summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2025 at approximately 11: AM, Licensing Program Analysts (LPA) Zaria Turner and Licensing Program Manager (LPM) Rosa Rodriguez, made an announced visit with the purpose of conducting a pre-licensing inspection to the above Temporary Shelter Care Facility (TSCF). LPA and LPM met with Executive Director, Erin Brown, and a walk through of the interior and exterior was completed. LPA and LPM conducted a walk though of the interior and exterior of the facility. The facility was clean, safe and kept free of obstruction. LPA and LPM observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of 3 bedrooms, 2 ½ bathrooms, activity room, kitchen, living room/dining room, storage/pantry room, staff office, intake room, and garage. Each client room is equipped with 2 twin size beds, bedding, 2 bedside tables, and closet space for clothing and personal belongings. The 2 bathrooms at the facility are equipped with working toilets, shower/tub, and running water. The ½ staff bathroom is equipped with a water heater, storage for cleaning supplies, a working toilet, and running water. Upon entry, there is a desk and monitor, a double sided fireplace, a sofa, side table, a table with 2 chairs, a TV, and a TV stand. The living/dining room is equipped with 3 sofas, 2 side tables, a TV, a TV stand, and a dining table with 4 chairs. The staff office is equipped with a desk, monitors, a staff and client filing cabinet, and locker. The intake room is equipped with 2 fridges used for medications. lockers, and filing cabinets. The storage/pantry room is equipped with cabinets used to store nonperishable foods, a fridge to store perishable foods, and racks to store extra linens. The garage is converted into a storage room equipped with extra toiletries, bedding and linens, mattresses, cleaning supplies, dining utensils, car seats, and toys/games. There are 4 hall closets. There are 3 hall closets used for extra toiletries, linens, and supplies. There is one hall closet equipped with the HVAC (Heating Ventilation and Air Conditioning Unit). There is a washer and dryer located in the kitchen and cabinets above and below where extra linen, toiletries, and cleaning supplies are kept and locked away. Continue summary of inspection on 809-C Disinfectants/cleaning solutions are inaccessible to clients in care and locked, under the kitchen sink, in the ½ staff bathroom, and above the laundry units. The refrigerator temperature is at or below 45 degrees F. There is nonperishable food for one week and fresh perishable food for three days minimum. There are containers to place leftover food. Carbon monoxide and smoke detectors are in working order. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. The facility is free of vermin. The backyard contains a concrete area with 2 chairs, 2 tables, a bench, and 12 chairs. There is a basketball hoop and horizontal bars. There is a detached cottage located in the back of the property. The cottage is equipped with 4 chairs. The cottage is large enough to be converted into an extra room for the population under 6 or an isolation room(not for behaviors). There is a tool shed that is currently not in use. There is no pool on the premises. The following adjustments need to be made: Smoke detector in cottage. Air conditioning unit in cottage. An exit interview was conducted with Executive Director, Erin Brown, and a copy of this report was discussed and provided during today's inspection.


state: CA

facility_name: FOSTERHOPE SAC. WELCOME HOME

summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Temporary Shelter Care Facility (TSCF) for the purpose of conducting a Case Management to follow up on an incident report received by the department on April 24, 2025, regarding lack of details on the incident report. LPA Turner met with Facility Administrator, Erin Brown. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies: The incident report received by the department on April 24, 2025 lacks a detailed narrative, describing the incident and the events leading up to the incident. The facility is submitting the incorrect Incident Report Forms. The facility is ineligibly handwriting the Incident Reports Forms. (See LIC TV) On May 6, LPA Turner submitted a referral to the Technical Support Program (TSP) to ensure the facility receives additional training on incident reporting procedures. TSP will contact the licensee to coordinate and schedule training to aid the facility in resolving the deficiencies. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Erin Brown, Facility Administrator.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Erin Brown, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 18, 2025, 10: AM Licensing Program Analysts (LPA) Zaria Turner, made an unannounced visit to the above facility for the purpose of conducting a post licensing inspection. LPA met with Erin Brown, Facility Administrator, and walk through of the interior and exterior of the facility was conducted. LPA conducted a walk though of the interior and exterior of the facility. LPA observed the posting of License, Personal Rights, and Emergency Disaster Plan. The facility consists of 3 bedrooms, 2 ½ bathrooms, activity room, kitchen, living room/dining room, storage/pantry room, staff office, intake room, and garage. Each client room is equipped with 2 twin size beds, bedding, 2 bedside tables, and closet space for clothing and personal belongings. The 2 bathrooms at the facility are equipped with working toilets, shower/tub, and running water. The ½ staff bathroom is equipped with a water heater, storage for cleaning supplies, a working toilet, and running water. Upon entry, there is a desk and monitor, a double sided fireplace, a sofa, side table, a table with 5 chairs, a TV, and a TV stand. The living/dining room is equipped with 3 sofas, 2 side tables, a TV, a TV stand, and a hammock. The staff office is equipped with a desk, monitors, a staff and client filing cabinet, and locker. The intake room is equipped with 2 fridges used for medications. lockers, and filing cabinets. The storage/pantry room is equipped with cabinets used to store nonperishable foods, a fridge to store perishable foods, and racks to store extra linens. The garage is converted into a storage room equipped with extra toiletries, bedding and linens, mattresses, cleaning supplies, dining utensils, car seats, and toys/games. There are 4 hall closets. There are 3 hall closets used for extra toiletries, linens, and supplies. There is one hall closet equipped with the HVAC (Heating Ventilation and Air Conditioning Unit). Continue summary of inspection on 809-C There is a washer and dryer located in the kitchen and cabinets above and below where extra linen, toiletries, and cleaning supplies are kept and locked away. Medication is centrally stored, locked, and inaccessible to clients in care. Disinfectants/cleaning solutions are inaccessible to clients in care and locked, under the kitchen sink, in the ½ staff bathroom, and above the laundry units. The refrigerator temperature is at or below 45 degrees F. There is nonperishable food for one week and fresh perishable food for three days minimum. There are containers to place leftover food. Carbon monoxide and smoke detectors are in working order. Temperature in facility is between 68 degrees F and a maximum of 85 degrees F. Hot Water between 105-120 degrees F. Fire Extinguishers are up to date and in working order. The toilets, bathtubs, and shower fixtures are in good repair. Soap and paper towels are available to clients in care. There is a working telephone accessible to clients. The facility is free of vermin. The backyard contains a concrete area with 2 chairs, 2 tables, a bench, and 12 chairs. There is a basketball hoop and horizontal bars. There is a detached cottage located in the back of the property. The cottage is equipped with a table, 11 chairs, and a bookshelf. There is a tool shed that is currently not in use. There is no pool on the premises. Based on a review of the facility's Guardian Roster the staff working during today's inspection are fingerprint cleared and associated to the facility. A Technical Violation (TV) was assessed during today's inspection. (See LIC TVs) Licensee has been notified by the county that the lease agreement has not gone out for signature and they are working to get it out this week and will provide and update to LPA Turner via email by June 24, 2025. An exit interview was conducted with Facility Administrator, Erin Brown, and a copy of this report was discussed and provided during today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2025 at 11: AM Licensing Program Analyst (LPA) Sarina Buchannan arrived at Foster Hope Sacramento Welcome Home. LPA was greeted by Reyes Bonilla, Facility Administrator who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. The front door of the home is bent creating a gap large enough for bugs and pest to enter. 2 windows are broken exposing glass. They are boarded from inside of the facility but the outside is exposed. A drawer is missing in the kitchen. The Client bathroom in the hallway has a shower which is stuck and cannot be changed into a bath. The Client bathroom in the hallway has a sink which is not draining properly. There are large amount of ants in both client bathrooms. A strong odor of Marijuana throughout the entire facility. LPA observed the facility to place tape over the exterior windows which were exposing glass. LPA also requested copies of work orders for the above deficiencies be sent to LPA Zaria Turner via email at zaria.turner@dss.ca.gov by close of business on August 1, 2025. LPA Turner will also conduct the remainder of this case management. Exit interview conducted and a copy of this report was left with Reyes Bonilla, Facility Administrator.

