summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023 at 2:54pm, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA's met with Residential Supervisor Tiffany Norris. The facility was inspected inside and out with Residential Supervisor Tiffany Norris. LPA's began the annual inspection by touring the facility. Client bedrooms were inspected. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. LPA's observed all clients were receiving appropriate bedding and linen. Cleansers/chemicals are locked and stored in locked cabinets in the laundry room and in a locked cabinet in the garage. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover, and a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. Due to time constraints and the need to complete the physical plant inspection, client/staff file reviews, and client/staff interviews, this inspection will need to be continued at a later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.


state: CA

facility_name: NEWPORT ACADEMY - MORADA

summary: Facility Evaluation

raw_content:
Narrative:
On March 29, 2023 at 1:09pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/27/2023. LPA met with Residential Supervisor Tiffany Norris and resumed the physical plant inspection. The hot water in one of the client bathrooms was measured at 113.1 degrees, which is within regulatory requirements. The medications were stored and locked in the medication room. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. LPA reviewed five client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Due to time constraints and the need to complete staff file reviews, and client/staff interviews, this inspection will need to be continued at a later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.

report_type: Facility Evaluation

visit_type: Annual

met_with: Tiffany Norris


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 9:17am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/27/2023. LPA's met with Residential Supervisor Tiffany Norris. During the inspection, interviews were conducted with two staff, and four clients. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and client and staff interviews, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Tiffany Norris. Due to printer malfunction, this report will be emailed to Residential Supervisor Tiffany Norris.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023 at 12:45pm, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/27/2023. LPA's traveled to facility #306004815 to complete staff file review. LPA's met with Director Amanda Seymour, and Human Resources Assistant Anahi Mendoza. All the staff records are accessible electronically via a secured records portal. LPA's reviewed 5 staff files. LPA's observed one staff file, S2, did not have a valid CPR/First Aid training certification. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and file review, California Code of Regulations, Title 22, 80075(f) Health-Related Services, are being cited on the attached LIC 809D regarding S2 not having a current CPR/First Aid training certification. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.

met_with: Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced visit for the for the purpose of conducting an annual inspection of the facility. LPA met with Program Manager, Dijon Davis and Benjamin Tschirhart arrived later. The Facility is licensed to serve six (6) ambulatory children ages 12-17 years old. The current census is five (5) children. The facility is a one story three-bedroom, five-bathroom home. A physical plant inspection was completed with Program Manager, Dijon Davis and included the following checks: three client bedrooms, four client bathrooms, two staff bathrooms, kitchen, living room, dining room,sitting room, family room, pantry, care coordinator office, medication room. three therapy offices, theater room (under renovation), laundry room/storage, fitness room in the garage and a school building in the back of the home consisting of two classrooms. two bathrooms, and a kitchen. There is a pool located in the backyard that is enclosed by a 5-foot fence that is not locked and does not meet per Title 22 regulations. LPA observed the pool fence door latch is broken and does not latch/close. The pool fence door is uneven and hanging down to the left side and is unable to close. Facility is receiving a type A citation for the broken pool fence door latch and broken pool fence door. When pool is in use there are staff members present at all times. During inspection LPA observed staff direct supervision in the pool area while clients were in the pool. ****Continued on page 2**** All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. LPA observed exterior cameras at the facility. LPA observed rodent droppings under facility kitchen sink and school building kitchen sink. The facility is receiving a type A citation due to rodent droppings found. There is adequate indoor and outdoor activity space. Fire extinguishers are properly charged and serviced on 05/02/2025. Fire Inspection was completed on 02/05/2025 and LPA received a copy of the Fire Inspection to place in facility file. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. All four bedrooms contain two twin beds. The facility has three client bathrooms. The water temperature was tested in one bathroom the appropriate range of 105 degrees to 120 degrees. LPA conducted two staff interviews and two client interviews. Facility cited for violations of California Code of Regulations, Title Division six, regulation 80087(e)(1): Buildings and Grounds and 80076(a)(17): Food Services. Due to time constraints LPA will return on another day to conduct client client and staff file reviews. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report, Confidential names- LIC811, and appeal rights were discussed and provided to Residential Supervisor, Benjamin Tschirhart. A copy of this report will be placed in the facility file.

met_with: Ben Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2025, at 8: AM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on May 08 ,2025. LPA met with Compliance Specialist, Whitney Rodgers and Human Resources Specialist, Rachel Salinas via Microsoft Teams video conference meeting. LPA reviewed five staff (S1-S5) files. Five out of five staff records reviewed have the verification of Department of Justice, Federal Bureau of Investigation, and Child Abuse Index Check clearances and were associated to the facility. Five out of five staff records reviewed have proof in file of acknowledging confidentiality and mandated child abuse reporting requirements. LPA reviewed five client (C1-C5) files. Five out of five client records reviewed had required documents including admission agreements, signed personal rights, medical/dental exam, immunization records, medical consent forms, an initial and updated needs and services plan on file, and met the minimum requirements per Interim Licensing Standards. LPA reminded facility to ensure client TB records are uploaded to secure database. No deficiencies cited. An exit interview was conducted, and a copy of this report, Confidential Names List (LIC811), and appeal rights were discussed and emailed to Compliance Specialist, Whitney Rodgers. A signed copy of this report will be placed in the facility file.

met_with: Compliance Specialist, Whitney Rodgers


summary: Facility Evaluation

raw_content:
Narrative:
On January 05, 2026, at 12: PM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced case management inspection at the facility and met with Operational Program Manger, Dijon Davis, regarding incident report that occurred on 12/08/25. The department received the serious incident report on 12/23/25 and 12/24/25. LPA conducted an inspection of the facility with Dijon. Community Care Licensing (CCL) was not provided Incident reports within the required time frame. After further review the facility is being cited for violation of Title 22, General Licensing Requirements, Section Reporting Requirements. An exit interview was conducted, a copy of this report, appeal rights and LIC 811 was reviewed and provided to Dijon Davis.

