raw_content:
Narrative:
Staff denied the allegations. Staff stated they encourage the clients to attend school as much as they can and try to make sure if they need any school supplies to provide it for them. Staff interviewed stated the clients are checked when they get home from school and their rooms are also checked once a day to safeguard from any substances being brought into the facility. Staff stated they provide meals and the menu has a variety of foods and if the client has special needs they try to accommodate them. Staff stated they do an inventory of belongings of each client and if something comes up missing they will replace it. Clients interviewed denied the allegations or did not want to discuss them. Statements obtained from interviews conducted with social workers revealed no concerns regarding the allegations. Based on information gathered from interviews conducted and records reviewed the allegations were unsubstantiated. Although the allegations may have happened or are valid the standard of the preponderance of evidence was not met. A copy of this report and confidential names form were provided to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
On July 19, 2023 at 9:00AM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow up complaint inspection. During the inspection LPA met with Kimberly Hayes, Treatment Team Specialist . The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. During the course of the investigation LPA conducted interviews with four clients, one CSW and three staff on 3/28/23. In addition, LPA conducted a file review on 3/28/23 and toured the facility. LPA obtained copies of staff contact information, incident reports and client information. It was alleged staff are not assuring minor attends school, staff do not provide adequate supervision to minor resulting in minor gaining possession of alcohol, food is not of quality to meet the needs of minors in care and staff do not safeguard minors belongings. (Continued on Page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 07/19/2023

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


state: CA

facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES CORP.

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
On 2/22/24 the Department received a complaint alleging the facility staff did not ensure clients were free from unreasonable searches of personal belongings. It was further alleged that the facility staff will search client's backpacks once clients return from school. Based on the information gathered during confidential interviews, relevant parties indicated the facility staff will search clients backpacks each time the clients return to the facility from school. The facility staff will also direct clients to do a self-search prior to entering the facility where the clients take off their shoes, put out their pockets, raise their shirt or shake their waist band. The facility staff stated that the searches are performed to all clients in order to prevent contraband from entering the facility. LPA reviewed facility documents which did not indicate the facility's policy is to search clients' belongings each time a client returns to the facility. Based on the information gathered, the allegation stated above is/are SUBSTANTIATED. A substantiated finding means the preponderance of evidence standard has been met. These violations pose an immediate and/or potential Health, Safety, or Personal Rights risk to children in care. The facility is being cited Short-Term Residential Therapeutic Program Interim Licensing Standards Chapter 7. Section 87072 (C)(10) Personal Rights. Appeals rights were provided, and a copy of the report and LIC 9099-D has been provided to the facility representative mentioned above.

Investigation Findings:
13On May 24, 2024, at 9: AM Licensing Program Analyst (LPA) Larry Cabral conducted a follow-up complaint inspection to the above facility and met with the facility administrator Lekeba Riely. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the investigation, LPA Cabral interviewed two facility staff (S1 & S2) and attempted to interview one client (C1) on 2/28/24. LPA interviewed three clients (C2, C4, C6) and attempted to interview two clients (C3, C5) on 4/9/24 (see Confidential Names Form LIC 811 dated May 24, 2024). LPA attempted to interview three county social workers (CSW2, CSW4, CSW6) on 4/19/24. LPA reviewed incident reports, the facility's discharge, removal, termination policies and procedures forms, the facility's visitation policy, discipline policy, program violation agreement, facility house rules and client guidebook. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 05/24/2024

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

report_type: Complaint Investigation

met_with: Lekeba Riley, Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 07/17/2024 at 9: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted a complaint investigation to the above facility for the reported allegation. While investigating the allegation, LPA Demetris Teal interviewed administrator on 11/17/23. LPA Yerkatyan interviewed administrator on 07/08/24; interviewed two staff on 07/10/24, 07/11/24; two clients on 07/09/24, 07/11/2; and county social worker on 07/10/24. LPA attempted, however unable to interview two staff and four clients, (see Confidential Names LIC 811 dated July 17, 2024). LPA Yerkatyan also reviewed documents including LIC 500, client rooster, incident reports, communication logs, and more. LPA Yerkatyan received statements indicating staff do provide supervision including room checks and documentation of the check at all times of the day. However, other information received stated the above allegation did take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, the complaint findings are Unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the allegation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Noubar Yerkatyan 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 1

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

complaint_status: unsubstantiated


raw_content:
Narrative:
It was alleged that staff do not provide adequate care and supervision to the minors in care after a report of two juveniles supposedly selling drugs to an individual near the facility. During the course of the investigation, there was no evidence found to confirm the identity of the juveniles and if they were minors in placement at the facility. The investigation revealed third party information of an alleged exchange of unconfirmed items between parties. Furthermore, it revealed an opposition to the facility being in the neighborhood. The minors denied the allegation and causing any issues with their neighbors. Minors have community passes but they do not loiter around the neighborhood or trespass in neighbors' properties. Staff denied being aware of the incident as alleged and stated that minors in care do not engage in such criminal activity. Although there were issues with some of their neighbors in the past, the issues were resolved. Neighbors know to contact the Administrator for any concerns. Based on the evidence above, the allegation of neglect/lack of supervision is closed as unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence found to prove that the allegation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099 and LIC9099-C. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On October 29, 2024 at 9: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation which was received by the Department on August 1, 2024. This LPA conducted the investigation and it consisted of confidential interviews with one staff on 8/6/24, three minors and one additional staff on 9/13/24 and a review of records including, but not limited to, incident reports and needs and services plans. Additional information was obtained from other related parties on 8/5/24 and 8/9/24. There was no county placement agency report found. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 10/29/2024

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

met_with: Lekeba Riley, Administrator/Facility Manager


raw_content:
Narrative:
The investigation revealed that a minor, unprovoked, struck one of two minors involved in an altercation at the gym. Upon returning to the facility, several minors confronted the aggressor. While staff attempted to de-escalate the situation, the involved minor absconded through a bedroom window. Staff immediately notified other staff and law enforcement. One additional staff member went to the facility to ensure safety. Police located the minor, who refused to return to placement. Staff notified the placement agency and were instructed to request that police transport the minor to a Child and Family Services office. Statements from staff present during the incident did not support the allegation. Confidential statements from other minors also contradicted the allegation. LPA was unable to obtain a statement from the involved minor due to minor's AWOL from the facility and subsequent placements. Based on information obtained, the allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence found to support it. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On August 28, 2025 at 10:40am, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation. This LPA investigated the allegation received by the Department on May 5, 2025 alleging neglect/lack of supervision. Confidential interviews were conducted with facility staff on 5/9/25, 7/30/25 and 8/21/25. Two minors were interviewed on 8/14/25 and unsuccessful attempts were made to obtain a statement from two additional minors on 7/30/25 and 8/20/25. LPA made unsuccessful attempts to obtain a statement from one of the identified minors on 5/6/25, 5/9/25 and 7/14/25. Pertinent records were reviewed including, but not limited to, the Needs and Services Plans, Child and Family Team Meeting (CFTM) notes and Incident Reports. There was no county placement agency report found. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Fields Comprehensive Youth Services CORP.FACILITY NUMBER: VISIT DATE: 08/28/2025

