summary: Facility Evaluation

raw_content:
Narrative:
On 6/15/ Licensing Program Analyst (LPA) met with Tyson Poso for a post licensing inspection. As Open Line recently received their MHPA to transition from Group to an STRTP. Open Line has been licensed since 4/25/2008. Open Line currently has two houses the Oaks and Woodcliff house. Each facility is licenses for 6 youth. LPA inspected the facility inside and outside. The facility had functioning smoke and carbon monoxide detectors. Water temperature was within the required limits. The backyard was free and clear of debris and had a basketball hoop for clients to use. The bedroom were all set up with beds, dressers and LPA observed clothing for each client, personal belongings and each had their own hygiene kits locked in the office for use. All beds had clean linens, blankets and pillows. The kitchen area had the menu posted for breakfast, lunch dinner and snack times. The kitchen was clean and organized. The licenses was posted in the office area along with the persona rights. All medication were locked in the offices in a locking file cabinet by room, with each individual you having their own binder with meds which also contained the MARS report. The MAR reports were current. No deficiencies were observed. No citation given. A copy of this report was electronically sent at the time of the inspection. An exit interview was conducted.


state: CA

facility_name: OPEN LINE - THE OAKS

summary: Facility Evaluation

report_type: Facility Evaluation

visit_type: Case Management

met_with: Tyson Poso - Chief Operating Officer


summary: Facility Evaluation

raw_content:
Narrative:
This annual inspection is to satisfy the documentation requirement of an annual inspection in place of the post licensing inspection dated 6/16/2023. Licensing Program Analyst (LPA) McKinley conducted a post licensing visit on 6/16/23 following the transition of Open Line from Group Home care to STRTP. On 6/16/ LPA McKinley inspected the Oaks facility. The Oaks facility has a three bedrooms and two bathrooms, plus a den which is utilized as an office. The facility was observed to be clean, appropriately furnished and regulation compliant. Two client interviews were conducted 6/16/2023. LPA McKinley reviewed MAR reports and medication storage. Medications are secured in a dual locking system, as the office is locked and the medication is locked in another separate locking filing cabinet. Each individual client has their own separate medication binder with their MARS and they were observed to current. On January 18, 2024 at 9: A.M. LPA's Kellie McKinley and Mindy Pope arrived for an unannounced annual inspection. Open Line has two STRTP facilities accepting male youth, ages 13 to the client's 18th birthday. LPA's completed a facility inspection and observed fire alarms and carbon monoxide detectors that are hard wired and in working order. Fire Extinguisher was observed to be current and update, with the last inspection taking place 12/12/23. The license was posted in the office area along with the personal rights. LPA's conducted three main office staff interviews on 1/18/2023. LPA's reviewed five staff files and five client files and found them the be orderly and regulation compliant. Open Line received their mental health license on 6/19/23. Licensing printed new facility licenses for the Oaks facility on 6/19/2023. No deficiencies were observed. A copy of this report was electronically sent at the time of the inspection.

visit_type: Annual

met_with: Amy Claxton- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On this date LPA Kellie McKinley and IB investigator Drew Mitchell arrived at the Facility for an annual inspection of the physical plant.On this date LPA Kellie McKinley and IB investigator Drew Mitchell arrived at the Facility for an annual inspection of the physical plant. On 10/28/24, Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility and met with Kim McCarty, Program Manager. The purpose of the visit was to conduct a required, two year Annual Inspection of the facility. The last Annual inspection for the facility was on 1/18/24. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with three client bedrooms, a large open plan kitchen/dining area, and one locked staff office. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, safely fenced, with a basketball hoop accessible to clients. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. The facility has one client bathroom and one staff bathroom. All were observed to be clean and fully functioning. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was stocked with the required items.. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the garage. LPA observed client files and client medications were stored in a locked file cabinet in the locked staff office. The facility has no outstanding fees. The facility currently has 6 clients, with a licensed maximum capacity of 6. Staff to client ratio is 2:6 during the day with an additional facility manager and several hours weekly from the MHRS staff as well. LPA reviewed 3 staff files. Staff files had completed criminal record clearances and all required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPA interviewed 2 staff on site. LPA interviewed 1 client on site. LPA will continue the annual inspection on 10/29/24.

met_with: Kim McCarty-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/ LPA continued the annual inspection for the Oak house. LPA reviewed 3 client files. All clients had signed Admission Agreements on file. Client files had completed initial Needs and Service Treatment Plans, signed by clients and staff, and updated Needs and Service plans every 30 days. The facility had evidence of attempting to obtain signatures from placing agencies. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. 1 of 3 clients were taking court ordered psychotropic medications and had current JV-220's on file. 1 of 3 take psychotropic medication with the parent maintaining the JV- 220 and has medical rights. LPA interviewed 1 clients. No citations were given on this date. A signed copy of this LIC-809 report was provided to the Rachel Underwood. An exit interview was conducted.

met_with: Rachel Underwood- Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Lyta Vue on 07/08/2025 at TIME 9:00am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Mike Hernandez, Administrator and Tyson Poso,COO and inspected the facility inside and out. LPA reviewed 0 of 3 child's records and 2 of 2 staff personnel files on site at the facility. One child is private placed, one child is over 18 and one child does not take psychotropic medications. LPA reviewed 0 of 3 child's psychotropic medications and medication records. LPA interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 3 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Mike Hernandez, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Mike Hernandez, Administrator and Tyson Poso, COO


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Misty Valencia and Mindy Pope arrived unannounced at the facility for the purpose of a case management inspection following a record review. LPA met with Leanna Montgomery, Facility Manager. LPA McKinley conducted the record review. Three Serious Incident Reports (SIR's) dated 8/3/2023, 8/7/2023, and 8/13/2023 were completed by the facility and sent to LPA per LPA's request on 11/16/23. On review, these SIR's were not submitted to the Department previously. Law enforcement contact was indicated on the report dated 8/7/23, but the required LIC-624 law enforcement report was not completed. The law enforcement report submitted to the Department by local police has a date of 8/8/23, whereas the facility SIR has a date of 8/7/23. Facility is cited per Title 22, Division 6, Chapter 1, Article 06. Section 80061(a,b) Reporting Requirements (a) Each licensee or applicant shall furnish to the licensing agency reports as required by the Department, including, but not limited to, those specified in this section. (b) Upon the occurrence, during the operation of the facility...a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. A signed copy of this LIC 809 and LIC 809D were provided to the facility. Appeal rights provided.

