raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegations that are listed above and did not provide any further specific details regarding staff supervision and personal rights violation. Based on interviews and record reviews the allegations that staff caused injury C1, C1 was threatened by C2, C1 and C2 got into a physical altercation, staff restrained minors and C2 threw trash inside of C2's bedroom, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Joe Jones.

Investigation Findings:
13On August 4, 2023, at 8:40 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with facility Joe Jones. Lisi Leon conducted an inspection of the facility on August 24, 2022, at 2:40 pm and no immediate deficiencies were observed. Three of four children (C1, C2, C3, C4), three staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff caused injury C1, C1 was threatened by C2, C1 and C2 got into a physical altercation, staff restrained minors and C2 threw trash inside of C2's bedroom. More specifically, on August 19, 2022, C1 had thrown trash into C2's bedroom. Staff overheard C1 and C2 arguing about the trash being thrown and threatening one another. Confidential interviews reported that staff immediately intervened and C1 went outside. Confidential staff interviews reported that C1 and C2 were not in a physical altercation, however they were in a verbal altercation. Confidential interviews reported that staff did not use any restraints and did not cause any injuries to either of the minors. LPA attempted to interview C1, but C1 refused after several attempts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 08/04/2023

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


state: CA

facility_name: PLAN-IT LIFE TEMECULA HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
facility with hickeys. During the investigation, there was no corroborating evidence to support the above allegation. Confidential interviews revealed conflicting statements. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff are not providing adequate supervision to youths in care, which may 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 was reviewed with and provided to Katrina Vasquez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 29, 2024, at 12:40 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Katrina Vasquez, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Jason Dalton conducted an inspection of the facility on February 1, 2024, at 2:45 pm and no deficiencies were observed. LPAs Dalton and Linley interviewed two clients (C1, C2), four staff (S1-4), and one client declined to be interviewed (C3). The following documents were reviewed during the investigation: Personnel Roster, Client Roster, copies of shift log, Child-Family-Team Meeting Notes, Treatment Plan, Needs and Services Plans, and Special Incident Reports. On January 22, 2024, Community Care Licensing (CCL) received an allegation that staff are not providing adequate supervision to youths in care. It was reported that staff drive the clients to the park and leave them and drive away. It was also reported that clients go to the park at night and use marijuana and return to the 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 05/29/2024

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

report_type: Complaint Investigation

met_with: Katrina Vasquez

complaint_status: unsubstantiated


raw_content:
Narrative:
interviews did not corroborate the allegation with a preponderance of evidence. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Katrina Vasquez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 29, 2024, at 1:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Katrina Vasquez, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Jason Dalton conducted an inspection of the facility on January 19, 2024, at 1:00 pm and no deficiencies were observed. LPAs Dalton and Linley interviewed one client (C2) and six staff (S1-6). The following documents were reviewed during the investigation: Personnel Roster, Client Roster, Special Incident Reports, S2's Resignation Email, Shift Log note, C2 progress notes, C2's placement forms, and C Health and Education Passport. On January 12, 2024, Community Care Licensing (CCL) received an allegation that staff engaged in an altercation with a youth at the facility. It was reported that S1 and S2 escorted C2 from the staff office and S2 engaged in a physical altercation with C2. During the investigation, there was no corroborating evidence to support the above allegation. Confidential interviews revealed conflicting statements. Thus, confidential 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 05/29/2024

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


raw_content:
Narrative:
not arrive to pick up C1 until 12:53 pm. Confidential interviews revealed conflicting statements on why C1 was not picked up from the school until 12:53 pm. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff did not meet C1's needs, which may 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 was reviewed with and provided to Katrina Vasquez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 29, 2024, at 1:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Katrina Vasquez, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Jason Dalton conducted an inspection of the facility on December 13, 2023, at 3:00 pm and no deficiencies were observed. Lpa J. Dalton interviewed four staff (S1-4) and one client declined to interview (C1). LPA reviewed the following documents during the investigation: Client Roster, Personnel Roster, C1's Medication Administration Records, C1's Placement Agreement, C1's Behavior Notes, and C1's Health and Education Passport. On December 7, 2023, Community Care Licensing (CCL) received an allegation that staff did not meet C1's needs. It was reported that C1 was at school, did not feel well and needed to be picked up and the facility was notified at 10:30 am. It was reported the facility was called multiple times to pick up C1 and staff did 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 05/29/2024

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


raw_content:
Narrative:
evidence to support the above allegations. Confidential interviews revealed conflicting statements. Thus, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff do not ensure that youths attend school on a regular basis, staff do not pick youths from school when called, and staff do not answer the phone when youths' school calls, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Katrina Vasquez. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 29, 2024, at 1:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Katrina Vasquez, Facility Manager, to discuss the investigative finding for the allegations noted above. LPA Jason Dalton conducted an inspection of the facility on October 11, 2023, at 11:30 am and no deficiencies were observed. LPAs Dalton and Linley interviewed four clients (C2, C4, C5, C7), three clients declined to be interviewed (C1, C3, C6), and LPAs interviewed six staff (S1-6). The following documents were reviewed during the investigation: Personnel Roster, Client Roster, School Attendance Review Team (SART) letters, Placement Agreements, School Schedules, Report Cards, Behavior Notes, and Special Incident Reports. On October 4, 2023, Community Care Licensing (CCL) received allegations that staff do not ensure that youths attend school on a regular basis, staff do not pick youths from school when called, and staff do not answer the phone when youths' school calls. During the investigation, there was no corroborating 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 05/29/2024

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


raw_content:
Narrative:
interviews reported that C1 was able to "slip away" from S2's grip and that the situation was diffused. Other confidential interviews reported that C1 punched S2 with a closed fist to their body area on two occasions. Other confidential interviews reported that S2 did not physically retaliate against C1, but that S2 extended their arm and grabbed C1's shirt after the first punch by C1, in an effort to keep them separated and keep C1 at a distance and prevent further punches. Based on confidential interviews, the allegation that staff (S2) handled minor (C1) in a rough manner, may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Administrator Jesse Jorrin.