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

met_with: Joseph Mendoza, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 6/10/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Lekeba Riley and discussed the following: On 5/10/2021 the department received an Unusual incident report identifying a child leaving this facility and returning to facility without being searched prior to entry back into the facility. Facility manager stated the following: Staff that were present during the incident had been employed with facility for a couple of weeks. Staff had received all required training's and shadowing prior to working afternoon shift. However, staff were unsure on procedures for searching children upon returning to facility. Staff documented incident and reported incident to required entities of incident and what was observed from child #1 (C1) placing an unknown object into their jacket. Facility manager stated that staff were retrained on searching procedures and provided verbal guidance for future incidents. Child #1 (C1) has been removed from facility. LPA requested copies of all completed staff training's for staff #1 and 2. Exit interview completed, no deficiencies cited and a copy of this report was left with facility manager.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Lekeba Riley, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 11/16/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Lekeba Riley and discussed the following incidents: On 7/7/2021 the department received an Unusual incident report identifying facility filing a Child Protective Services (CPS) report regarding a child grooming another child in the facility. House manager stated the following: Children were horse playing around and the horseplay became a little too sexual. Facility immediately completed an incident report and telephoned therapist who directed staff to file a child abuse report. On 7/8/2021 children were given the option to attend a CFT meeting to discuss the incident, however, children declined. Additionally, a request was made to have C1 removed from same bedroom as C2. Based on request for removal facility staff removed C1 from a shared bedroom to a room by themselves. LPA, observed no deficiencies regarding this incident as facility followed their policies in procedures in reporting and addressing the issue within the required time frame. Exit interview completed, no deficiencies cited and a copy of this report was left with House manager.

met_with: Lekeba Riley, House Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 11/16/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Lekeba Riley and discussed the following incidents: On 11/1/2021 the department received an Unusual incident report identifying facility telephoning local law enforcement to come to facility to complete a search for C1. Facility manager stated the following: C1 had returned to facility after being on a run away status. Facility staff conducted a self search of C1. Facility staff observed in C1's sock an outline of a lighter. Staff asked C1 to turn in the lighter and C1 declined. C1 left the premises and when C1 returned staff asked for C1 to complete another self search. C1 declined and staff told C1 that they would seek assistance with searching C1 for contraband. Local law enforcement was called to assist facility staff as the lighter was observed on C1 in previous self search. Officers conducted search of C1 and found contraband. However, officers did not complete a police report based on only providing assistance to facility. Facility manager stated after contraband was located C1 turned in items to facility manager and manager took and discarded items at Administrative offices. Facility staff reported the incident on 11/1/2021 to notify agencies. LPA observed no deficiencies during this inspection. Facility reported the incident within the required time frame and utilized the assistance of local law enforcement in confiscating observed contraband. Exit interview completed no deficiencies cited and a copy of this report was left with facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/7/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Short Term Residential Therapeutic Program (STRTP) for the purpose of a Case management incident inspection. LPA met with facility manager Lekeba Riley and discussed the below identified incidents: 1. Tylenol bottle found in child room 2. Empty Nyquil bottle found in child room Facility manager stated the following: Both incidents were involving the same client. One bottle was discovered during a room check administered on client's room. The other bottle was presented to the therapist by client for no known reason. We do not administer over the counter medications to the children, so we believe child is stealing the items from the store. Child is on psychotropic medications and was transferred from our sister location where it was noted of child's behavior. The facility conducts room checks frequently and continue to monitor children with community passes to be aware and prevent any incidents such as this from occurring again. LPA obtained emailed copies of child's needs and service plan, medication log and any case notes involving incidents of child storing or stealing medications. Exit interview completed, no deficiencies cited, and a copy of this report was left with facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 5/4/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Youth Services STRTP for the purpose of a case management- incident inspection. LPA met with and discussed the below identified incident: 1. February 6, Client that was not himself, would be skipping around, crying and was transported to Montclair Hospital for medical reasons. Facility manager stated the following: Child was transported to hospital due to child acting unusual. Staff observed child acting erratic throughout the day and staff called local law enforcement to have child assessed. Law enforcement instructed staff to call paramedics. Child was transported to hospital and diagnosed with alcohol poisoning and a fever and was released back to the facility staff. Child admitted to drinking alcohol but did not disclose to staff where alcohol was obtained. Special incident report notifying all associated agencies was submitted February 7, 2023. LPA requested facility case notes of day and days prior to incident occurring; child's last two CFT meeting notes, any documented emails from county or probation regarding care of child or instructions to facilities supervision/ monitoring of child. Additionally, LPA requested child's last Needs and service plan, incident reports associated to child and any complaints. Exit interview completed, no deficiencies cited at this time. LPA told Facility manager that LPA would return at a later date to follow up on incident. A copy of this report was provided to facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 5/4/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Youth Services STRTP for the purpose of a case management- incident inspection. LPA met with and discussed the below identified incident: 1. December 6, 2022 client inhaling dust off electronic compressed gas duster and lint remover in the facility. Facility manager stated the following: Client was meeting with therapist in the back of home for therapy. Facility manager and therapist were with client at the time. Client returned to room and staff heard an unusual sound coming from clients bedroom. Client was observed inhaling from a compressed duster. Staff confiscated duster from client and assessed clients well being. Staff filed incident report and notified all associated parties of incident occurring. Staff were unsure where client obtained duster or how long client had duster on their persons or in their bedroom. Client refused medical treatment and was monitored by staff for the remainder of the day. Based on the information received, it is unclear how child obtained duster. However, based on the documentation provided staff responded and addressed incident in a timely manner and reported incident to all associated parties. Exit interview completed, no deficiencies cited and a copy of this report was provided to Facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/14/2023 at 9: AM Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services facility for the purpose of a Annual/ Required inspection. LPA met with Administrator Lekeba Riley and together did a walk-through of the facility both inside and out. LPA observed the following: This is a single-story single-family residence with three (3) bedrooms, two (2) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. Home has operational surveillance cameras both inside and out. LPA did not observe cameras to be in bathrooms or bedrooms. LPA observed TV room, living room, game room, kitchen, dining room, office area, one (1) staff bathroom, mental area and attached garage. Additionally, LPA observed mental health area, garage, (1) bathroom identified as client bathroom. The kitchen has the required perishable and non-perishable food supply. Knives and cleaning supplies are kept behind locked doors and kept in locked cabinets. Medication, medication logs and file folders are kept behind locked doors. All areas observed at this time were clean, working and furniture was in good repair. The garage housed extra supplies, (4) additional deep freezers and an extra fridge. Bedroom #1 occupied by 2 children located opposite common bath two twin beds, dresser and closet space available Bedroom #2- Occupied by 1 child, two twin beds, dresser and closet space available Bedroom #3- Occupied by 1 child two twin beds, dresser and closet space available Bedroom #4- utilized as an office space with an attached bathroom used only by staff Bathroom #1- common bathroom water temperature (107 degrees Fahrenheit) LPA reviewed four (4) children folders including four (4) children's medication log, four (4) staff folders and vehicle maintenance logs. Additionally, LPA reviewed camera monitoring system, outdoor shed and ensured all smoke detectors and carbon monoxide machines were in working order. Files were maintained and required documents were present. Facility vehicles were last serviced in November. Exit interview completed, no deficiencies observed or cited and a copy of this report was given to Administrator.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Pamela Silva and Timika Martin on 05/10/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Lekeba Riley, Administrator, and inspected the facility inside and out. LPAs reviewed one (1) of the children's record and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of children's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs will conduct client interview at a later date due to the client not being available during the time of inspection. No deficiencies are being cited at this time. LPAs conducted exit interview with Lekeba Riley, Administrator, and provided a copy of this licensing report.

