in S1 elbowing C1. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Berhe Group Home INC.FACILITY NUMBER: VISIT DATE: 04/03/2025

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

met_with: Aaron Ramsey, Cheif Operations Officer


summary: Facility Evaluation

raw_content:
Narrative:
On December 7, 2022, at 8: AM Licensing Program Analysts (LPAs) Michael Almaraz and Jose Gonzalez conducted an unannounced annual inspection of the facility. LPA was greeted by facility manager, Cedric Reliford. At 9: AM, the facility was inspected inside and out with Mr. Reliford. The home is a two-story residence with three bedrooms, a mental health office, and three bathrooms. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The temperatures in rooms that clients occupy are maintained between 68 and 85 degrees (F). The hot water temperature was tested and noted to be 117 degrees in the client bathroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored in a lock box that was under double lock and locked in a cabinet in the staff office. Cleansers/chemicals are locked and stored in a locked cabinet in the kitchen and the garage area. Sharp knives are inaccessible and stored in a locked drawer in the recreation room. The First Aid Kit is located in a locked drawer in the recreation room and contains all required items. The facility's smoke detectors located in each bedroom and common areas were checked and were operable. The carbon monoxide detector located in hallway was operable. There are no guns or weapons in the facility as stated by licensee at this time. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, Visitation policies, and current menu. LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The facility outside grounds was observed to be clean and well maintained. Emergency exits were free from obstruction. Facility has a pool that is surrounded by a locked five foot rod iron gate that opens... outward. The bottom of the gate does not measure more than four inches from the bottom. Space between rods does not measure more than four inches. The ground of the fence is concrete. Administrator, Judy Berhe, is present at the facility a minimum of 20 hours a week, as verified by staff schedules. Staff/client ratios were verified during this inspection, and they were in accordance with the regulations. Licensee had obtained their Mental Health (MH) Certification on May 10, 2022. Facility obtained National Accreditation through CARF. Five clients (C1, C2, C3, C4, C5) and five staff records (S1, S2, S3, S4, S5) were reviewed on this date to ensure they contained all required documentation per Interim Licensing Standards. Two out of the five clients were in school at the time of the inspection. Facility appears to be meeting the terms and conditions of their license. Licensing fees have been paid and there is currently a balance of zero. The facility is being cited for violation of the Interim Licensing Standards, Chapter 7. Short Term Residential Therapeutic Program, Articles 1 through 10, Version Health Related Services 87075(b)(1)(A)(1). LPA provided a copy of these reports, along with appeal rights, to Cedrick Reliford.

met_with: Cedrick Reliford


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Sarah Lo on 07/17/24 at 09:08 am. The case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA met with Aaron Ramsey, Administrator and inspected the facility inside and out. LPA reviewed five children's records on site at the facility. LPA reviewed five staff personnel files on site at the facility. LPA reviewed five child's psychotropic medications and medication records. LPA interviewed one child that is currently prescribed psychotropic medication at the facility; four of the children that is currently prescribed psychotropic medication at the facility refused to be interviewed by LPA. No deficiencies are being cited at this time. LPA provided a copy of this licensing reporting and conducted an exit interview with Aaron Ramsey, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2025, at 9: AM Licensing Program Analysts (LPAs) Jacob Ortega and Raina Perez conducted an unannounced annual inspection of the facility. LPA was greeted by Mr Brown, senior facility manager. At 10: AM, the facility was inspected inside and out. The home is a two-story residence with three bedrooms, a mental health office, and three bathrooms. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The temperatures in rooms that clients occupy are maintained between 68 and 85 degrees (F). The hot water temperature was tested and noted to be 119 degrees in the client bathroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored in a lock box that was under double lock and locked in a cabinet in the staff office. Cleansers/chemicals are locked and stored in a locked cabinet in the kitchen and the garage area. Sharp knives are inaccessible and stored in a locked drawer in the recreation room. The First Aid Kit is located in a locked drawer in the recreation room and contains all required items. The facility's smoke detectors located in each bedroom and common areas were checked and were operable. The carbon monoxide detector located in hallway was operable. There are no guns or weapons in the facility as stated by licensee at this time. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. LPAs observed non-perishable and perishable supply of food. There was a variety of snacks available for clients as well. The facility outside grounds was observed to be clean and well maintained. Emergency exits were free from obstruction. Facility has a pool that is surrounded by a locked five foot rod iron gate that opens outward. The ground of the fence is concrete. *** Administrator,Judy Berhe, is present at the facility a minimum of 20 hours a week, as verified by staff schedules. Staff/client ratios were verified during this inspection, and they were in accordance with the regulations. Licensee had obtained their Mental Health (MH). Facility obtained National Accreditation through CARF. Five clients (C1, C2, C3, C4, C5) and five staff records (S1, S2, S3, S4, S5), see confidential names list (LIC811) dated 3/10/2025. were reviewed on this date to ensure they contained all required documentation per Interim Licensing Standards. Two of two staff were interviewed and two of two clients were interviewed. Facility appears to be meeting the terms and conditions of their license. There were no deficiencies observed at this time. Licensing fees have been paid and there is currently a balance of zero. A copy of this report LIC 811 were discussed and provided to facility Mr. Brown.