Investigation Findings:
13On 05/30/2024, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Administrator Jesse Jorrin to deliver the investigative finding for the allegation listed above. On 04/17/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed clients 1, 2, 3, and 4 (C1-C4), staff 1, 2 and 3 (S1-S3) and a confidential witness. On 04/12/2024, Community Care Licensing received an allegation that staff (S2) handled minor (C1) in a rough manner. It was reported that S2 and C1 were in a facility vehicle, waiting to pick up S3 and C2. It was further reported that C1 became impatient and grabbed the car keys out of the ignition. In addition, S2 grabbed C1 by C1's shirt and they (S2 and C1) got into a "tussle" over the keys. Confidential interviews reported that S2 grabbed C1 by their shirt during a struggle for the facility vehicle's keys. Confidential CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 05/31/2024

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

met_with: Jesse Jorrin, Administrator


raw_content:
Narrative:
facility staff only use trauma informed language when interacting with clients. Other confidential interviews reported that no client's visitations were ever restricted due to a client missing school. Other confidential interviews reported that C1 and the other clients in the facility were not verbally threatened by S1 or other staff, and that clients had a good rapport with staff. Based on confidential interviews, the allegation that staff (S1) threatened minor (C1), may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Administrator Jesse Jorrin.

Investigation Findings:
13On 07/11/2024, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Administrator Jesse Jorrin to deliver the investigative finding for the allegation listed above. On 05/17/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed clients 1, 2, 3, and 4 (C1-C4), staff 1, 2, 3, 4 and 5 (S1-S5). On 05/15/2024, Community Care Licensing received an allegation that staff (S1) threatened minor (C1). It was reported that S1 threatened to restrict C1's weekend visitation, if C1 refused to attend school. It was also reported that S1 stated to C1, "You have to deal with me when we get home" - (no other details were provided). Confidential interviews reported that facility staff threatened to restrict a client's visit due to missing school and that facility staff also verbally threatened a client. Other confidential interviews reported that CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 07/11/2024

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


raw_content:
Narrative:
It was further reported that C2-C6 ran away from placement and when C1 reported this to staff, C2-C6 "beat up" C1. Confidential interviews reported that C1 recanted their original testimony that C1 was physically attacked by C2-C6. Other confidential interviews reported that C2-C6 did not physically attack C1 for any reason. Confidential interviews reported that C1 had a tough time adjusting to placement but has since learned to understand and get along with the other clients. Confidential interviews reported that staff closely supervise the clients during the day and overnight shifts and no incident involving C1 getting attacked was observed. In regard to the allegations that staff (S2) did not accord minor (C1) with privacy during telephone visitations and staff (C2) spoke inappropriately to minor (C1); it was reported that while C1 was on the phone with a relative, S2 joined in the call and verbally disrespected the relative. It was further reported that S2 called C1 a "punk or a pussy" due to C1 telling their relative what happens in the facility and that S2 was trying to influence C1 to not report what happens in the facility. Confidential interviews reported that S2 interfered with C1, while C1 was on the phone. Other confidential interviews reported that S2 afforded C1 complete privacy while they were on the phone. Confidential interviews reported that S2 made disrespectful comments to C1. Other confidential interviews reported that S2 always spoke to C1 in a professional manner. Confidential interviews reported that C1 did not want to make further comment about S2 during the investigation. Based on confidential interviews, the allegations that C1 was physically abused by other minor (C2-C6) while in care, staff (S2) did not provide minor (S1) with a safe environment, staff (S2) did not accord minor (C1) with privacy during telephone visitations and staff (S2) spoke inappropriately to minor may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Administrator Jesse Jorrin.

Investigation Findings:
13On 10/03/2024, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Administrator Jesse Jorrin to deliver the investigative finding for the allegation listed above. On 07/26/2024, Community Care Licensing received allegations that minor (C1) was physically abused by other minor (C2-C6) while in care, staff (S2) did not provide minor (S1) with a safe environment, staff (S2) did not accord minor (C1) with privacy during telephone visitations and staff (S2) spoke inappropriately to minor. On 07/29/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed clients 1, 2, 3, 4, 5 and 6 (C1-C6) and staff 1, 2, 3 and 4 (S1-S4). In regard to the allegations that minor (C1) was physically abused by other minor (C2-C6) while in care and staff (S2) did not provide minor (S1) with a safe environment; it was reported that C1 was afraid at in their current placement and wanted to leave. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 10/03/2024

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

met_with: Administrator, Jesse Jorrin


raw_content:
Narrative:
school called. Other confidential interviews reported that the reason S1 couldn't pick up C1, immediately after the school called was that S1 was supervising other clients in the facility and that S1 had to wait for another staff member to arrive to the facility. Based on confidential interviews, the allegation that staff did not pick up a minor (C1) timely from school may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Katrina Vasquez.

Investigation Findings:
13On 11/22/2024, at 12: PM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Facility Manager Katrina Vasquez to deliver the investigative finding for the allegation listed above. On 09/26/2024, Community Care Licensing received an allegation that staff did not pick up a minor timely from school. On 10/03/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed client 1 (C1) and staff 1 & 2 (S1, S2). In regard to the allegation that staff (S1) did not pick up a minor (C1) timely from school; it was reported that C1 was involved in a behavior at school and the school needed the facility to pick up C1 earlier than usual. It was further reported that S1 advised the school that they couldn't pick up C1 for another hour or so. Confidential interviews reported that C1 was eventually picked up from school a little over an hour after the CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 11/22/2024

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

met_with: Facility Manager, Katrina Vasquez


raw_content:
Narrative:
Confidential interviews disclosed that the school was not provided with the educational rights holder information for C3 in a timely manner and that this lack of information interfered with C3's educational needs. Other confidential interviews reported that the school was provided with C3's educational rights holder information approximately a week after they were enrolled in school. Confidential interviews confirmed that the school does possess the educational rights holder information for C3. Based on confidential interviews, the allegation that facility staff did not follow needs and services plan regarding education may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Facility Manager Katrina Vasquez.

