summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Continue from page 1 . . . The staff stated that the food is label with dates of receiving date and expiration date and then is stored away. The staff stated that the food is checked by the staff on each shift. The staff stated that the food is thrown away when it is noticed. The staff stated that the cottages received the food for the weekend on each Friday and the cottage staff checks it and puts it away. The confidential interviews from different cottage clients indicated that the clients have not received outdated, spoil or rotten food items from the staff. The confidential interviews revealed that the staff cooks breakfast for the clients and the clients eat lunch at the campus cafeteria and then have dinner that was prepared by the kitchen staff. LPA conducted cottages inspections with facility staff (S1) and admitted to items being expired. LPA and S1 conducted the inspection and found expired items on the cottages: chicken strips, danish, pork, bacon, mini tacos, salsas, jalapenos, pineapple, berries and cheese. Based on observations which were conducted during facility inspections, the preponderance of evidence standards has been met, therefore, the above allegations are found to be substantiated. Deficiencies are being cited in accordance with the California Code of Regulation, Title 22, Division 6. See LIC 9099D. An exit interview was conducted and Plans of Correction were reviewed and developed with the licensee. A copy of this report and appeal rights were discussed and left with the administrator of the facilty whose signature on this form confirms receipt of these documents.

Investigation Findings:
13On August 20, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Sergio Castaneda, Assistant Director. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed two staff on 06/21/24, LPA interviewed nine minors on 07/16/24, LPA interviewed two staff via telephone on 07/22/24 and LPA interviewed three staff via telephone on 08/05/24 (see Confidential Names Form LIC 811 dated August 20, 2024). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, weekly food menu, weekly staffing plan and LIC 500. It was alleged Facility has expired food and Facility has rotten fruits. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 08/20/2024

met_with: Sergio Castaneda, Assistant Director

complaint_status: SUBSTANTIATED


state: CA

facility_name: NEW BEGINNINGS

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On 7/16/24 the Department received a complaint alleging staff yelled at clients and got in a client's face. It was also alleged that staff tells the clients in care that clients "can leave the facility if they want, and that the gates are open." Based on the information gathered during confidential interviews, facility staff denied that clients are yelled at or told they can leave if the want. Staff indicated clients are not spoken to inappropriately by the facility staff. Confidential interviews indicated clients interviewed denied the allegations stating no clients were yelled at or had staff get in the clients' face. Confidential interviews indicated staff does not tell the clients they "can leave the facility if they want, and that the gates are open." Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On September 27, 2024, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the facility Assistant Program Director Francisco Guerrero. During the investigation, LPA Cabral interviewed one facility staff (S1) on 7/24/24, two facility staff (AD & S4) on 7/30/24, one facility staff (S2) on 9/12/24 and one facility staff (S3) on 9/13/24. LPA interviewed five clients (C1, C2, C3, C4, C5) on 7/30/24 (see Confidential Names Form LIC 811 dated September 28, 2024). LPA reviewed incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 09/27/2024

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

report_type: Complaint Investigation

met_with: Francisco Guerrero, Assisitant Program Director

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Pg On 10/22/24, the Department received a complaint alleging: Staff yelled at minors in care, Staff forced minor to use a product that they are allergic to, and Staff are discriminating against minors in care. Based on the information gathered during confidential interviews, all relevant parties denied the allegations. Confidential interviews could not collaborate the allegations and reporting party admitted he made the allegation because he was upset. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the following allegations therefore, the above allegations are Unsubstantiated. A copy of this report was given to the above-mentioned facility representative. Exit interview conducted. No deficiencies were cited at this time.

Investigation Findings:
On 12/11/ Licensing Program Analysts (LPA) Angelina Garibaldo made an unannounced visit to the group home for the purpose of delivering findings to the above complaint investigation. LPA met with Erika Barrios Counselor Supervisor representative and discussed the following findings. The investigation consisted of the following: On 10/29/ Licensing Program Analysts (LPA's) Emad Elias and Heriberto Perez and requested copies of, but not limited to, current LIC Personnel Report, Client Roster, and staff schedules. LPAs also interviewed eight (8) clients. On 12/04/ LPA Garibaldo interviewed four (4) staff, and on 12/10/24 reporting party. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Angelina Garibaldo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 12/11/2024

met_with: Erika Barrios Staff -Counselor Supervisor


raw_content:
Narrative:
On 9/27/24 the Department received a complaint alleging staff did not allowed client to attend religious services; staff does not treat clients with respect; staff do not allow clients to have private phone calls. Based on the information gathered during confidential interviews, facility staff indicated clients are allowed to attend religious services however if clients are deemed a safety concern or if the facility is short staffed then clients will not be taken off facility grounds to attend religious services. The facility will provide alternatives like live broadcast via Zoom and places on facility grounds where clients can worship their religion. The facility staff indicted client are never denied the ability to make phone calls and clients are all treated with respect. The facility staff indicated there is no favoritism towards the clients in care. Confidential interviews could not corroborate the allegations due to contradicting statements being made during interviews. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On December 17, 2024, at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the facility Assistant Program Director Francisco Guerrero. During the investigation, LPA Cabral interviewed two facility staff (AD & S2) on 10/3/24 and three staff (S3, S4, S5) on 10/9/24. LPA interviewed five clients (C1, C2, C3, C4, C5) on 10/9/24 (see Confidential Names Form LIC 811 dated December 17, 2024). LPA reviewed incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 12/17/2024

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

met_with: Francisco Guerrero, Assistant Director


raw_content:
Narrative:
On 10/21/24 the Department received a complaint alleging facility staff do not ensure an adequate supply of food is available for clients in care. It was alleged that the facility ran out of food during the client's lunch and client was not able to eat a meal. Based on the information gathered during confidential interviews, facility staff indicated clients are not denied food and clients are given three meals per day. The facility staff indicated the facility does not run out of food and always has adequate amounts of food. Confidential interviews could not corroborate the allegation due to contradicting statements being made during interviews. Clients interviewed indicated there is always food at the facility and clients are not denied food. LPA during the initial inspection of the facility observed adequate amounts of food in the client's cottages and in the cafeteria. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On February 4, 2025, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility Assistant Program Director Francisco Guerrero. During the investigation, LPA Cabral interviewed two facility staff (AD & S2) on 10/28/24. LPA interviewed six clients (C1, C2, C3, C4, C5, C6) on 11/5/24 (see Confidential Names Form LIC 811 dated February 4, 2025). LPA reviewed incident reports, facility menus and cafeteria rules from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/04/2025