met_with: Operational Program Manager-Dijon Davis


summary: Facility Evaluation

raw_content:
Narrative:
On April 25, 2023 at 2:48pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Case Management inspection. The purpose of the case management was to address information received regarding C1's bedroom and sleeping arrangement at the facility. LPA met with Director Amanda Seymour. It was observed that C1 was living in a room that is commonly used as an office/group room. The facility is being cited for violation of the Welfare and Institutions Code (WIC), 16001.9 (17) Personal Rights on the attached LIC 809D. The facility is also being cited for violation of California Code of Regulations, Title 22, 84087(b)(4) Buildings and Grounds on the attached LIC 809D. Based on confidential interviews and observations obtained on 03/30/2023, it was confirmed that the facility placed C1 at the facility giving C1 a group room/office space to occupy as a bedroom. An exit interview was conducted, and a copy of this report and appeal rights were explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


facility_name: NEWPORT ACADEMY - PALM HILLS

summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2021 at 10:01am, Licensing Program Analysts (LPA's) Adrian Mendez and Sarah Alvizo arrived unannounced at the facility to conduct a Post-Licensing/Required Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes. The home is a two story residence with five staff offices, one recreational room, one classroom, and seven bathrooms. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured at 116.6 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room at the end of the hallway. Cleansers/chemicals are locked and stored in a cabinet in the kitchen. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Due to the need to complete staff/client interviews and staff/client file reviews, this inspection will need to be continued at later date. LPA discussed and reviewed the following inspection components; Operations, and Emergency Disaster Preparedness. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.

met_with: Claudia Jaimes


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, 2021 at 11:11am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/02/2021. All the client files are stored and maintained in a secured online database. A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed eight staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Due to the need to complete staff/client interviews, this inspection will need to be continued at later date. LPA discussed and reviewed the following inspection components; Emergency Intervention Plan. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2021 at 1:39pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection for the annual that began on 11/02/2021. LPA met with Program Manager Claudia Jaimes. During the inspection, one client was interviewed. One client declined to be interviewed. Due to the need to complete staff interviews, this inspection will need to be continued at later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023 at 9:46am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA's met with Residential Supervisor Courtney Garcia. The facility was inspected by LPA Barragan inside and out with Care Coordinator Katharine Carranza-Mejia. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in all of the client bathrooms was measured at 112 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the kitchen and a locked storage closet. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Residential Supervisor Courtney Garcia. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible by a pool cover, and with a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. LPA reviewed six client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Cont. on 809-C During the inspection, LPA's conducted interviews with two staff and two children. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, confidential interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Courtney Garcia. Due to printer malfunction, this report will be emailed to Residential Supervisor Courtney Garcia.

met_with: Courtney Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, 2023 at 2:29pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 04/12/2023. LPA traveled to facility #306004815 to complete the staff file review. LPA met with Human Resources Assistant Anahi Mendoza, and Director Amanda Seymour. All the staff records are accessible electronically via a secured records portal. LPA's reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and file review, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
On November 04, 2024 at 12: PM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA Garcia met with Program Manager, Monica Garcia. The facility was inspected by LPA Garcia inside and out with Program Manager, Monica Garcia. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in all of the client bathrooms was measured at 113 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the kitchen and a locked storage closet. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and staff office and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager, Monica Garcia. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible by a pool gate, the gate is five feet tall and self-latching. Emergency exits were free from obstruction. Due to time constraints and the need to complete staff and client file reviews and interviews, this inspection will need to be continued at a later date. LPA Garcia discussed and reviewed the following inspection components; Physical Plant, Operational Requirements, Disaster Preparedness, and the Emergency Intervention Plan. . Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report along with LIC 811 was explained and given to Program Manager, Monica Garcia.

met_with: Monica Garcia-Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 05, 2024 at 08: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 11/04/2024. LPA met with Program Manager, Monica Garcia, Human Resources Manager, Melanie Ramirez and Human Resource Assistant Rachel Salinas. All the staff records are accessible electronically via a secured records portal. LPA reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. LPA reviewed six client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. During the inspection, LPA conducted interviews with two staff and two children. Based on the facility inspection, confidential interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and given to Program Manager, Monica Garcia.


facility_name: NEWPORT ACADEMY - RUSH CREEK

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. this department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the staff or residents do not have access to food; therefore, the above allegation is unsubstantiated. The Administrator has agreed to sign and return the LIC9099. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Laurel Chase via phone regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During LPA McCambridge's investigation, LPA interviewed all clients that reside at the facility and staff. During those interviews some clients stated that some clients may get into verbal arguments with other clients or direct their anger towards staff members and sometimes use cuss words, but there is no name calling. Other clients stated that there is no inappropriate interactions or language between clients or directed at staff. With contradicting satements there is no way to know with certain that these allegations happened. (Continued on LIC9099-C dated 09/22/2020) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, GOLF COURSE DR. STE. A- ROHNERT PARK, CA FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 11/02/2021

report_type: Complaint Investigation

met_with: Laurel Chase

complaint_status: unsubstantiated


raw_content:
Narrative:
There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that minor was inappropriately touched by another minor in care; therefore, the above allegation is unsubstantiated. Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.

Investigation Findings:
13On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Administrator Priscilla Hernandez regarding a complaint investigation at the facility. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of the investigation, LPA McCambridge interviewed staff, attempted to interview clients and reporting party, and reviewed documentation. During confidential interviews staff claimed they were told about an incident occuring, but inconsistent statements were made by the clients. Documents and staff revealed any instance of inappropriate behavior is immediately redirected and documented, resulting in prompt notice to the clinical team and an emphasis on client safety. Attempts were made to contact clients to ascertain details of the incident in question. (Continued on LIC9099-C dated 07/07/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Cheyenne McCambridge 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 21-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, NEOTOMAS AVENUE, STE. FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 07/07/2022

met_with: Priscilla Hernandez


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Four of the interviewees were aware of racist or insensitive comments being made by other youth towards C1, all four interviewees state that staff were not present for the comments. These four interviewees also state that staff had spoken to the youth involved separately after the inappropriate comments. According to one interview, staff was "not supportive". Based on confidential interviews, the allegation that staff do not intervene when other minors make racist comments to minor may or may not be true. The allegation has not met the preponderance of doubt and therefore the allegation is unsubstantiated. LPA conducted an exit interview with Boe Roberts, Clinical Supervisor at 1:01PM whose signature confirms the receipt of this document.