met_with: Reyes Bonilla, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, 2025 at approximately 1: PM Licensing Program Analyst (LPA) Zaria Turner conducted an Informal Meeting with the above facility for the purposes of initiating a conversation about expectations and current observations regarding Physical Plant. Present during the meeting was (LPAs) Zaria Turner, Sarina Buchannan, Licensing Program Manager (LPM) Connie Goldie, and Facility Administrator (FA) Erin Brown. Below is a summary of the topics discussed and the responses provided by the licensee. Expectations: LPAs and LPM discussed the importance of clear and open communication, honesty in all matters, reporting requirements, and the appeal process, and asking as many questions as needed. Current Observations: LPA Buchannan discussed the following observations from their inspection on August 1, 2025 regarding the Physical Plant. Additionally, section 84087(c) The licensee shall prohibit smoking in the facility and on the grounds of the facility. Collaborative Discussion: LPA Turner discussed immediate response to safety risks, including email dates; clear expectations for youth regarding smoking in the facility and on the grounds; the cleaning crew's routine for the facility; pest control measures; and overall facility maintenance. Agreement and Responses provided by the licensee: The FA shared communication about the focus of hiring. A contract has been put in place for pest control and a contractor's list has been created to assist in maintaining the Physical Plant.


summary: Facility Evaluation

raw_content:
Narrative:
On October 29, 2025 at approximately 12: PM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Temporary Shelter Care Facility (TSCF) for the purpose of conducting a Case Management to follow up on an incident report received by the department on October 10, 2025, regarding an AWOL. LPA Turner met with Program Manager, Steve Dogan. LPA conducted a tour of the inside and outside of the facility. No deficiencies noted. Program Manager will send LPA Turner an updated copy of the Incident Report with corrections by October 30, 2025 by the end of the day. This case management is closed, no further investigation is needed. An exit interview was conducted and a copy of this report was left with Program Manager, Steve Dogan.

met_with: Steve Dogan, Program Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. Therefore, the allegation is unsubstantiated. A copy of this report will be emailed to the facility on a later date. There are no deficiencies cited at this time.

Investigation Findings:
13On 11/02/2021 at 8:45am, Licensing Program Analyst (LPA) Bernice Karnsrithong conducted a follow-up complaint inspection and met with Program Manager. The purpose of the inspection was to conduct confidential interviews and deliver findings for the above complaint allegation. During investigation of the allegation minors are smoking marijuana at the facility, LPA conducted confidential interviews and reviewed the Child and Family Team (CFT) Meeting Minutes, Incident Reports, Staff Training Calendar, Emergency Intervention Plan and Emergency Response Services. Confidential interviews and documentary evidence indicated that minors obtain marijuana from the community or while AWOL and return with marijuana substance or under the influence of marijuana. Evidence also indicated that when minors are observed to be under the influence, staff provides crisis communication, redirect minors to surrender the substance, asks to conduct contraband searches and substance use barriers are discussed during CFT meetings. Evidence further indicates staff receives Emergency Intervention trainings as required. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong 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 34-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, N. Continental Blvd. #290B FACILITY NAME: HATHAWAY SYCAMORES CHILD AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 11/02/2021

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

report_type: Complaint Investigation

met_with: Program Manager

complaint_status: unsubstantiated


facility_name: MARY GRAHAM CHILDREN'S SHELTER

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Through record review LPA observed and POC for a lack of supervision violation. Staff of the above facility is to check in on children bedrooms every ten minutes. Children were left alone for 15 minutes and staff wasn't aware that client was in another client's room. Client admitted to touching other client inappropriately and admitted to sneaking out of the rooms to be with other clients because facility does not allow clients to be in relationships with other clients in the facility. Based on observation, interviews and record review the preponderance of evidence standard had been met, therefore the above allegation is found to be SUBSTANTIATED. Exit interview conducted A copy of this report was left with facility and appeal rights were left with facility as well

Investigation Findings:
13On 8/6/2021) Licensing Program Analyst (LPA) met with Kim Robinson at 12:30pm for the purpose of delivering findings for complaint 23-CR-20210413114947. Prior to meeting LPA Sandles requested and reviewed to have staff schedule and roster for the week of 4/12/2021 and individual service plans for all children in care from 4/12/2021-4/16/2021. LPA opened the 10 day and IB investigator Melissa Burgoon took over the investigation and found that LPA had completed most of the investigation and released the investigation back to LPA Sandles for completion. LPA Sandles reviewed Police report 21-7442 from Stockton police. LPA Sandles also reviewed IB investigator report NA-2321-04083. LPA conducted confidential interviews with three children and one staff. LPA reviewed facility complaint history for past two years and reviewed a plan of correction for a citation that was issued in august of 2020 for lack of supervision. The allegation is that the minor was sexually assaulted by another minor while in care. Interviews from both children in care and staff, along with corroborated statements made in interviews taken by the Stockton Police department and IB investigator Burgoon. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Robert Sandles LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 08/06/2021

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

met_with: Kim Robinson

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
The investigation included interviews with: Law Enforcement, Mental Health Specialist, Child Protective Services, Social Worker, Facility Staff, client #7, client #8, client #15. Interviews were conducted between 10/6/2021 - 12/16/2021. The investigation included obtaining a Law Enforcement Report. The complaint alleges that client #7 was sexually assaulted by another minor at the facility. Client #7 stated during an interview with the investigator, the incident happened a long time ago. Client #7 already forgot about it. However, did remember that client #8 grabbed his private area. client #8 stated during an interview with the investigator, that client #8 did not touch client #7 in the private area. Facility staff on duty witnessed the incident and stated that client # 8 did not grab client # 7 in the private area. the allegations are determined to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted. A copy of all reports and appeal rights were provided to the facility via email.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton made an unannounced complaint inspection at the facility on 1/27/2022 at 10:00. LPA Shelton spoke with Stephanie McCoy, Administrator to discuss the findings of the complaint investigation and allegation stated above. LPA Shelton informed Ms. McCoy the case was investigated by the Department's Investigator Sonia Boyal. The investigation included: Initial 10-day complaint inspection on 10/7/2021 which included requesting a Facility Sketch, Staff Phone Lists, Staff Schedule, Children's On-site Report for September-October of 2021, Group Master List for September-October of 2021 and Individual Plan for youths. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 01/27/2022