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

met_with: Francisco Guerrero, Assistant Program Director


raw_content:
Narrative:
On 10/28/24 the Department received a complaint alleging staff are not addressing conflicts between the children in care. It was alleged that staff ignores clients when clients are being insulted and mocked by other clients. Based on the information gathered during confidential interviews, facility staff indicated clients are not ignored and when there are issues between clients, staff will intervene, address the issue, and redirect clients. The facility staff indicated clients are all treated equally and none of the clients have been mistreated by staff. Confidential interviews could not corroborate the allegation due to contradicting statements being made during interviews. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On February 4, 2025, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the facility Assistant Program Director Francisco Guerrero. During the investigation, LPA Cabral interviewed one facility staff (S1) on 11/5/24. LPA interviewed four facility staff (AD, S2, S3, S4) 1/17/25. LPA interviewed six clients (C2, C3, C4, C5, C6, C7) on 11/5/24. LPA interviewed C1 on 1/15/25 (see Confidential Names Form LIC 811 dated February 4, 2025). LPA reviewed incident reports and the facility's intervention guidelines. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/04/2025

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


raw_content:
Narrative:
The facility staff denied the allegations and stated that the clients have not been threaten by the staff. Information from staff indicated that kids have a right to report issues and that are given the information to do it. The staff reported that a client has not been threaten because the client wanted to report issues or was told that a report was not going to be given to him. The staff stated that have not told inappropriate comments to the clients and that there is no information indicating that a staff told a client that the facility was a detention center and not a five star hotel or that the client should be thankful for being in the facility. The staff reported that the clients are able to get second serving if still hungry and that a client was not denied additional servings. The confidential interviews revealed inconsistent and contradicting information. There was no information to identify the alleged victim and statements were available. Other information indicated that the staff have not threaten the client or made inappropriate comments regarding the facility or the clients. There was information indicating that clients are able to get more food-second serving if still hungry and that additional food is available to the clients. Additional information indicated that the staff threats all the clients the same but that some group of clients don't listen sometimes to the directions from the staff. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On February 07, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Enrique Garate, PM Supervisor. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed eight minors on 10/29/24 and LPA interviewed four staff via telephone on 02/04/25 (see Confidential Names Form LIC 811 dated February 07 2025). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, staff schedules, Special Incident Reports (SIR), clients profiles and facility Food Menu. It was alleged Staff threatened minor, Staff did not treat minor with dignity and respect and Staff denied minor additional servings of food. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/07/2025

met_with: Enrique Garate, PM Supervisor


raw_content:
Narrative:
The staff denied the allegation and stated that clients are provided a variety of food. The staff reported that there was no information indicating that food was causing stomach issues to a client and that if it was reported that staff would work to take care of it. The staff reported that clients get three meals per day plus snacks and that the clients can get alternative food if the main dish is not to the client's liking. The staff reported that the facility is working on proving more food variety to clients of different backgrounds. The confidential interviews that the clients get a variety of food and are able to get alternative food if they don't want the main dish. The information from confidential interviews revealed that some clients like the food and some did not but were able to get a second choice of food. The confidential interviews reported that the clients got enough to eat and that client did not go to bed hungry but would like more variety of food. The information indicated that the clients have meals and snacks available. The majority of the statements did not report stomach issues from the facility food. There was no information about the client reporting the allegation and no additional information was provided regarding the allegation. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On February 07, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Enrique Garate, PM Supervisor. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed eight minors on 10/29/24 and LPA interviewed four staff via telephone on 02/04/25 (see Confidential Names Form LIC 811 dated February 07, 2025). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, staff schedules, Special Incident Reports (SIR), clients profiles and facility Food Menu. It was alleged Staff not providing adequate food service to minors in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/07/2025


raw_content:
Narrative:
The minor received dental care on 7/23/24 and follow-up dental care visits were completed on 7/29/24 and 8/21/24. A serious medical procedure request had to be submitted by the facility to the Office of Refugee Resettlement (ORR) on 8/29/24 due to minor needing additional treatment for wisdom tooth extraction. The process for the wisdom tooth extraction took longer because the request was initially denied and when it was approved, there were challenges in obtaining the earliest available dates for an oral surgeon. Throughout the process, the minor was informed of ongoing daily contacts by the facility with ORR and dental providers so minor understood the protocol involved in ensuring his medical need is met. Minor's wisdom tooth extraction was completed on 10/24/24. The minor reported eye irritation to staff on 9/19/24. However, on 9/20/24, the minor denied any eye pain or irritation when a facility medical assistant followed up with the minor regarding the reported symptom. The facility still submitted a treatment authorization request to ORR on 9/24/24, so the minor can be seen by an optometrist. The facility obtained a vision appointment for the minor and was seen on 10/1/24. The minor was given a prescription for glasses. Confidential interviews supported the information from documents reviewed. Minor was only concerned about the length of time the dental issue was resolved and denied that other medical needs were not met by the facility. Based on information obtained during the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence found to prove that the alleged violation occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On February 26, 2025 at 1:30 pm, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation. LPA conducted the investigation and it consisted of a review of the following records: personnel report and placement roster on 10/2/24, incident reports on 10/3/24 and incident report addendums documenting timelines of symptoms, treatment services and resolution on 2/25/24. Confidential interviews were completed with staff on 10/2/24 and the minor on 2/24/25. It was alleged that the facility is not meeting the medical needs of a minor in care who was having tooth and eye pain. A review of records revealed that the minor reported tooth pain on 7/15/24. The earliest dental appointment the facility was able to obtain for the minor was on 7/23/24. In between those dates, the facility nurse provided minor with guidance in managing the pain (saltwater rinse, cold compress) and provided minor with pain medication as needed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/26/2025