met_with: Mr Brown


facility_name: BERHE GROUP HOMES

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Narrative:
On July 7, 2022, Community Care Licensing (CCL) received a complaint alleging that a staff handled a minor in a rough manner and minor sustained injury while in care. Regarding a staff handled a client in a rough manner allegation, it was specified that Staff #1 (S1) grabbed Client #1 in Client #1's lower neck near the shoulder area. Regarding minor sustained an injury while in care, it was reported that C1 had a scratch on C1's neck and STRTP staff confirmed the minor had a scratch. It was also stated that S1 hit C1 with S1's keys. Furthermore, it was stated S1 said, she just touched C1 on C1's shoulder. During confidential interviews, a confidential statement disclosed S1 grabbed C1 with S1's nails and scratched C1's chest area. The same interview reported S1 hit C1 with her keys on C1's body. Another confidential interview stated that S1 was fired because of the incident that happened with S1 and A1. Administrator stated C1 did not report being handled or hit by S1 but did observe the scratch on C1's body. Other confidential interviews did not witness S1 grab C1 by the lower neck near the shoulder area nor S1 hit C1 with S1's keys. Based on confidential interviews, the preponderance of evidence standard has been met, therefore, the allegations that Staff #1 handled Client #1 in a rough manner and that Client #1 sustained an injury while in care are SUBSTANTIATED. Short-Term Residential Therapeutic Program Interm Licensing Standards 87072(11) Personal Rights are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Facility Manager Rosemary Glaven.

Investigation Findings:
13On July 6, 2023, at 2:56PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Berhe STRTP Facility Manager Rosemary Glaven to discuss the investigative findings for the above stated allegations for Client #1 (C1) identified on the Confidential Names List (811). LPA Belinda Torres arrived at the STRTP on July 14, 2022, at 2:50PM, to initiate the investigation and conduct a safety inspection. There were no immediate hazards observed. During the investigation, LPA A. Caballero interviewed Staff #2 (S2), Administrator, and Client #1, #2, #3, #4. LPA did not interview S1. County Social Worker was not interviewed. Lpa B. Torres reviewed client and foster child records. SubstantiatedEstimated 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 CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: BERHE GROUP HOMESFACILITY NUMBER: 366401098

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

met_with: Facility Manager- Rosemary Glaven


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Narrative:
Regarding a staff throwing a bowl at minor allegation, it was specified that C1 threw a shoe at S1 and S1 threw a bowl of cereal at C1. It was unknown if the bowl was thrown at C1 or just the contents of the cereal and milk. During the investigation, confidential interviews denied witnessing S1 throwing a bowl of cereal at C1. Other confidential interviews reported that C1 got mad and threw C1's slipper at S1 and hit S1 on the mouth; the interviews said, S1 jumped and S1's cereal contents fell over C1. A confidential interview maintained that S1 threw the bowl of cereal at C1, however, C1 was unable to demonstrate how it happened. One confidential interview stated that the cereal bowl was not thrown at C1. The same interview added that the cereal contents landed on C1 because S1 jumped when the slipper was thrown at S1's bottom lip. In regard to the allegation that staff called minor an inappropriate name, it was indicated that C1 threw C1's shoe at S1 and S1 called C1 a "bitch." A confidential interview reported not hearing S1 calling C1 a "bitch." Another interview reported that S1 calls C1 a "bitch" sometimes. Another confidential interview stated S1 called C1 a "bitch" because C1 threw C1's shoe at S1. Other confidential interviews reported not witnessing S1 use inappropriate names toward clients in care. One interview indicated that the word "bitch" was not said to C1 nor used at the STRTP. Based on confidential interviews, the allegations that S1 threw S1's bowl of cereal at C1 and S1 called C1 an inappropriate name may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Aaron Ramsey via email.