met_with: Leanna Montgomery, Facility Manager


facility_name: OPEN LINE - WESTGATE

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

raw_content:
Narrative:
A review of the documentation discovered staff on duty was released on the date of the incident (1/22/2021). Staff on-duty admitted to allowing the clients to smoke. Interviews with the two clients involved, discovered they both have smoke either cigarettes and/or marijuana since they have been at Westgate house. Based on LPA's interviews, which were conducted with the reporting party and co-complainant, the facility administrator and two clients, record reviews, a facility inspection, admission and termination of the employee the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Article 6, Interim Licensing standard (version 3.1 effective 12/8/2020) section 87065.2 (b)(1) is being cited on the attached LIC9099-D. Exit interview was conducted with the administrator _________________________. A copy of this report was emailed to the Group Home administrator. A copy of the Appeal right was emailed.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

Deficiencies:
87065.21: (1) Supervision, protection, and care of children at all times, individually and in groups.

report_type: Complaint Investigation

met_with: Debi Nunuez -Administrator

complaint_status: SUBSTANTIATED

title:
2
3
4
5
6
7 Personnel Duties 87065.2(b) Direct care staff shall perform the following duties


raw_content:
Narrative:
A review of the documentation discovered staff on duty was released on the date of the incident (1/22/2021). Staff on-duty admitted to allowing the clients to smoke. Interviews with the two clients involved, discovered they both have smoke either cigarettes and/or marijuana since they have been at Westgate house. Based on LPA's interviews, which were conducted with the reporting party and co-complainant, the facility administrator and two clients, record reviews, a facility inspection, admission and termination of the employee the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Article 6, Interim Licensing standard (version 3.1 effective 12/8/2020) section 87065.2 (b)(1) is being cited on the attached LIC9099-D. Exit interview was conducted with the administrator Debi Nunez. A copy of this report was emailed to the Group Home administrator. A copy of the Appeal right was emailed.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

Deficiencies:
87065.21: (1) Supervision, protection, and care of children at all times, individually and in groups.

met_with: Debi Nunez- Administrator


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from Based on LPA's observations, interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. This report will be sent to the facility via email. Appeal rights offered.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Debi Nunes, Administrator


summary: Complaint Investigation - Unsubstantiated

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

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
9/17/ Licensing Program Analyst (LPA's) Kellie McKinley and Stephanie Whitlow met with Mike Hernandez at Westgate house for an annual inspection. A walk through of the house inside and out was conducted. The dry good were observed in the cupboard and fresh foods in the refrigerator and on the counter which were being prepared for a later meal. Fresh fruit was available for snack on the counter top in the kitchen. The expiration date were checked with dates reflecting 2022 and 2023. The pool was observed to have fences at the appropriate height and locked with a chain and large master lock. Older and brand new fence posts are in place around the perimeter of the back yard area. Fencing is in good repair. Smoke alarm and carbon monoxide detectors were tested and in functioning order. Each child has their own personal care items in separate enclosed bin which are accessible to them at any time. Each client has their own towels which are laundered regularly. Bedroom were observed to be fairly clean and organized with clean linens, pillows, dressers, and closets with hangers fro clothes. Each room had a laundry basket for soiled clothing. Water temperature in the bathroom was check and within the standard temperature. House van was checked for safety, logs of outings, and maintenance supplies. Seat belts were checked and are in functioning order. Interview were conducted with two staff members and two clients in the STRTP facility. Due to time constraints LPA's McKinley and Whitlow will return to complete annual inspection with Administrator/Human Resource Administrator.

met_with: Mike Hernandez - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/20/ Licensing Program Analyst (LPA), Kellie McKinley and Stephanie Whltlow, met with Administrator, Debi Nunes to complete annual inspection and review 809 and CARES tool. The CARES tool and advisory note was discussed with Administrator. Appeal rights were not explained as no citations were given. LIC 809 was signed and sent electronically to Administrator.

met_with: Debi Nunes - Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Visual confirmation made of 7 day assessment. Advised Administrator to document assessments after 7 days following initial 8 hour training and within 30 day of completion of 16 hour training.


facility_name: OPEN LINE - WOODCLIFF

investigation_findings: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continued from Based on the information above, it is determined the preponderance of evidence had been met therefore the allegation that S1 smoked marijuana with minor is substantiated. The Agency is cited under the Health and Safety code 1550 (c) Conduct Inimical: Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or people of this state. An exit interview was conducted and a copy of this report and appeal rights were provided to the Administrators

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Debi Nunes and Tyson Poso, Administrators


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
positive interactions and relationships with staff. Interviews and records reviewed determined staff utilize talking or attempting to redirect the clients from AWOLing. Staff policy is to follow the client and attempt to direct them back to the facility. Once the staff lose sight of the client, policy is to contact local law enforcement for reporting purposes and assistance locating the client. Record review determined a significant decrease in AWOL's since two clients were terminated from the program. Additionally, Needs and Service plans for clients described individualized goals and interventions. Engaging activities were offered to clients on a daily basis. Based on interviews and documentation reviewed the preponderance of evidence has not been met, therefore the allegations are Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. An exit interview was conducted. The appeal rights were electronically sent at the time of delivery. A copy of this report was electronically emailed at the time of delivery.

Investigation Findings:
13On 5/5 /2023 at 10: AM Licensing Program Analyst (LPA) Kellie McKinley met with Tyosn Poso- COO for the purpose of delivering the complaint findings into the allegation listed above. LPA delivered findings in person to the main office located at Mountain Lakes Blvd, Redding, CA 96003. On 2/13/2023, Licensing Program Manager (LPM) Hillary Hall conducted an unannounced ten-day complaint investigation and interviewed Tyson Poso, Chief Operating Officer. LPM also interviewed three additional facility staff. LPM conducted a facility inspection. LPM did not observe any deficiencies and no citations were given at the time of the visit. LPA Lyta Vue conducted six client interviews. LPA Kellie McKinley conducted a records review, and interviewed one administrator. Interviews and record review determined Emergency Intervention Plan Strategies were used by staff to deter Absence Without Leave behaviors (AWOL). All clients interviewed reported UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 05/05/2023

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

met_with: Tyson Poso - Chieff Operating Officer


raw_content:
Narrative:
Interviews and documents were inconsistent with the allegation. Interviews determined client has trouble respecting personal boundaries and was often too close to people. Staff admitted to only hugging clients sideways and never from the front, nor often, and only by their initiation. Based on interviews, documentation and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted with Rachel Gale - Residential Director. This report was given at the time of the delivery of findings. A copy of the Appeal Rights was given at the time of the delivery.