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

met_with: Stephanie McCoy, Administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Jean Stidman, conducted an unannounced inspection to the facility on 03/17/22 at 10:45am to deliver complaint allegation findings. LPA met with Kim Robinson Shelter Supervisor II and discussed the above allegation. LPA Shawndra Miles conducted confidential interviews with one youth and three adults. The interviews were consistent that one youth chose to leave the facility on her own accord. The youth affirms that staff at Mary Graham made every attempt to prevent Y1 from leaving and encouraged Y1 to return to the facility. LPA reviewed the training documentation and affirms the facility had training consistent with regulations. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. No title 22 regulations were cited during today's inspection. Exit interview conducted and a copy of this report was left with Kim Robinson Shelter Supervisor II. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jean Stidman 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 3

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

met_with: Kim Robinson Shelter Supervisor II


raw_content:
Narrative:
Because of the lack of corroboration and limited information, the allegation is determined to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No title 22 regulations were cited during today's inspection. An exit interview was conducted, and a copy of the report and appeals process was provided.

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

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


raw_content:
Narrative:
Some of the individuals interviewed were present for specific incidents reported in the allegations and some were not but heard about the incident and proceeded to share secondhand information. Additionally, with a few other witnesses to the incidents, there is a refusal to provide information or a lack of remembering what occurred with any detail. Because of the lack of corroboration and/or lack of common recurring themes in the interviews, the allegations are determined to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No title 22 regulations were cited during today's inspection. An exit interview was conducted, and a copy of the report and appeals process was provided.

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: Assistant Director


summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
The allegation is whether minor's clothing needs were met while in care or not. A client stated during interview, he did not have enough underwear or pants. Records review of Inventory of clothing at intake, Itemization of resident's personal items and clothing and shopping lists indicates that client arrived with just one set of clothing at intake. Client received 2 pairs of shoes, 3 pairs of socks, 4 pairs of pants, 1 pair of shorts, 8 t-shirts, and 2 sets of pajamas, but, only 2 pairs of underwear. 2 pairs of underwear doesn't meet the standard of appropriate. Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division Chapter 5 ) 84072 (6) (A) Personal Rights is being cited on the attached LIC 9099D. Personal Rights deficiency cited and Plan of Correction (POC) was discussed. LPA Goldie conducted exit interview. Facility representative received and understood appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Connie Goldie arrived at the facility to conduct an unannounced complaint investigation inspection on 08/19/2022 at 2: PM. LPA Goldie spoke with Assistant Director (AD) Kim Robinson to discuss the findings of the complaint investigation and allegations stated above. LPA Goldie informed AD this case was investigated by LPA Goldie after LPA Jessica Caplinger opened complaint. The initial 10-day complaint investigation inspection was conducted at the facility on 06/03/2022 by LPA Caplinger. A walk through of the facility and one interview was conducted with facility staff Kim Robinson Assistant Director. Copies of agency documentation obtained include: Clothing Inventory and Incident Report from one client's file, staff schedules, and current youth roster. Confidential interviews were conducted with 7 agency staff, 9 foster youth, and county social worker from 06/02/2022-08/03/2022. Police report was received and reviewed on 08/15/2022. Continued on LIC C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Connie Goldie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 08/19/2022

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

Deficiencies:
84072: (A) Clothing items, provided the clothes are age-appropriate.

met_with: Assisant Director Kim Robinson

title:
Personal Rights
(6) To be provided with and allowed to possess and use adequate personal items, ..., which includes their own


raw_content:
Narrative:
The allegation is whether or not minor is being provided a safe environment while in care. During confidential interviews, 3 clients out of 9 stated at times, they felt unsafe and that the reason that they felt this way was due to other clients. 2 clients stated that staff allowed kids from other cottages to enter their cottage and that made them feel unsafe but, then stated staff helped them. Inconsistencies exist in these statements and collaboration was not obtained. Staff stated that plans are in place to assist clients who are feeling unsafe. Therefore, it is not possible to determine whether the allegations occurred or not. Based on the investigation, records reviewed and interviews conducted, the complaint finding is UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of all reports and appeal rights were provided to the facility via email with a read receipt.

Investigation Findings:
13Licensing Program Analyst (LPA) Connie Goldie arrived at the facility to conduct an unannounced complaint investigation inspection on 08/19/2022 at 2: PM. LPA Goldie spoke with Assistant Director (AD) Kim Robinson to discuss the findings of the complaint investigation and allegations stated above. LPA Goldie informed AD this case was investigated by LPA Goldie after LPA Jessica Caplinger opened complaint. The initial 10-day complaint investigation inspection was conducted at the facility on 06/03/2022 by LPA Caplinger. A walk through of the facility and one interview was conducted with facility staff Kim Robinson Assistant Director. Copies of agency documentation obtained include: Clothing Inventory and Incident Report from one client's file, staff schedules, and current youth roster. Confidential interviews were conducted with 7 agency staff, 9 foster youth, and county social worker from 06/02/2022-08/03/2022. Police report was received and reviewed on 08/15/2022. Continued on LIC C. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Connie Goldie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 08/19/2022

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

met_with: Assistant Director Kim Robinson


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
The Department has investigated the facility had lack of supervision resulting in inappropriate interactions between clients. C1 stated that C1 was inappropriately touched, and a sexual comment was made by C3. C3 denied inappropriately touching C1 or making a sexual comment. Mary Graham notified the Police regarding the incident and Police interviewed both clients. LPA requested a Police Report and it stated C1 said it occurred and C3 denied it occurred. C2 did not recall and incidents between C1 and C3 occurring. After the incident was reported staff keep C1 and C3 apart. All clients interview stated there was adequate supervision in place and there were at least two staff throughout the day and night. Based on the investigation, records reviewed, and interviews conducted, the complaint findings are UNSUBSTANTIATED at this time meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report and appeal rights were given to the agency. No title 22 regulations were cited during today's inspection.

Investigation Findings:
13Licensing Program Analyst (LPA) Mary Shelton conducted a visit at the agency on 8/24/2022, and LPA spoke with Kim Robinson, Assistant Director to deliver findings of the investigation on the complaint allegations as stated. LPA Shelton informed the complaint investigation included a tour of the facility on 5/2/2022. The initial 10-day complaint inspection was conducted by LPAs Jean Stidman and Cecilia Warren, at the agency on 5/2/2022. LPA Shelton interviewed C1, C2, C3, S1 and S2 between 5/2/2022 and 8/18/ UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Mary Shelton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: MARY GRAHAM CHILDREN'S SHELTERFACILITY NUMBER: VISIT DATE: 08/24/2022

met_with: Kim Robinson, Assistan Director


facility_name: NEW ALTERNATIVES #16

raw_content:
Narrative:
On April 15, 2022, the Department received a complaint report, with the allegations that staff caused injury to C1, staff physically assaulted C1 and staff made inappropriate comments to C1. Confidential interviews revealed that C1 was involved in a restraint due to C1's safety however there is inconsistency if C1 received bruises on C1's foreman due to the restraint. Confidential information revealed inconsistency that a staff kicked C1 in the back which resulted in bruising on C1's back. Confidential interviews revealed that there were no witnesses that heard staff making an inappropriate comment to C1 however there was inconsistency on who made the comment to C1. Based on record reviews and confidential interviews, staff caused injury to C1, staff physically assaulted C1 and staff made inappropriate comments to C1 are unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to APD Bond.