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


raw_content:
Narrative:
No staff get in the pool with minors; staff supervise by standing at different areas around the pool. On 10/8/24, the male staff walked in the pool area to make sure there were enough staff supervising the minors. The female staff was not at the facility; staff was supervising other minors off campus. Additionally, records showed that staff and minors in care denied witnessing any inappropriate and/or disrespectful behavior involving the identified male staff. The minor denied the allegation but explained that the male staff, in minor's opinion, seemed to like talking and standing too close to female staff in general. The minor did not identify any female staff or any specific dates or incidents. Based on information obtained, the allegation is closed as unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence found to prove that the allegations occurred. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names List. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On March 14, 2025 at 11:45am, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation. This LPA conducted the investigation, and it consisted of a review of the following records: personnel report 10/28/24, incident report on 1/7/25 and incident report addendums on 2/11/25. Confidential interviews were completed with one staff on 10/28/24, one staff on 1/30/25, one minor on 2/24/25 and one staff on 2/26/25. It was alleged that a staff inappropriately touched another staff member in the presence of minors. The incident occurred in the pool area of the facility. Confidential interviews revealed the following: the allegation occurred on 10/8/24. The identified male and female staff denied the allegation. They explained that although they may have worked the same days and shifts, each staff was assigned a different task during their shifts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 03/14/2025

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a youth in placement (Ref. # See LIC811 form dated 3/27/25) was sexually assaulted once, by another minor, in a facility bathroom. Staff denied the allegation. Staff stated they provide appropriate care and never leave minors unattended or unsupervised. Staff who recalled Ref. #1 stated he never disclosed inappropriate incidents while in placement. Statements obtained from interviews conducted with law enforcement detectives indicate their investigations are closed and listed as inactive due to Ref. #1 and his parent refusing to participate in a forensic interview citing that further interviews would be detrimental to Ref. #1 mental health. The Department conducted several contact attempts with Ref. #1 and the mother, but they were unresponsive. Based on information gathered from interviews conducted and records review the allegation is unsubstantiated. The standard of the preponderance of evidence has not been met. Exit interview conducted and a copy of this report and Confidential Names form LIC811 dated 3/27/25 were given to the above-mentioned facility representative. No deficiencies were cited.

Investigation Findings:
13On 3/27/25, at 11: AM, Licensing Program Analyst (LPA) Christopher Larios conducted a follow up complaint inspection to the group home. During the inspection LPA Larios met with Assistant Director (AD) Francisco Guerrero. The purpose of the inspection was to deliver findings regarding the above-mentioned complaint allegation. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Laura Garcia. During the course of the investigation SI Garcia conducted interviews with six facility staff between 10/4/24 and 1/9/25 and a La Verne Police Department Detective on 10/8/24. SI Garcia obtained law enforcement documents and investigation information from two detectives between 12/5/24 and 2/12/25. In addition, SI Garcia obtained a client's daily progress notes on 10/4/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 03/27/2025

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

met_with: Francisco Guerrero


raw_content:
Investigation Findings:
13On 04/02/2025 at 8: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted a complaint investigation to the above facility. On 12/20/2024, LPA obtained a statement from S1, see Confidential Names LIC 811 dated April 02, 2025) On 12/23/2024, LPA obtained a statement from S2, S3, and S4. On 12/20/24, LPA attempted to obtain a statement from C1, however C1 refused. LPA reviewed pertaining documents including incident reports, client general information, LIC 500, case reviews, client roster list, and facility reward system overview. LPA received interviews indicating the above allegation was false and did not occur. However, other statements obtained indicated the above did take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, the complaint findings are Unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the allegation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Noubar Yerkatyan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Francisco Guerrero, UC Program Assistant Program Director


raw_content:
Narrative:
On 10/16/24 the Department received a complaint alleging clients are being recorded, clients videos are being posted on social media, drugs are being bought into the facility and clients are using drugs in the facility. Based on the information gathered during confidential interviews, facility staff indicated clients had obtained cell phones that were in a file in the office. Staff had reported client#2 had asked staff he needed help and staff walked away from office without locking the file cabinet where the phones were located in the file cabinet and client#3 walked into the office and grabbed phones. The facility staff indicated there was no proof anyone posted any video on line or that the phones had any service. Some clients interviewed stated they had phones for two days and they had no service and did not post anything on line. Client#1 stated he had crystal meth in a compartment in his shoe he had brought into the facility. During a room search a vape pen was found. Client#1 stated he had befriended another student at school and he told him to meet him by the window by his cottage to get the vape pen, but staff caught them during the exchange. Staff interviewed stated drug had not been used at the facility at any time. Confidential interviews could not corroborate the allegations due to contradicting statements being made during interviews. Clients interviewed indicated there is supervision and the phone incident was just some clients trying to use phones since they were taken away. Interviews also indicated staff that had left the file cabinet open with the phones was reprimanded for the incident. Other clients interviewed stated they felt safe at the facility and that client#2-3 had planned to get staff's attention and get the phones from the office. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On April 15, 2025, at 11: AM Licensing Program Analyst Pedro Ramos (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA met with the facility Assistant Program Director, Francisco Guerrero. During the investigation, LPA interviewed three facility staff on 10/22/24. LPA interviewed four clients (C1, C2, C3, C4, C5, C6) on 10/22/24 (see Confidential Names Form LIC 811 dated April 15, 2025). LPA reviewed incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 04/15/2025

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


raw_content:
Narrative:
On 12/02/24 the Department received a complaint alleging staff hit minors and staff discriminate against minor. Based on the information gathered during confidential interviews, facility staff indicated he had not hit any of the clients. Other staff stated they had never seen staff#1 hitting any of the clients. Staff interviewed denied any discrimination toward any client. Some clients interviewed stated they felt safe and were not hit by any staff. Client#1 stated he was not hit, but he felt he was picked on by staff#1. He stated he felt since he was picked on it was because of race. Other clients denied any hitting and discrimination. Confidential interviews could not corroborate the allegations due to contradicting statements being made during interviews. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On April 15, 2025, at 12: PM Licensing Program Analyst Pedro Ramos (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA met with the facility Assistant Program Director, Francisco Guerrero. During the investigation, LPA interviewed four facility staff on 12/11/24. LPA interviewed 4 clients (C1, C2, C3, C4) on 10/22/24 (see Confidential Names Form LIC 811 dated April 15, 2025). LPA reviewed incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 04/15/2025