Investigation Findings:
13On 7/19/2023 at 2: PM Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced and met with Rachel Gale - Residential Director for the purpose of delivering the complaint findings into the allegation listed above. LPA delivered findings in person to Mountain Lakes Blvd, Redding, CA 96003. On 4/27/ LPA McKinley conducted an unannounced complaint investigation. LPA stated the allegations as Personal Rights. LPA stated the Department Investigation Bureau (IB) would be conducting the investigation. LPA requested the following documents: Staff roster, client roster, staff schedules for the past six months, all related SIR's while client was present, Needs and Services plans and Case Notes for all clients, related staff records, related staff training logs, facility floor plan. IB may request additional documents at a later date. IB conducted 11 confidential interviews. A records review was conducted by LPA McKinley and by IB investigator Balerie. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 07/19/2023

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

met_with: Rachel Gale- Residential Director


raw_content:
Narrative:
Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyson Poso- COO. LPA McKinley conducted the complaint investigation. LPA opened the investigation with the facility on 7/25/24. LPA conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed six clients, three direct care staff, one administrator, one Residential Director, one Behavioral Health Director, three County Social Workers (CSW), and the reporting party. LPA reviewed records from the facility including Placement logs, Staff schedules, Incident reports, Needs and Services plans, and CFT notes for foster youth. It is alleged clients are engaging in inappropriate sexual interactions due to lack of supervision. Interviews and documentation provided insufficient evidence to support the allegation. Documentation and interviews determined an increase in staffing for behavior issues with clients. In additional to regular staff there are Mental Health specialist who are also in the homes regularly. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 09/26/2024


raw_content:
Narrative:
Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyson Poso COO. LPA McKinley conducted the complaint investigation. LPA opened the investigation with the facility on 7/16/24 and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed six clients, three direct care staff, one administrator, one Residential Director, One Behavioral Health Director, three County Social Workers (CSW), and the reporting party. LPA reviewed records from the facility including Placement logs, Staff schedules, Incident reports, Needs and Services plans, and CFT notes for foster youth. Interviews and documentation provided insufficient evidence to support the allegations of staff yelling or staff speaking inappropriately to clients. Inconsistent statements were made about what words staff yelled at clients, and if they did so. One client reported some staff cussed and said hurtful things, but the remaining clients said staff did not yell or cuss but may occasionally raise their voice to get the client's attention or redirect them. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 09/26/2024

met_with: Tyson Poso- COO


raw_content:
Narrative:
response was timely. A contracted worker with over 40 years' experience inspected the spot in question. When accessing the attic space above it, there was no indication of water or a water spot on the sheetrock, verifying that the spot was not the result of a water leak causing mold to grow. The contractor determined the spot to be soot. Photographs were provided of the spot prior to being painted over. LPA also took photographs of spots on the ceiling and now painted over. Photographs are retained in file. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA2) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyson Poso- COO. LPA Brown (LPA) and Licensing Program Analyst (LPA1) Yesenia Vallejo conducted the complaint investigation. LPA opened the investigation with the facility administrator on 09/10/2024 and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed one client, one independent contractor, and three staff. LPA1 interviewed one county social worker. LPA reviewed relevant records including: placement roster, facility sketch, Internal Complaint Procedure form, grievance form, complaint procedures (Client Policies 5.02), and the maintenance work order. The facility also provided the following documents (although not requested) and these were also reviewed: Signed personal rights, house rules, Non-Violent Practices, Code of Ethics, Prudent Parenting Standards, Shasta County's Grievance Form, Your Personal Belongings, and Intake Discharge Summary. Interviews and records were inconsistent on when suspected mold was reported and if the Continued on 9099- C page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 09/26/2024


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on LPA's interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. No citation is being issued as the facility addressed the violation in a timely manner and fulfilled a Plan of Correction prior to the LPA completing the investigation. One of the staff involved is no longer employed with the facility. A signed copy of this LIC-9099 report, the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Rachel Underwood- Residential Director. LPA McKinley conducted the complaint investigation. LPA opened the investigation with the facility on 9/26/24 and conducted a Health and safety inspection of the facility. During the course of the investigation, LPA interviewed five minors, a Head of Services, an administrator, a Facility manager, direct care staff, a residential director, a county social worker and the reporting party. LPA reviewed records from the facility including: Staff schedules, Placement Roster, Serious Incident Reports, CFT notes, and Needs and Service Plans for foster youth. It was alleged that staff speak inappropriately to minors and were involved in a verbal altercation in the presence of minors in care. Interviews and documentation were consistent that one evening, staff were overheard arguing and swearing with each other and to the youth. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 12/11/2024


raw_content:
Narrative:
as to where staff go outside the facility to smoke. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Rachel Underwood- Director Residential. LPA McKinley conducted the complaint investigation. LPA opened the investigation with the facility on 9/26/24 and conducted a Health and safety inspection of the facility. During the course of the investigation, LPA interviewed five minors, a Head of Services, an administrator, a Facility manager, direct care staff, a residential director, a county social worker and the reporting party. LPA reviewed relevant records from the facility including: Staff schedules, Placement Roster, Serious Incident Reports, CFT notes, and Needs and Service Plans for foster youth. The allegation state staff are smoking on the premises. Licensing requires the staff not smoke inside the facility at any time. All interviews, except one, indicated staff smoke outside the facility. It is unclear if staff are moving an appropriate distance away from the facility to smoke on break. Interviews were mixed UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 12/12/2024

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


raw_content:
Narrative:
LPA reviewed medication logs and all clients received the correct dosage of medication prescribed, for the reviewing period. There was no evidence to support the allegation of lack of supervision. It was determined to be a lack of communication with service providers rather than a lack of supervision. Staff roster and schedules reviewed, verified the facility maintained the require ratios. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Mike Hernandez - Trainer/Administrator. LPA McKinley conducted the complaint investigation. LPA opened the investigation with the facility on 11/14/24 and conducted a Health and Safety Inspection including a medication logs review. During the course of the investigation, LPA McKinley interviewed two County social workers, 8 staff, one Far Northern Service Coordinator and one ACS Case Manager. LPA Wendy Brown interviewed 5 clients. LPA Yesenia Vallejo interviewed two county social workers. LPA reviewed relevant records from the facility including: Placement Roster, Medication logs, staff roster and schedules, case notes, prior complaint history, Serious Incident Reports, CFT notes, and Needs and Service Plans for foster youth. The allegations state staff are not administering medications as prescribed, in addition to not providing adequate supervision for clients in care. Documentation and Interviews were consistent in how medications are administered to clients in care. Although there was a rumor of two clients sharing a medication that was prescribe to one of the client, there was no evidence to support this allegation. The interviews concluded inconsistent information regarding client's sharing medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 02/04/2025