Investigation Findings:
13On 6/13/2023 at 12:52PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the finding for the listed allegation. LPA met with Boe Roberts, Clinical Supervisor. LPA Cheyenne McCambridge informed the facility of the allegation on 3/7/2023. During the course of the investigation, LPA Hood conducted seven interviews between 5/22/2023 and 6/6/2023. LPA reviewed C1's program plan, and there were no incident reports regarding these allegations. Based on confidential interviews, five of the seven interviews did not have concerns with the staff not intervening or any general supervision issues. One of the interviewees stated they were unknowledgeable about the supervision in the facility. Continued on LIC9099C... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood 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 21-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY - RUSH CREEKFACILITY NUMBER: VISIT DATE: 06/13/2023

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

met_with: Boe Roberts


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting a Post Licensing inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature.There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. Applicant understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client files and they are complete. Staff files are kept off site with Human Resources (HR), and will be reviewed at a later date. Fingerprint clearances for personnel, on site at time of inspection, were reviewed using a Facility Personnel Report Summary dated 12/21/21. All facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances and/or exemptions. Current forms and Title Regulations can be obtained through the internet at www.ccld.ca.gov. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Priscilla Hernandez and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are six clients, all female. There were four clients present during inspection, but they did not want to talk to me. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an annual/required inspection. LPA McCambridge met with Administrator Kimeeco Epps and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There are no bodies of water on the property. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There is an abundant supply of perishable foods available. Facility has a chef that prepares and cooks all meals daily. Sharps and toxins are kept locked. Medications are kept locked. There are carbon monoxide and smoke detectors throughout the facility. There were operable fire extinguishers posted throughout the facility. There are complete first-aid kits located in the facility. The facility understands that the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. All required signage is posted in the hallway on the third floor and is clearly visible. The group home is licensed to serve six clients. Currently in placement are two clients, both female. There were two clients present during inspection, but they did not want to talk to me. The home operates within the capacity and limitations of the license. LPA McCambridge reviewed client and staff files and they are complete. No Title 22 deficiencies cited this date. Exit interview conducted and a copy of the report was left at the facility.

met_with: Kimeeco Epps


summary: Facility Evaluation

raw_content:
Narrative:
On 4/8/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit. LPA met with Administrator/Residential Supervisor Kimeeco Epps, Residential Supervisor Starr Williams, and Residential Manager Hope Hurst and informed of the purpose of the visit. The purpose of the visit was to follow-up on a submitted incident report. Per the incident report, a client was given their prescribed medication and later passed off the medications to another client. The former client informed staff of what happened, and the latter client confirmed ingesting the medication. Proper notifications were made, and a nurse assessed the clients. Neither involved client is currently in care. Based on statements from Nursing Supervisor, Residential Supervisors and Residential Manager, the facility has a supervision policy of not allowing clients to be near the medication room when a nurse is administering medications. The facility agreed to send LPA a copy of the documented follow-up with the care coordinators working at the time of the incident. No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator/Residential Supervisor Kimeeco Epps.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/07/2025 at 10:45 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Analyst (LPA) Hanako Primer conducted an unannounced Annual Inspection and met with Graham Malcolm-Wium, Residential Manager. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. LPA Rodriguez used the CARE Inspection Tool. The facility currently has a census of six clients. LPA Rodriguez and LPA Primer reviewed five (5) client files. There was one Technical Violation (TV) issued during the inspection. Please see attached TV. A copy of TV will be printed out for Graham Malcolm-Wium, Residential Manager. At this time, the inspection is not complete. LPA Rodriguez will be back at a later day to complete the required annual inspection. An exit interview was conducted at 4:20 p.m., and a copy of this report was printed and given to Graham Malcolm-Wium, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/12/2025 at 11:00 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez conducted an unannounced Annual Inspection and met with Kimeeco Epps, Administrator. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility. The purpose of this visit was to complete the required Annual Inspection. LPA Rodriguez used the CARE Inspection Tool. The facility currently has a census of six clients. LPA Rodriguez reviewed five (5) staff files. LPA Rodriguez also reviewed the emergency disaster plan. LPA Rodriguez conducted two confidential staff interviews and two confidential client interviews. During the physical plant inspection, no deficiencies were found. The facility was clean, sanitary, free of obstructions, and an adequate amount of food for all clients in care was present. Client bedrooms were clean and had space for belongings and client necessities. LPA Rodriguez observed the locked cabinet where all medication is stored and kept. The required Annual Inspection is complete. No deficiencies were cited. An exit interview was conducted at 2:31 p.m., and a copy of this report was printed and given to Administrator Kimeeco Epps, whose signature on this form confirms receipt.

met_with: Kimeeco Epps, Administrator


facility_name: NEWPORT ACADEMY - SUNDANCE

summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021 at 1:13pm, Licensing Program Analysts (LPA's) Adrian Mendez and Jesus Cervantes arrived unannounced at the facility to conduct a Post-Licensing Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes, Human Resources Assistant Jocelyn Lee, and Residential Supervisor Amy Bautista. The home is a one story residence with three bedrooms, one staff office, one family therapy room, one counselor's office, one care coordinator office, one garage/multi-purpose room, one individual therapy office, one nurse's office, one over facility staff office, one group room, one recreational room, one classroom, and seven bathrooms. The property also has a horse stable located in the backyard of the facility which will be used to house horses for equine therapy. The horse stable also contains an equine office. The client bedrooms are set up as follows: Bedroom #1; two twin beds, all required linen, mattresses in good condition. Bedroom #2; two twin beds, all required linen, mattresses in good condition. Bedroom #3; two twin beds, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for resident's belongings. The staff offices contained office supplies, staff schedule and emergency and disaster plan that was posted. Medications and the first aid kit were locked in the medication room inside the hallway. Medication room has a locking door and a locking medication cabinet and refrigerator within the room. Medication logs are maintained electronically and had no discrepancies. The bathrooms were clean and in good repair. Water temperature in the client bathroom of the property was measured at 3:17pm and read at 105.8 degrees. The property contains a pool and an adjoining spa in the backyard which is fenced and covered. The fence and gate around the pool is five feet tall, and is self latching. Cont. on 809-C All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in the garage, and a locked cabinet in the laundry room. Sharp knives were inaccessible and stored in a locked drawer in the kitchen. LPA's observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There were no guns or weapons in the facility as stated by Program Manager. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, Disaster Plan, Employee Schedule and current menu. A sample of five client files were reviewed during the inspection. A review of administrative records indicate that the facility has paid their current licensing fees. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained off-site in the facility corporate office. LPA reviewed five staff files, no discrepancies were observed. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. A copy of this report was reviewed and given to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2023 at 1:01pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Random Annual inspection of the facility. LPA met with Program Manager Claudia Jaimes, and Director Amanda Seymour. The facility was inspected inside and out with Program Manager Claudia Jaimes. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 119.6 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible. The medications were stored and locked in a medication room. Cleansers/chemicals are locked and stored in locked cabinets in the laundry room and the kitchen. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Claudia Jaimes. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a gate that is five feet tall and self-latching. Emergency exits were free from obstruction. LPA reviewed four client files during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Cont. on 809-C Due to time constraints and the need to complete client/staff interviews, and staff file reviews, this inspection will need to be continued at a later date. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.