Investigation Findings:
13On 01/16/2025, at 11: AM Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Short Term Residential Treatment Program (STRTP) and met with Facility Manager Katrina Vasquez, to deliver the investigative finding for the stated allegation involving the STRTP staff and clients as listed on the confidential names list (LIC811). On 10/30/2024, Community Care Licensing received a complaint alleging that facility staff did not follow needs and services plan regarding education. On 11/01/2024, LPA Joon Choi arrived at the facility, conducted a health and safety inspection, and obtained pertinent documents. No immediate health and safety hazards were observed. In addition, LPA interviewed clients 1, 2, and 3 (C1-C3) facility staff 1, 2, and 3 (S1-S3), and County Social Worker (CSW). In regard to the allegation that facility staff did not follow needs and services plan regarding education; it was reported that C3 needed their Individualized Education Plan (IEP) updated upon starting school on 08/22/2024, however the facility did not provide an "educational rights holder" to sign the IEP until 10/18/ CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 01/16/2025

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

met_with: Katrina Vasquez, Facility Manager


raw_content:
Narrative:
facility, facility staff (S1-S3) did not prevent youth(s) (C1-C5) from engaging in physical altercations at the facility and facility staff (S1-S3) did not prevent youth(s) (C1-C5) from engaging in inappropriate online activity at the facility; it was reported that a video of C1 fighting and smoking vape pens with other clients in the facility; the video was posted to social media. Additionally, it was also reported to the facility that the clients were also making threats to other individuals that were not in the facility. It was further reported that Law Enforcement (LE) was notified of the video and visited the facility. Confidential interviews indicated that there was a video posted in the social medias involving three of the facility's clients horseplaying with each other. Confidential interviews added that the clients were not engaged in physical altercations. Confidential interviews reported that it appeared the clients were smiling and laughing in the video while rough housing. Confidential interviews stated that the clients were also smoking vape pens, however, other confidential interviews disclosed that no vape pens were observed in the video. A video footage was reviewed by CCL, and it was indicated that the video in question appeared to be an older video, and the video appeared to be taken in the facility, however, other confidential interviews denied that the video took place in the facility because the facility staff conduct routine room checks every 15 minutes to prevent such incidents. Based on confidential interviews, the allegations facility staff did not prevent youth(s) from vaping in the facility, facility staff did not prevent youth(s) from engaging in physical altercations at the facility and facility staff did not prevent youth(s) from engaging in inappropriate online activity at the facility may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Youth Care Counselor Bobiet Dillon

Investigation Findings:
13On 03/19/2025, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Youth Care Counselor Bobiet Dillon to deliver the investigative finding for the allegation listed above. On 12/20/2024, Community Care Licensing (CCL) received allegations that facility staff did not prevent youth(s) from vaping in the facility, facility staff did not prevent youth(s) from engaging in physical altercations at the facility and facility staff did not prevent youth(s) from engaging in inappropriate online activity at the facility. On 12/26/2024, LPA Joon Choi visited at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. LPA also conducted a follow-up visit on 1/13/2025. In addition, LPA obtained pertinent documents related to the investigation and interviewed clients 1, 2, 3, 4 and 5 (C1-C5) and staff 1, 2 and 3 (S1-S3). In regard to the allegations that facility staff (S1- S3) did not prevent youth(s) (C1- C5) from vaping in the CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 03/19/2025

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

met_with: Bobiett Dillon, Youth Care Counselor


raw_content:
Narrative:
reported that a wall outlet cover was missing. Confidential interviews confirmed that a wall plate cover was temporarily removed in a client's bedroom due to ongoing painting. Other confidential interviews confirmed that during a department health and safety inspection, no wall outlet covers were missing. Multiple confidential interviews verified that the flooring damage had been acknowledged by the facility staff, and that the repairs were in progress. However, the flooring was not fully repaired at the time of the follow up inspection, the damaged flooring was still observed, and the facility remained in the process of completing the repair. Based on confidential interviews, observation and a review of pertinent documentation, the allegation that staff did not prevent facility from being hazardous is substantiated. The facility is being cited for violation of Title California Code of Regulations, Building and Grounds, Section 80087(a) The facility shall be in good repair at all times for the safety and well-being of clients.... An exit interview was conducted. A copy of this report (LIC 809), deficiencies page (LIC 809D) and appeal rights were explained and given to Administrator Jesse Jorrin. therapy room in addition to a damaged wall. Other confidential interviews denied that there was debris at any time and there never was any damage to any wall within the therapy room. Confidential interviews reported that during a health and safety inspection by the Department, there appeared to be no unsightly debris in the therapy room, nor did there appear to be evidence of damage to a wall or the appearance of a recent repair to any wall within the therapy room. Based on confidential interviews, the allegation staff did not prevent facility from being unkempt may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Administrator Jesse Jorrin.

Investigation Findings:
13On 10/31/2025, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Administrator Jesse Jorrin to deliver the investigative finding for the allegation listed above. On 08/04/2025, Community Care Licensing received an allegation that staff did not prevent the facility from being hazardous. On 08/11/2025, LPA Joon Choi visited the facility and conducted a health and safety inspection and observed the facility flooring was damaged and in progress of being repaired. In addition, LPA obtained pertinent documentation and interviewed Staff 1 and 2 (S1, S2). It was alleged that facility staff did not prevent hazardous conditions within the facility. Specifically, the flooring between the kitchen, living room, and hallway was reported to be separated and slightly lifted, posing a potential tripping hazard. The facility initially reported that the flooring had been repaired; however, a follow up inspection revealed that the repairs had not been completed. Additionally, it was CONTINUED ON THE NEXT PAGE SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE TEMECULA HOUSEFACILITY NUMBER: VISIT DATE: 10/31/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Leslie Covarrubias on September 1, 2022 at 9: AM. During the inspection, LPA Covarrubias met with Administrator, Joe Jones and inspected the facility inside and out. LPA reviewed three of three child's records on site at the facility at 10: AM. LPA reviewed two of two of staff personnel files on site at the facility at 10: AM. LPA reviewed three of three child's psychotropic medications and medication records at 10: AM. LPA interviewed two of two staff on site at 11: AM. LPA interviewed one client on site of three children currently taking psychotropic medications at 10: AM. LPA conducted exit interview with Administrator, Joe Jones at 12: PM. LPA provided the Summary Report to Administrator, Joe Jones upon completion. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator, Joe Jones at 12: PM.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator, Joe Jones