Investigation Findings:
13On February 28, 2023, at 2: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on April 20, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated February 28, 2023) special incident reports, staff contact information, and county report. LPA Meza-Gonzalez interviewed five clients (C1, C2,m C3, C4, C5) and six staff (S1, S2, S3, S4, S5, S6). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez 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 08-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, METROPOLITAN DR. # FACILITY NAME: NEW ALTERNATIVES #16FACILITY NUMBER: VISIT DATE: 02/28/2023

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

met_with: Shomari Bond


raw_content:
Narrative:
On April 22, 2022, the Department received a complaint report, with the allegation the facility does not have a working phone. Confidential interviews revealed inconsistency regarding the telephone in the unit not being available because it was broken. Additional interviews revealed that some clients were not able to receive or make calls from the unit's telephone due to the phone not working however other interviews revealed that the clients were able to use another phone in the staff office. Based on record reviews and confidential interviews, the facility does not have a working phone is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to CD Bond.

Investigation Findings:
13On March 23, 2023, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Co-Director (CD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Meza-Gonzalez conducted an inspection of the facility on April 27, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1) and Client #2 (C2)'s (see confidential name list, LIC 811, dated March 23, 2023) face sheet, special incident reports, medical documentation for C1 and C2, staff contact information. LPA Meza-Gonzalez interviewed five clients (C1, C2, C3, C4, C6) and three staff (S1, S2, S6) and Court Appointed Special Advocate. C5 declined to be interviewed. S3, S4, and S5 did not respond after three attempts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez 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 08-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, METROPOLITAN DR. # FACILITY NAME: NEW ALTERNATIVES #16FACILITY NUMBER: VISIT DATE: 03/23/2023

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


summary: Facility Evaluation

raw_content:
Narrative:
On 11/2/2021 at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an announced inspection. The purpose of the inspection is to pre-licensing the facility as an emergency temporary shelter care facility (E-TSCF). LPA Meza-Gonzalez met with Program Director (PD) Matt Jaeger and Assistant Program Director (APD) Shomari Bond. LPA Meza-Gonzalez inspected the facility along with PD Jaeger and APD Bond. The facility is set up as follows: Bedroom #1 has two twin beds with bedding and two chests. Bedroom #2 has two twin beds with bedding and two chests. Bedroom #3 has two twin beds with bedding, two chests and a bathroom. Bedroom #4 has two twin beds with bedding and two chests. Bedroom #5 has two twin beds with bedding and two chests. Bedroom #6 has two twin beds with bedding and two chests. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate space for client's belongings. There is a ½ bathroom next bedroom #1 and four full bathrooms next to bedrooms #2, 4, 5 and 6. The bathrooms were clean and in good repair. There is an emergency door between bedroom #3 and 4. There are two closets for linen, one next to bedroom #1 and next to the staff office. The facility has a dayroom with a couch and a TV. There is also a TV in the main living areas with couches. The medication closet is locked and located next to the dayroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The food is prepared by the cafeteria on campus. The facility has seven days of perishable and two days of non-perishable food. Emergency exits were free from obstruction. There are no bodies of water. Based on LPA Meza-Gonzalez's observation of the facility, the clean, sanitary and in good repair. Exit interview was conducted and a copy of the report was provided to the group home APD Bond.

visit_type: Prelicensing

met_with: Matt Jaeger, Shomari Bond and Michelle Jenks


summary: Facility Evaluation

raw_content:
Narrative:
On 2/28/2022 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection. The purpose of the inspection is to post-licensing the facility as an emergency temporary shelter care facility (E-TSCF). LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. LPA Meza-Gonzalez inspected the facility along with APD Bond. The unit has five bedrooms, four ½ bathrooms, dayroom room, staff office, and communal area. The facility is set up as follows: Bedroom #1 has two twin beds with bedding and two chests. Bedroom #2 has two twin beds with bedding and two chests. Bedroom #3 has two twin beds with bedding, two chests and a bathroom. Bedroom #4 has two twin beds with bedding and two chests. Bedroom #5 has two twin beds with bedding and two chests. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate space for client's belongings. There is a ½ bathroom next bedroom #1 and four full bathrooms next to bedrooms #2, 4, 5 and 6. The bathrooms were clean and in good repair. There is an emergency door between bedroom #3 and 4. The closet next to the bedroom #1 has extra linen and board games. The closet next to the staff office is and has lockers for client to storage their belongs for safe keeping. The facility has a dayroom with a couch and a TV. There is also a TV in the main living areas with couches. The medication closet is locked and located next to the dayroom. All hazardous items have been properly made inaccessible to areas where clients will have access. The food is prepared by the cafeteria on campus. The menu was posted. The facility has seven days of perishable and two days of non-perishable food. Emergency exits were free from obstruction. See LIC809C page The water temperature measured at 112 degrees Fahrenheit (F) which is within Community Care Licensing (CCL) regulations of 105 degrees F to 120 degrees F. The exterior of the facility has a basketball court and exercise equipment. There are no bodies of water. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, house rules and current menu. Based on LPA Meza-Gonzalez's observation of the facility, the clean, sanitary and in good repair. Exit interview was conducted and a copy of the report was provided to the group home APD Bond.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On May 29, 2022 at 2:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting collateral interviews with two clients that are currently residing at the facility. LPA met with Jared Farmer, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted one interview and the other client was on a weekend pass and was not able to be interviewed. LPA toured the facility with Jared Farmer, Facility Manager, and Darrell Williams, Facility Manger, the facility was in compliance with Title 22. Chapter 5, therefore no deficiencies were cited.

met_with: Jared Farmer, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On June 7,2022 at 12:06PM, Licensing Program Analyst (LPA) Carol Anderson made an unannounced to the facility to interview Client 1 (C1). LPA interviewed C1.


summary: Facility Evaluation

raw_content:
Narrative:
On July 1, 2022 at 9:50 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting a collateral interview with one client that is currently residing at the facility. LPA met with Michelle Jenks, Assistant Program Director, and explained that the complaint investigation is not on their facility. LPA was unable to conduct interview as client was at school. LPA toured the facility and facility was in compliance with Title 22. Chapter 5, therefore no deficiencies were cited.