met_with: Claudia Jaimes, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023 at 10:04am, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/30/2023. LPA's met with Program Manager Claudia Jaimes. During the inspection, interviews were conducted with two staff, and two clients. Due to time constraints and the need to complete staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, Emergency Disaster Preparedness, and the Emergency Intervention Plan. Based on the facility inspection, and client and staff interviews, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Claudia Jaimes. Due to printer malfunction, this report will be emailed to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On April 4, 2023 at 1:24pm, Licensing Program Analysts (LPA's) Adrian Mendez, and Eduardo Barragan arrived unannounced at the facility to conduct an Annual Continuation inspection of the Random Annual inspection that began on 03/30/2023. LPA's traveled to facility #306004815 to complete staff file review. LPA's met with Director Amanda Seymour, and Human Resources Assistant Anahi Mendoza. All the staff records are accessible electronically via a secured records portal. LPA reviewed 5 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and file review, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Veronica Whitaker conducted a case management inspection on 8/1/23 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 5 out of 5 youth files were reviewed, 2 out of Direct Care Staff and 2 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated 8/1/23. The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review, including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Veronica Whitaker observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Crystal Goodwin, Compliance Manager.

met_with: Crystal Goodwin, Compliance Manager, Claudia James, Residential Manager, Amanda Seymour, Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 12, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced visit for the for the purpose of conducting an annual inspection of the facility. LPA met with Care Coordinator, Maurice Champion and Program Director, Amanda Seymour. The Facility is licensed to serve six (6) ambulatory children ages 7-12 years old. The current census is five (5) children. The facility is a one story four-bedroom, seven-bathroom home. A physical plant inspection was completed with Maurice Champion and included the following checks: three client bedrooms, four client bathrooms, three staff bathrooms, kitchen, living room, dining room, medication room, staff break room , storage/bedroom, individual therapy office, family therapy office, sensory room, garage, two school classrooms, gym/fitness room, two care coordinators offices, program director's office, pantry, laundry room, horse stables, horse riding arena, front yard, and backyard. There is a pool located in the backyard that is enclosed by a 4-foot fence that does not meet per Title 22 regulations. LPA measured the height of the fence, measuring at 4-feet high and pool fence door measuring at 3-feet and 11 inches. Facility is receiving a type A citation for height of the pool fence measuring below 5-feet high. ****Continued on page 2**** All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility carbon monoxide detectors were tested and observed to be in working order; fire extinguishers are properly charged and serviced on 02/05/2025. Fire inspection was completed on 02/05/2025. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. All three bedrooms contain two twin beds. The facility has four client bathrooms. The water temperature was tested in one bathroom the appropriate range of 105 degrees to 120 degrees Fahrenheit was measured. LPA conducted two staff interviews and one client interview. Four clients refused to be interviewed. Facility cited for violation of California Code of Regulations, Title Division six, regulation 80087(e)(1): Buildings and Grounds. Due to time constraints LPA will return on another day to conduct review of client records and staff records Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report, confidential names (LIC811), and appeal rights were discussed and provided to Amanda Seymour. A copy of this report will be placed in the facility file.

met_with: Program Director, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2025, at 8: AM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on May 14 ,2025. LPA met with Compliance Specialist, Whitney Rodgers and Human Resources Specialist, Rachel Salinas via Zoom meeting. LPA reviewed five staff (S1-S5) files. Five out of five staff records reviewed have the verification of Department of Justice, Federal Bureau of Investigation, and Child Abuse Index Check clearances and were associated to the facility. Five out of five staff records reviewed have proof in file of acknowledging confidentiality and mandated child abuse reporting requirements. LPA reviewed five client (C1-C5) files. Five out of five client records reviewed had required documents including admission agreements, signed personal rights, medical/dental exam, immunization records, medical consent forms, an initial and updated needs and services plan on file, and met the minimum requirements per Interim Licensing Standards. Record review of psychotropic medication records, C5 is missing parent authorization and signature as a result the facility is receiving a Type A violation. Facility cited for violation of California Code of Regulations, Title Division six, regulation 84070(b)(15)): Children's Records. ****Continued on Page 2**** An exit interview was conducted, and a copy of this report, Confidential Names List (LIC811), and appeal rights were discussed and emailed to Compliance Specialist, Whitney Rodgers. A signed copy of this report will be placed in the facility file.


raw_content:
Narrative:
******PAGE CONTINUED: During the investigation, there was no corroborating evidence to support the above allegations. Confidential interviews and documents reviewed revealed conflicting statements if C1 obtained a knife, or if C1 stabbed the knife through a door. Confidential interviews also revealed conflicting statements whether the facility is denying clients access to report an incident. C1, C2 and S3 were not able to be interviewed to confirm if alleged incident occurred. Thus, confidential interviews and records reviewed did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed that staff allowed C1 access to a hazardous item (knife) and staff discouraged C2 from reporting incident involving minors in care, which may have occurred, however, are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, LIC 811 and appeal rights was provided to Whitney Rodgers.

Investigation Findings:
13On March 4, 2026 at 1: PM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Whitney Rodgers-Compliance Specialist, to discuss the investigative findings for the allegations noted above. On 09/08/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA conducted two client interviews (C3-C4) and attempted to interview two clients (C1-C2). LPA conducted two staff interviews (S1-S2) and attempted to interview one staff (S3), and after several attempts LPA Garcia was not able to reach C1, C2, S3 for an interview. During the investigation, LPA reviewed client file (C1). On 09/02/25, Community Care Licensing (CCL) received allegations that staff allowed minor access to a hazardous item and staff discouraged minor from reporting incident involving minors in care. It was specifically reported that C1 obtained a knife and stabbed it through a door to gain access to the other clients and that the facility declined the clients (C2) from reporting the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMY - SUNDANCEFACILITY NUMBER: VISIT DATE: 03/04/2026

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

met_with: Whitney Rodgers-Compliance Specialist


facility_name: NEWPORT ACADEMY - VALLEY VISTA

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, there will be a civil penalty assessed on this day. See LIC9099D for details. Exit interview was conducted with FM. Due to technical difficulties with LPA printer, a copy of this report along with appeal rights were discussed and a copy of this report was emailed to the FM.