met_with: Lekeba Riley


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on 05/22/24 at 9: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 3 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, 05/22/24). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, and youth safety plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Facility Manager/Administrator, Lekeba Riley.

met_with: Lekeba Riley, Facility Manager/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/13/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Short Term residential therapeutic program (STRTP) for the purpose of a case management- incident inspection. LPA met with representative and discussed the following incident. -Staff going back and forth with client regarding radio in the car (Trauma informed care) Staff/ Child # Facility manager stated the following: Staff and child were having a disagreement regarding the radio station. Child was not following staffs directives or following identified house rules. Staff and child were talked to regarding incident and agreed to drop issues and be in compliance with house rules. Facility manager stated that they talked to both staff and child together and separately. Staff was retrained in how to handle issues or disagreements with children and child was reminded of house rules. LPA obtained copies of signed house rules, staffs recently completed training regarding trauma informed care/ care and supervision of children and child's most recent needs and service plan. Exit interview completed, no deficiencies cited or observed during this inspection. A copy of this report was provided to facility manager.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on 06/26/25 at 9: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 6 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, 06/26/25). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, and youth safety plans, and crisis prevention intervention plan, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA, Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator, Lekeba Riley.

met_with: Administrator, Lekeba Riley


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 11/16/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Lekeba Riley and discussed the following incidents: On 6/16/2021 the department received an Unusual incident report identifying facility filing a Child Protective Services (CPS) report regarding a child being raped and possibly killing someone. Additionally, on 6/17/2021 the department received another incident report regarding a child taking a bottle of unsecured cold medicine out of the manager's office. Facility manager stated the following: In regard to the incident report regarding child being raped and possibly killing someone the child stated they had consensual sex with a friend. They stated that they did not want to have sex with them but ended up doing it anyway. When staff was questioning child about what happened and inquiring details as to what transpired child made a statement of if I killed someone would you ask me all these questions. Facility manager stated that no specific information was given of friend who child had sex with or that child killed someone. The incident report with the cold medicine was my personal medication for relieving cough. I had the bottle out in the office. I stepped out of the office to ask a child a question and did not lock or close the door behind me. A child went into the manager's office and took my bottle of cold medicine and placed it in their pants. I was unable to retrieve the bottle as the child refused to give it back or take it from their pants. The cold medicine contained no alcohol and was an over the counter medication. Based on the information provided by the facility manager LPA identified the following deficiency. Health Related Services (k) The following requirements shall apply to medications which are centrally stored: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. LPA requested a copy of completed training for deficiency cited. Exit interview completed, the following deficiency was cited and a copy of this report was left with facility manager.

Deficiencies:
80075: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.1
2
3
4
5
6
7Facility staff was retrained on administering and keeping medications. Facility manager also no longer brings personal medications to facility.
8
9
10
11
12
13
14


facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES II

raw_content:
Narrative:
Client#1 denied the allegation and stated the nobody has ever used any inappropriate discipline on him or the others in the home. Other clients interviewed also denied the allegation. Social workers interviewed had no concerns. Others interviewed stated there was concern as to what was said. Based on interviews conducted and conflicting information received, the allegation that staff demonstrate inappropriate form of discipline may have occurred, however, it is not supported or proven by evidence. The allegation is, therefore, UNSUBSTANTIATED. There are no deficiencies to be cited. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to the facility representative. The original signed report will be placed in the facility file.

Investigation Findings:
13On March 25, 2022, at 11:30AM Licensing Program Analyst (LPA) Pedro Ramos conducted an inspection for the purpose of delivering investigative findings for the allegation listed above. LPA spoke to the representative above. During the investigation, LPA reviewed group home files and client files. LPA obtained copies of needs and service plan, facility roster, and documented staff and client statements regarding the incident under investigation. LPA conducted interviews with Client#1,4,5 staff #1 (S1), staff 2 (S2), staff 3 (S3), reporting party and social workers. It was alleged that staff demonstrate inappropriate form of discipline. Staff#1 denied the allegation and stated he has not used any type of inappropriate discipline with client#1 or any client. He stated what was said was taken out of context. Staff interviewed stated nobody in the group home has ever disciplined the clients inappropriately. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 03/25/2022

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

met_with: Jonathan Lamothe, Facility Manager


raw_content:
Narrative:
LPA reviewed the incident report and confirmed the incident report was submitted on 8/30/22 and the incident report indicated client disclosed the alleged incident on 6/28/22. The alleged incident took place in December 2021. Based on interviews and records review the preponderance of evidence standard has been met and the Department has determined the allegation facility failed to report a special incident in a timely manner is Substantiated. This poses an immediate Health, Safety, or Personal Rights risk to children in care. The Facility was cited for Title 22, Division 6, Chapter Article 06. Continuing Requirements Section 80061 (b) Reporting Requirements. Appeals rights were provided, and a copy of the report and LIC 9099-D has been provided to the FFA representative mentioned above. The client interviewed indicated client and staff walked down the street and engaged in a fight. Client did not want to provide details and stated none of the other clients witnessed the fight between client and staff. The other agencies investigative reported indicated client refused to provide details about the incident and staff denied fighting client. Based on the interview and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On December 6, 2022 at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility manager Jonathan LaMothe. During the course of the investigation, LPA Cabral interviewed three facility staff and attempted to interview three clients on 9/7/22. LPA interviewed another facility staff and one client on 11/30/22 (see Confidential Names Form LIC 811 dated December 6, 2022). LPA attempted to interview one county social worker on 10/25/22. LPA reviewed a child abuse report and transition plan on 11/26/22. LPA reviewed an incident report and the other agencies investigative narrative on 11/30/22. On 7/6/22 the department received a complaint alleging the facility failed to report a special incident in a timely manner. The facility staff indicted the alleged incident was reported to the facility on 6/28/22, however an incident report was not reported to the departement until 8/30/22. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 12/06/2022