summary: Facility Evaluation

raw_content:
Narrative:
On July 22, 2022 at 1:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting collateral interviews with two clients that are currently residing at the facility. LPA met with Jared Farmer, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted one interview and one client was unable to be interviewed.. No safety issues were observed,, therefore no deficiencies were cited.


facility_name: ORANGEWOOD CHILDREN AND FAMILY CENTER

raw_content:
Narrative:
It was alleged that on or around 11/24/20, lack of supervision resulted in C3 causing injury to C2 while in care, staff failed to protect C1 and C2 while in care, and staff handled C1 and C2 in a rough manner. It was reported that C2 had visible scratches and bruises on C2's body from an incident on 11/16/20 when C3 pulled C2 off a slide. While a witness maintains this occurred and led to scratches and bruises on C2's body, staff maintain they witnessed the incident and had been supervising the playground area the entire time when this occurred. Several witnesses corroborate the injuries, but most witnesses corroborate that there was supervision at the time of these incidents and C3 was redirected. It was also alleged that C4 threw a hard brush at C1 and S2 did not intervene. While a witness maintains this occurred and resulted in C1 being injured, other witnesses all state the brush was not thrown at C1 but was thrown by C4 during a tantrum. Staff corroborate C1 was redirected to move to safer area and C4's behaviors were redirected. Finally, it was alleged that a staff spit on C2 and a staff swatted C1 and C2 on their bottoms. While one witness maintains this did occur, the witness was unable to provide details regarding the allegation. All other witnesses corroborate this never occurred. S1, S2, and CSW, also state C2 has a tendency to lie and make up allegations. Based on interviews conducted and information obtained, the allegations that lack of supervision resulted in C3 causing injury to C2 while in care, staff failed to protect C1 and C2 while in care, and staff handled C1 and C2 in a rough manner, may have occurred, however, they are not supported or proven by evidence. The allegations are, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Linda Bourne for signature. Signed report will be placed in facility file.

Investigation Findings:
13On May 28, 2021 at 11: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative findings for the above allegations. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), client 3 (C3's), and client 4 (C4's) files including placement agreements, copy of C1, C2, C3, and C4's last available needs and service plans, special incident reports involving C1, C2, C3 and C4, as well as any documentation regarding the incidents referred to in the allegation. LPA also obtained a copy of the facility's cottage client roster and staff contact information. LPA Escobar conducted interviews with the TSCF SS, staff 1 (S1), staff 2 (S2), C1, C2, C1 and C2's county social worker (CSW), C3's county social worker (CSW2), C4's county social worker (CSW3), and C3's bio-parent. LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 12/04/20 at 9: AM via tele-conference, no safety concerns were observed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/28/2021

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

met_with: Senior Social Services Supervisor-Linda Bourne


raw_content:
Narrative:
had small scratches and bruises on their arms and legs that were allegedly caused by C3. It was also reported that in the past, C2 had scratches on C2's back that were also caused by C3. It is also alleged that when C1 and C2 tell staff that C3 is being aggressive, staff do not believe C1 and C2. Finally, it was reported that C1 and C2 may be getting "coached" by facility staff about what to tell bio-parent. While a couple of witnesses state C3 did injure C1 and C2 on several occasions by scratching and hitting C1 and C2, several other witnesses deny this. SS, S1, and C3's CSW all state C3 was significantly smaller than C1 and C2 and was not aggressive in nature. Additionally, several witnesses corroborate that C2 and C3 would often play together, and at times would get upset at each other or frustrated and start pushing or hitting, but staff state this would occur in front of staff and children were quickly separated and redirected. Staff provided documentation of an incident that occurred on 10/28/20 when C2 and C3 were playing a board game and C3 got upset C3 had to wait for C3's turn. C3 "lunged" at C2 and scratched C2's elbow, however, there were no visible injuries, including scratch marks. No other documentation was provided through date of this allegation of other scratches or bruises caused by C3. Several witnesses state C2 would often blame C3 for injuring C2, however, C3 would not be near C2 when these incidents allegedly occurred. Several witnesses also corroborate C2 has often lied and made false allegations about C3 and other children at the facility. Another witness was unavailable for details regarding the allegation. Based on interviews conducted and information obtained, the allegation that C3 caused injuries to C2 while in care, may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were emailed to Linda Bourne for signature. Signed report will be placed in facility file.

Investigation Findings:
13On May 28, 2021 at 11: AM, Licensing Program Analyst (LPA) Carmen Escobar made phone contact with Temporary Shelter Care Facility (TSCF) Senior Social Service Supervisor (SS), Linda Bourne. Due to COVID19, a tele-inspection was conducted to issue the investigative finding for the above allegation. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), client 3 (C3's) files including placement agreements, copy of C1, C2, and C3's last available needs and service plans, special incident reports involving C2 and C3, and documentation from medical unit related to the allegation. LPA also obtained a copy of the facility's cottage client roster and staff contact information. LPA Escobar conducted interviews with the TSCF SS, staff 1 (S1), staff 2 (S2), C1, C2, C1 and C2's county social worker (CSW), C3's bio-parent, and C3's county social worker (CSW2). LPA Ann Valenzuela completed the initial ten-day inspection to initiate the complaint with the facility on 11/12/20 at 10: AM via tele-conference, no safety concerns were observed. It was alleged that on or around 11/05/20, C3 caused injuries to C2 while in care. It is reported that C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar 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 22-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: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 05/28/2021

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


raw_content:
Narrative:
Confidential interviews and record review revealed that on 3/19/2021, C1 kicked and threw an object at a staff member that resulted in an injury to that staff. As a result, C1 was given a disciplinary consequence of being placed on Intensive Teaching Level (ITL). Confidential interviews revealed ITL is a restrictive program that takes away client privileges such as participating in certain activities and the usual length of ITL is 3 days or 6 shifts (2 shifts per day). Confidential interviews revealed C1 was placed on ITL several times while placed at OCFC due to C1's aggressive and assaultive behavior. Confidential interviews revealed that ITL is a known disciplinary consequence for assaultive behavior and that during the 3 days of ITL clients must have good behavior for each day (or shift) to count, otherwise, ITL is extended for the period of time behavior is poor or can even start over. All interviews revealed there was no unfair discipline or treatment of C1 and some interviews further revealed C1 was also given opportunities to work off of ITL. Confidential interviews also revealed C1 would often say C1 was being targeted by staff if C1 received disciplinary consequences. CSW revealed C1 has a hard time understanding consequences and taking accountability for C1's actions. Furthermore, CSW had no concerns about staff inappropriately disciplining C1 and CSW had observed staff to be very patient with C1. Based on confidential interviews of what occurred, the allegation that facility staff inappropriately disciplined C1, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811 and appeal rights were explained and given to Kristi Fiskum.