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


raw_content:
Narrative:
On 12/02/24 the Department received a complaint alleging staff do not prevent physical altercations between minors and minor is not accorded dignity and respect between staff. Based on the information gathered during confidential interviews, facility staff stated there was an incident where a fight ensued with two groups of clients and they controlled the situation and it did not warrant any police intervention. Staff stated they did call police and they arrived, but were told the situation was under control and the clients were back in their cottages. Staff stated the clients are treated with respect and dignity and staff is willing and helpful towards them. Client#1 felt the police should have been called initially when the incident began and felt that they were exposed to being hurt. Other clients stated they felt safe and the incident was a small clash of mostly words being said and felt they are treated with respect and dignity. Confidential interviews could not corroborate the allegations due to contradicting statements being made during interviews. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On April 15, 2025, at 12: PM Licensing Program Analyst Pedro Ramos (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA met with the facility Assistant Program Director, Francisco Guerrero. During the investigation, LPA interviewed four facility staff on 12/11/24. LPA interviewed 4 clients (C1, C2, C3, C4) on 10/22/24 (see Confidential Names Form LIC 811 dated April 15, 2025). LPA reviewed incident reports from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 04/15/2025

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


raw_content:
Narrative:
On 01/27/2025, the Department received a complaint alleging that Staff engaged in an inappropriate relationship with a minor in care and Staff confiscated minor's personal belongings. The information obtained from the facility management indicated that staff found a laptop on a client's room and was confiscated as minors are not allow to have electronic devices without staff supervision. It was discovered by the facility management that there was electronic communication via social media on several occasions by former facility staff with a client. The communication between the former facility staff and client was late at night and not during working hours. The electronic communication was not work related and were on a personal level. The facility management reported that based on the facility code of conduct policy staff can't have contact with clients before 21 years old and outside working hours. It was also reported by the facility management that the client's cell phone was taken from the client by the former staff to check on the usage of the client as there were issues with it. The facility management reported that the cell phone was not found and was determined lost but the facility gave a new cell phone to the client. The focused facility staff (S1) who was identified in the report, denied the allegations, and stated that the youth (C1) contacted him but there was nothing inappropriate with the communication. The staff stated that C1 contacted him after he had stop working for the facility and was working on a new job. The staff stated that he was contacted by C1 and C1 was venting about the facility. The staff stated that C1's cell phone was taken from the youth because the youth was not allow to have it at some point but he (S1) gave the phone to another staff prior to stop working for the facility and did not know what happened after that. Information obtained indicated that the staff last day of work was on 10/11/24 and the communication with the youth were from December 2024. The focus youth (C1) denied the social media contact with staff at first and after stated that he communicated with the staff a few times because he was having a hard time and the staff was a friend and nice guy. C1 stated that there was nothing inappropriate with the communication and just talked about the facility. C1 stated that there was no issue with his phone and the facility staff gave him a phone when his old one was lost. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On May 12, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Fransisco Guerrero, Assistant Director. The purpose of the inspection was to deliver the revised finding for the above complaint allegations. During the course of the investigation, LPA interviewed one staff in the facility on 01/30/25, LPA interviewed one non minor dependent in person on 02/06/25, LPA conducted telephone interview with one staff on 03/28/25, LPA conducted two telephone interviews with two staff on 04/28/25 and LPA conducted a telephone interviewed with one staff on 04/15/25 (see Confidential Names Form LIC 811 dated May 12 2025). LPA also reviewed documents including but not limited to Personnel Report Form (LIC500), Clients placement rooster, Staff rooster, Client's UAC Basic Information Report, Facility Staff Code of Conduct, and other documents. It was alleged Staff engaged in an inappropriate relationship with a minor in care and Staff confiscated minor's personal belongings. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 05/12/2025

met_with: Fransisco Guerrero, Assistant Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2022 at approximately 9: AM, Licensing Program Analyst (LPA) Raymond Wu conducted an announced visit at the facility for the purposes of a capacity increase inspection. LPA met with Lead Counselor Supervisor Sergio Castaneda and discussed the purpose of the visit. The facility is situated on a large campus that currently operates multiple children's residential programs under the same ownership.This facility is currently licensed for a capacity of 60 clients and is requesting an increase to 72. There are six separate cottages under the current license and each cottage contains five bedrooms that can sleep two clients each. The Licensee is requesting to utilize another vacant cottage (Tarr) that was formerly used for a different program, to house additional clients under this facility license. The Licensee is also requesting to convert a staff office in one of the current cottages (Gillette) into a bedroom that can sleep two clients. A walk-through of the vacant cottage, was conducted by LPA and Castaneda. The cottage is situated directly next to the cottages that are currently under this facility license. During the walk-through, LPA observed the cottage to be clean and orderly. A total of five client bedrooms were each furnished with two beds, separate closets, dressers, desks, and light fixtures. There are three bathrooms for client use and all were stocked with appropriate hygiene supplies. There is one staff office where client medication and all other supplies can be secured as well as a bathroom for staff use. The cottage uses a open floor layout with the living room on one side, an activity area in the middle, and the dining area on the other side. The kitchen was observed to be clean, sanitary, and stocked with a supply of non-perishable foods. Fire extinguisher(s) were observed to have been serviced in March 2022. Required postings were observed throughout the walls of the cottage. In the Gillette cottage, LPA observed the former staff office to be the same as the other bedrooms in the cottage. The room was furnished with two separate beds, closets, dressers, and desks. With approval, this cottage would have six bedrooms and three bathrooms for client use. The Licensee's request is pending approval of a fire inspection conducted by the local fire department and from this department's management review. No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report was provided to the Licensee.

report_type: Facility Evaluation

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On April 11, 2022 at approximately 12: AM, Licensing Program Analyst (LPA) Raymond Wu conducted a visit at the facility for the purposes of initiating a Year Required inspection. LPA met with the representative listed above and discussed the purpose of the visit. During the visit, a walk-through of the facility was conducted. The facility is currently vacant and the last client moved out approximately 2 years ago according to the Administrator. PHYSICAL PLANT A walk-through of the physical plant was conducted at approximately 12: PM. The facility is situated on a large campus that currently operates multiple children's residential programs under the same ownership. This facility is currently licensed for a capacity of 60 clients. There are six separate cottages under the current license and each cottage contains five bedrooms that can sleep two clients each. A walk-through of the cottages was conducted by LPA and Castaneda. During the walk-through, LPA observed the cottages to be clean and orderly. Client bedrooms were each furnished with two beds, separate closets, dressers, desks, and light fixtures. Bathrooms for client use and all were stocked with appropriate hygiene supplies, including soap and paper towels. All sharp objects, chemicals, and medication were stored in secured staff offices. All required postings were observed in common areas and all items in the cottages were observed to be in good repair. The kitchen was observed to be clean, sanitary, and stocked with a supply of perishable and non-perishable foods. Fire extinguisher(s) were observed to have been serviced in March 2022. There was an enclosed pool at the center of the campus utilized by all programs. The enclosed fence was observed to be at least 5 feet tall. All other common areas were observed to be in good repair. All indoor and outdoor passageways were free from obstruction. Smoke detectors and carbon monoxide detectors were observed to be in working order across all cottages. LPA advised that an annual continuation visit would be conducted. No deficiencies were observed or cited on this date.