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

met_with: Jonathan LaMothe, Facility Manager


raw_content:
Narrative:
It was alleged that in December of 2022, staff failed to properly supervise clients in care resulting in an unidentified, unauthorized female minor entering the facility undetected for an extended amount of time. During the course of this investigation, the female minor was not able to be located and was listed as a runaway. Therefore, an interview was unable to be obtained with her. In an interview conducted, one client stated that the unauthorized female minor (UFM) was snuck into the facility in the middle of the night towards the end of December 2022. The client stated that the UFM was brought in through a back bedroom window on the second floor of the facility. The client stated that prior to the UFM's unauthorized entry into the facility, security cameras had been covered with sticky notes and the bedroom window had been cracked open earlier in the day so that the sensor would not make an alert sound when it was later opened for UFM. The client stated that for the approximately 2 days that UFM was inside the facility, she was hidden from staff by hiding on the floor between a bedroom wall and bed. The only time she left the bedroom was to use the bathroom while staff were downstairs and performing other duties. Food was brought upstairs to her without the knowledge of staff. The client stated that staff generally conducted checks every 15 - 30 minutes and would come upstairs into their rooms to see if clients needed anything. However, the UFM was able to avoid detection each time. In another interview conducted, a second client corroborated the above statements and stated that all of the clients that were present in the facility during that time period were aware that UFM was in the home but no one alerted staff. The client also admitted that they actively assisted in covering up cameras on at least one occasion with sticky notes. A third client stated that they were initially unaware that UFM was present in the facility but also confirmed that they did not alert staff when they were finally aware. In interviews conducted, staff confirmed after checking security footage that the UFM was brought into the facility in the middle of the night through a second-story bedroom window. Footage also showed clients temporarily covering up security cameras with sticky notes in order to facilitate UFM sneaking into the home. Staff stated that when clients are upstairs in their rooms, staff members will check on them every 15-30 minutes to see what they are up to and if they need anything. This also occurs during overnight shifts when clients are asleep. Staff stated that during the period of time when this incident occurred, they would make regular checks but they did not see UFM as she would hide on the side of the bed closest to the wall and under blankets. In an interview conducted, a third-party individual stated that all indications pointed towards clients actively assisting the UFM in entering the facility and avoiding detection. It was also alleged that one client had access to a weapon in the facility. Further investigation revealed that the weapon in question was a CO BB gun. In an interview conducted, one client stated that it was brought into the facility unbeknownst to staff. A second client stated that they were unaware that the item was in the home until it was discovered and a third client stated that they were aware the first client had it in his possession, but decided not to alert staff to it. All clients stated that staff will ask to conduct searches when clients are returning from the community but stated that they sometimes refuse. Clients stated that room searches are conducted periodically by staff if there is reason to believe there may be contraband hidden. In interviews conducted, staff confirmed that they will ask to conduct light contraband searches on clients to include flipping out pockets, checking backpacks, having clients pat down their own pockets, and more. Clients will sometimes refuse, and when this occurs, staff will document the refusal. Staff stated that room searches are routinely conducted and the thoroughness of the check will depend on if there is a specific reason to believe that contraband may be hidden somewhere. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the above allegations occurred. Although the allegations may be valid or may have happened, the preponderance of evidence standard has not been met. Therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and copy of this report was provided to the Licensee.

Investigation Findings:
13On February 10, 2023 at approximately 2: PM, Licensing Program Analyst (LPA) Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of delivering findings for the above allegations. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, clients, staff, and third party individuals were interviewed on 01/09/23, 01/20/23, 01/26/23, 02/03/23, and 02/08/23. Records were reviewed on 01/09/23, 01/26/23, and 02/10/23. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 02/10/2023

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

met_with: Facility Manager, Jonathan Lamothe


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a staff member (S1) inappropriately touched a client (C1) on his genital area. The investigation revealed that on or about the evening of 7/11/23, C1 and S1 left the facility on a therapeutic walk. Statements obtained from confidential interviews conducted revealed that during the walk C1 requested a hug from S1, and as they embraced, S1 allegedly reached down and placed his hand on C1's genitals, over his clothing. S1 denied the allegation. S1 stated he validated C1's feelings, discussed boundaries with C1 and offered a hug as a supportive gesture. S1 denied his hands went below C1's waistline during their embrace. Statements obtained from interviews conducted with facility staff and a review of the placing agency investigation revealed C1 recanted the allegation occurred during multiple follow up interviews. In addition, statements obtained from interviews conducted with staff revealed there were inconsistencies in C1's account of the incident with respect to when he disclosed he was attracted to S1. During the telephone call to the Child Abuse hotline it was reported C1 disclosed being attracted to S1 on the morning of 7/12/23. There were no reported witnesses to the alleged incident. Based on information gathered from interviews conducted and record review the allegation is Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names form LIC811 dated 11/7/23 were given to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 11/7/23, at 10: AM. During the inspection LPA Larios met with Facility Manager Thomas Ybarra. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegation. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Wilfredo Vasquez and LPA Larios. During the course of the investigation, SI Vasquez conducted interviews with a staff and four clients between 8/28/23 and 10/2/23. SI Vasquez obtained a copy of a law enforcement agency report on 10/4/23. In addition, LPA Larios conducted interviews with five facility staff and a placing agency investigator between 11/1/23 and 11/2/23. A record review was conducted by LPA Larios on 7/26/23. The facility provided LPA Larios with copies of the staff and client rosters, incident report and meeting notes regarding a client. On 7/26/23, the facility provided LPA Larios with witness statements and a safety plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 11/07/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Thomas Ybarra


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continue from page 1 . . . The staff indicated that the clients are searched when they come back from outside the facility and were without direct supervision. The staff stated that the clients do a self search where the clients take off their shoes, put out their pockets, raise their shirt or shake their waist band. The staff stated that the staff does search the client's back packs and go through it or that the client's can go through their backpacks themselves. The staff stated that the searches are done to all clients and is done to prevent contraband from entering the facility. The confidential interviews revealed that the clients are search when coming back to the facility from the outside. The confidential interviews indicated that a staff searches the client's backpacks when entering the facility back. The confidential interviews revealed that the clients also conduct self searches by taking out their pockets, taking their shoes off and such. The statements obtained indicated that the clients are not padded down when conducting a search. Based on the staff statements and confidential interviews the allegation is found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegation is found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above.

Investigation Findings:
13On April 25, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Jonathan Lamothe, Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed one staff (S1) on 03/01/24, LPA interviewed five clients on 03/04/24, LPA interviewed County Social Worker (CSW) and one staff (S2) via telephone on 04/16/24, LPA interviewed County Social Worker (CSW2) via telephone on 04/17/24 and LPA interviewed County Social Worker (CSW3) via telephone on 04/18/24 (see Confidential Names Form LIC 811 dated April 25, 2024). LPA also reviewed documents including but not limited to Client's Intake packet, Policy and Procedure Section and other documents. It was alleged Staff are searching residents' belongings without a cause. Continue on page 2 . . . SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: FIELDS COMPREHENSIVE YOUTH SERVICES IIFACILITY NUMBER: VISIT DATE: 04/25/2024


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services II facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Jonathan Lamothe and discussed the following incidents: On 12/9/2021 the department received an Unusual incident report identifying client being physically assaulted by unknown males at client's school. Facility manager stated the following: Client (C1) was at school and engaged in a verbal altercation with another student. Students were then in a physical altercation with one another that was not reported to the school, but incident was recorded by a witness. The student then contacted their parent who called and had two older men come to the school to beat up C1. The altercation between those men and C1 again was caught on camera and local law enforcement were called on scene. The facility has been requesting information from the school and have yet to receive anything regarding the incidents. However, C1 was suspended for three days and the facility verified that the other student was expelled following this incident. Additionally, on 12/9/2021 the facility reported incident to Child Protective Services (CPS) and were told that no report was filed by the school to local law enforcement. Facility manager stated he will be filing a formal police report 12/13/2021 regarding incident. Facility has a scheduled meeting with the school for 12/13/2021 at 8:30AM and will be discussing the incident, creating a plan of security for C1 and inquiring about the suspension when C1 does not appear to be at fault. LPA requested a copy of a brief synopsis of incidents and what information and documents have already been obtained. Additionally, LPA requested documented evidence of fights and copies of any law enforcement reports taken regarding this incident. Exit interview completed, the following deficiency was cited and a copy of this report was left with facility manager.