Investigation Findings:
13On August 27, 2021 at 10:20 am, Licensing Program Analyst (LPA), Jessica Rubio met with Orangewood Children and Family Center (OCFC), Administrator Kristi Fiskum, to deliver the investigative finding for the above stated allegation. On 4/14/2021 at 3:30 pm, LPA Ann Valenzuela conducted a safety inspection of OCFC and no safety concerns or deficiencies were observed. During the investigation, LPA Rubio interviewed one client (C1), three staff (SS, S1, S2) and county social worker of C1 (CSW). LPA Rubio also reviewed the staff roster, the needs and services plan for C1 and special incident reports. On 4/5/2021, Community Care Licensing (CCL) received an allegation facility staff inappropriately disciplined youth; specifically, that C1 was given extended disciplinary consequences for an incident that C1 believed staff could not prove happened. (Continued on LIC 9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 08/27/2021

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

met_with: Kristi Fiskum


raw_content:
Narrative:
LPA was unable to obtain additional information and specific details regarding the allegation. There were no other witnesses to the allegation. The interviews that were provided were not consistent regarding the allegation. Based on interviews and record reviews the allegation that S1 inappropriately touched C1, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided Jim Torris.

Investigation Findings:
13On March 18, 2022 at 8:50 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Jim Torris. Special Investigator (SI) Daniel Massey of the Community Care Licensing Investigative Bureau completed the investigation. LPA Adrian Mendez inspected the facility on June 30, 2021 at 3:02 pm no immediate deficiencies were observed at that time. LPA Mendez reviewed client files and staff files. Client #1 (C1), county social worker, facility staff (S1,S2,S3,S4) and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that S1 inappropriately touched C1. Confidential staff interviews reported that C1 was admitted and discharged from the facility on ten separate dates, between (10/25/2007 through 04/07/2021). Confidential interviews reported that S1 was assigned to work in the same cottage where C1 was placed and could have had interactions with C1 if C1 had any kind of outbursts. Additional documentation states that S1 is no longer employed at this facility and last day of work was February 06, 2020. LPA made several attempts to contact S1 at the last known contact information but was unsuccessful. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-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, FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 03/18/2022

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

met_with: Jim Torris


raw_content:
Narrative:
Confidential interviews revealed that other staff members have not heard S1 call any clients enduring names. Confidential interviews revealed that S1 avoids touching C1, including giving high-fives, or hugs. Confidential interviews revealed S1 asked for another staff to be present during times of supervising C1, due to a history of allegations. There were no witnesses present during the alleged incidents. Based on interviews and information obtained, the allegations that S1 speaks inappropriately to C1 and S1 engaged with the C1 inappropriately may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report was provided to and reviewed with Jim Torris, Senior Social Services Supervisor, along with the appeal right and the LIC 811. A signed copy of the report will be kept in the Facility file.

Investigation Findings:
13On April 29, 2022, at 3:00 pm, Licensing Program Analyst (LPA) Charmaine Linley made an unannounced complaint inspection at the facility. LPA Linley met with Jim Torris, Senior Social Services Supervisor, to discuss and deliver the investigative findings for the allegations noted above. LPA Linley conducted an unannounced inspection of the facility on March 28, 2022 at 10:15 am. No deficiencies were observed. During the investigation, LPA Linley interviewed one of one client (C1), three staff (S1, S2, S3), and one County Social Worker (CSWI) (see confidential name list, LIC 811, dated 04/29/2022). LPA Linley reviewed the following documentation: Significant Incident Reports (SIR), C Needs and Services Plan, and S Performance Review. The Department received allegations that staff speaks inappropriately to minors, and staff engages with minor in an inappropriate manner. It was reported that S1 calls C1 an enduring name and C1 does not feel comfortable with S1 calling them that name. Also, reported was that S1 gives hugs to C1. Confidential interviews revealed that C1 is placed under one-on-one supervision with staff. Confidential interviews verified C1 was not left alone with staff, except for rare occasions, waiting for another staff to arrive. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 04/29/2022

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


raw_content:
Narrative:
member touched C1's chest and a different staff member touched C1's thigh. It was reported that while at intake, a staff touched C1's chest during a physical examination. It was also reported later that night, that C1 was in bed asleep and woke up to a staff sitting next to them rubbing their thigh. There were no witnesses present during the alleged incidents. Confidential interviews indicated that staff did not touch C1's chest during their intake process, nor did staff touch C1's thigh while they were sleeping. Confidential reports revealed inconsistent information to the account of the alleged incidents. The allegation that staff inappropriately touched C1 may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report was reviewed with Linda Bourne, Senior Social Services Supervisor, along with the appeal right and the LIC 811. Due to printer malfunction, a copy of the report will be emailed to Linda Bourne. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On July 27, 2022, at 10:41 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor, to discuss the investigative finding for the above allegation involving Client (C1) as identified on the Confidential Names List (811). On 06/8/2022, Licensing Program Analyst (LPA) Charmaine Linley conducted an inspection of the facility at 10:05 am. No deficiencies were observed during the visit. The investigation of the allegation was conducted by Special Investigator Hector Quintanar of the Community Care Licensing's (CCL) Investigation Branch Bureau. The investigation included interviews with two staff, Staff #1 (S1) and Staff #2 (S2). In addition, Investigator Quintanar obtained and reviewed the following documents: staffing schedules, nursing assessment for C1, Special Incident Reports, Staff Contact list, and log notes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 07/27/2022

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


raw_content:
Narrative:
Confidential interviews revealed conflicting statements, some interviews revealed C1 pushed against S2 and hit S2's shoulder as they were trying to leave the facility. While other interviews revealed C1 pushed S1 and S1's arm or shoulder accidentally made contact with C1 as they pushed S1. Other interviews revealed S1 held their arms down at their side and did not raise their hands or touch C1. Based on confidential interviews and records reviewed that S1 inappropriately touched C1, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report will be emailed to Linda Bourne, Senior Social Services Supervisor. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights, will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On October 25, 2022, at 11:15 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Linda Bourne, Senior Social Services Supervisor to discuss the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 08/31/2022 at 12:30 pm and no deficiencies were observed. LPA Linley interviewed one of one client (C1) and five out of five staff (S1-5). LPA reviewed the following documents during the investigation: Cottage Roster, Emergency Response Referral Information, C1's Discharge Summary Report, Serious Incident Reports, and Staff Schedule. On 08/24/2022, Community Care Licensing (CCL) received an allegation that a staff member inappropriately touched a minor. It was reported that S2 stood in the doorway to prevent C1 from leaving the facility, then C1 pushed into S2, and afterward, S2 touched C1's breast. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 10/25/2022

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


raw_content:
Narrative:
Confidential interviews reported that staff scratched C1 when they tried to run away. Conflicting interviews reported that staff did not touch or grab C1. Confidential interviews and records reviewed indicated C1 used a pencil to scratch their arms causing injuries to their arms on 11/20/22. Confidential interviews and records reviewed do not show a physical altercation with any staff members and C1. Confidential interviews reported that C1 was provided a safe environment while in care. Confidential interviews reported C1 was offered the opportunity to have a conflict resolution meeting and declined the meeting. Conflicting interviews reported C1 did not feel safe and ran away from the facility. Confidential interviews reported C1 was threatened by staff. Conflicting interviews reported there were no threats made to C1. There were no witnesses to the alleged incidents. Confidential interviews and records reviewed did not provide a preponderance of evidence to prove or disprove the allegations that staff physically abused C1 in care causing injuries, staff threatened C1 in care, and staff do not provide a safe environment for C1 in care. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and appeal rights were reviewed with Linda Bourne. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be kept in the Facility file.