met_with: Administrator Sergio Castaneda


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2022 at approximately 10: AM, Licensing Program Analyst (LPA) Raymond Wu conducted a visit at the facility for the purposes of continuing a required inspection that was initially started on 04/11/2022. LPA met with the representative named above and discussed the purpose of the visit. At approximately 10: AM, LPA conducted a review of files: CHILDREN'S RECORDS (MINOR/NONMINOR DEPENDENT): The facility ensures that minor and non-minor's records, if available, contain medical history, immunization records and special diets (if required). The facility ensures that child's records contain medical consent forms signed by their authorized representative. The facility also ensures that other required documents, such as the original and Modified Needs and Services Plans, Admission's Agreements, and Personal Rights documents were all present. STAFF RECORDS: A review of the staff roster and licensing office facility personnel report summary indicates that all individuals who work with or have contact with clients, have current criminal record clearances and/or exemptions. All staff have been fingerprinted and possess the required educational degrees and relevant work experience. At approximately 2: PM, staff members present were interviewed. No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report was provided to the Licensee.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) T. Davis and Caitlin Chambers went to New Beginnings on September 05, 2024 at 9:15am for the purposes of a Required Two Year inspection. LPAs met with Enrique Garate, Supervisor, and discussed the nature of the inspection. The group home is located in a residential neighborhood and currently has fifty-two youth in placement. The facility has a total of seven cottages for placement purposes. Six of the cottages have clients placed in them and the seventh one is vacant at this time. LPA Davis and the Supervisor toured the facility as part of the inspection. During the inspection, LPA observed that the bedrooms in the cottages contained two twin beds, dressers, and closet space. Each cottage has an inoperable fireplace. LPA observed the bathrooms to be in good repair and working order. Sharp knives, chemicals, medications, and cleaning supplies are kept locked in areas inaccessible to clients. LPA observed several fully charged fire extinguishers in the cottages. Smoke alarms were operable and exit signs were posted throughout each cottage. LPA observed a copy of the Emergency Disaster Plan, facility license, and a facility sketch in each cottage. A menu was also posted in each cottage as well. Overall, the facility appeared clean, safe, and well maintained. The kitchen in each cottage was cleaned and equipped with fully stocked refrigerators. There were adequate perishable and non-perishable food supply in each cottage. The Supervisor stated that the facility has eight vans available for client transportation needs. LPAs observed a secured in-ground swimming pool on the premises enclosed with a self-latching gate. There is adequate seating in the dining areas and the living room. There are separate phone booths/areas for the clients' use. The facility has an on campus school for the clients' educational needs. The Supervisor stated that there weren't any firearms or other weapons on the premises. The last fire drill occurred on August 16, 2024 at 9:00pm. The last earthquake drill occurred on August 07, 2024 at 4:00pm. The outdoor areas were observed to be free of debris and hazards. Interviews were conducted with clients and staff, respectively. Each client appeared neat and well groomed. LPAs obtained a copy of the minutes relating to the most recent Board of Director's meeting that was held on May 30, 2024. LPAs reviewed files and found the reviewed files to be in order. LPAs also obtained an updated LIC500 (Personnel Report) and a client roster. LPA found no Title 22/ILS deficiencies on this date. Exit interview done LPA Davis discussed warm weather conditions and precautions with the Supervisor and provided him with the Department's website address (www.ccld.ca.gov).

met_with: Enrique Garate, Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on December 12, 2024 at 12:05pm in order to conclude the follow up on an incident report that was received by Community Care Licensing on November 13, 2024. LPA met with Francisco Guerrero, Assistant Program Director, and discussed the incident. The incident report stated that child #1 (refer to Confidential Names form (LIC 811) dated December 12, 2024) was experiencing medical neglect. Information obtained shows that the child had hurt his ankle and was observed playing soccer. Staff informed the client that he should not be playing soccer if he has a hurt ankle. The child informed the staff that he wanted to visit with the campus medical staff. The medical staff advised the client that he should rest his ankle and elevate it. Information gathered shows that the client wanted to go to an off campus doctor. Staff took the client to urgent care and the doctor informed the client that he needed to elevate his ankle. Client was transported back to the facility and proceeded to follow the doctor's medical orders. Based on a review of documentation, information, and facts obtained in this matter, the Department has determined that there is no evidence or information to show that the facility neglected the child's injury or concerns. The Department has concluded that the situation has been stabilized and no further follow up is necessary. Exit interview done


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on December 12, 2024 at 12:05pm in order to conclude the follow up on an incident report that was received by Community Care Licensing on October 07, 2024. LPA met with Francisco Guerrero, Assistant Program Director (APD), and discussed the incident. Further follow up is still needed