met_with: Jonathan Lamothe, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On February 16, 2023 at approximately 11:30AM, Licensing Program Analyst (LPA) Dawn Mahecha conducted an unannounced Case Management visit at the facility. LPA met with the representative named above and discussed the purpose of the visit. Special incident report (SIR) submitted 10/14/2022 regarding threats and possible weapons: Clinical therapist stated the following: A incident report was submitted 10/14/2022 based on one child C1 making threats towards another child C2. Children were taken to school and later that afternoon when staff went to pick C2 up from school staff discovered C2 had runaway. A police report was filed for C2 running away but staff later identified that C2 may have been looking to purchase a firearm from a friend. When C2 returned to facility, local law enforcement was called and C2 was searched by police and no firearm was retrieved. A meeting was held with both C1 and C2 regarding the threat made to C2 by C1 and C2 looking to buy a firearm. A safety plan was completed and children came to an agreement to respect one another. LPA obtained copies of children's Needs and service plans, safety plan completed, SIRs updated and submitted and any additional case notes or follow up completed regarding law enforcement contact and search. Based on the information received facility notified agencies of runaway and completed follow up and therapy to address the concerns and incident that had occurred. Exit interview completed, no deficiencies cited and a copy of this report was provided to facility representative.

met_with: Anyssia Johnson, Head of Service/ Clinical therapist


summary: Facility Evaluation

raw_content:
Narrative:
On 5/23/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive Youth Services II for the purpose of a case management Incident inspection. LPA met with Administrator and discussed the following incidents: 1. Child being placed on 72 hour hold 3/14/2023 2. Child having cuts on both arms 3/23/2023 3. Youth detained for attempted car theft 4/11/2023 4. Child having cuts to face being beaten up 4/12/ Administrator stated the following: Child would run away a lot from the facility and would come back after weeks away from facility with various cuts and injuries. Child was placed on a 72 hour hold based on mothers request due to observing cuts on child while child was on run away status at mother home. Two children were detained by local law enforcement and were taken to juvenile hall. Children were released from juvenile hall and brought back to the facility. Child was removed from home prior to child's scheduled court dates. Child was on run away status from facility on 4/12/2023 and child showed up to school with cuts to face and stated someone attempted to stab them. Facility was notified of observations made and information given by child. Facility requested school have child taken to hospital where child was evaluated and a police report was taken by Officer Swink of local police department. Child was removed from home by social worker on April 13, 2023 and further follow up was to be conducted by social worker. LPA requested copies of special incident reports, hospital discharge paperwork, any police reports, and child's discharge paperwork from facility. Exit interview completed, no deficiencies cited or observed during this inspection and a copy of the report was provided to Administrator.

met_with: Jonathan Lamothe, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/23/2023 at 10: AM Licensing Program Analysts (LPA) Dawn Mahecha and Tommy Davis made an unannounced visit to the Field Comprehensive Youth Services II facility for the purpose of a Annual/ Random inspection. LPA met with Administrator Jonathan Lamothe and together did a walk thru of the facility both inside and out. LPA observed the following: This is a two story singe family residence with three (3) bedrooms, four (4) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. Home has operational surveillance cameras both inside and out. LPA did not observe cameras to be in bathrooms or bedrooms. Downstairs: Consisted of TV room, living room, game room, kitchen, dining room, office area, two (2) staff bathrooms, mental area and attached garage. Mental health area, garage, bathrooms and two (2) closets have locks that are only accessible by staff. Kitchen has required perishable and non-perishable food supply. Knives and cleaning supplies are kept behind locked doors and kept in locked cabinets. Medication, medication logs and file folders are kept behind locked doors. Water temperature was checked in staff bathroom #1 and temperature measured at (126.8 degrees Fahrenheit). All areas observed at this time were clean, working and furniture was in good repair. Garage housed extra supplies, (4) additional deep freezers and extra fridge. Upstairs: Consisted of four (4) bedrooms, two (2) bathrooms and outdoor balcony space. Bedroom #1 w/ attached bath (water temp 127+)- occupied by 2 children located opposite common bath two twin beds, dresser and closet space available Bedroom #2- Occupied by 2 children, two twin beds, dresser and closet space available Bedroom #3- Occupied by 2 children two twin beds, dresser and closet space available Bedroom #4- utilized as a office space Bathroom #2- common bathroom water temperature (129+ degrees Fahrenheit) LPAs reviewed four (4) children folders including two (2) child medication log and vehicle maintenance logs. Additionally, LPAs reviewed camera monitoring system, outdoor shed and ensured all smoke detectors and carbon monoxide machines were in working order. Emergency disaster plan and logs were observed. Files were maintained and required documents were present. Facility vehicle was last serviced on 4/20/2023. Vehicle registrations for one vehicle expires 10/05/2023 and one expires 1/18/2024 both vehicles have current insurance that expires 10/05/2023. Annual continuation to be completed at a later time due to staff files being unavailable at this time. LPA observed the following deficiencies: At 11: AM LPA observed water temperatures in all bathrooms to be over the required temperature of 120 degrees Fahrenheit. Temperatures in downstairs bathroom was 126.1, and upstairs bathrooms 127.8+ degrees Fahrenheit. Per Interim Licensing Standards (ILS) Furniture, Fixtures, Equipment, and Supplies (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Exit interview completed, the following deficiencies were cited and a copy of this report was given to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/31/2023 at 1: PM Licensing Program Analysts (LPA) Dawn Mahecha made an unannounced visit to the Field Comprehensive Youth Services II facility for the purpose of a Annual/ Random continued inspection. LPA met with Facility manager Thomas Ybarra and together went over the staff files . LPA observed the following: This is a two story singe family residence with three (3) bedrooms, four (4) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. Home has operational surveillance cameras both inside and out. LPA did not observe cameras to be in bathrooms or bedrooms. During todays inspection LPA reviewed staff files and reviewed staff training. Staff have completed various training's including topics on medication administering and CPR. Next Emergency Disaster training is scheduled for June 2023. Exit interview completed, no deficiencies cited and a copy of this report was provided to Facility manager.

met_with: Thomas Ybarra, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 3/15/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive II Youth facility for the purpose of a case management-other inspection. LPA met with facility manager and discussed the following: Child being asked to remove toys by staff and expressing getting a gun and killing everyone: Facility manager stated the following: Staff were trying to clean and de-clutter the room to give room to a new client. Child made direct threats to get a gun and kill everyone to staff because staff came in and were touching child's belongings. Child made same allegations at school. School did not get law enforcement, however, we did. Law enforcement came out and they spoke with child regarding severity of threats. Our mental health team and therapist got involved and created a safety plan for child. Child is to be removed due to safety concerns but as of now staff follow safety plans and continue to work with child. LPA requested the following documents: Special incident report regarding incident and completed safety plans.