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

met_with: Mike Hernandez- Trainer/Administrator


raw_content:
Narrative:
consistent that staff never leave the facility or other locations until the clients are seat belted. If a client takes their seat belt off while the staff is driving, they will pull over until the client buckles up. The facility does have a staff who normally speaks loud. Little evidence was available to support what the staff is saying anything inappropriate. The facility schedules were reviewed and the ratios of staff to clients is appropriate. Interviews conducted found the clients are never left alone at the facility but may be unsupervised alone in their rooms. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Rachel Underwood- Residential Director. LPA McKinley conducted the complaint investigation. LPA opened the investigation at the facility on 12/09/24 and conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed eight staff members, one ACS service coordinator, and one Far Northern Case Manager and the reporting party. LPA Wendy Brown interviewed five clients and two County Social Workers. LPA McKinley reviewed relevant records from the facility including: Client Roster, staff roster, staff schedules, CFT notes, Needs and Services, and SIRs. The allegations state the staff are speaking inappropriately to clients, leaving clients unsupervised and staff are not ensuring client are seat belted in during transports. Documentation and interviews concluded little evidence to support these allegations. An incident where a seatbelt buckle was not available, resulted in the seatbelt simply being pushed through the seat, but was present. Interviews were UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 02/14/2025

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


raw_content:
Narrative:
The complaint alleges minors are not accorded dignity and respect in relationship with staff. One client reported a staff person to have made a generalization about their race in an inappropriate racial comment, and two additional clients reported staff yelling at clients. One staff member indicated they had yelled back at a client when new at the facility; one indicated that they have heard staff get loud when riled up; and another staff noted that staff could have better awareness of their tone when speaking with clients. Based on LPAs' interviews and record reviews, the preponderance of evidence standard has been met. One citation is being issued for violating Interim Licensing Standards § 87072(c)(15). An exit interview was conducted. A signed copy of this LIC-9099 report, the LIC-9099C, and LIC-9099D were provided to the facility. Appeal rights were provided. It is alleged that staff denied a minor in care a shower. One client reported that on a specific day others in the house had to go to school early and the client had not been informed and therefore did not have enough time to shower. Interviews with three additional clients and five staff were consistent that clients are not denied the opportunity to shower. It was further alleged that staff used an inappropriate form of discipline with minors. One of five youths reported witnessing another client being hit by staff. No other staff or clients reported physical contact as a means of discipline used by staff. Based on LPA's interviews, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.

Investigation Findings:
13Licensing Program Analysts (LPAs) Misty Valencia and Bianca Mendez arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA Valencia met with Mike Hernandez, Administrator. LPAs Wendy Brown, Kellie McKinley, and Yesenia Vallejo conducted the complaint investigation. LPA McKinley initiated the investigation at the facility on 12/12/2024. During the course of the investigation, LPAs interviewed eight staff members, five youth, four county social workers, and one probation officer. LPA Brown reviewed records including Child and Family Team reports, incident reports, Needs and Services Plans, and facility roster. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Misty Valencia 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 03/07/2025

met_with: Mike Hernandez, Administrator


raw_content:
Narrative:
Staff interviews were consistent with proper restraint protocols and actions taken, and the restraint being conducted by an appropriate number of staff. One interview provided contradicting statements regarding one client being yelled and sworn at and handled roughly during one restraint. Based on LPA's interviews which were conducted, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Ryan Eades, Resedential Counselor. LPA Kellie McKinley conducted the complaint investigation. LPA Wendy Brown initiated the investigation with the facility on 6/25/25 and interviewed Mike Hernandez, Administrator. LPA Kellie McKinley conducted additional interviews and a Health and Safety Inspection on 7/08/25. During the course of the investigation, LPAs McKinley and Brown interviewed the reporting party, one client, a county social worker, and four staff. LPA reviewed records including: Serious Incident Reports, Daily notes, Needs and Services, Staff schedules, CFT notes, LIC 500, and prior complaint history. It was alleged that one inappropriate restraint was conducted, and during the restraint, a client was spoken to inappropriately. Interviews and documentation provided inconsistent information. A 24-hour notice and a Serious Incident Report were received for the incident dated 6/17/25, documenting a client was restrained. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 08/25/2025

met_with: Ryan Eades, Resedential Counselor


raw_content:
Narrative:
Interviews were consistent that staff lay eyes on the clients every 15 minutes, if the clients are not in common areas with staff. Staff schedules indicate there is an appropriate amount of staff for the number of clients in care. In addition, there are management and clinical staff present in the facility on a regular basis. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegations may have happened, or is valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Ryan Eades, Resedential Counselor. LPA Kellie McKinley conducted the complaint investigation. LPA initiated the investigation with the facility on 6/10/25 and met with Yon Ginn- Facility Manager. LPA conducted a Health and Safety Inspection. During the course of the investigation, LPA interviewed 5 clients, 6 staff, one CSW supervisor, and the original reporting party. LPA reviewed records including: Staffing schedules, case notes, prior complaint history, CANS report, Serious Incident Reports, CFT notes, and Needs and Service Plans for foster youth. The allegations regard lack of supervision resulting in youth engaging in inappropriate behaviors, and a youth being harassed by other youth. LPA's interviews and documentation were inconsistent regarding a client being bullied, but were consistent with staff supervising the client. One client, who was the alleged victim of bullying, was observed by LPA as being safe and healthy and with no visible bruises or injuries. The victim did not mention anything about the allegations when interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 08/25/2025

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


raw_content:
Narrative:
The allegation is a lack of supervision by staff resulting in a client being assaulted by another client. Two staff were scheduled during the incident, not including supervisors or Mental Health Rehabilitation Specialist. LPA confirmed the required staff ratio was maintained and that the youth confirmed sneaking in other's rooms when staff were with another client. Minor confirmed they quietly entered another client's room without staff knowledge. The staff had reminded the minor not to enter other minor's rooms several times. The facility has a policy that clients are not allowed in other clients' rooms and the clients admitted to being aware of the policy. Interviews and documentation determined contradictory information of specific injuries observed while the client was still at the facility and what injuries were observed at a later date. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyson Poso- COO. LPA McKinley conducted the complaint investigation. LPA Yesenia Vallejo initiated the investigation with the facility on 7/03/25, and interviewed one youth. On 7/8/25, LPA McKinley conducted a Health and Safety Inspection. During the course of the investigation, LPAs interviewed two additional minors, five staff, a County Social Worker, and the reporting party. LPA reviewed records including: Placement Roster, Staff schedules, LIC 500 form, Serious Incident reports, Daily Logs, prior complaint history, CFT notes, Needs and Service Plans, medical records, and police reports. Continued on 9099- C page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 09/10/2025