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on August 29, 2025 at 11:50am in order to conduct a Random Annual inspection. LPA met with Francisco Guerrero, Assistant Program Director (APD), and Gerardo Salazar, Lead Counselor Supervisor, and discussed the inspection in detail. The group home is located in a residential neighborhood and currently has six youth in placement. The facility has a total of four cottages available for placement purposes. Two of the cottages have clients placed in them and two are vacant at this time. LPA and the two staff toured the facility inside and outside as part of the inspection. Each bedroom contains two twin beds, dressers, and closet space. LPA observed the bathrooms to be in good repair and working order. Sharp knives, chemicals, medications, and cleaning supplies are kept locked in areas inaccessible to clients. LPA observed several fully charged fire extinguishers in the cottages. Smoke alarms were operable and exit signs were posted throughout each cottage. There is a separate telephone room in each cottage for the clients to use. LPA observed a copy of the Emergency Disaster Plan, facility sketch, Foster Youth Bill of Rights, menus, facility license, Hotlines for Youth information, Recreation and Leisure Schedule, and a facility sketch posted in each cottage. Overall, the facility appeared clean, safe, and well maintained. LPA observed cameras in the common areas of each cottage. Licensee has CCL approvals for the use of video cameras on the premises. There is adequate seating in the dining areas and the living room. The kitchen in each cottage was equipped with perishable and non-perishable food supply. LPA observed personal hygiene items for the clients as well as an ample supply of linen. The APD stated that the facility has six vans available for client transportation needs. LPA observed a secure in-ground swimming pool on the premises enclosed with a self-latching gate. The pool area appeared neat and well maintained. LPA observed fully stocked First Aid Kits in each cottage. The facility has an on campus school for the clients' educational needs. LPA visited the cafeteria and found the areas inside to be neat and tidy. There is ample food supply for the clients' meal needs as well as sufficient dining space. The APD stated that there weren't any firearms or other weapons on the premises. The last fire drill occurred on August 06, 2025 at 3:45pm. The outdoor areas were observed to be free of debris and hazards. Interviews were conducted with clients and staff, respectively. Each client appeared neat and well groomed. LPA reviewed staff and client files and found the reviewed files to be in order. LPA obtained an updated LIC500 (Personnel Report) and a client roster. LPA also obtained a copy of the minutes relating to the most recent Board of Director's meeting that was held on May 29, 2025. LPA found no Title 22/ILS deficiencies on this date. Exit interview done LPA discussed warm weather/extreme heat conditions and precautions with the APD and provided him with the Department's website address (www.ccld.ca.gov).

visit_type: Annual

met_with: Francisco Guerrero, Assistant Program Director and Gerardo Salazar, Lead Counselor Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on August 29, 2025 at 11:50am in order to conclude the follow up on an incident report that was received by Community Care Licensing on May 23, 2025. Various follow ups were done to obtain additional facts and information. LPA met with Francisco Guerrero, Assistant Program Director and Gerardo Salazar, Lead Counselor Supervisor, and discussed the incident. The incident report stated that another minor touched minor's private area. During the course of the investigation, LPA obtained information that the incident allegedly occurred at school in 2024. The facility was made aware of the incident May 2025 and reported it forthright. The investigation revealed that child #1 (refer to Confidential Names form (LIC 811) dated August 29, 2025) was sitting in the basketball area during a school restroom break and child #2 (LIC 811) allegedly touched child #1 in the groin area with a closed fist. Child #1 reportedly informed school officials. Information obtained indicates that the incident was not observed by any school personnel. School officials decided to make classroom adjustments. Based on a review of documentation, information, and facts obtained in this matter, the Department has determined that there is no evidence or information that the facility failed in its responsibility to provide care and supervision. School officials, out of an abundance of caution, made classroom changes and made sure that the two children maintained their distance from one another. Both minors are no longer placed at the facility. The Department has concluded that the situation has been stabilized and no further follow up is necessary. Exit interview done


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on December 12, 2024 at 12:05pm in order to conclude the follow up on a late incident report that was received by Community Care Licensing on December 04, 2024. LPA met with Francisco Guerrero, Assistant Program Director (APD), and discussed the incident Information shows that the incident occurred on November 29, 2024 and CCL received the report on December 04, 2024. The APD informed LPA that the late reporting occurred due to an oversight as there were too many incidents occurring. LPA advised the facility of the importance of timely incident reporting. Based on the late reporting, LPA has determined that a reporting requirement violation has occurred. Therefore, the following deficiency will be cited per regulations (see LIC809D). Exit interview done


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings on February 14, 2025, at 12:10pm to conclude the follow up on an incident report that was received by Community Care Licensing (CCL) on October 07, 2024. LPA met with Francisco Guerrero, Assistant Program Director (APD), and discussed the matter. The SIR stated that child #1 (see Confidential Names form (LIC 811) dated February 14, 2025) was administered incorrect medication by Staff #1 (811). Information shows that child #1 was administered a Metronidazole 500 mg tablet in error. Evidence shows that the no additional medications were distributed to the child by Staff #1 on the day of the incident. The facility contacted medical staff and the child was encouraged to drink plenty of water to help flush the medication from their system. The child was also placed on a twenty-four hour adverse reaction watch. Information obtained shows that the child did not have any adverse reactions, nor any side effects due to the medication error. Based on information and facts obtained in this matter, the Department has determined that staff failed to perform their duties as assigned which resulted in child #1 being administered the incorrect medication. Therefore, the facility will be cited under section 80075(b)(5)(B) per California Code of Regulations, Title 22: (see LIC809D). Exit interview done. Appeal Rights given.


raw_content:
Narrative:
Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. A copy of this report was given to the above representative. No deficiencies were cited.

Investigation Findings:
13On February 11, 2026, at 12: P.M., Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced follow-up inspection at the Group Home (GH) for the purpose of delivering findings on the above allegation. LPA met with Nayeli Lopez, Counselor Supervisor. LPA interviewed one client and one staff member on November 25, 2025; one staff on December 8, 2025; two staff members on January 29, 2026; LPA attempted to interview two additional staff members; however, one was on medical leave, and the other had resigned (See Confidential Names form LIC 811 dated February 11, 2026). Certain files were reviewed such as the Client Roster, Staff Roster, Foster Children's Needs and Services Plan, staff training and other pertaining documents. Video footage from the incident was also reviewed by the LPA. All staff members denied the allegations. During confidential interviews it was revealed that the allegations did take place. Other interviews revealed the above allegation did not take place. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Ashley Ruacho LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 02/11/2026

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

met_with: Nayeli Lopez - Counselor Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
On 11/10/2025, the Department received a complaint alleging Staff had inappropriate interaction with minors in care. The facility staff denied the allegations and stated that staff (S1) had a conversation and made some comments to the clients but the message was misunderstood. S1 stated that the clients were told that they were wanted and the country was created by immigrants, the comments were made as encouragement to the minors. Staff reported that the clients were reminded about the school dressed code and that pajamas were not appropriate for the school. Other information indicated that the comments were not made in a rude or inappropriate way while other statements indicated not being aware of inappropriate comments. The confidential interviews indicated that the staff told the clients that they were not welcome in the country, the clients were not wanted and did not deserve to be in the country but other statements indicated that the staff did not make those comments. There were statements indicating that the comments were not inappropriate to some and were just in taken as normal for others. Additional information revealed that S1 made an inappropriate comments/used profanity while talking to the minors in Spanish when S1 said to the minors "me mandan a la chingada" while addressing ongoing classroom disruptions and disrespect. There was information that indicated that S2 talked to the minors in a high tone of voice and aggressive matter. Based on the information from interviews and documents reviewed the allegation is found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegation is found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above.