met_with: Jonathan LaMothe, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On 3/15/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive II Youth facility for the purpose of a case management-other inspection. LPA met with facility manager and discussed the following: Child being left unattended at YMCA for 2/3 hours and child stole a vehicle: Facility manager stated the following: Currently, we have a verbal agreement with the YMCA to drop off children to play in basketball league or to play at the YMCA. On this particular day one staff took child to play basketball, walked the child in and then received a call of an emergency back at the home. Staff then notified YMCA staff and told YMCA staff that child would be left to play and that staff would return to pick child up in a few hours. The emergency lasted a little longer than intended but staff returned as soon as possible to pick up child. After reviewing the cameras it was observed that staff did walk and check child in. Child was then observed after staff left taking someone's keys off the bleachers. Child was picked up by staff and later that evening Awoled from facility and we were later notified that child was picked up in a stolen vehicle. All reports were reported and notifications were made of incidents. Staff followed proper protocol and notified management of incidents that transpired at YMCA and home. LPA Requested: most recent children and family therapy (CFT) notes/ needs and service (NSP), recent reports of AWOLs, and incidents of being picked up by law enforcement/ history of stolen vehicles.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/18/ Licensing Program Managers (LPMs) Yan (Ina) Yeung, Gustavo Garcia, and Licensing Program Analysts (LPAs) Dawn Mahecha and Heriberto Perez met with Fields Comprehensive management team including Executive Director Arby Fields, Board member Tyrone Smith, Head of Service Dana Wogahn, Clinical Director Ny'Shae Fields, and Administrator Lekeba Riley. LPMs and LPAs met with fields comprehensive team regarding facilities submitted appeal and facilities identified search policies. Discussion consisted of the following: Fields Comprehensive management team was told that facility cannot have a blanket policy on conducting searches on clients and clients' belongings. On 4/25/2024 the Fields Comprehensive facility was cited for conducting unreasonable searches on clients' belongings. Facility appealed the citation on 5/14/2024. On 6/10/2024 facility was denied appeal and was told that appeal and current searching policies did not meet interim licensing standards (ILS) of trauma informed care. Management team was told that facility should maintain a searching policy that is individualized for each child that is approved by licensing and county representatives. Licensee was also told that all updates need to be submitted to licensing and county representatives for approval prior to implementation. Based on information discussed and provided agency will be processing appeal and looking at current policy. Exit interview conducted and the following report was provided to representative.

met_with: Ny'Shae Fields, Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On 11/5/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive II STRTP for the purpose of a case management-medication inspection. LPA met with head of service and discussed the following observed violations. Child #1 (C1) missing staff signature on documented MARs and medication bubble pack management of disbursement of medications. Head of service stated the following: Staff missed signature for administering medication to child. Head of service stated that child started medication on the right of bubble pack with date identified above and then staff moved to the 1st on the other side of the bubble pack to showcase that child was continuing medication on the first of November. LPA issued the following technical violation for missed signature and told head of service that staff should be retrained on documenting medication and administering medications. Exit interview completed, and the following violations were noted. A copy of this report was provided to representative.

met_with: Anyissa Johnson, Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
On 11/5/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Fields Comprehensive II STRTP for the purpose of a case management-other inspection. LPA met with head of service and discussed the following observed violations. Camera usage policy, safety policy, food storage, broken screen in downstairs sliders, broken dresser drawers in bedroom #1 and #2, broken door to bedroom #2, hallway fire extinguisher and over compacted vents. Head of service stated the following: The facility has just updated the policies and are awaiting the final approval from management regarding the camera usage and safety policies. The facility has not sent out any updated policies or implemented any policies to date. The facility has been working on finalizing and implementing new policies and procedures within the facility. LPA told head of service no policies should be implemented until approval is obtained from county and state licensing. Regarding the food storage staff did not observe the expired food, however, the facility will discard the expired food and we will ensure that food is properly labeled. LPA observed broken screen in downstairs slider, three (3) broken dressers, missing fire extinguisher and over compacted vents. Facility manager stated the facility weekly sends a status report to management regarding repairs and maintenance to the facility. The facility manager sends the work orders and then management has the maintenance worker come out to fix or address the issues within the facility. LPA observed last work orders submitted 10/25/2024 addressing all observed violations listed above. Facility manager also provided LPA with text messages to maintenance worker of intended dates or completion. Exit interview completed, the following violations were noted and a copy of this report was provided to head of service.

met_with: Anyissa Johnson, Head of service


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2025 at 11: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced follow up case management inspection to the Fields Comprehensive Youth Services II and met with Jonathan Lamothe, facility manager regarding a special incident report (SIR) that was submitted to Community Care Licensing Department (CCLD) on 9/05/25 about a client (C) (reference Confidential Name Form LIC 811 dated 09/25/25) being placed on hold for 20 days due to not attending school. LPA contacted the facility and spoke with assistant administrator (AD) Jossetti Fields and facility manager (FM), Jonathan Lamothe, via telephone call on 09/24/25. According to the facility manager, the client refuses to go to school, and it is documented each time he refuses. On 08/18/25, he went to school and afterwards, refused to attend school once again. The facility reached out to LA County Liaison worker to address the issue with the school principal about suspending the client due to non-attendance. The school clarified that the client will be placed on hold for 20 days and not suspension. However, the client had a CFT meeting held last 08/18/25 and it was decided by CSW that he will be transitioning to a lower level of care. The client was discharged from the facility on 09/11/25. Per FM, the client had an IEP scheduled last 09/15/25 at the new school in Lancaster. Based on the interview conducted and documentation provided during the inspection, the facility followed up by coordinating with the school to obtain homework packets and needed IEP schedule for client. No deficiencies cited at this time and no further follow up is needed. An exit interview was conducted and a copy of this report and LIC 811 were provided for Mr. Lamothe.

met_with: Jonathan Lamothe


summary: Facility Evaluation

raw_content:
Narrative:
On 6/10/2021 at 11: AM Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services II facility for the purpose of a Annual/ Required inspection. LPA met with Facility manager Marcus Gitchuway and together did a walk thru of the facility both inside and out. LPA later met with Program Manager Towana Bryant who conducted a tour of facilities upstairs area and provided staff folders for LPAs review. LPA observed the following: This is a two story singe family residence with three (3) bedrooms, four (4) bathrooms, game room, TV room, living space, kitchen, dining room, mental health area, attached garage and outdoor activity space. Home has operational surveillance cameras both inside and out. LPA did not observe cameras to be in bathrooms or bedrooms Downstairs: Consisted of TV room, living room, game room, kitchen, dining room, office area, two (2) staff bathrooms, mental area and attached garage. Mental health area, garage, bathrooms and two (2) closets have locks that are only accessible by staff. Kitchen has required perishable and non-perishable food supply. Knives and cleaning supplies are kept behind locked doors and kept in locked cabinets. Medication, medication logs and file folders are kept behind locked doors. Water temperature was checked in staff bathroom #1 and temperature measured at (136.8 degrees Fahrenheit). All areas observed at this time were clean, working and furniture was in good repair. Garage housed extra supplies, (4) additional deep freezers and extra fridge. Upstairs: Consisted of four (4) bedrooms, two (2) bathrooms and outdoor balcony space. Bedroom #1 w/ attached bath (water temp 140+)- occupied by 2 children located opposite common bath two twin beds, dresser and closet space available Bedroom #2- Occupied by 1 child, two twin beds, dresser and closet space available Bedroom #3- Occupied by 1 child two twin beds, dresser and closet space available Bedroom #4- utilized as a office space Bathroom #2- common bathroom water temperature (140+ degrees Fahrenheit) LPA reviewed two (2) children folders including one (1) child medication log, five (5) staff folders and vehicle maintenance logs. Additionally, LPA reviewed camera monitoring system, outdoor shed and ensured all smoke detectors and carbon monoxide machines were in working order. Files were maintained and required documents were present. Facility vehicle was last serviced on 4/22/2021. LPA observed the following deficiencies: At 2: PM LPA observed water temperatures in all bathrooms to be over the required temperature of 120 degrees Fahrenheit. Temperatures in downstairs bathroom was 136.8, and upstairs bathrooms 140+ degrees Fahrenheit. Per Interim Licensing Standards (ILS) Furniture, Fixtures, Equipment, and Supplies (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Exit interview completed, the following deficiencies were cited and a copy of this report was given to Facility manager.