Investigation Findings:
13On 2/8/2023 at 9:48am, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Analyst (LPA) Christine Wilson, made an unannounced inspection to the above-listed facility, and met with the Facility Manager (FM), who granted access to the facility. The purpose of this inspection is to conduct an initial complaint investigation inspection regarding the above allegation. LPA O'Connell and LPA Wilson reviewed facility staff records and found: S1 is not listed on LIC500. During the time of the inspection LPA O'Connell and LPA Wilson conducted confidential interviews with: S1, FM, HOS, and RM [See Confidential Names form (LIC811), dated 02/8/23, for names]. During confidential interview, it was determined that P1 has been working onsite at the facility for three weeks, without a criminal background clearance. Continued on LIC9099C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Nancy O'Connell 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: Monique Hernandez, Facility Manager

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
(Continuation of Findings Pg 2)) Based on all interviews conducted, and documents obtained, the Department has found the above allegations to be unsubstantiated, meaning that, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies to be cited at this time.

Investigation Findings:
13On 08/11/2023 at 9:05am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegations: (1) Licensee does not ensure direct care staff obtain the minimum number of initial training hours required. (2) Licensee does not ensure direct care staff obtain the minimum number of annual training hours required. Although the Human Resources Administration provided training records to LPA Wilson, these records do not document the number of hours completed for each staff and for each training course; therefore, there is no way of determining whether a staff has met the minimum number of training hours for any completed training course. (Continued Findings on 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GREATER LA AREA SC, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: VISIT DATE: 08/11/2023

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

met_with: Sheryl Stone, HR Manager


raw_content:
Investigation Findings:
13On 08/11/2023 at 9:05am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegation: (3) Licensee does not ensure direct care staff training topics are appropriate for the client population at facility. The investigation included confidential interviews with facility and administrative staff. Per LPA request of training records, which the Licensee provided; a review of the records revealed that training topics are few and not varied, and do not meet the minimum, regulatory requirement.. Based on all interviews conducted, and documents obtained, the Department has found the above allegations to be substantiated, meaning that, the preponderance of the evidence has been met. The facility is issued a citation. The following deficiency was cited [See page LIC9099-D for cited deficiencies]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided to the licensee. The report will be emailed to Facility Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GREATER LA AREA SC, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: 565802321

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

met_with: Sheryl Stone, HR Manager)


raw_content:
Investigation Findings:
13On 12/28/2023 at 9:35am, Licensing Program Analyst (LPA) Christine Wilson made an unannounced inspection to the above listed facility, Newport Academy Group Home, for the purpose of concluding the investigation on the above allegation. LPA met with Human Resources Assistant (HRA). The investigation included confidential interviews with facility staff and administrative staff and review of certification records, which the Licensee provided. Based on records review of of the Plan of Operation/Program Statement, and confidential interviews, revealed counselors are to obtain specialized training and certification. Further, the licensee did not ensure credentialing registration for certification, had been obtained from staff member (C3) and staff was working as a counselor prior to obtianing credentialing registration for certification on 11/30/23. This allegation is considered valid, because the prepondrance of the evidence standard has been met in (1) out of (4) counseling staff. A type A deficiency is cited at thei time (see LIC9099D). Exit interview conducted and appeal rights were left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Christine Wilson 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION WOODLAND HILLS S.Ro, Ventura Blvd., STE. WOODLAND HILLS, CA FACILITY NAME: NEWPORT ACADEMY - VALLEY VISTAFACILITY NUMBER: 565802321

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

met_with: Human Resources Assistant


summary: Facility Evaluation

raw_content:
Narrative:
On June 17, 2021 at 09: AM Licensing Program Analysts (LPA) Enrique Hernandez, made an announced inspection, to Newport Academy Valley Vista for the purpose of conducting a pre-licensing inspection. LPA met with Tiai Salanoa Facility Administrator, Mydori Salanoa Facility Administrator, Zenobia Mayweather Residential Supervisor, Jerome Spurlin and Jep Stokes Executive Director who granted access to the facility and together toured the home inside and out. This facility will provide services to 6 female clients ages 12-17 years, ambulatory only. The home: Is currently vacant and is equipped as follow: General overview: This is a three-story home 3 bedroom, 5 bathrooms and 2 half bathrooms 4 offices, House Detached, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area classroom, and a backyard. There is a swimming pool and jacuzzi located in the backyard covered with a net. Pool and jacuzzi is also are surrounded by a gate with proper latching device that meets regulations. The backyard also consists of a built-in BBQ island and chairs and tables by the outdoor firepit that Mydori stated that they won't use. There are no cameras on the facility. Medicine room is inaccessible to children. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions. During LPA inspection measured the water temperature and measured within safe temperature at 117.6 degrees Fahrenheit. Outdoor by the vineyard there is the office for the intake coordinator is equipped with a 4 burner stove a small refrigerator a sink a room with a desk and two chairs. The home is also equipped with a cellar due to the the previous owners used to have wine, but the facility representatives stated that they removed all the wines from the cellar and is now an activity room. The activity room is equipped with a sink a refrigerator. Page 1 of All publication requirements for the Licensee License and Emergency Plan will be met, in addition to the Group Home License, which has not yet been issued or approved by the LPA's manager. There are covered fireplaces all over the house and Mydori said there not working, and they will not be used. Fire Clearance was granted on 6/15/2021. Before placement/or licensure, the following deficiencies need to be made repair/removed: Outside and Inside of the home LPA observed the following The lights in the hallway by the entrance of the house do not turn on. Some of the cabinet doors in the hallway were not positioned properly in the cabinet. Some of the drawers have metal screws, and metal items not locked. In the same hallway where the cabinets are under the sink, there are chemicals and the doors are not locked. There are several paint cans/buckets and ladders behind the garage, accessible to the clients. At the end of the outdoor hallway there is a table with various types of garden chemicals accessible to the clients. The ceiling in the livingroom have some patches that are unpainted In the kitchen there is no lock to store the knives, so that they are not in the reach of the clients. The television in the second living room is not installed (still on box). A few broken pieces of tile on the floor next to the exterior door of the office that is next to the pool. A crack in the planter next to the pool. The sink next to the outdoor barbecue has old, cracked wood covering it. There are no computers in the classroom or curtains on the classroom window. The client's rooms do not have poles to hang clothes. The bathroom across from room #1 does not have a mirror. No lock on gate door next to the tool shed by the vineyard. Page 2 of No lock on the tool shed by the vineyard. The balcony doors on the second and third floors do not have a lock. The elevator is accessible to clients and does not have a lock. Bedrooms 2 and 3 share the Jack and Jill bathroom. LPA observed that the two doors don't have a lock. LPA told the facility representatives that LPA will ask their manager about the two doors not having locks. Once all the corrections are completed, from the deficiencies that LPA observed in today's inspection. LPA will give the manager all the documentation for approval. Exit interview was conducted and a copy of this report will be emailed to the facility administrator, in order to obtain a signature due to at the time of the inspection there were some technical difficulties with the computer. Signature will be on file. Page 3 of 3