met_with: Tyson Poso- Chief Operating Officer


raw_content:
Narrative:
The allegations include one client being inappropriately restrained, searched and spoken to inappropriately. Additional allegations include being handled roughly, client was not allowed medication nor access to the facility. One incident report was submitted documenting one client was found to have contraband and left the facility. The client admitted they had contraband but refused to give it to staff then left the facility through a window. There were five staff present during the incident. When the client returned, the door was locked, which is the facility policy, to keep clients safe. The client was allowed into the facility after a brief self- search and no contraband being found. There was no documentation of a restraint on the day of this incident. Although the client asked for their inhaler during the incident, documentation determined client did not use their inhaler once they re-entered the facility. Interviews and documentation determined inconsistencies and contradictions regarding the incident details. Based on LPA's observations, interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyosn Poso- COO. LPA Kellie McKinley conducted the complaint investigation. LPA Kellie McKinley initiated the investigation with the facility on 7/23/25 and met with Tyson Poso Chief Operating Officer. LPA McKinley conducted a Health and Safety Inspection. During the course of the investigation, LPA's McKinley, Vallejo and Semien interviewed four minors, seven staff, a Probation Officer, and the reporting party. LPA McKinley reviewed records including: Placement Roster, Staff schedules, LIC 500 form, MAR reports, Serious Incident reports, prior complaint history, CFT notes, and Needs and Service Plans. Continued on 9099- C page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Kellie McKinley 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 09/29/2025


raw_content:
Narrative:
During the investigation of the allegation: Staff caused an injury to a minor in care; interviews were inconsistent regarding an injury that a minor obtained. One incident report was reported to the department as being an altercation between one staff and one minor, with no other witnesses. LPA could not locate the minor for an interview. The staff denied causing the minor injury. A photograph was provided regarding a red mark on a minor's arm; however, records indicate the minor gave inconsistent details regarding when the injury occurred. Based on LPA's interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C, and appeal rights were provided to the facility. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Mike Hernandez, Administrator. LPAs Lyta Vue and Kellie McKinley conducted the complaint investigation. LPA Vue met with Tyson Poso, Chief Operating Officer (COO) on 08/27/25 and initiated the investigation. LPA McKinley conducted a Health and Safety Inspection on 8/26/25. During the course of the investigation, LPAs interviewed four additional current and former facility staff and three minors. LPA reviewed records including staff Personnel Report, one staff file, Client Placement Roster, Serious Incident Reports, and Needs and Service Plans for minors in care. LPA also reviewed additional records including Employee Separation Report, law enforcement reports, and County CPS documents. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 10/29/2025


summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/2021, Licensing Program Analysts (LPA's), Kellie McKinley and Stefanie Whitlow, met with Mike Hernandez for an annual inspection. LPA, McKinley toured through the facility with administrator, Mike Hernandez. LPA observed the kitchen with 5-7 days of canned and dry goods.The refrigerator had 2-4 days of fresh foods and another staff member, Helen, who allowed access to LPA when she arrived, unloaded flats of fresh fruits and veggies from her car while LPA was present. LPA observed the kitchen to be clean with no dishes in the sink. LPA observed living space to have couches, TV, and a TV cabinet, which contained movies on a shelf. LPA observed the bedroom with clothing, clean bed linens, pillows, blankets and comforters on the beds. Each bedroom had a dresser unit for each child. LPA observed the bathroom to be clean with hot running water and a functioning toilet. Water was tested to be within the temperature limits. LPA observed a locked office, which housed cleaning supplies, medications in a locked cabinet and the clients personal care bins with lids. LPA asked Mike to test the carbon monoxide and smoke alarms. LPA observed both in working order. LPA asked where chemicals and pesticide are kept. Mike stated they have a pesticide company and do not keep them at the facility. LPA observed the back yard area with a BBQ area which is used from time to time to BBQ for the clients in care. LPA observed new fence posts at various areas around the backyard area. LPA observed a covered patio area and a punching bag in good condition off to the side on a heavy duty stand. LPA observed the facility vehicle parked in the front driveway. Seat belts were in functioning order. No log was observed in the vehicle, but Mike stated the log was inside for updating information. LPA observed the fabric on the passenger side seat back was almost completely torn off. LPA advised Mike to obtain seat covers. LPA observed front yard with freshly mowed lawn. No citations were give at the time of the inspection. An exit interview was conducted with administrator, Deb Nunes, who signed LIC 809. A copy of this report was emailed to the facility administrator at the time of the inspection.

met_with: Mike Hernandez-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/28/ LPA McKinley and Whitlow completed CARES tool review. All documentation was found to be in order and all files complete. On 9/29/ Licensing Program Analyst (LPA) Kellie McKinley returned to facility to complete the interviews. Interviews with clients were scheduled for a time when clients in care would be available. Two of three clients were interviewed. One additional staff was also available for an interview. Administrator Mike Hernandez was unavailable for signature, LPA emailed Administrator Debi Nunes for a signature on the completion 809 form. Annual completed 9/29/2021. No citation were given at the time of the inspection and file review. Appeal rights were not given as no citations were given.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 04/27/2023 at 9:00am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Tyson Poso, COO and Mike Hernandez, Director and inspected the facility inside and out. LPA reviewed two (2) of child's records and five (5) of staff personnel files on site at the facility. LPA reviewed two (2) of child's psychotropic medications and medication records. LPA interviewed two (2) of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed two (2) of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Mike Hernandez, Director No deficiencies are being cited at this time. LPA conducted exit interview with Mike Hernandez, Director.

met_with: Mike Hernandez, Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/16/ Licensing Program Analyst (LPA) Kellie McKinley met with Tyson Poso for a post licensing inspection. Open Line recently received their MHPA to transition from Group home to an STRTP. Open Line has been licensed since 4/25/2008. Open Line currently has two houses the Oaks and Woodcliff house. Each facility is licenses for 6 youth. LPA inspected the facility inside and outside. The facility had functioning smoke and carbon monoxide detectors. Water temperature was within the required limits. The backyard was free and clear of debris and had a puching bag for clients to use. The bedroom were all set up with beds, dressers and LPA observed clothing for each client, personal belongings and each had their own hygiene kits locked in the office for use. All beds had clean linens, blankets and pillows. The kitchen area had the menu posted for all three meal and snack times. The kitchen was clean and organized. The licenses was posted in the office area along with the personal rights. All medication were locked in the offices in a locking file cabinet by room, with each individual you having their own binder with meds which also contained the MARS report. The MAR reports were current. LPA interviewed three staff and two clients following the facility inspection. No deficiencies were observed. No citation given. A copy of this report was electronically sent at the time of the inspection. An exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On January 18, 2024 at 9:00 a.m, LPA's Kellie McKinley and Mindy Pope arrived for an unannounced annual inspection. Open Line has two STRTP homes accepting male youth, ages 13-18 years of age. LPA's completed a facility inspection and observed fire alarms and carbon monoxide detectors that are hard wired and in working order. Fire Extinguisher was observed to be current and update, with the last inspection taking place 12/12/23. The license was posted in the office area along with the personal rights. LPA's conducted three main office staff interviews and two client interviews. LPA's reviewed five staff files and five client files and found them the be orderly and regulation compliant. LPA McKinley conducted a post licensing visit on 6/16/23 following the transition of Open Line from Group Home care to STRTP. Open LIne received their mental health license on 6/19/23. Licensing printed new facility licenses for Woodcliff and Oaks facilities. Woodcliff home has five bedrooms, one bedroom is utilized as an office and two baths residences. Oaks has a three bedrooms and two bathrooms and the den is utilized as an office. Both homes were observed to be clean, appropriately furnished and regulation compliant Medications are secured in a dual locking system, as the office is locked and the medication is locked in another separate container. Each individual client has their own separate medication binder with their MARS and they were observed to be up to date. No deficiencies were observed. TA given advising the need to change their program statement (tiers/levels) to reflect trauma informed care practice and an individualized approach. A copy of this report was electronically sent at the time of the inspection.