Investigation Findings:
13On September 8, 2023, at 8:21AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Cedrick Reliford Behavior Specialist to discuss the investigative findings for the above stated allegations involving a client and staff in the facility as listed on the confidential names list (LIC 811). On April 21, 2023, Community Care Licensing received information alleging that a staff threw a bowl at minor and staff called minor an inappropriate name. On April 26, 2023, at 3:15PM, LPA Adaleyci Caballero initiated the investigation at the facility and interviewed one client and one staff. On August 30, 2023, at 2:10PM, LPA A. Caballero conducted an additional interview at the facility. Lpa a. Caballero conducted a collateral interview with Staff #1(S1) on August 5, 2023. Additionally, LPA A. Caballero obtained copies of client's records. 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: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 09/08/2023

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

met_with: Behavior Specialist-Cedrick Reliford


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Narrative:
Community Care Licensing received information on October 16, 2023, alleging that due to lack of supervision clients had access to a vape pen. It was specified that Client #1(C1) had a vape pen at school and was offering it to other students. It was reported that C1 obtained the vape pen during an unsupervised visit with a sibling. Confidential interviews stated that C1 brought the vape pen to the STRTP from C1's unsupervised visit with sibling. It was stated that C1 was offering the vape pen to other clients in their care and C1 was hiding it from STRTP staff. Another confidential interview indicated the vape pen was smoked by other clients in care, but staff were not aware. A confidential interview stated that C1 gave it to C2 and C2 hid it in C2's room. Other confidential interviews indicated that staff were not aware that C1 had brought a vape pen into the STRTP. Additionally, confidential interviews stated that staff found out through school personnel that C1 had a vape pen because no clients in care reported it to staff. One confidential interview indicated that a vape pen was brought into the STRTP because of the lack of supervision in the facility. Additional interviews reported that there were no witnesses to clients having possession of a vape pen. Based on confidential interviews, the allegation that due to lack of supervision clients have access to vape pens on the premises may have occurred, however, there was not a preponderance of evidence to support or deny this allegation. Therefore, this allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Cedrick Reliford via email.

Investigation Findings:
13On January 12, 2024, at 8:30AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Berhe Group Home Short Term Residential Therapeutic Program (STRTP) Director of training Cedrick Reliford to discuss the investigative finding for the above stated allegation involving clients in care. LPA began the investigation at the facility on October 25, 2023, at 2:35PM. During the investigation, LPA interviewed (Clients #1-6) and four staff. LPA reviewed an incident report and medical notes from client's 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: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 01/12/2024

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

met_with: Director of Training-Cedrick Reliford


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Narrative:
Community Care Licensing received information on February 12, 2024, alleging that due to lack of supervision, clients engaged in inappropriate interactions while in care. It was specifically alleged that two clients in care (unknown) had touched each other. It was added that Client #3(C3) was Client #4's (C4) boyfriend and they had kissed each other. It was also reported that C1 "humped" C4 when C4 pretended to sleep with no further details. It is unknown if this only occurred once. Two confidential interviews denied witnessing inappropriate interactions between clients in care. One confidential interview reported staff witnessed Client #6 in Client #3's bedroom with Client #3's pants down during overnight hours when staff was cleaning. Another confidential interview stated Client #1 tried to touch Client #4 in Client #4's private area during overnight hours when staff was cleaning. One confidential interview indicated clients are sneaky and staff make sure that clients are sleeping before they step away to complete chores during overnight shift. COO Aaron Ramsey stated staff follow the night shift duties and he does not have concerns that staff are not supervising clients during overnight hours. Additional interviews reported that there have not been other witnesses to these alleged incidents. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegation that due to lack of supervision, clients #1-#6 engaged in inappropriate interactions while in care may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights was provided to COO Aaron Ramsey. .