visit_type: Prelicensing

met_with: Facility Admonistrator


summary: Facility Evaluation

raw_content:
Narrative:
On 06/25/2021 at 11:15am, Licensing Program Analyst (LPA) Kevin Sauk arrived at the above facility, for the purpose of conducting a follow-up Pre-Licensing Inspection, which was initiated on 06/17/2021. LPA met with the and the Executive Director (ED), and the Program Manager (PM), who granted access into the facility, and who provided a tour of the entire physical plant inside and out. LPA observed the following, during the inspection: The lights in the outdoor hallway next to the garage are functional. The cabinet doors in the outdoor hallway next to the garage have been repaired, and no longer consist of metal screws, metal items or chemicals. When supplies come in, these cabinet doors will have a lock. Garden chemicals have been removed from the table at the end of the outdoor hallway. The paint cans/buckets and ladders behind the garage, were removed from the facility premises. The patches on the ceiling in the living room have been repaired. In the kitchen there is no lock to store the knives, so that they are not in the reach of the clients. The television in the second living room was out of the box and installed. A few broken tile pieces on the floor in front of the office, next to the pool, was repaired. The old, cracked wood covering was removed from the sink next to the outdoor barbecue. Computers and curtains over the windows were observed and installed in the classroom. All of clients rooms have a place to hang their clothes in the closet. A mirror was installed in the bathroom across from room #1. Locks were installed on gate door next to the two tool sheds by the vineyard. The two tool sheds, by the vineyard, were equipped with secure locks. The balcony doors on the second and third floors were equipped with a lock. The elevator is locked, inaccessible to clients, and has been deactivated. Bedrooms 2 and 3 share a "Jack-and-Jill" bathroom, and the two doors are now equipped with locks from inside of the bathroom. (Continued on LIC809-C) This facility is clean, safe, sanitary, and in good repair. Exit interview was conducted, and a copy of this report was discussed and left with the Program Manager (PM).

met_with: Program Manager (PM) & Executive Director (ED)


summary: Facility Evaluation

raw_content:
Narrative:
On March 3, 2022, at 08: AM Licensing Program Analysts (LPAs) Enrique Hernandez and Nancy O'Connell conducted an unannounced inspection, at the above-said facility, for the purpose of conducting a Post-License Inspection. Licensing staff was met by Mydori Saipale Facility Administrator (FA), Tiai Salanoa Facility Administrator, Tone Reyes Program Director (PD) who granted access into the facility, who provided a tour of the entire facility, inside and out. General overview: This is a three-story home 3 bedroom, 5 bathrooms and 2 half bathrooms 4 offices, House Detached, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area, classroom, and a backyard. There is a swimming pool and jacuzzi located in the backyard covered with a net. Pool and jacuzzi is also surrounded by a gate with proper latching device that meets regulations. The backyard also consists of a built-in BBQ island and chairs and tables by the outdoor firepit that Mydori stated that they won't use (appliances are nonoperational). There are no cameras on the facility. Medicine room is inaccessible to children and contains first aid kit with thermometer. All smoke detectors were tested and are operating properly in the home at the time of visit. There are numerous fully charged fire extinguishers available. Outdoor activity space free of obstructions. LPA measured the temperature of the water and measured within the safe temperature at 110 degrees Fahrenheit. In the outdoor area, next to the vineyard, is the office of the Director, equipped with a 4-burner stove that is non operational, a small refrigerator, a sink, a room with a desk and two chairs. The house is also equipped with a wine cellar because the previous owners used to have wine, but LPA observed all the wines from the cellar have been removes, and it is now being used as a staff office and is equipped with a sink and refrigerator. Continue on LIC809-C LPAs observed the following during inspection: Living Room: with a securely covered (non-operational) fireplace with plenty of seating that has access to the backyard. Dining Room: equipped with a large table with 8 chairs. Kitchen: equipped with a refrigerator, Built-In BBQ, Cooktop - Gas, Double Oven, Microwave, Breakfast Nook, Formal Dining Room, Kitchen Island a sink is located in the island and was non operational at the time of inspection- Mydori stated a work order was submitted (copy requested). Plenty of cabinet space. Knives / Sharp objects are stored in the pantry and kept in a locked tool box, within a locked cabinet. Chemicals and cleaning solutions are kept in locked and stored next to sharps box at the time of inspection. Breakfast area: consists of a table with 8 chairs, and dually functions as dining room. Family Room: equipped with a secure cover on the fireplace (non-operational), and plenty of clean furniture in good repair. Electrical window blinds were not in working condition at the time of inspection and Mydori stated that a work order has been submitted (copy requested). Garage: is being utilized as Facilities storage and contains items related to maintenance, and contains a refrigerator. Items intended for disposal were observed laying on ground outside door of garage (wine cellar cabinet, wine barrels, washing machine). Laundry area: equipped with a washer and dryer, and plenty of cabinet space where a fully charged fire extinguisher. Bathroom located immediately outside of laundry room with entrance located on outside of building. Knives were stored in laundry and contained in locked box. Locked box was stored next to cleaning chemicals within locked cabinet. Program director agreed to remove all knives and place them in office at the time of inspection. School: equipped with a fully charged fire extinguisher, smoke alarm, 6 desk, 6 computers, and a printer. Applicant reported that each client shall have access to his/her own laptop during school hours. Bedroom #1 is occupied by two clients with two twin size beds on each side of the room, adequate closet and drawer space, there is a bathroom directly outside of the bedroom in good repair. Bedroom #2 is occupied by two clients it has two twin size bed, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by two clients; it has one full size adjoining bathroom in good repair. Continue on LIC809-C Third Floor loft- empty room with balcony door that is securely locked. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer. There is also a small refrigerator for storage of client medication that requires refrigeration. Nursing station along with supplies kept in locked room. Bathrooms- 5 full bathrooms with half bathroom on first floor, all in good working condition. Outdoor- LPAs observed non operational washer, wine cabinet, wine barrels outside of Facilities Garage. LPA's observed in the lower vineyard shed a sharp garden tool placed outside the shed, also a metal fence placed on the floor and a wheel barrel next to the shed. Facility administrator removed the gardening tool and put it in a safe locked place. Program Director stated that he will pick up everything up and will send pictures after they clean the area. Due to time constraints, LPA shall return to complete the Annual Required Inspection. A copy of this report was discussed with the facility manager and will be email to the facility due to technical difficulties with the LPA's printer