met_with: Tyson Poso, Chief Operations Officer


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia on 04/10/2024 at 9:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia met with Tyson Poso, Administrator and Mike Hernandez, Director and inspected the facility inside and out. LPA reviewed 5 of 6 child's records and 3 of 4 staff personnel files on site at the facility. LPA reviewed 5 of 6 child's psychotropic medications and medication records. LPA interviewed 3 of 4 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 4 of 5 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Tyson Poso, Administrator and Mike Hernandez, Director. No deficiencies are being cited at this time. LPA conducted exit interview with Tyson Poso, COO and Mike Hernandez, Director


summary: Facility Evaluation

raw_content:
Narrative:
On 7/11/ Licensing Program Analyst (LPA) Kellie McKinley arrived for an unannounced visit to conduct a case management for the purpose of obtaining additional background on an SIR received on 7/06/24. LPA requested relevant records for the two clients involved including: Needs and services, placement roster, case notes, SIR's. Based on interviews and documentation LPA determined sexualized behavior was stemming from one youth who was instigating the behaviors with other youth. There was no indication lack of supervision was the reason for the increase in the client's behaviors. The youth was removed from the program and sexualized behaviors have decreased since the client's removal. Facility inspection determined no violations were observed. A signed copy of this LIC 809 was provided to the facility. No citations were issued at this time.


summary: Facility Evaluation

raw_content:
Narrative:
On 7/16/ Licensing Program Analyst (LPA) Kellie McKinley met with COO for a scheduled appointment regarding a county issue. Concern's noted by COO: Shasta County is with holding funds for PT (presumptive transfer) clients placed in the Open line facilities. The county neglected to support the OL program with assistance in getting the EHR system up and running properly and claiming OL neglected their responsibility to put required documentation into the system in a timely manner. The county gave OL access to the EHR system month after the certification, with no instruction on how to document. The county is responsible for entering in the client name into the EHR system, yet neglected to do so. A full report in on file with CCLD. COO was referred to the Stephen Conn with DHCS for the Mental Health Certification for further assistance with this issue.

met_with: Tyson Poso - Chief Operating Officer


summary: Facility Evaluation

raw_content:
Narrative:
On this date LPA Kellie McKinley and IB investigator Drew Mitchell arrived at the Facility for an annual inspection of the physical plant. On 10/28/24, Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced at the facility and met with Kim McCarty, Program Manager. The purpose of the visit was to conduct a required, two year Annual Inspection of the facility. The last Annual inspection for the facility was on 1/18/24. LPA utilized the CARE Tool to complete the Annual inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with three client bedrooms, a large open plan kitchen/dining area, and one locked staff office. Each client had a closet and dresser in good repair. Mattresses and bedding were observed to be clean. Clients were able to decorate their rooms with their personal belongings. The backyard was free from hazards, safely fenced, with a basketball hoop accessible to clients. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. The facility has one client bathroom and one staff bathroom. All were observed to be clean and fully functioning. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was stocked with the required items.. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the garage. LPA observed client files and client medications were stored in a locked file cabinet in the locked staff office. The facility has no outstanding fees. The facility currently has 6 clients, with a licensed maximum capacity of 6. Staff to client ratio is 2:6 during the day with an additional facility manager and several hours weekly from the MHRS staff as well. LPA reviewed 3 staff files. Staff files had completed criminal record clearances and all required initial and annual training. All First Aid and CPR certifications were up to date for staff. LPA attempted an interview with 1 client on site. LPA will continue on 10/29/24 to complete the annual inspection.

met_with: Kim McCarty- Program Manager


summary: Facility Evaluation

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Narrative:
LPA McKinley continued the annual inspection for Woodcliff house on 10/29/24. LPA reviewed 3 client files. All clients had signed Admission Agreements on file. Client files had completed initial Needs and Service Treatment Plans, signed by clients and staff, and updated Needs and Service plans every 30 days. The facility had evidence of attempting to obtain signatures from placing agencies. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. 1 of three of clients were taking court ordered psychotropic medications and had current JV-220's on file. LPA attempted an interview with a client but they refused to be interviewed. No citations were given on this date. A signed copy of this LIC-809, report was provided to Rachel Underwood. An exit interview was conducted.

met_with: Rachel Underwood - Residential Director


summary: Facility Evaluation

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Narrative:
On 2/12/ Licensing Program Analyst (LPA) Kellie McKinley arrived unannounced to the facility for the purpose of a Case Management (CM) Inspection and met with Tyson Poso - Chief Operations Officer. The CM is regarding an Incident report about a personal rights violation. LPA conducted an inspection of the facility inside and out, conducted interviews, and records review. On 2/12/ LPA interviewed three staff including one CEO, one administrator and one staff member at the Woodcliff house. The client was AWOL at the time and LPA will wait until their return for an interview. On 3/21/ Client returned to the facility after several unauthorized absences (UA). LPA met with client at the facility for an interview. Following the interviews LPA determined the issues regarding personal rights had been resolved through training with the staff. Which was verified via interview with staff S1. Facility will use on- call staff or administrator in situations where more than three clients are up before 7: AM. Training occurred the week of 3/11/2024 with facility staff. No citation given at this time. An exit interview was conducted.

met_with: Tyson Poso - Chief Operation Officer


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Lyta Vue on 07/08/2025 at TIME 9:00am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Mike Hernandez, Administrator and inspected the facility inside and out. LPA reviewed 1 of 5 child's records and 4 of 4 staff personnel files on site at the facility. LPA reviewed 1 of 5 child's psychotropic medications and medication records. LPA interviewed 4 of 4 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 of 5 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Mike Hernandez, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Mike Hernandez, Administrator and Tyson Poso,COO


summary: Facility Evaluation

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Narrative:
On this date Licensing Program Analyst (LPA) Kellie McKinley met with Open Line management staff to discuss the guidelines for camera usage outside and inside the facilities. LPA reviewed associated Provider Information Notice (PIN) which states the guidelines for camera usage. Additionally, LPA McKinley review SIR protocols. LPA reviewed past SIR's and various common issues which arise from submitted SIR forms. No citation was given. A copy of this report was electronically sent to the participants on this date.