Investigation Findings:
13On April 23, 2024, at 10:15AM, Licensing Program Analysts (LPAs) Adaleyci Caballero and Rachel Vanegas met with Chief Operations Officer (COO) Aaron Ramsey to discuss the investigative finding for the above stated allegation involving clients in care. On February 20, 2024, at 9:00AM, LPA A. Caballero began the investigation at the facility and no immediate deficiencies were observed. LPA Adaleyci Caballero conducted collateral interviews with clients #1-6 (C1-C6). During the investigation, LPA interviewed four staff, Chief Operations officer (COO) Aaron Ramsey, and two County Social Workers. LPA reviewed incident reports, logbook, and Berhe Group Home NOC Shift Duties Policy. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 04/23/2024

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

met_with: COO-Aaron Ramsey


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Narrative:
**Continued from Previous Page** do not do anything about it. It was further reported that when the client cries the staff tell them, "Stop crying like a little bitch." Confidential interviews could not confirm or deny that C5 and/or any client was told to stop crying or that staff cursed at clients. Confidential interviews provided consistent statements of bullying occurring in the facility. Confidential interviews could not provide consistent accounts of the alleged incident(s) occurring and what if anything was done to prevent the bullying. Therefore, could not confirm or dispute the allegation that staff did not prevent a client from being bullied by another client. Based on confidential interviews the preponderance of evidence standard has not been met and the allegations that, staff did not prevent child from being bullied by another child in care, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Berhe Group Home STRTP, Facility Manager Rosemary Galven

Investigation Findings:
13On August 18, 2024 at 8: AM, Licensing Program Analyst (LPA), Jason Dalton met with Berhe Group Home, Short Term Residential Therapeutic Program (STRTP) Facility Manager, to deliver the investigation finding for the above stated allegation. On June 24, 2024, a health and safety inspection was conducted and no immediate health or safety concerns were observed. LPA interviewed five Clients: (C1, C2, C3, C4, and C5) and three staff members [Facility Manager (FM) and two Lead Staff (LS1 and LS2)]. LPA made several attempts to conduct interviews with County Social Workers (CSW1, CSW2, CSW3 and CSW4) and as of closure of this investigation all attempts have gone unanswered. In addition, facility and county records were reviewed. On June 21, 2024, Community Care Licensing (CCL) received a complaint alleging that, staff did not prevent child (C5) from being bullied by another child (C4) in care. Specifically, it was alleged that C5 feels bullied by the other clients and that the other clients have hit C5, and the staff are aware, and they UnsubstantiatedEstimated Days of Completion: 90-Days SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Jason Dalton 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 08/16/2024

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

met_with: Rosemary Galven, Facility Manager


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Narrative:
It was specifically alleged that on or around January 18, 2025, S1 hit C1 on C1's shoulder, S1 pushed C1 against a dresser and began punching C1, and S1 did not prevent C1 and another client from engaging in a physical altercation Confidential witnesses provided consistent statements that they had not observed S1 or any other facility staff punch, push, or hit C1 or any other clients. Furthermore, LPA was informed that the facility did not use corporal punishment. Facility staff denied that they used corporal punishment of any kind. County social workers contacted did not have concerns that facility staff had hit clients. Another confidential witnesses informed LPA that S1 punched and pushed C1. LPA was also provided information that S4 had slapped C6 on one occasion. Regarding the allegation that staff did not prevent minors in care from engaging in a physical altercation. LPA was informed by confidential witnesses that facility staff did not allow physical altercations and if physical altercations occurred facility staff took immediate action to stop the altercation. Facility staff denied the allegation. County social workers did not have concerns regarding staff not preventing physical alterations. LPA received other information that facility staff allowed physical altercations, facility staff were slow to stop physical alterations, and facility staff would tell clients to fight about their differences. LPA received conflicting information regarding both allegations. Based on confidential interviews the allegations staff hit minor in care and staff did not prevent minors in care from engaging in a physical altercation, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Rosemary Glaven.