met_with: Marcus Gitchuway, Facility manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 12/10/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Field Comprehensive Youth Services II facility for the purpose of a Case Management Incident inspection, LPA met with Facility Manager Jonathan Lamothe and discussed the following incidents: On 11/18/2021 the department received an Unusual incident report identifying facility night staff gave client the wrong medication. Facility manager stated the following: Staff placed two different client's medications on a dresser and then prompted one client to wake up so she could give him the medication. However, staff handed the client the wrong medication mixing up the two cups on the dresser. Staff realized the mistake and called Administration and poison control. Per the direction of poison control facility kept client home to monitor status of symptoms and continued monitoring clients health. Staff who administered the wrong medications was given a written reprimand and was retrained on administering medications. The training was completed on 11/23/21. Additionally, facility has changed their protocols in administering medications by having children come to areas that are controlled and monitored by staff to ensure children are given their medications one at a time. Based on the information provided by the facility manager LPA identified the following deficiency. Health Related Services (k) The following requirements shall apply to medications which are centrally stored: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 1. The following deficiency was reported: Staff mixed up medications that should be centrally stored giving the wrong medication to child Exit interview completed, the following deficiency was cited and a copy of this report was left with facility manager.

Deficiencies:
80075: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
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7Facility manager provided copy of written reprimand and LPA requested an emailed copy of medication retraining.
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summary: Facility Evaluation

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Narrative:
On February 16, 2023 at approximately 10:30AM, Licensing Program Analyst (LPA) Dawn Mahecha conducted an unannounced Case Management visit at the facility for the purposes of issuing citations for deficiencies observed by the Department. LPA met with the representative named above and discussed the purpose of the visit. On December 31, 2022 the Department received a Special Incident Report regarding an incident that occurred at the facility on December 30, 2022. Upon review of the Special Incident Report, it was determined that due to the nature of the incident, a suspected child abuse report to the county hotline was warranted but not completed by the Licensee. Based on records reviewed, the Licensee is being cited for violation of California Code & Regulations Title 22, Div. 6, Section 80061, Penal Code 11166(a), which requires that mandated reporters make a suspected child abuse report immediately or as soon as possible. While conducting an assignment related to the above incident, it was also discovered that the Licensee was out of compliance regarding staffing regulations. In an interview conducted, the Facility Manager stated that their regular working hours were from 8: AM to 5: PM. A review of the facility's LIC Personnel Report indicated that the Facility Manager's working hours were between 8: AM to 4: PM. Interviews conducted with other staff and clients in the home confirmed that the Facility Manager's working hours were between 8: AM to 5: PM and that the facility was generally without a Facility Manager between the hours of 5: PM to 8: AM unless an emergency incident required their presence. Based on interviews conducted and records reviewed, the Licensee is being cited for violation of Interim Licensing Standards, STRTP, Article Section 87065(f), which requires that a Facility Manager be present in the facility at all times when one or more clients are present.


summary: Facility Evaluation

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Narrative:
On March 4, 2026, at 10: AM Licensing Program Analyst (LPA) Timika Martin conducted an unannounced case management inspection at the facility mentioned above and met with Tamia Searcy, Treatment Team Specialist regarding a Special Incident Report (SIR) dated and submitted to Community Care Licensing (CCL) on January 28, 2026. The SIR indicated that Staff 1 (S1) was cleaning Client 1 (C1) (reference confidential names form LIC 811 dated March 4, 2026), bedroom and found a cigar in C1's drawer within his clothes. The SIR indicated that S1 also found a vape in a backpack on the floor between C1's bed and the dresser. The items were given to the Administrator for destruction. During the inspection, LPA Martin requested copies of the client's needs and services plan and the LIC 500 with staff contact information. LPA also reviewed and requested copies of the program statement. LPA conducted a tour of the facility and conducted interviews with one staff and one client. An exit interview was conducted, and a copy of the report was left with Tamia Searcy, Treatment Team Specialist. Further follow-up is needed.

met_with: Tamia Searcy, Treatment Team Specialist


facility_name: FIELDS COMPREHENSIVE YOUTH SERVICES,INC

summary: Facility Evaluation

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Narrative:
On November 12, 2024, at 1:00 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an announced pre licensing visit. LPA met with Josetti Fields, Assistant Director/Chief Financial Officer, and Arby Fields II, Program Director, who provided LPA a guided indoor and outdoor tour of the facility. The facility is a two-bedroom, two-bathroom home. The home consists of living room, kitchen, dining area, staff office/therapy room, garage that will be used as the Facility Manager/Storage office. All two bedrooms will serve one client. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms contained closet space with at least 2 drawers for each client. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for clients recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. The hot water temperature was measured in the second bathroom and is currently 108 degrees which is within the regulatory requirements of 105-120 degrees. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. Per facility staff, no firearms or weapons are allowed in the facility. LPA observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule and Emergency Plan. An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to Arby and Josetti Fields.

visit_type: Prelicensing

met_with: Josetti Fields and Arby Fields, II


summary: Facility Evaluation

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Narrative:
On February 6, 2025, at 11:01 am, Licensing Program Analyst (LPAs) Charmaine Linley and Gilbert Marquez conducted an unannounced post-licensing visit. LPAs met with Josetti Fields, Chief Financial Officer, and Arby Fields, Jr, Facility Administrator, who provided LPAs a guided indoor and outdoor tour of the facility. There are currently no clients in placement. The facility is a two bedroom, two-bathroom home. The home consists of living room, kitchen, dining area, staff office/therapy room, garage that will be used as the Facility Manager/Storage office. All two bedrooms will serve one client. All beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All bedrooms contained closet space with at least 2 drawers for each client. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for clients recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher are properly charged and serviced. The hot water temperature was measured in the second bathroom and is currently 119 degrees at 11:19 am which is within the regulatory requirements of 105-120 degrees. The hot water in the kitchen was measured at 119 degrees at 11:21 am which is within the regulatory requirements of 105-120 degrees. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. Per facility staff, no firearms or weapons are allowed in the facility. LPAs observed the following items posted Personal Rights, Grievance Procedures, Visitation Policy, Facility sketch, Activity Schedule, Menu, Staff Schedule, and Emergency Plan. *** An exit interview was conducted. A copy of the report was discussed and provided along with appeal rights to the facility. A copy of this report will be placed in the facility file.