Investigation Findings:
13On March 9, 2023, 2023, at 12:35 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Linda Bourne, Senior Social Services Supervisor of Orangewood Children and Family Center to discuss the investigative findings for the allegations noted above. LPA Charmaine Linley conducted an inspection of the facility on 12/05/2022 at 2: PM and no deficiencies were found. LPA Linley interviewed five staff (S1-5), interviewed one client (C1), and one County Social Worker (CSW1). LPA reviewed the following documents during the investigation: Emergency Response Referral Information, Cottage Logs, C Care Plan, C Run Return Care Plan, and Special Incident Reports. On 11/28/22, Community Care Licensing received allegations that staff physically abused C1 in care causing injuries, staff threatened C1 in care, and staff do not provide a safe environment for C1 in care. It was reported that C1 sustained injuries during an altercation with staff and from a staff member digging their fingernails into C1's wrist and dragging them. Confidential interviews revealed conflicting statements UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 22-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, THE CITY DR., SUITE FACILITY NAME: ORANGEWOOD CHILDREN AND FAMILY CENTERFACILITY NUMBER: VISIT DATE: 03/09/2023

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


facility_name: PACIFIC LODGE CAMPUS

raw_content:
Narrative:
LPA reviewed the Unusual Incident Reports to confirm that the staff's effort to provide a safe and healthful environment for residents, that indeed did follow restraint procedure evident by observation, monitoring, engaging, using crisis communication techniques to de-escalate and successfully used Pro-Act Protocol techniques were implemented based on the facilities Emergency Response plan. The staff implemented techniques to separate the fight, putting themselves in harm's way by positioning themselves in between clients. Statements and documents obtained revealed that the all Walkie-Talkie's were available, operable in addition to the cottage phone that is connected to office and the OD. LPA confirmed the staff to client ratio met regulations. LPA reviewed the facilities Page: Emergency, Intervention Plan, Protocol and Procedures. In addition to the statements LPA gathered the facilities supportive documents: Optimist TSCF Staff Involved in the Incident (Optimist TSCF SIR written 5-3-2021 (I-track 754020); copy of PRO ACT Training and an Excerpt from an administrative staff regarding the radio checks to confirm that the Walkie Talkies were operable. LPA assessed that all statements were congruent with the method of interventions implemented to ensure that the facility provided proper supervision to support and met the needs of children in placement. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision; Personal Right and Physical plant violations are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3. An exit interview was conducted in person and the report was provided to the Bekins Cottage Supervisor on 07/02/2021.

Investigation Findings:
13On 07/02/2021 at 3:00PM (LPA) Licensing Program Analysts Rosslyn Gray conducted made and unannounced visit to PACIFIC LODGE TSCF to conclude the investigation on the above allegation/s and to deliver the findings. LPA spoke with the Bekins Cottage Supervisor of the TSCF. During the investigation process LPA-Gray interviewed and accounted for all relevant parties; and gathered pertinent information regarding the children who were involved in the incident and are no longer in placement. LPA was unable to contact of locate or interview RP who chose to remain anonymous. LPA made attempts to contact the alleged victims involved in the incident. Based on the interviews and statements from staff and witnesses obtained during the investigation process, the allegation cannot be corroborated because supporting evidence for this complaint is as follows: The internal Investigation revealed that, although the RP was adamant that allegation in the complaint occurred there is no evidence to support the allegation of Neglect and Lack of Supervision; Personal Rights and Physical Plant. LPA obtained statements from four (4) staff and three (3) witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 07/02/2021

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

met_with: STAFF #1


raw_content:
Narrative:
Based on interviews and analyzing all evidence, the department has found this complaint to be Unsubstantiated, meaning the allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. There are no deficiencies to be cited. A copy of this report and appeal rights were provided to FA at the facility.

Investigation Findings:
13On October 26, 2022, at 10:15 a.m., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of concluding complaint findings. LPA met with Theresa Nunez, Facility Administrator at Pacific Lodge Campus who granted access. LPA arrived and observed the front gate on Serrania Ave. is missing and under construction. LPA took photos. Based on the interviews with three of the Clients (C1, C2, and C3) and three of the Staff (PS, S2, and S3) the investigation revealed some of the clients are using drugs however, the investigation did not reveal enough evidence to corroborate the allegations of whether staff are not preventing minors from using drugs while in care. Also, the investigation revealed the staff has received training and is aware of the client's needs therefore, there is not enough evidence to conclude staff are not competent to provide the services necessary to meet minors needs while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Kuliema Calloway 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 34-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, FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 10/26/2022

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

met_with: Theresa Nunez, Facility Administrator


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted and the report was provided to the Program Director on 12/21/2022.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation, LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegations. The Licensee denied the allegation. Based on confidential interviews, LPA assessed that all statements were congruent with methods of crisis communication to were implemented to redirect and encourage clients to make better choices for the health and safety. In review of documentary evidence there is no evidence or witnesses to support that the clients in care were not properly supervised and that the facility staff did not prevent a minor from AWOLing. Documentary evidence show that proper protocol that include evidence of iTrack Special Incident Report-(SIR) was written and submitted within the proper time frame and authorized representatives were notified. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 12/21/2022

met_with: Program Director


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegation of Neglect/Lack of Supervision is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 12/21/2022.

Investigation Findings:
13On December 21, 2022, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation, LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Based on confidential interviews, LPA assessed that all statements were congruent with methods of crisis communication were implemented to protect the minor from being assault by another minor in the facility. In review of documentary evidence, client was provided medical attention and there was no evidence of injuries sustained. There is no evidence or witnesses to support that the client in was not properly supervised and that proper reporting protocol was utilized to prevent the client in care from going AWOL. An iTrack Special Incident Report-(SIR) was written and submitted within the proper time frame and authorized representatives were notified. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 12/21/2022


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has determined that the allegations of Personal Rights is Unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 01/23/2023.