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Erika Lopez and Licensing Program Manager (LPM) Jennifer Smith conducted an annual inspection. A physical plant inspection was completed and included the following checks: The facility is currently under repair and there are no clients in care. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order with the exception of Bedroom #2 which smoke detector is removed. The fire extinguisher is properly charged and serviced. LPAs observed the facility has all required forms Grievance Procedures, Visitation Policies, Personal Rights form, Facility License, Menu and Foster Care Ombudsman poster but they are currently not posted due to construction. Medications are locked and centrally stored in the staff office. Individual beds were observed with mattresses in good repair. LPA observed that there is a supply of linens for number of beds available. Due to construction, the beds are not made. Bedroom #1 has a broken dresser and Bedroom #2 has three drawers for two clients which requires additional drawer space. Outlets in the client bedrooms and tv room were missing outlet covers at time of inspection and were repaired on this date. The hot water in the client's bathroom was measured to be 127 degrees. The kitchen trash can did not have a tight fitting lid at time of inspection. The dishwasher door is dented and the dishwasher is not operating. interviews. The facility employs 1 facility manager and 9 direct care staff that are used in accordance with regulatory requirements. Licensee currently has Mental Health Program Approval through 7/23/23. Licensee has obtained National Accreditation through CARF. The Accreditation is valid through 9/30/23. Licensing fee payments have been paid and there is currently a balance of 0. LPA discussed the following with the Administrator: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Due to time constraints the personnel files will be reviewed on a later date. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. No deficiencies were noted in the areas during time of inspection. Technical violations were issued for Operations, Physical Plant and Disaster Preparedness. Upon completion of construction and prior to clients being placed licensee will notify CCL. A copy of this report was given and explained to Administrator Joe Jones and appeal rights were given and explained.

visit_type: Annual

met_with: Joe Jones, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2024 at 9:45 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility for the purpose of conducting collateral interviews with one staff. LPA met with Katrina Vasquez, Facility Manager, and explained that the complaint investigation is not on their facility. LPA conducted two interviews with one staff. LPA toured the facility and the facility was in compliance with Title 22 regulations, Chapter 5, therefore no deficiencies were cited. A copy of this report was provided to Katrina Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/12/2024 at approximately 09: AM, LPAs Joon Choi and Maryjane Perez arrived at Plan-It Life, Inc. Corporate Office - River Crest Dr., Suite N, Riverside, CA 92507, and met with Facility Manager (FM) Katrina Vasquez, for the purposes of conducting an Annual Inspection for Plan-It Life Temecula House STRTP Facility #336413303. At 9:40 am, LPAs were assisted by FM for conducting five client file reviews. Four Technical Advisories were provided At 10:25 am, LPAs were assisted by FM for conducting three staff file reviews. Two deficiencies were cited and one Technical Advisory was provided. At 11:14 am with the assistance of FM, we then reviewed the facility's Operational Requirements. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 10:50 am with the assistance of FM, we then reviewed the facility's Disaster Preparedness Requirements. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 11:10 am with the assistance of FM, we then reviewed the facility's Emergency Intervention Plan. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. At 11:20 am with the assistance of FM, we then reviewed the facility's Core Therapeutic Services. All of the documentation pertaining to these areas of the inspection were provided, and no deficiencies were noted. Based on record reviews, the facility was given two Type B citations: ILS 87065.1(A) Completion of cardiopulmonary resuscitation (CPR) and first aid training shall be demonstrated by current and valid CPR and first aid cards issued by the American Red Cross, the American Heart Association, a training program approved by the State Emergency Medical Services Authority pursuant to Health and Safety Code Section 1797.191, or from an accredited college or university and ILS 80066(11) Tuberculosis test documents as specified in Section 80065(g). The facility was also provided with five Technical Advisories: 1) 87065.1(d)(1) (d) Notwithstanding California Code of Regulations, Title 22, Section 80065(f)(1) through (6), new direct care staff shall complete a minimum of 24 hours of initial training comprised of the 8 and 16 hour training as specified in (1) and (2) below: (1) 8-Hour Training 2) 87070(c)(2) (c) If it is determined that the facility can provide the services necessary to meet the child's needs, the following additional information shall be maintained in the child's record: (2) Signed copies of the facility's policies and procedures regarding the child's removal and/or transfer, discipline, and complaints. 3) 87087(e) (e) In every situation where children share a bedroom, the licensee shall document that the bedroom sharing arrangement ensures the health and safety of each child and that the children are compatible. 4) 87072(c) (c) The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, and below, as applicable: 5) 87068.2(b)(6) (b) The needs and services plan shall be trauma informed, culturally relevant, and age and developmentally appropriate and shall identify the child's needs in the following areas: (6) Visitation, including the frequency of and any other limitations on visits to the family residence and other visits inside and outside the facility consistent with the child's personal rights as specified in Section 87072. An exit interview was conducted, and a copy of this report and appeals rights was provided to Facility Manager Katrina Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Leslie Covarrubias on July 11, 2024 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Covarrubias met with Administrator, Jesse Jorrin and inspected the facility inside and out. LPA reviewed two of child's records and two of staff personnel files on site at the facility. LPA reviewed two of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed two of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Administrator, Jesse Jorrin. No deficiencies are being cited at this time. LPA conducted exit interview with Administrator, Jesse Jorrin.


summary: Facility Evaluation

raw_content:
Narrative:
On September 19, 2024 at 9:41 am, Licensing Program Analyst (LPA), Joon Choi, conducted an unannounced case management inspection at Plan It Life Temecula House Short Term Residential Treatment Program (STRTP) and met with Faciliy Manager Katrina (FM) to follow up on an tincident report dated 09/05/2024 regarding Client 1 (C1) and Staff 1 (S1). On 09/06/2024, Community Care Licensing received an incident report from the STRTP Facility. Per the incident report, on 09/05/2024 facility staff 1 (S1) and client (C1) were present in the facility, as C1 had not attended school. Also present in the facility was therapist (Staff 2, S2). It was reported that there was an argument between S1 and C1 and that C1 became physically violent towards C1. It was further reported that S2 heard the commotion and intervened and assisted in de-escalating the situation. It was further reported that S1 did not utilize proper training and further escalated the situation with C1, after the incident had seeming been resolved with the assistance of S2. During this visit, LPA interviewed two staff and one client. Due to the need to gather further investigation, this case management will be continued. A exit interviewed was conducted and a copy of this report was provided to Facility Manager Katrina Vasquez.