met_with: Tyson Poso, Rachel Underwood and Mike Hernandez


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Narrative:
Interviews and records reviewed were consistent that one staff member maintained contact with a minor following their transfer out of the facility. The staff member was given permission by the placing agency to attend a Child and Family Team meeting for the minor following their transfer. The staff and minor continued to be in communication, unbeknownst to the placing agency or facility. Once the facility became aware that the staff had continued communication with the minor, the facility met with the staff and conducted disciplinary action, prohibiting further contact, and then subsequently terminated the staff's employment. The minor and staff denied an inappropriate relationship. While the communication from the staff to the minor was not trauma-informed, the minor was no longer a client of the facility at the time. An inappropriate relationship between one client and a second staff was alleged, but details were inconsistent, and no corroboration of information was available in interviews or record reviews. Based on LPA's interviews which were conducted, and records reviewed, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this LIC-9099 report, the LIC-9099C were provided to the facility. An exit interview was conducted. Appeal rights were provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Tyson Poso, Chief Operation Officer. LPA Yesenia Vallejo and the Investigations Branch (IB) conducted the complaint investigation. LPA Vallejo initiated the investigation with the facility on 9/23/25, met with Ryan Eades, Residential Counselor, and conducted a Health and Safety Inspection. During the course of the investigation, LPA and IB interviewed eight confidential individuals. LPA and IB reviewed records including: Placement Roster, Staff roster, staff schedule, Staff Training logs, prior complaint history, Child and Family Team Meeting notes, law enforcement records, Transition Determination Plan, and Serious Incident Reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Yesenia Vallejo 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: OPEN LINE - WOODCLIFFFACILITY NUMBER: VISIT DATE: 12/30/2025

met_with: Tyson Poso- Chief Operation Officer


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Yesenia Vallejo arrived unannounced at the facility for the purpose of a Case Management Inspection regarding a record review. LPA met with Mike Hernandez, Administrator. During record review, LPA determined Incident Reports (IRs) were not submitted to the Department timely, including four full IR's not received in August and six full IR's not received in September. One IR dated 8/19/25 reported there was an altercation between a staff and a client on 8/19/25. The staff stepped outside the house, leaving the minors inside unsupervised for a few minutes until law enforcement and facility administrator arrived. The same IR briefly mentioned the same staff spoke inappropriately to a client on 8/18/25. No additional information was received regarding what occurred on 8/18/25. Interviews by LPA were consistent, that the staff made inappropriate comments to a client on 8/18/25 and 8/19/25. Additional interviews indicated an altercation occurred on 8/18/25 which was not reported via IR. One citation is being issued for violating Title 22, Division 6, Section 80061(b)(1)(E) Reporting Requirements and Regulations documented on subsequent LIC-809D. Citation is not issued for staff making inappropriate comments or leaving clients in the house unsupervised, as the staff's employment was immediately terminated, resulting in a completed plan of correction. A signed copy of this LIC-809, 809C, and 809D were provided to the facility. An exit interview was conducted and Appeal rights were provided.


summary: Facility Evaluation

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Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Hillary Hall on 05/04/2022 at 9am. During the inspection, LPA Hall met with Tyson Poso, Administrator at the main office to review records. LPA Hall met with Mike Hernandez, Administrator, to inspect the facility inside and out. LPA Hall observed the facility to be clean and organized. The medication cabinet was locked. Appropriate staff ratio was maintained. LPA Hall conducted a medication count at the facility with Administrator Hernandez. LPA reviewed 4 clients records between 9am-11am. LPA reviewed 3 staff files between 11-12pm. Staff files had sufficient medication training. LPA interviewed 3 staff on site. LPA interviewed 3 clients who currently take psychotropic medication. No concerns were reported during the client interviews. (The fourth client was not at the facility due to a Child and Family Team Meeting). One deficiency was observed and cited from the STRTP Interim Licensing Standards (ILS) Section 87068.3: Modifications to The Needs and Services Plan (a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days. *During the review of client records, LPA Hall observed 3 out of 4 clients did not have a current Needs and Service Plan, written in the previous 30 days. One deficiency was observed and cited from STRTP ILS Section 87070(a)(13): (a)In addition to California Code of Regulations, Title 22, Section 80070, the following shall apply: (13) The following information...shall be obtained and maintained in the child's record: Documentation of all mental health services received by a child. *During review of the client's records, LPA Hall observed 4 out of 4 clients records were missing current information regarding specific mental services provided to clients. Continued on 809C Continued from LPA conducted an exit interview with Amy Claxton, Administrator. LPA provided a signed copy of this LIC-809, LIC-809C, and LIC-809D Report to the Administrator via email. Appeal rights were provided.

met_with: Amy Claxton, Administrator


facility_name: OPTIMIST EAGLE ROCK

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Investigation Findings:
13Licesning Program Analyst Connie Jones-Steward investigated the above allegations. LPA spoke to several staff members and reviewed the DCFS Investigations report. LPA was not able to interview Client #1 due to inability to make contact with the client. Per her last placement, Client #1 was discharged to her parents. LPA tried to contact the social worker, but received a fax machine. Based on information received via interviewing the staff and reviewing the DCFS report, the allegation of Lack of Supervision was resolved as "unsubstantiated". A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward 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


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Narrative:
On February 23, 2022, LPA Martin, conducted the initial complaint inspection and obtained information including, client rosters and placement histories for the past year. A review of documentary evidence and confidential statements found no knowledge of said incident or abuse being reported. Attempts to interview Youth #1 was unsuccessful as their whereabouts are unknown. Documentary evidence indicates Youth #2 was placed at Optimist Eagle Rock on August 9, 2021 for approximately 4 hours at which time, Youth #2 was reported to have run away from the facility. Confidential statement obtained concerning Youth #2 revealed a lack of evidence to prove Staff did not provide a comfortable environment for minors. Based on documentary evidence and confidential statements, LPA is not able to determine if the allegations occurred; therefore, the allegations are deemed unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies cited at this time.