met_with: Josetti Fields


summary: Facility Evaluation

raw_content:
Narrative:
On November 24, 2025, at 10: AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced visit for the for the purpose of conducting an annual inspection of the facility. LPA met with Program Director, Arby Fields Jr. The Facility is licensed to serve one (1) ambulatory children ages 12-17 years old. Facility also provides services to nonminor dependents pursuant to W&I Code 16501.1(c)(1), there are currently no clients in care. The facility is a one- story three-bedroom, two-bathroom home. A physical plant inspection was completed with the Program Director and included the following checks: two client bedrooms, one client bathroom, one staff bathroom, kitchen, living room, dining area, therapy room, staff office in the garage, laundry area, and backyard. Facility has a camera in the living room, one camera in the hallway, two cameras outside of the back patio, one camera on both sides of the house, and one camera at the front door. The following forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. LPA reminded Program Director to ensure accreditation is posted and present at the facility and to ensure fire clearance is accessible and maintained on the premises. Facility is not being cited since there are no clients in care. Licensee stated they will email LPA a copy of the fire clearance and accreditation by Tuesday November 25, 2025. **Continued on the Next Page** The facility is clean and free of debris. There is adequate indoor and outdoor activity space. All facility carbon monoxide detectors were tested and observed to be in working order; fire extinguishers are properly charged. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the meals. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattresses in good repair. All two bedrooms contain one twin bed. The facility has one client bathroom. The water temperature was tested in the client bathroom measured at the appropriate range of 105 degrees to 120 degrees Fahrenheit. Due to no client in care, LPA did not conduct a file review for clients and staff. LPA conducted one staff (S1)interview. The Short Term Residential Therapeutic Program has a Mental Health Approval valid through November 14, 2026. No deficiencies cited. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report, LIC811 (confidential names), and appeal rights were discussed and provided to Program Director, Arby Fields Jr. Due to technical difficulties this report was emailed to the Program Director at the time of inspection. A copy of this report will be placed in the facility file.

met_with: Program Director, Arby Fields Jr.


facility_name: FILBERT HOUSE

raw_content:
Investigation Findings:
13On 6-28-24 9:27AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Filbert House, and met with Ken Porter, Administrator, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that uncleared staff allowed to work at the facility and staff falsified youths' rehabilitation documents. On 6-10-24 10:15AM, LPA made an unannounced inspection at Filbert House. LPA was greeted by S1, LPA obtained S1's California Identification Card and confirmed S1's identity. S1 stated that they have been employed at Filbert House for over one year. LPA checked S1's status on Guardian and found it "In Process". S1 does not have fingerprint clearance. LPA conducted confidential interviews with staff that stated S4 had copied/pasted and erased youths' rehabilitation notes, S4 immediately terminated. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility is being cited for Title 22, Division 6, Chapter 1, Article Criminal Record Clearance 80019(e)(1), with a civil penalty, and Interim Licensing Standards, Article 06, Needs and Service Plans 87068.2(a). An exit interview was conducted, appeal rights provided, and a copy of this report was given to Ken Porter. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: FILBERT HOUSEFACILITY NUMBER: 015600316

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

met_with: Ken Porter, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Christopher Rollins made an unannounced annual inspection to this facility. LPA met with Kenneth Porter Administrator . LPA reviewed files with Administrator and Tandra Dubose Operations Manager (OM). The facility is licensed for 12 residents (all can be ambulatory) ages 12-18 and currently 6 clients reside in facility. The facility consists of 6 bedrooms (6 double occupancy rooms for clients) and 5 1/2 bathrooms (4 for clients and 1 1/2 for staff). House is a double level building and another facility in the back that consists of two offices, conference room and a place where staff hold group meetings. No more than two clients to a room. At 11: AM, LPA Rollins and Administrator toured the facility inside and out. The kitchen is clean. The hot water in the bathroom and kitchen measured at 114 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication, cleaning supplies and knives are locked away. Medication logs are up to date and current. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. There are no bodies of water on the property. LPA observed first aid kit to be fully stocked. The home is maintained at a comfortable temperature. Personal rights, floor plan, food menu and Emergency disaster forms were posted and in clear view. At 12: PM, LPA Rollins observe sex client files with Administrator and OM. LPA Rollins observed all six client files to be complete and found no deficiencies. The documentation in the clients file are complete and up to date. At 1: PM, LPA observed all six staff files with Administrator and OM. LPA observed all six staff files to be complete, all correct documentation and all staff were up to date with there 40 hours of annual training for the year. At 1: PM LPA Rollins conducted staff and client interviews. During inspection, LPA receive a updated copy of the LIC Personnel Report to maintain their file current. A review of Licensing Information System on September 14, 2021 indicates that all facility staff associated to the program has DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

met_with: Kenneth Porter- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 2-3-23 10:38AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Ken Porter, Licensee, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Short Term Therapeutic Program is licensed to serve twelve clients. Present during the inspection were two staff and one client. At 10:55AM, LPA Karkazis reviewed client and staff files. Client files were complete and in order. Staff files were incomplete. S1's file was missing CPR certification and LIC Health Screening. All staff files were missing LIC 198A. At 1:50PM, LPA Karkazis toured the facility. LPA Karkazis observed six bedrooms and five bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 118 degrees which is in range. The thermostat read 69 which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a locked cabinet, in an office. The facility is in good repair and clean. LPA Karkazis interviewed two staff and one clients. At 2: LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued from LIC Citations were issued at this time. The facility is in violation of California Code of Regulations, Title 22, Section 80066(a)(10) Health Screening and 87065.1(d)(6)(A) First Aid Training. A Technical Violation was issued for California Code of Regulations, Title 22, Section 80019.2(a)(1) An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ken Porter, Licensee.

met_with: Ken Porter, Licensee


summary: Facility Evaluation

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Narrative:
On 3-26-24 10:18AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Ken Porter Administrator and toured the facility inside and out. The Short Term Therapeutic Program is licensed to serve 12 clients. Present during the inspection were 2 staff and 2 clients. At 10:30AM LPA Karkazis reviewed staff files. Ken Porter was able to re-associate S5 back on to the facility roster before the end of this inspection. S3 did not have a current CPR Certificate on file. LPA Karkazis reviewed client files. C4 is a new placement. C4 is waiting for Needs and Service Plan. At 2:25PM, LPA Karkazis toured the facility. LPA Karkazis observed 6 bedrooms and 5 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 117 degrees which is in range. The thermostat read 71 which is within range. Sharps were locked in the kitchen cabinet and chemicals were safely stored in the locked office. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the office, in a locked cabinet. The facility is in good repair and clean. LPA Karkazis interviewed 2 staff and one client. The other client was non-verbal. At 2:57PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. continued on LIC 809-C continued from LIC At this time the facility is being cited for Interim Licensing Standards 87065.1(d)(6)(A) Supervision, Evaluation and Training Requirements, Type B. A Technical Advisory is issued for Interim Licensing Standards 87070(c)(1) Children's Records. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ken Porter, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 6-19-24 10:05AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced visit at Filbert House and met with Administrator Ken Porter. The purpose of the inspection was to follow up on an incident which occurred 6-14-2024 0000724-FN. LPA toured the facility, two clients and four staff were present. LPA conducted interviews and requested documents. Further investigation is needed at this time. LPA conducted an interview with Head of Services Valentina Fiero, for complaint 14-CR-20240606144854 dated 06-06-24. An exit interview and a copy of this report was given to Ken Porter, Administrator/Licensee.

met_with: Ken Porter, Administrator Licensee