Investigation Findings:
13On September 26, 2025, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz met with Berhe Group Home Inc. Short Term Residential Therapeutic Program (STRTP) Facility Manager, Rosemary Glaven, to issue the finding for the above allegations involving client (C1) and staff (S1) listed on the confidential names list (LIC 811) dated September 26, 2025. The complaint was jointly conducted by LPA Almaraz and LPA Linda Haynes. On January 29, 2025, at 12: PM LPA Haynes conducted a health and safety inspection of the STRTP, and no deficiencies were observed. Furthermore, LPA Haynes conducted one staff (S2) interview and two client (C1, C2) interviews. During the investigation LPA Almaraz interviewed seven clients (C1, C3, C4, C5, C6, C7, C8), three staff (S1, S3, S4), and contacted three county social workers (CSW, CSW3, CSW9). On January 21, 2025, the Department received a complaint alleging staff hit minor in care and staff did not prevent minors in care from engaging in a physical altercation. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 09/26/2025

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

met_with: Rosemary Glaven


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Narrative:
Confidential witnesses provided consistent statements that clients received individual therapy at the facility twice a week and group therapy once a week. Furthermore, confidential witnesses informed LPA that facility staff ensured that clients were in a good mental state by monitoring the clients and increasing supervision of clients when necessary. Facility staff denied that C1's emotional needs were not met. CSW3 and CSW5 did not have concerns regarding the allegation. Another confidential witness informed LPA that facility staff did not care or pay attention to how clients were acting or feeling until it was too late. LPA received conflicting information regarding the allegation. Based on record review and confidential interviews the allegation staff are not meeting minor's emotional needs, may have occurred, however, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Rosemary Glaven.

Investigation Findings:
13On September 26, 2025, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz met with Berhe Group Home Inc. Short Term Residential Therapeutic Program (STRTP) Facility Manager, Rosemary Glaven, to issue the finding for the above allegation involving client (C1) listed on the confidential names list (LIC 811) dated September 26, 2025. The complaint was jointly conducted by LPA Almaraz and LPA Linda Haynes. On March 11, 2025, at 2: PM LPA Haynes conducted a health and safety inspection of the STRTP, and no deficiencies were observed. Furthermore, LPA Haynes conducted one staff (S2) interview, one confidential witness interview, and two client (C1, C4) interviews. During the investigation LPA Almaraz interviewed six clients (C1, C2, C4, C5, C6, C7), four staff (S1, S3, S4, S5), and contacted two county social workers (CSW3, CSW5). LPA could not locate one client (C3) for interview. On March 4, 2025, the Department received a complaint alleging staff are not meeting minor's emotional needs. It was specifically alleged that C1 might need more support than what C1 was getting at the STRTP. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: BERHE GROUP HOMESFACILITY NUMBER: VISIT DATE: 09/26/2025

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


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Narrative:
Confidential interviews revealed that C1 and C2 will get into altercations with each other. Confidential interviews revealed that when C1 and C2 begin to fight staff will separate C1 and C2. Other information obtained stated that allegation occurred. The allegation that due to lack of supervision client hit another client specifically refers to C2 hitting C1 in the back of the head while being transported to the school in the facility vehicle. Confidential interviews stated that C1 and C2 were not transported to school together the date the allegation occurred. Further Confidential interviews revealed that they were transported to school together but staff did not know of the incident until C1 told staff later in the day. Based on confidential interviews and record reviews, the allegations that due to lack of supervision staff did not prevent C1 and C2 from engaging in a physical altercation and due to lack of supervision C2 hit C1, may have occurred, however, they are not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to Facility Manager Rosemary Glavan.

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

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

met_with: Rosemary Glavan


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Narrative:
Confidential interviews revealed that C1 was placed in a restraint not hit. Confidential interviews further revealed that the scratches could have been received from S1 but are unsure if this is how the scratches were made. Other confidential interviews stated the allegation is true. Based on confidential interviews and record reviews, the allegation that S1 hit minor in care resulting in multiple injuries, may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to Lead Staff Jose Lopez.

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

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

met_with: Jose Lopez