Investigation Findings:
13On March 27, 2026, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Gerardo Salazar, Lead Counselor Supervisor . The purpose of the inspection was to deliver the revised finding for the above complaint allegation. During the course of the investigation, LPA interviewed six clients on 11/14/25 and LPA conducted telephone interviews with four staff on 03/03/26 (see Confidential Names Form LIC 811 dated March 27, 2026). LPA also reviewed documents including but not limited to Client's UC profile, Client's Daily Progress Notes, Facility and Clients rooster and other documents. It was alleged Staff had inappropriate interaction with minors in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW BEGINNINGSFACILITY NUMBER: VISIT DATE: 03/27/2026


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) T. Davis went to New Beginnings for the purposes of following up on an Unusual Incident Report (UIR) that was received by Community Care Licensing (CCL) on March 17, 2026. LPA met with Mirla Martinez, PSA Compliance Manager, and discussed the incident. The UIR stated that client #1 (see Confidential Names form (LIC 811) dated April 10, 2026) was the recipient of inappropriate conversations from staff #1 (LIC 811). Information obtained shows that the conversations occurred at the facility on March 16, 2026. Information obtained also shows that there were not any personal boundaries issues such as hugging, kissing, etc. that occurred. The investigation revealed that the staff was placed on administrative leave pending the outcome of the investigation. The investigation also revealed that the conversations that staff #1 had with client #1 centered around the individual(s) that staff #1 had previously dated. Information obtained also indicates that the staff showed client #1 a picture on her phone of her current boyfriend. Based on information and facts obtained in this matter, the Department finds that the staff submitted her resignation to the facility while on administrative leave and referenced that she was resigning due to the facility possibly closing. The client was removed by the placement provider for unrelated reasons. The situation has been stabilized and no further follow up is needed. Exit interview done

met_with: Mirla Martinez, PSA Compliance Manager


facility_name: NEW DAWN TREATMENT CENTERS

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill and Licensing Program Manager (LPM) Jodean Hall conducted an office meeting and met with Kasey Avery, Compliance Director, and Ross Morton, Chief Executive Officer to discuss the application. LPA Hill and LPM Hall discussed the following: * Purpose of the meeting in that the meeting was to discuss the structure of the facility and the application. The application indicates two separate addresses and it was discussed that Community Care Licensing can only license one side and if the licensee would like to license the other side, they would need to obtain approval from the county planning per the over concentration requirements, H&S 1520.5. * Facility sketch was discussed as it is not clear on the sketch submitted with the application. Licensee provided an updated and clear sketch. * Administrator - the named administrator is currently associated to eight different facilities as the administrator six others indicated associations as staff. In addition, the resume in the application indicates additional working relationships. * LPA Hill requested that the facility address all qualifications in the application to ensure that all up to date. * Orientations certificates for CEO and named individual approved by the board to submit the application are required but not included in the application. * Licensing requirements differing between DHCS and CCLD. LPA Hall discussed licensing requirements and how they differ from each department. * Exemption for the side by side licensure as the licensee wishes to license both sides as group homes in the future. * Changing the current application to only one side and decreasing the capacity from 11 to 6 at this time. The other side will stay DHCS licensed until city planning discussion is resolved. End of discussion.

met_with: Kasey Avery, Compliance Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill met with applicant Kasey Avery, Director of Compliance, Ross Morton, CEO, and Diane McGill to discuss the application for licensure. LPA Hill discussed the application requirements in depth and did discuss expectations of the operation of the facility. LPA Hill talked about application documents, requirements for Neighborhood Complaint Policies, postings required in the facility, and other topics during the meeting. LPA Hill emphasized that the agency needs to have a thorough training plan and have adequate staffing to meet the needs of the youth in care. LPA Hill and the agency set a date for the corrections to be turned in by 6/21/24. Ms. Avery states that the Department will need to request another fire clearance due to the first one being denied. LPA Hill and the agency discussed other things related to the operation of the facility. Exit interview was conducted and documentation was provided.

met_with: Kasey Avery, Director of Compliance


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill conducted an announced Prelicensing inspection on 12/19/24 at 9:30 am and met with Diane McGill, Administrator. LPA Hill started the inspection but quickly realized that while the bedrooms were set up and ready for clients to be accepted, the agency did not have the following minimum required items: No locking medication storage cabinet was present. No dishes were present outside of cups and utensils. No storage for chemicals or cleaning supplies. No nonperishable food supply was present. No postings were observed. Upon pointing out these missing items, the agency requested that the Prelicensing inspection be rescheduled until the facility could be ready for the Prelicensing inspection to be conducted. LPA Hill provided dates and times during the inspection and Ms. McGill will work with the agency to find a new date for the Prelicensing inspection when the facility will be ready for inspection. Signature obtained and exit interview was conducted.

visit_type: Prelicensing

met_with: Diane McGill, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill made an announced pre-licensing inspection 1/6/25 at 2: PM and met with Kasey Avery, Compliance Director, Diane McGill, Administrator, and Saira Ahmed, Compliance Coordinator to tour the facility inside and out. LPA Hill toured the facility and observed that the facility is ready for licensure. LPA Hill observed that there are three dual occupancy bedrooms, two client bathrooms, a dining area, kitchen, extra room, office area. LPA Hill observed the office is equipped with the medication cabinet and chemicals cabinet, both with locks to ensure dual inaccessibility. LPA Hill observed that there are two fire extinguishers in the kitchen area that are accessible and was last serviced on 12/10/24. LPA Hill observed a carbon monoxide detector in the hallway that is working as required. LPA Hill also observed that the smoke detectors in the facility were operating as required. LPA Hill observed that there is a two day supply of perishable food and seven day of canned goods accessible when clients are admitted. LPA Hill also observed that there are laundry facilities for clients. The outdoor of the facility appears to be safe for clients in care. LPA Hill advised the facility that they are to notify the Department upon admission of their first client. LPA Hill also advised that upon acceptance of the last sections of the program statement approval, the Licensee shall submit a final binder of the approved Program Statement to the Department, tabbed and in a binder. LPA Hill conducted and exit interview and provided the documentation to the facility.