summary: Facility Evaluation

raw_content:
Narrative:
On September 8, 2021 at 10: AM, Licensing Program Analysts (LPAs) Cindy Hamilton and Adelayci Caballero conducted an unannounced SB Psychotropic Medication Inspection. During the inspection, LPAs Hamilton and Caballero met with Katrina Vasquez, Facility Manager and inspected the facility inside and out. LPAs reviewed 1 out of 1 client psychotropic records at the facility site at 11: AM. During the review of client's record, LPAs observed Client #1's (C1) Psychotropic Medication Administration Records (PMARs) did not have the same prescription numbers as the medication labels on four out of four medications. Also, the PMAR lacked the specific time the psychotropic medications are administered to C1. LPA's also observed the facility was incorrectly documenting the PMAR when C1 refused C1's psychotropic medications. The facility did not follow the directions provided on page 1 or page 2 of the PMAR for documenting refusals. LPAs did not review staff personnel files due to files are maintained in the corporate office in RIverside, CA and will be reviewed at a later date. LPAs began one staff interviews at 11: AM LPAs attempted to interview C1 at 11: AM and C1 declined to be interviewed. LPA conducted an exit interview with Katrina Vasquez, Facility Manager at 1: PM. LPA provided the Summary Report to Katrina Vasquez, Facility Manager upon completion. One deficiency was observed (refer to LIC 809D) and cited from the Health & Safety Codes and two technical advisories (refer to LIC TA) during the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/19/2025, LPA Joon Choi arrived unannounced at Plan It Life Temecula House, Short Term Residential Treatment Program and met with Youth Care Counselor Bobiet Dillon. LPA visited the facility to deliver findings for a closed complaint. Upon arrival, LPA observed the facility was not in compliance with the required client to staff ratio of three clients to one staff. Upon arrival, LPA observed there were six clients and only one facility staff present. Confidential interviews reported that the second staff, that was present, prior to LPA's arrival, left to deal with a family emergency. The facility is being cited for violation of ILS 87065.5(a)(1): (a)In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows (1)During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum. The above requirement was not met as evidenced by confidential interviews of facility staff and an admission of the violation by the operations manager.

met_with: Bobiet Dillon, Youth Care Counselro


facility_name: PLAN-IT LIFE, INC

raw_content:
Narrative:
Based on confidential interviews, the allegation facility staff use derogatory language towards FC1 may have occurred, however is not supported, or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On March 16, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Belinda Torres inspected the STRTP on 08/12/2021 at 11: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with Facility Manager (S1), Youth Care Counselor (S2), Foster Child 1 (FC1), Foster Child 2 (FC2), Foster Child 3 (FC3), Foster Child 4 (FC4), Foster Child 5 (FC5), Foster Child 6 (FC6) and obtained copies of Mental Health Service Logs, Placement Agreement for FC1, SIRS, and ProAct Training Logs. On 08/03/2021, Community Care Licensing (CCL) received a complaint that facility staff used inappropriate language towards client. Specifically, it was alleged staff use derogatory language towards FC1. Confidential interviews revealed 2 of 6 clients reported staff uses derogatory language at times. Other interviews denied the allegation occurred. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 03/16/2022

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

met_with: Youth Care Counsler, Helen Cotton


raw_content:
Narrative:
staff immediately re-directed minor and changed room assignments for client's safety. Other confidential interviews report as to not having any awareness of any problem regarding minor harassing or touching any clients in the facility and reports minor has no interactions with any clients and is usually alone. Based on confidential interviews and record review, the allegations that staff are not protecting minors from harassment by another minor may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated. . An exit interview was conducted, and a copy of this report and appeal rights were provided to facility representative. Based on the confidential interviews, the allegation that facility has bed bugs is substantiated and the facility is being cited for violation of Short Term Residential Therapeutic Program, Title 22, California Code of Regulations (CCR), Division 6, Section 80087 (a)(1) Buildings and Grounds. Confidential interviews disclosed facility had bed bugs for the second time. An exit interview was conducted, and a copy of this report and appeal rights were provided to facility representative.

Investigation Findings:
13On April 28, 2022 at 10: AM, Licensing Program Analyst (LPA), Lisi Leon, met with Plan-It Life, Inc., Youth Care Counselor, Helen Cotton, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA Fountain conducted interviews with Facility Manager (S2), one Staff (S1) and Foster Client 1 and 2 (C1, C2). LPA Leon conducted interviews with one staff (S3), Foster Child 2, 3, and 4 (FC2, FC3, FC4). LPA Leon obtained copies of the facility and client roster including schedules. Client record files were obtained for each foster client involved in these allegations. On June 28, 2021, Community Care Licensing (CCL) received an allegation alleging facility has bed bugs. It was specified in confidential interviews clients were asked to move their beds outside due to bed bugs and it was disclosed this was the second time the facility had bed bugs. Facility Administrator provided a copy of the receipt for the treatment of bed bugs and advised it was a one-time treatment. Confidential interviews revealed the facility does not currently have any issues with bed bugs. *****(Continued on 9099-C)***** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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