met_with: Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2022, at 1:00pm, Licensing Program Analyst (LPA) Nancy O'Connell conducted an unannounced inspection, at the above-listed facility, for the purpose of conducting an Annual Required Inspection. Licensing staff was met by Zenobia Mayweather, Training Coordinator (TC); Tone Reyes, Facility Administrator (FA) and Monique Hernandez Facility Manager (FM). LPA and staff conducted a walk-through of the facility inside and out. General overview: This is a three-story home, with 3 bedrooms, 5 bathrooms and 2 half bathrooms, 4 offices, a detached house, a living room, dining room, kitchen, breakfast area, family room, garage, laundry area, classroom, and a backyard. There is a swimming pool and jacuzzi located in the backyard covered with a net and gate. Pool and jacuzzi is surrounded by a gate with proper latching device that meets regulations. The backyard consists of a built-in BBQ island and chairs and tables by the outdoor firepit. TC confirmed that the appliances are non operational. There are no cameras on the facility. Medicine room is inaccessible to children and contains first aid kit with thermometer. All smoke detectors were tested and functioning at the time of inspection. There are multiple fully charged fire extinguishers available. Outdoor activity space free of obstructions. The outdoor area, next to the vineyard, is the office of the Director, equipped with a 4-burner stove that is nonoperational, a small refrigerator, a sink, a room with a desk and two chairs. Continued on LIC809C The house is also equipped with a wine cellar that is located at the bottom floor of the facility and is used as the office for the training coordinator. LPAs observed the following during inspection: Living Room: with a securely covered (non-operational) fireplace with plenty of seating that has access to the backyard. Dining Room: equipped with a large table with 8 chairs. Kitchen: equipped with a refrigerator, Built-In BBQ, Cooktop - Gas, Double Oven, Microwave, Breakfast Nook, Formal Dining Room, Kitchen Island with a sink. Plenty of cabinet space. Knives / Sharp objects are stored in a locked box near the kitchen sink. Breakfast area: consists of a table with 8 chairs, and dually functions as dining room. Family Room: equipped with a secure cover on the fireplace (non-operational), and plenty of clean furniture in good repair. Garage: is being utilized as Facilities storage and contains items related to maintenance. Laundry area: equipped with a washer and dryer, and plenty of cabinet space. Chemicals were kept in laundry room within locked cabinet. Bathroom located immediately outside of laundry room with entrance located on outside of building. School: equipped with a fully charged fire extinguisher, smoke alarm, 6 desk, 6 computers, and a printer. Applicant reported that each client shall have access to his/her own laptop during school hours. Continued on LIC809C Bedroom #1 is occupied by two clients with two twin size beds on each side of the room, adequate closet and drawer space, there is a bathroom directly outside of the bedroom in good repair. Bedroom #2 is occupied by two clients it has two twin size bed, adequate closet and drawer space, there is also an adjoining bathroom in good repair. Bedroom #3 is occupied by one client; it has one full size adjoining bathroom in good repair. Third Floor loft- office room with balcony door that is securely locked. space is used as assistant clinical directors office and client's are not given acces to space. Nursing station- kept a first aid kit, and first aid supplies were seen, including thermometer, tweezers, and bandages. There is also a small refrigerator for storage of client medication that requires refrigeration. Nursing station along with supplies kept in locked room. LPA observed secured medications and medication log. Bathrooms- 5 full bathrooms with half bathroom on first floor, all in good working condition. Outdoor- LPAs observed a basketball court, maintenance sheds (secured), parking lot, vineyard grounds and secure perimeter of facility. Per Title 22, no deficiencies are to be cited at this time. Due to time constraints, LPA shall return on 6/30/22 to complete the Annual Required Inspection. A copy of this report was discussed with the facility administrator ad a copy was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/30/2022 at 9:40am, Licensing Program Analyst (LPA), Nancy O'Connell conducted a continuation Annual Inspection at the above-listed facility. LPA met with Antonio Reyes, Facility Administrator (FA) , Regan Mew, (Compliance Specialist), and Crystal Goodwin, (Compliance Manager). The purpose of the visit was to conclude the Annual Inspection. LPA O'Connell conducted client file reviews for five clients (C1, C2, C3, C4, and C5), and five staff file reviews (S1, S2, S3, S4, and S5). [See Confidential Names form (LIC811), dated 6/30/2022, for names.]. LPA completed all sections of the Inspection Care Tool. Per California Code of Regulations, Title Regulations, there are no deficiencies to be cited at this time. Exit interview conducted with the Facility Administrator and a copy of this report was left at the facility.

met_with: Antonio Reyes, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 8/18/2022 at 9:30am, Licensing Program Analyst (LPA) Nancy O'Connell conducted an announced inspection at the above-listed facility for the purpose of following up on a recent incident involving the need for facility plumbing repairs. LPA was granted access to the facility by the Compliance Specialist (CS). On 8/2/22, the Department received information from the facility compliance manager, that the facility would need to address repairs to replace plumbing in the facility. The compliance manager further reported that the repairs would require all residents to be relocated to alternate site facilities while repair work was scheduled to be completed for approximately ten days. On 8/18/2022, during the time of inspection, LPA O'Connell toured the entire facility and inspected all bathrooms, bathtubs, toilets, and faucets to ensure that plumbing was in working condition. All faucets were measured and temperature was found to be within the required range (105 degrees to 120 degrees). The compliance specialist provided documentation reflecting repair work completed as well as attempts to address the matter at onset. Per Title 22, California Code of Regulations, there are no deficiencies to be cited at this time. A copy of this report was discussed with the Compliance Specialist and left at the facility.