met_with: Kasey Avery, Diane McGill, and Saira Ahmed


facility_name: NEW DESTINY YOUTH FACILITY

raw_content:
Narrative:
It was alleged that staff use excessive discipline on group home client. It was also alleged that staff confiscates client's personal possessions. It was alleged that staff member speaks inappropriately to clients. It was also alleged that staff inappropriately handled group home minor. All facility staff interviewed denied all of the above allegations. There were five clients living in the home, four of the clients denied all of the above allegations, one client stated that all of the above allegations occurred. Based on confidential interviews, staff does not use excessive discipline and does not confiscate personal belongings. Confidential interviews also revealed that staff are always nice, respectful and do not tell client's to "shut up". Based on confidential interviews, there are no witnesses to staff physically handling a client inappropriately. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On October 7, 2021 at 10: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 7/29/21 and obtained client's needs and services plan (NSP), special incident reports (SIRs), daily notes. LPA also obtained copies of the LIC 500, staff contact information, staff daily shift schedule and staff trainings. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Client 3 (C3), Client 4 (C4), Client 5 (C5) on 7/29/21. Confidential interviews were also conducted with Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4(S4) and Staff 5 (S5) on 10/4/21 (See Confidential Names List Form LIC 811 dated October 7, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: NEW DESTINY YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/07/2021

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

met_with: Catherine Powell, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 09/16/21 at 10: AM, Licensing Program Analysts (LPAs) Pamela Silva and Zeyda Loera conducted an unannounced Post Licensing Inspection at the facility. LPAs met with Dr. Catherine Powell, Administrator. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application is pending approval. The STRTP has a pending application for National Accreditation. This STRTP is licensed to serve up to six (6) ambulatory children ages 12-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) ambulatory minors and one (1) ambulatory non-minor dependent currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files. This facility is a two-story home with four (4) bedrooms, three (3) bathrooms, a staff office, kitchen, dining, a living room, a family room and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 10: AM, LPAs conducted a walkthrough of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 110 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Client Records LPAs reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. LPAs found that Needs and Services Plan (NSP) were not signed by authorized representatives. Staff Records LPAs reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. LPAs were unable to verify 40 hours of annual training for direct care staff. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. LPAs interviewed one (1) client and two (2) staff members. At the conclusion of the inspection, LPAs discussed the findings with the facility administrator. LPAs issued two (2) Advisory Notes Technical Assistance, LIC9102TA. LPAs agreed to work with the facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. The administrator was provided information on where to locate the Provider Information Notices (PINs), guidance to the new CARE Tools inspection process and Guardian. An exit interview was conducted, and a signed copy of this report, LIC811, LIC9102TA and appeal rights were provided to the facility administrator.

met_with: Catherine Powell


summary: Facility Evaluation

raw_content:
Narrative:
On 03/11/2022 at 9: AM, Licensing Program Analysts (LPAs) Pamela Silva and Gilbert Gutierrez conducted an unannounced 18-month post licensing inspection at the facility. LPAs met with Dr. Catherine Powell, Administrator. The facility is on its 18- month provisional Short Term Residential Therapeutic Program (STRTP) license. The facility has worked diligently to secure a Mental Health Contract and Medi-Cal certification with no success in or out of county and has requested for a 24-month extension of their provisional STRTP license. The facility is currently providing Mental Health Services through the Presumptive Transfer process. This STRTP is licensed to serve up to six (6) ambulatory children ages 12-17 years of age, or non-minor dependents. There are four (4) ambulatory minors currently in placement. This facility is a two-story home with four (4) bedrooms, three (3) bathrooms, a staff office, kitchen, dining, a living room, a family room and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunition in the facility. At 10: AM, LPAs conducted a walk through of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 110 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. Client Records LPAs reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; medication records and personal rights forms. Staff Records LPAs reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. Administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Staff files contain documentation of initial and annual training. No deficiency citation issued at this time. An exit interview was conducted, and a signed copy of this report and LIC811 were provided to the facility administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/23/2022 at 10: AM, Licensing Program Manager (LPM) Ina Yeung and Licensing Program Analyst (LPA) Pamela Silva conducted an informal virtual meeting via Teams with the licensee representatives and other participants listed below: - Licensee Representatives - Director Catherine Powell, Board Members Jamal Powell and Clifford Manning - Catalyst Center Representative - Dr. Kelsie Tatum-Martinez, Clinical Senior Adviser - County Representatives - CSW Maria Garcia-Martinez of Riverside County and CSW Danine Saff of Madera County The purpose of the meeting was to notify the licensee and placement agencies that the provisional license will expire in October 2022. Per AB2944, the Department will only be able to extend the provisional license to a maximum of 24 months in order for the licensee to obtain Accreditation, MediCal Certification, Mental Health Approval from County and Mental Health Contract with DHCS so that the licensee can obtain a permanent license. Currently, the licensee is unable to locate any county to work on a Mental Health Approval with them and this will result in possible closure of the facility. During this meeting, LPM Yeung urged licensee and placement county representatives to work together and reach out to their respective mental health department to provide a mental health contract to licensee to avoid the need to provide a closure plan in September. Since issuance of provisional license, New Destiny has worked to secure a Mental Health contract and Medi-Cal Certification with no success in or out of their host county. Currently, the facility is providing Mental Health services through the Presumptive Transfer process. Follow up actions were discussed during the meeting as follows: - Dr. Powell will follow-up specific contacts with counties. New Destiny will initiate meetings with counties and Dr. Tatum-Martinez can help facilitate the meetings to help move the contracting process. - Dr. Tatum-Martinez will follow-up meeting with Kern County to discuss feedback and barriers that New Destiny is facing in obtaining mental health contract. - County Representatives, Ms. Garcia-Martinez and Ms. Saff will follow-up with their team in Behavioral Health for opportunities for contracting mental health with New Destiny. During the meeting, it was discussed and agreed that licensee will provide an update to this department by the end of the following week (5/27/2022). The licensee will initiate contacts and meetings with mental health departments of all possible counties they work with to obtain mental health contract and will notify LPA Silva if there are future meetings so that CCL and Catalyst Center representative can participate and provide support. A copy of this report was provided to NDYF's Director, Dr. Catherine Powell, after the meeting.

met_with: Dr. Cathy Powell & Others