met_with: Youth Care Counselor, Helen Cotton


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation FC1 was not picked up from the hospital is substantiated. Facility is cited for violation of Title California Code of Regulations (CCR) 80078 (b) Responsibility for Providing Care and Supervision. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On April 29, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Ronnesha Fountain inspected the STRTP on 07/07/2021 at 12: PM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1 (S1), Administrator 1 (A1), Administrator 2 (A2) and County Supervising Social Worker and obtained copies of SIRs, and the removal request of FC1. On 06/29/2021, Community Care Licensing (CCL) received a complaint that the facility did not pick up a client from the hospital. Specifically, it was alleged staff refused to pick up FC1 from the hospital. Confidential interviews corroborated that the facility did not pick up FC1. Some confidential interviews revealed due to FC1 being a danger to the rest of the clients in care an immediate removal request was submitted however, there is no confirmation that the authorized representative received the notice. (Continue on next page...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
while other confidential interviews revealed S1 did yell and speak inappropriately to children in care and staff do make fun of clients. Based on confidential interviews, the allegations S1 yelled and was speaking inappropriately to clients in care and staff made fun of clients wearing clothing of their choice may have occurred, however they are not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On April 29, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant findings to the allegations listed above. LPA Ronnesha Fountain inspected the STRTP on 07/07/2021 at 11: AM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1(S1), Foster Child 2 (FC2), Foster Child 3 (FC3). Foster Child 1 (FC1) was attempted to be interviewed, however bio-mother refused as FC1 has been reunified. LPA obtained copies of client roster and staff roster, and placement agreement's for FC2 and FC3. On 06/29/2021, Community Care Licensing (CCL) received a complaint that staff yelled at children in care, staff speak inappropriately to children in care and staff do not allow clients to wear clothing of their choice. Specifically, it was alleged that S1 yelled and was speaking inappropriately to clients in care and staff made fun of clients wearing clothing of their choice. Some confidential interviews revealed the allegations were false (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 04/29/2022

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


raw_content:
Narrative:
Confidential interviews disclosed FC1 was dragged, hit, and pulled by a staff member of the facility, however it was not specified which staff. Additional confidential interviews were unable to provide the name of the staff or specific details related to the allegation. Other confidential interviews revealed no clients were observed being dragged, hit, or pulled by any staff at the facility. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegation FC1 was attacked while in care may have occurred, however is not supported, or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On May 5, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Covarrubias inspected the STRTP on 03/16/2022 at 11: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with Staff 1(S1), Staff 2 (S2), Foster Child 1 (FC1), Foster Child 2 (FC2), Foster Child 3 (FC3), Foster Child (FC4), and Foster Child 5 (FC5). LPA attempted to interview Foster Child 6 (FC6), however; FC6 declined to be interviewed. LPA obtained copies of related Special Incident Reports (SIRs), the client roster and staff roster, and the placement agreement for FC1. On 03/14/2022, Community Care Licensing (CCL) received a complaint that a minor was attacked while in care. Specifically, it was alleged that FC1 was dragged, hit, and pulled by an unknown staff. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/05/2022

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


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Narrative:
office. Records revealed that S2 was terminated for allowing C1 to use S2's work phone on more than one occasion resulting in C1 engaging in an inappropriate relationship with an adult male. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation staff did not provide adequate supervision is substantiated. Facility is cited for violation of Title California Code of Regulations (CCR) 80078 (a) Responsibility for Providing Care and Supervision. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton

Investigation Findings:
13On May 12, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Covarrubias inspected the STRTP on 03/16/2022 at 11: AM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1 (S1), Staff (S2), Staff 3 (S3), Staff 4 (S4), Client 1 (C1), and Client 2 (C2). LPA obtained copies of SIRs, phone policy, termination letter for S2, logbook entries, agreement, personal rights and, needs and services plan for C1. On 03/08/2022, Community Care Licensing (CCL) received a complaint that staff did not provide adequate supervision. Specifically, it was alleged a staff's cellphone was provided to C1. and C1 communicated with an adult male inappropriately on the phone. Confidential interviews revealed S2 provided S2's personal work phone to C1. Several confidential interviews stated that C1 was using the phone for a few hours in her bedroom while one witness stated C1 was using the phone for less than an hour and sitting outside the staff (Continue on next page...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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


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Based on interviews and records review the allegations that S1 was emotionally abusing and yelling at C1, may have occurred, however they are not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sylvia Rodriguez Smith.

Investigation Findings:
13On September 13, 2023, at 10: AM, Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with clinician Sylvia Rodriguez Smith. LPA, Lisi Leon, conducted an inspection of the facility on September 29, 2022, at 4: PM and no immediate deficiencies were observed. Four of four clients (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff #1 (S1) was emotionally abusing and yelling at C1. Confidential staff interviews reported that S1 did not yell or emotionally abuse C1. Confidential interviews reported that S1 did re-direct C1 on numerous occasions but did not violate C1's personal rights. There were no other witnesses to this alleged incident. The interviews that were provided to the LPA were not consistent regarding the allegations that are listed above and did not provide any further specific details regarding C1's personal rights violation. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 09/13/2023

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

met_with: Sylvia Rodriguez Smith


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Narrative:
On June 22, 2023, Community Care Licensing (CCL) received a complaint alleging that due to lack of supervision minors have access to vape pens on the premises, due to lack of supervision minors engaged in inappropriate interactions while in care, due to lack of supervision minors engaged in physical altercations while in care. Regarding the allegation that due to lack of supervision minors have access to vape pens on the premises, it was revealed that clients have been in possession of vape pens while in care. Confidential interviews stated that vape pens are brought into the facility when clients are out of care, however; staff will confiscate any vape pens found by staff. Other confidential interviews denied that lack of supervision was a result of clients having access to vape pens and further maintained that staff remove drug paraphernalia from clients and involve law enforcement as needed. LPA received inconsistent information regarding whether lack of supervision was the result of clients having access to vape pens on the premises. Regarding the allegation that due to lack of supervision C2 and C6 engaged in inappropriate interactions while in care, SI Vasquez received inconsistent information to support the allegation. Although it was reported that C2 and C6 engaged in inappropriate behaviors during placement, confidential interviews denied observing inappropriate interactions between C2 and C6 in care. Other confidential interviews stated that there were ongoing behaviors between C2 and C6 that involved both clients making allegations against each other resulting in the removal of C6 from care. Records review of confidential interviews conducted by a County Social Worker Investigator revealed that there were inappropriate behaviors between C2 and C6 in care but there were also inconsistencies with the statements provided. C6 was unable to be reached for comment regarding the allegation. There were no other known witnesses to the incident. Regarding the allegation that due to lack of supervision minors engaged in physical altercations while in care, confidential interviews reported that there were multiple altercations at the facility that involved C2 and C6. Confidential interviews further stated that facility staff were responding to continuous fights among clients in care during C2's and C6's placement due to ongoing behaviors. Other confidential interviews reported that during altercations between clients' staff attempted to separate clients and involved law enforcement when the situation became escalated. (**Continued on LIC C pg 3**) Confidential interviews denied that fights were a result of lack of care and supervision by staff rather they were due to ongoing behaviors between clients in care resulting in the removal and termination of some placements. LPA received inconsistent information and there were no other known witnesses that would support staff care and supervision resulting physical altercations between C2 and C6 in care. Based on confidential interviews, the allegation that due to lack of supervision minors have access to vape pens on the premises, due to lack of supervision minors engaged in inappropriate interactions while in care, due to lack of supervision minors engaged in physical altercations while in care, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Clinician, Sylvia Rodriguez Smith due to technical difficulties.