Investigation Findings:
13On November 1, 2022 at 10: AM, Licensing Program Analyst (LPA), Regina Martin spoke with Facility Representatives, Ken Garcia and Maria Bhattachan for the purpose of discussing and delivering findings for alleged sexual abuse and general neglect by unspecified Optimist Eagle Rock staff. On February 8, 2022, Community Care Licensing received allegations that Youth #1 (see LIC 811, dated 11/1/2022) was sexually assaulted by an unidentified staff member while in care. Specific details regarding the sexual assault, identification of perpetrator, date of incident, and location is not known. Further, it was reported that Youth #2 felt uncomfortable in the presence of unidentified male staff members while in care. (Continued on page 2 - LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: OPTIMIST EAGLE ROCKFACILITY NUMBER: VISIT DATE: 11/01/2022

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

met_with: Facility Representatives


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegation. LPA spoke to Client #1 (alleged victim), staff (including the accused asailaint) and witnesses. LPA reviewed the Outcome Report created by the Residential Program Monitoring & Investigations Unit (RPMI). The staff stated that Client #1 threatened them with a knife that she took from a restaurant. Staff stated that another client informed him that she had seen Client #1 take the knife from the restaurant. However, when inteviewed by this LPA, Client #3 denied that she saw Client #1 steal the knife. Based on conflicting stories, it is unknowable how Client #1 obtained the knife with which she theartened the staff. Therefore the allegation that a physical plant violation enabled her to do so was resolved as unsubdtantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 2

met_with: Ken Garcia, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward commenced the annual /required inspection on this date. The inspection began at 10: AM and LPA was assisted by administrator Kenneth Garcia and facility manage Silvia Hernandez. The following was observed. A physical plant inspection was completed and included the following checks: This is a three bedroom, two story home with 2.5 bathrooms. The facility grounds are free of observable hazards. There are no security bars on windows. There are no swimming pools on the premises. The fireplace is decorative only There are carbon monoxide detectors in all bedrooms and a centralized fire panel downstairs. All knives, medications household cleaners and other hazardous items are safely stored in locked areas. The kitchen and bathroom fixtures are clean and in good working order. There is food to meet the requirements of two days for fresh food and one week of non-perishable food. The hot water was tested at 101 degrees. All trash containers, both inside and out, were covered as required. All bedrooms have two twin beds with mattresses and coverings in good condition. All clients have storage space in accordance with Title 22 regulations. All clients have locked storage lockers for their personal belongings. The menu, floor plan, employee work schedule, and other required documents were posted as required LPA will complete the necessary file reviews and client and staff interviews at a later date No deficiencies were cited today.

met_with: Kenneth Garcia/Silvia Hernandez


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward continued the annual inspection on this date. LPA completed the file review for staff and clients. LPA interviewed 2 of three clients. The other three clients were not available due to having to attend their treatment programs. LPA also interviewed two staff. LPA Jones-Steward issued no citations as a result of this inspection.

met_with: Ken Garcai/Sylvia Hernandez


facility_name: OPTIMIST MISSION HILLS

summary: Facility Evaluation

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Narrative:
On August 20, 2021 at 9am Licensing Program Analyst (LPA) Donald Martin and Licensing Program Manager JoAunne Griffin arrived at the above facility, for the purpose of conducting an Annual/Required inspection on the home. LPA met with Theresa Nunez, Residential Director who granted access into the home. The home was toured both inside and out. Currently residing in the facility is one client. The facility is licensed to care for six male children ages 13-17 years and non-minor dependents, ambulatory only. The home is located in a residential area and was set as follows: four bedrooms; two single-occupancy and two double-occupancy, all equipped with twin beds. Bedroom doors were observed to lock from the outside, however clients are able to open from the inside. There is ample closet and adequate drawer space is available. There are three bathrooms, observed in good repair and working order, living room/dining area, kitchen, and an attached garaged which has been converted into a rec room and laundry/storage area. There is an outdoor area including basketball court that is free of obstructions. The second floor of the facility is used as a staff area and includes the therapist's office, staff bathroom, and a storage room. The home was inspected and the following was observed: Facility is clean, safe, sanitary, and in good repair. There are no swimming pools or bodies of water on the premises. Knives, disinfectants, cleaning solutions, and poisons are inaccessible to clients. Cleaning solutions are stored in hall closet and sharp knives are stored in staff office on first floor. Clients in care are supervised and protected at all times. Four cameras were observed on the exterior of the home. Cameras view is of the front right, left, center and left rear of home. Fire escape ladder is located on second floor exterior of home. Facility has ample perishable and non-perishable food. Three refrigerators and pantry were observed in garage converting into storage area. Facility provides nutritious between meal and snacks. Menu observed posted in kitchen area. Medications are locked/accessible only to employees Continued on LIC 809C responsible for stored medications. Psychotropic medicine is tripled locked in staff office. Facility personnel are instructed to report violations of personal rights. Child's rights, grievance process and emergency disaster plan observed posted at entry door. Mental Health certification effective March 23, 2021 - March 22, 2022. Accreditation effective through May 31, 2025. Clients are not restricted in telephone use except by court order. Clients accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients can contact the licensing agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. Clients attend school, extracurricular, cultural, and personal enrichment activities. Facility reports changes in the plan of operation affecting service to clients. Facility reports client injuries requiring medical treatment. Emergency Disaster Mass Casualty Plan: Current and available for review. Designation/staff assignments current. Facility operates within license conditions & limitations including capacity limitations. Smoke detectors and carbon monoxide detectors were working properly in the home. Fire extinguisher was available and last serviced September 9, 2020. There were no bars on the windows at the time of the visit. All posting requirements were met. The facility has a Ford Transit - 150XL van and Hyundai passenger vehicle to transport clients. Current automobile insurance is with Riverport Insurance Co. LPA will return at a later date to complete Annual Inspection. There were no deficiencies cited at this time. Exit Interview was conducted with Teresa Nunez and a copy of this report was left at the facility.

met_with: Theresa Nunez-Residential Director


summary: Facility Evaluation

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Narrative:
On August 25, 2021 at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility, for the purpose of conducting an Annual/Required inspection Continuation on the home. LPA then went to the main office at N. Figueroa St. Los Angeles, CA 90042 to inspect the staff and client files. LPA met with Maria Bhattachan, Chief Compliance Officer and began my inspection of the files. LPA inspected staff file for Maggie Williams, House Supervisor hired 5-16-2011. File contained all the necessary documents which include Criminal Record Clearances, Personnel Records, Employee Actions, Child Abuse Clearances, Training, Education and medical requirements. Maggie also has a Conditional Certificate for the STRTP Administrator Certification Program. LPA inspected Client file for Takato Fortune DOB 6/10/2002. The client file had all Medical/Immunization Records available. The client had a complete and current Needs and Services Plan as well as current Mental Health and medication documentation. Staff interview was conducted with Theresa Nunez, Residential Director. The interview went very well and all questions were answered completely. LPA was unable to interview a client at this time. There were no deficiencies to report at this time.

met_with: Maria Bhattachan-Chief Compliance Officer