Investigation Findings:
13On January 2023 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. During the investigation LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information in reference to the allegations. The Licensee denied the allegations The alleged victim refused to be interviewed. Based on confidential interviews, LPA assessed that all statements were congruent with staff efforts meet the needs and wants of the alleged victim and other clients in placement. There is no evidence or witnesses to support that the facility staff did not give youth prescribed medication; does not have adequate food, and staff did not ensure that child was fed. Documented evidence indicate that the client refused medication, all clients including the alleged victim are provided with adequate food and snacks according to the regulations. In addition,clients are accorded the option to request alternate food items and there is no evidence of two (2) staff employed listed on the details of the report neither existed nor listed on Staff Roster. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 01/23/2023

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


raw_content:
Narrative:
Due to lack of evidence and conflicting statements obtained during the investigation, LPA determines that the allegation is Unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 02/03/2023

Investigation Findings:
13On February 3, 2023, at 1: PM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings. The Licensee denied the allegation. Based on confidential interviews and review of documentary evidence there is no evidence or witnesses to support that the facility staff did not prevent minors from engaging in CSEC activity. Staff followed protocal for emergency interventions utilizing methods of crisis communication to redirect and encourage children to make better choices for the health and safety; and offer incentives to remain at the faciliy. Documentary evidence also showed that the Licensee provided individual services to meet the children's needs based on the length of stay that include observation to link them to DCFS to obtain CSEC sevices; evidence of Unusual Incident Reports was written, and cross reported to the authorized representatives. Tthere was no evidence to suggest children in care were not properly supervised. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 02/03/2023

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


raw_content:
Narrative:
Due to lack of evidence and conflicting statements obtained during the investigation, LPA determines that the allegation is Unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and the report was provided to the Program Director on 02/03/2023

Investigation Findings:
13On February 3,2023, at 3: PM Licensing Program Analyst (LPA), Rosslyn Gray made a unannouced visit to concluded the investigation and to deliver the findings. The Licensee denied the allegations.The alleged victim was unavailable and on AWOL status, and authorized representive/DCFS closed the bed within 24 hours. Based on confidential interviews, LPA assessed that all statements were congruent with staff efforts meet the needs and wants of the alleged victim and other clients in placement. There is no evidence or witnesses to support that "The facility staff did not give youth prescribed medication; Facility does not have adequate food; Facility staff did not ensure that child was fed'. Documented evidence indicate that the client medication was administered and logged. The clients including the alleged victim are provided with adequate food and snacks according to the regulations. In addition, clients are accorded the option to request alternate food items, and evidence of Unusual Incident Reports in a history of AWOL's were written,and cross reported to the authorized representatives. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-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, N. Continental Blvd. #290B FACILITY NAME: PACIFIC LODGE CAMPUSFACILITY NUMBER: VISIT DATE: 02/03/2023

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


raw_content:
Narrative:
On March 12, 2024, LPA Regina Martin conducted the initial complaint inspection and met with Facility Director to inform receipt of the allegation and subsequent investigation. Evidence obtained from confidential interviews of three residents and one staff member, as well as review of facility file and related records, revealed one youth being sexual assaulted occurring while outside the facility during an attempt to recruit them into prostitution. Confidential statements revealed staff are trained on being observant of signs of sex trafficking and prostitution recruitment. Staff take an active trauma informed role in minimizing the impact on youth in care. Confidential interviews further revealed that facility staff made numerous attempts to prevent youth from interacting with sex trafficking youth and staff make continued attempts to discourage youth leaving the facility without permission. The investigation found a lack of evidence to support the allegation of facility staff's lack of supervision leading to sexual exploitation. Therefore, the allegation is unsubstantiated. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies cited per California Code of Regulations, Title 22, at this time.

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: Facility Director


facility_name: PROGRESS RANCH WELCOME CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On 2/18/2025 at 10: AM Licensing Program Analyst (LPA) Tatyana Shulz and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit with the purpose of conducting a pre-licensing/relocation inspection to the above facility. LPA and LPM met with Executive Director, Alyssum Maguire, and a walk through of the interior and exterior was completed. Physical Plant LPA and LPM entered from the front door into the Living Room that has 2 couches, 1 side table, 1 coffee table and a closet nook with shelving and hanger space. There is a dining room with a table and 2 chairs next to the kitchen area. The kitchen has a working stove top, microwave, dish washer, toaster and sharps are kept locked under the sink. There is no refrigerator at the time of this inspection. There are 3 bedrooms all of them equipped with 2 full beds, a closet and the three screens on the bedroom windows needs to be replaced. Room 1 is an office area with 4 desks, a closet that houses a secure cabinet that will hold the client's medications, files with a window that will be secured to prevent break ins and a bathroom with a working sink, shower, and toilet. Room 2 is the living room/common area with 1 couch, 1 chair and a bookshelf with arts and crafts supplies, all furniture is in good repair. There is one full bathroom leading to the client bedrooms with a working toilet and running warm water with a temperature of 120 degrees. LPA suggests lowering the water temperature to maintain client's safety. LPA also suggests adding to the fence line on the left side of the home when approaching the front door due to easy access to parked campers on the side of the home. Continue to LIC 809-C The backyard is gated, with ample space for the clients to move about. The facility has a Kia to be used to transport clients the facility plans on acquiring a second facility vehicle. Once the new vehicle has been attained the information will be provided to the LPA. There is a garage with bins that have spare clothes, toys, arts and crafts materials, cleaning supplies, a washer and dryer unit and the First Aid kit. LPA observed a camera in the front of the house but there were no cameras observed inside the facility. LPA provided a copy of the PIN for the licensee to reference. The following required documents need to be posted, Emergency Disaster Plan, Personal Rights, Let-Us-Know flyer and Complaint contact numbers and license once granted. Disinfectants/cleaning solutions are inaccessible to children in care and kept in the locked garage. Once a refrigerator is installed the temperature need to be at or below 45 degrees F. With nonperishable foods one week and fresh perishable foods three days minimum. There are plates, cups and cooking supplies ready for clients. A working telephone will need to be made available at the facility. Smoke detectors are in working order. The Carbon monoxide detector will need to be installed. Hot Water between 105-120-degree F. Fire Extinguishers are up to date and in working order but will need to be mounted for the fire inspection. Toilets, wash basins and shower fixtures in good repair, no leaks and there is hot water accessible. Soap and Paper towels are available to clients. Bedroom-required linen and furnishings are fully stocked. The facility is free of vermin. For the fire clearance to be granted the Fire Department requests the facility to make the following adjustments: · Garage door shall be 20 minute fire rated, self-closing, self-latching, and provided with smoke/fire gaskets. Door and frame shall bear the 20 fire rated label. · Fire extinguisher is not mounted. Mount extinguisher, it shall be mounted between 3-5' from floor level, but no lower than 4". Mount extinguisher in a centralized area where is easily visible, accessible and not prone to being blocked. · Provide smoke alarms in dining room and family room. Smoke alarms shall be interconnected and hardwired to the homes electrical wiring. · Provide carbon monoxide detector. Continue to LIC 809-C · Provide room numbers, two bedrooms, being used by Residents. Room numbers shall match facility floor sketch. · Bedroom screens need to be replaced. · Refrigerator needs to be installed. · The office closet window needs to be secured and inaccessible to clients. · Night stands with drawers need to be added to client bedrooms. · Water temperature needs to be lowered. · Perishable food should be available for 3 days and Nonperishable for 7 days. · Sealed containers for leftover food need to be made available. · 6 chairs will need to be made available at the dining room table. · Garage shelving should be organized and made inaccessible to clients. A follow up inspection will be conducted once the facility passes their fire inspection. Per licensee they will not be open for business until late March or early April. CCL will be notified when the facility is ready for operation. No CareTool was available for this type of inspection. An exit interview was conducted with Executive Director, Alyssum Maguire and a copy of this report will be provided to the facility.

met_with: Alyssum Maguire-Executive Director