Investigation Findings:
13**This is an amended LIC 9099 from the original to correct LPA's time of arrival** On November 14, 2023, at 11: AM, Licensing Program Analyst (LPA), Cynthia Urena met with Plan-it-Life Inc, Short Term Residential Therapeutic Program (STRTP) Clinician, Sylvia Rodriguez Smith to deliver the investigative finding for the above stated allegations. On June 28, 2023, at 8: AM, LPA Daniel Mena initiated the investigation at the STRTP and collected pertinent documents from the STRTP staff and client files. A health and safety inspection was conducted, and no deficiencies were observed. LPA Mena informed the facility that Special Investigator (SI) Wilfredo Vasquez would be leading the investigation. SI Vasquez interviewed one client (C1). Additional interviews were conducted with clients (C2, C3, C4, C5, C7), four staff members (S1, S2, S3, S4), and two County Social Workers. Multiple attempts were made to interview C6, but due to a runaway status, LPA was unable to complete an interview with C6. (**Continued on LIC C Pg 2**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 11/14/2023

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

met_with: Clinician, Sylvia Rodriguez Smith


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During investigation, SI Vasquez found no corroborating evidence that supported lack of supervision resulting in youth doing illegal drugs in the facility. Although confidential interviews maintained that drug use goes on with minors at the facility other confidential interviews revealed that the facility has policies and procedures in place that are implemented to ensure that clients do not engage in drug use while in care. Confidential interviews further reported that clients manage to "sneak" in illegal drugs into the facility and engage in these behaviors outside of care and in some cases returning into care under the influence. Other confidential interviews reported that when facility staff suspect minors are returning to the facility with contraband, facility staff will conduct a safety search. Facility staff also conduct room safety checks throughout the day. SI Vasquez received inconsistent information whether neglect or lack of care and supervision by staff resulted in clients doing illegal drugs in the facility. Based on confidential interviews, the allegation that youth were doing illegal drugs in the facility, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Clinician, Sylvia Rodriguez Smith due to technical difficulties.

Investigation Findings:
13On November 14, 2023, 11: AM, Licensing Program Analyst (LPA), Cynthia Urena met with Plan-it-Life Inc, Short Term Residential Therapeutic Program (STRTP) Clinician, Sylvia Rodriguez Smith to deliver the investigative finding for the above stated allegation. On June 28, 2023, at 8: AM, LPA Daniel Mena initiated the investigation at the STRTP and collected pertinent documents from the STRTP staff and client files. A health and safety inspection was conducted, and no deficiencies were observed. LPA Mena informed the facility that Special Investigator (SI) Wilfredo Vasquez would be leading the investigation. SI Vasquez interviewed three clients (C1, C2, C3), four staff members (S1, S2, S3, S4), and a Sherrif's Investigator. Additionally, SI Vasquez reviewed records for call of services from Murrieta Police Department. On June 22, 2023, Community Care Licensing (CCL) received a complaint alleging that youth were doing illegal drugs in the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 11/14/2023

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


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Narrative:
C1 and cursed at them. Confidential interviews revealed conflicting statements as to whether S2 pushed C1 or spoke to C1 inappropriately. Confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that S2 handled C1 in a rough manner and S2 spoke inappropriately to C1 which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Monique Gray. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 16, 2024, at 2:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Monique Gray, Facility Manager, to discuss the investigative finding for the allegations noted above. Lpa J. Dalton conducted an inspection of the facility on August 23, 2023, at 2:00 pm and no deficiencies were observed. LPAs interviewed one client (C3), four staff (S1-4), two County Social Workers (CSW1-2), one client (C1) declined to interview, and LPA attempted to interview two clients (C2, C3), however, LPA was unable to contact them, despite multiple attempts. The following documents were reviewed during the investigation: Personnel Report, Law Enforcement Incident Report, Special Incident Reports, C1's Placement Agreement, and C1's Health and Education Passport. On August 16, 2023, Community Care Licensing (CCL) received allegations that staff handled minor in care in a rough manner and staff spoke inappropriately to minor in care. It was reported that S2 pushed 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/16/2024

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

met_with: Monique Gray


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Narrative:
were provided, thus LPA received conflicting statements. Due to not being able to interview all individuals, despite multiple attempts to contact them, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff did not prevent minors from AWOLing, staff did not meet ratio requirements, and staff denied minors access to facility, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Monique Gray. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 28, 2024, at 11:35 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Monique Gray, Facility Manager, to discuss the investigative finding for the allegations noted above. LPA Jason Dalton conducted an inspection of the facility on November 2, 2023, at 11:20 am and no deficiencies were observed. LPAs Dalton and C. Linley interviewed two clients (C2, C5) five staff, (S1, S3-6), and LPAs were unable to interview two clients (C1, C3) despite multiple attempts to contact them. The following documents were reviewed during the investigation: Client Roster, Staff Schedule, Copies of Shift Log, Needs and Services Plans, Placement Agreement, and Special Incident Reports. On October 31, 2023, Community Care Licensing (CCL) received allegations that staff did not prevent minors from AWOLing, staff did not meet ratio requirements, and staff denied minors access to the facility. Although the Department received information that C1, C2, and C3 left the facility without permission no specific dates 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/28/2024