met_with: Regan Mew, Compliance Specialist (CS), and Leo Marin, Facilities Supervisor (FS)


summary: Facility Evaluation

raw_content:
Narrative:
On August 14, 2024, Licensing Program Analyst Connie Jones-Steward met with Residential Supervisor Cindi Garcia and Director of Operations Elena Bray to conduct the annual/random inspection. The following was observed. This a three-story, single family home located in the City of Camarillo, CA. There are a total of three bedrooms, all on the first floor, five full bathrooms and two half bathrooms. The second and third floor consists entirely of rooms used as offices. There are currently no clients in residence. LPA Jones-Steward observed 4 fully charged fire extinguishers in the home. There are working smoke detectors and carbon monoxide detectors, LPA observed two securely gated fireplaces. In the backyard there are a pool and jacuzzi surrounded by a mesh fence with a self-locking gate. Next to the pool, there is a non-operational outdoor stove and sink. In the kitchen area there is a working stove and refrigerator, All knives and household cleaners are securely stored in locked areas. There is a designated, locked room for medication storage. There is a fully equipped first-aid kit on the premises Bathrooms are clean and well maintained. Hot water is below 125 degrees. All bedrooms have two twin beds with mattresses and linens in good condition. There is the required closet and drawer space available. There are no security bars on bedroom windows. Disaster drills are conducted on a monthly basis; the last was documented on July 9, 2024. There were no physical plant deficiencies found during this inspection. LPA will return on August 15, 2024 to review employee records and conduct staff interviews.

met_with: Cindi Garcia, Residential Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, LPA Connie Jones-Steward completed the staff records review and staff interviews. LPA was unable to verify annual training due the licensee going through a transitional period for storage of training records. There are no children in placement, therefore no children's record reviews or children interviews were conducted. LPA Jones-Steward cited no deficiencies regarding staff records


summary: Facility Evaluation

raw_content:
Narrative:
On 9/26/25, Licensing Program Analyst (LPA) Nancy O'Connell and Licensing Program Manager (LPM) Kevin Sauk conducted a Case Management- Other inspection in order to confirm the remediation of fire damage incurred during a recent fire disaster. LPA O'Connell and LPM Sauk were met by Regan Mew, Compliance Specialist (CS), Paul Burham, Facilities Manager (FM) and Lahni Salanoa, Residential Supervisor (RS). During the time of inspection, a walk-through was conducted of the entire physical plant. LPA and LPM viewed both interior and exterior portions of the facility. LPA observed that the physical plant did not display any remaining particles or visible evidence of fire damage. LPA and LPM interviewed FM and CS to inquire about efforts made to remediate fire/smoke damage and were informed that the facility was repaired initially through fire damage remediation to ensure that all smoke/soot particles were removed and cleaned. FM also confirmed that the interior has been repainted, and cleaned to ensure the facility remains in good repair. CS provided proof of formal fire remediation through documentation, along with an updated fire clearance from Ventura County Fire Department. Based on regulations, there are no deficiencies to be cited at this time. An exit interview was conducted an a copy of this report was provided to the CS via email.

met_with: Regan Mew, Compliance Specialist (CS)


summary: Facility Evaluation

raw_content:
Narrative:
On August 11, 2023 at 9:05am, Licensing Program Analyst (LPA) Christine Wilson met with the above facility, to conduct a case management deficiency. During the complaint investigation control ID# 31-CR-20230509115043 it was revealed that the licensee does not document training hours for each training. The following deficiencies were identified and the facility is issued a citation [See page LIC809-D for cited deficiencies]. An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided to the licensee. This report will be emailed to Facility Administrator.


facility_name: NEWPORT ACADEMY (PALOMA)

raw_content:
Investigation Findings:
13On 03/28/2023 at 12PM , Licensing Program Analyst (LPA) Madi Fremont traveled to the facility Newport Academy Arena ( Johnston Rd, Pleasanton, CA) for the purpose of conducting an unannounced complaint investigation for the facility Newport Academy Paloma ( Palomares Rd., Castro Valley, CA). Due to recent severe weather, Newport Paloma has been closed and inspections for the facility have been conducted at Newport Arena. On 04/04/2022, the San Jose Children's Residential Program Regional Office received a complaint for Newport Academy Paloma with three allegations: (1) Staff do not provide a safe and healthful environment for residents in care; (2) Inappropriate touching by one residents toward residents; and (3) Inappropriate sexual language used by one resident toward residents. This complaint was investigated by LPA Fremont. Based on review of facility incident reports from the month of March 2022 that reported inappropriate sexual and physical interactions between clients, and based on interview with staff, the preponderance of evidence standard has been met, therefore the allegations (1) Staff do not provide a safe and healthful environment for residents in care; (2) Inappropriate touching by one residents toward residents; and (3) Inappropriate sexual language used by one resident toward residents are substantiated. Deficiencies were cited for the following regulations: 1. Title 22, Division 6, Chapter 5, Article 6, Section 84072(d)(11) - Personal Rights 2. Title 22, Divison 6, Chapter 1, Article 6, Section 80078(a) - Responsibility for Providing Care and Supervision. Please see the attached LIC9099-D for details. At this time, 2 deficiencies were cited. An exit interview was conducted, Appeal Rights Provided, and a copy of this report was emailed to Residential Supervisor Gordo Mahal, whose signature on this form confirms receipt. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY (PALOMA)FACILITY NUMBER: 015650118

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

met_with: Residential Supervisor Gordo Mahal


raw_content:
Narrative:
Based on confidential interviews and inability to interview the reporting party, the allegation may or may not have happened. The allegation that staff member hit minors with an object has not met the preponderance of doubt, and therefore the allegation is unsubstantiated. LPA conducted an exit interview with Rayjay Peralta, Residential Supervisor, at 1:49PM whose signature who confirms the receipt of this document.

Investigation Findings:
13On 7/24/2023 at 1:24PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the facility. The purpose of this visit was to deliver the finding for the above allegation. LPA met with Rayjay Peralta, Residential Supervisor. During the course of the investigation, LPA Hood conducted five confidential interviews. LPA reviewed the staff roster, C1's treatment plan, and notes from the facility. LPA attempted contact with the reporting party, the reporting party was unavailable to discuss. LPA was not able to interview the client involved due to lack of parental permission. Of the five interviews, the five interviewees had not witnessed any staff hitting minors in care. The five interviewees had also not heard about this happening or displayed any concerns with the staff acting in a violent way. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEWPORT ACADEMY (PALOMA)FACILITY NUMBER: VISIT DATE: 07/24/2023

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

met_with: Rayjay Peralta