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


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Narrative:
that C1 did not feel safe sleeping in the same bedroom with C2 due to C2 stealing their belongings. It was reported that after the stealing was addressed C2 threatened C1 and C1 wanted to sleep on the couch, however, was told they could not sleep on the couch. Confidential interviews revealed conflicting statements. Due to being unable to interview all individuals, despite multiple attempts to contact them, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff do not ensure residents are afforded a safe environment and staff does not safeguard residents' belongings, which may have occurred, however, they not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Monique Gray. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 28, 2024, at 12:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Monique Gray, Facility Manager, to discuss the investigative finding for the allegations noted above. LPA Jason Dalton conducted an inspection of the facility on October 11, 2023, at 1:45 pm and no deficiencies were observed. LPAs Dalton and Linley interviewed one client (C3) and five staff (S1-5) and LPAs were unable to interview three clients (C1-2, C4), and one County Social Worker (CSW) despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster, Clients Roster, Needs and Services Plans, Behavior Notes, Placement Agreements, and Health and Education Passport. On October 3, 2023, Community Care Licensing (CCL) received allegations that staff do not ensure residents are afforded a safe environment and staff does not safeguard residents' belongings. It was reported 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/28/2024

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


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Narrative:
interview all individuals, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that staff are not reporting AWOLs to the appropriate entities and staff did not look for minor's that AWOL'ed which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Monique Gray. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 28, 2024, at 12:15 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Monique Gray, Facility Manager, to discuss the investigative finding for the allegations noted above. LPA Jason Dalton conducted an inspection of the facility on August 30, 2023, and no deficiencies were observed. LPAs Dalton and Linley interviewed four staff (S1-4) and LPAs were unable to interview three clients (C1, C3, C5) and two staff (S5-6), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Client Roster, Personnel Roster, Placement Agreements and Needs and Services Plan, Health and Education Passports, and Special Incident Reports. On August 23, 2023, Community Care Licensing (CCL) received allegations that staff are not reporting AWOLs to the appropriate entities and staff did not look for minor's that AWOL'ed. Confidential interviews revealed conflicting statements. Due to specific dates not indicated for the allegations and being unable to 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/28/2024

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


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Narrative:
preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff were driving recklessly with minors in the van, which may 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 was reviewed with and provided to Monique Gray. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 28, 2024, at 12:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Monique Gray, Facility Manager, to discuss the investigative finding for the allegation noted above. LPA Jason Dalton conducted an inspection of the facility on July 27, 2023, at 9:40 am and no deficiencies were observed. LPAs Dalton and Linley interviewed four staff (S1-4), two clients (C1, C2) and LPAs were unable to interview two clients (C3, C5) despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster, Client Roster, Mileage Log, Needs and Services Plans, and Placement Agreements. On July 19, 2023, Community Care Licensing (CCL) received an allegation that staff were driving recklessly with minors in the van. It was reported that a female staff was driving the van with the clients and almost hit an individual that was walking their dog. Confidential interviews revealed conflicting statements. There were no dates or details provided. Therefore, confidential interviews did not corroborate the allegation with a 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/28/2024

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


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Narrative:
Confidential interviews reported that C1 had contraband in their room and S2 was going to conduct a search of C1's room and that C1 followed S2 to the room. Confidential interviews reported that S2 then grabbed C1 by their shoulders and moved them out of the way. Other confidential interviews reported that S2 didn't grab C1 by the shoulders. Confidential interview reported that staff suspected C1 had contraband in C1's room, however, confidential witness denied this incident occur between S2 and C1. Other confidential interviews reported that S2 would have only conducted a visual search of C1's room after hearing a description of the alleged incident. Based on confidential interviews, the allegation that staff handled minor in a rough manner, may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Youth Care Counselor Adriana Araujo.

Investigation Findings:
13On 6/12/2024, at 03: PM, Licensing Program Analysts (LPAs) Joon Choi an Maryjane Perez conducted an unannounced visit at Plan It Life Short Term Residential Treatment Program (STRTP) and met with Youth Care Counselor Adriana Araujo to deliver the investigative finding for the allegation listed above. On 04/10/2024, LPA Joon Choi arrived at the facility and conducted a health and safety inspection, and no immediate health and safety hazards were observed. In addition, LPA obtained pertinent documents and interviewed clients 1, 2, 3, 4, 5 and 6 (C1-C6), staff 1, 2 and 3 (S1-S3). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 06/12/2024

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

met_with: Adriana Araujo- Youth Care Counselor


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Narrative:
instructed to wash the clients' bedding, clothes and stuffed animals. Confidential interviews reported that even after washing the clients' bedding and belongings; the clients were still complaining of being bitten by bed bugs. Confidential interviews reported that it was unknown if pest control services were rescheduled to return to the facility. Based on the confidential interviews and pertinent documentation, the preponderance of evidence standard has been met, and the allegation that staff are not addressing pests in the facility, is substantiated. The facility is being cited for Title General Licensing Requirements Section 80087(a)(1) Buildings and Grounds: (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidenced by: confidential interviews, photos of clients injuries and health and safety inspection of the facility, showed there were bed bugs in the clients' rooms within the facility. A copy of this report, LIC 809D, and appeals rights was provided to Youth Care Counselor Jennifer Ruiz.

Investigation Findings:
13On July 29, 2024 at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit at Plan-It Life, Inc. Short-Term Residential Therapeutic Program (STRTP), and met with Youth Care Counselor Jennifer Ruiz. LPA Choi explained the purpose of the visit was to initiate an investigation of the above allegation. During this initial visit, LPA conducted a health and safety inspection of the facility and determined the deficiency alleged in the complaint, was observed to be factual. LPA also obtained pertinent documents for the investigation, took photos and also interviewed one staff and three clients. On 7/26/ Community Care Licensing received an allegation that staff are not addressing pests in the facility. It was reported that there were bed bugs in the facility and multiple clients were being bitten by these bed bugs. Confidential interviews reported that clients complained to staff that they were possibly being bitten by bed bugs. Other confidential interviews reported that the clients were taken to urgent care for the treatment of bites and rashes. Confidential interviews reported that the facility hired pest control, but the pest control company did not show up. Confidential interviews reported that the facility staff were SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 07/29/2024

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

met_with: Jennifer Ruiz, Youth Care Counselor