facility_name: DAUGHTER PROJECT GIRLS HOME

raw_content:
Narrative:
LPA requested copies of the facility room check log twice and received one copy of the visitor and temperature log. Others interviewed said the facility staff rarely come upstairs when the girls are upstairs in their bedrooms. It was also reported that the girls sneak in and out of the bathroom window, sneak people from the outside in the facility using the bathroom window, they smoke marijuana, and drink alcohol upstairs because of lack of supervision. LPA Gilmer recommends the facility Administrator have a workstation with a staff stationed upstairs to ensure the protection and safety of the foster children placed at this facility. In reviewing the facility sketch, information obtains during confidential interviews, and LPA's observation the facility staff does not provide adequate supervision of the children upstairs. Therefore, LPA finds the allegation to be substantiated and this STRTP will be cited as per Interim Licensing Standard section 87072 (C)(11) Personal Rights. The staff on duty at the time of this incident told LPA the foster child did not indicate that she was experiencing suicidal ideation. The staff also told LPA the facility staff doesn't go into the bathroom with the girls End of the interview With regards to the allegation that the facility staff did not prevent the minor from attempting to jump from the facility roof. Once the facility staff learned that one of the foster children was on the roof, they took appropriate action by contacting the mental health team calling the Bakersfield police department. One of the facility staff went outside trying to talk the foster child off the roof. And the second the facility staff went onto the roof and tried to encourage the foster child to come inside. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to support how or what the facility staff could have done to prevent the foster child from attempting to jump off the roof. No deficiencies were cited for this allegation . An exit interview was conducted, and a signed copy of this report was left with the above staff.

Investigation Findings:
13On 07/09/21 at 12:30 pm Licensing Program Analyst (LPA), Belinda Gilmer conducted an unannounced inspection of this facility to deliver the above allegation finding. LPA Gilmer met with Veronica Martinez, Facility Manager, to discuss the findings. During this complaint investigation, spoke with the complainant on 5/28/21, and again on 6/28/21, LPA reviewed files and conducted confidential interviews with the facility staff and the foster children placed at the group home who agreed to speak with LPA on 6/3/21, additional staff was interviewed 6/4/21, 6/7/21, and 6/8/21. LPA also reviewed and received copies of paperwork from the children's files. LPA was told that the facility staff conducted a face-to-face check on the girls every 30 minutes unless something is going on at the facility and the facility staff can't conduct the checks. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Belinda Gilmer 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/09/2021

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

met_with: Veronica Martinez


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews were also conducted with reporting party (RP) on 5/8/21, four facility staff on 5/8/21, two facility managers on 5/11/21 and two facility managers on 5/12/21 via telephone (See Confidential Names List Form LIC 811 dated July 22, 2021). It was alleged that clients have access to drugs. Staff denied the allegation and indicated that they do not allow or give client's access to drugs. Staff also indicated that client's AWOL and go to a local smoke shop to buy marijuana and smoke. Staff said this was reported to Bakersfield Police Department. One client indicated that other client's AWOL to the smoke shop and smoke marijuana. Another client stated that she does not know where client's AWOL to. It was also alleged that staff did not prevent minors from AWOLing which lead to minors engaging in CSEC activities. Based on confidential interviews, staff are unaware of where clients are going and what activities they are going to engage in when they AWOL. Both staff and clients said that staff will make multiple attempts to re-direct client's and use crisis communication to prevent them from leaving the facility. It was alleged that staff failed to provide a safe environment for minors. Based on confidential interviews, staff conduct room checks every 15-30 minutes, there is an alarm on the door that the client's AWOL from and cameras throughout the facility to assist staff with supervision. Staff do not use the cameras in lieu of supervision of the clients. It was alleged that staff failed to meet client's needs because the staff are not ensuring that clients are attending school, and do not provide the clients with enough activities. Staff and clients said that clients do attend school. A client said if they refuse to go, staff encourages them to attend and complete assignments. Confidential interviews and records reviewed also revealed that activities are scheduled, but some clients refuse to participate in the scheduled activities. Some clients admitted to not participating in activities if they did not like them. It was alleged that staff are not adequately trained. Based on confidential interviews and records reviewed, staff are trained monthly. It was also alleged that the facility is not taking any precautions for COVID-19 when the clients return to the facility from AWOLing. Based on confidential interviews with staff, staff encourages Covid-19 safety procedures, but clients refuse to follow them at times. LPA conducted interviews with two clients. Two clients have not observed or witnessed staff following Covid-19 procedures when client's return from AWOL. Based on LPA Martin observation, staff follows Covid-19 safety procedures. 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 July 22,2021 at 11: AM, Licensing Program Analyst (LPA) Pamela Silva conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. This complaint was investigated by LPA Timika Martin. LPA Silva met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 06/10/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and SCAR reports from January 2021-Present. LPA requested copies of the LIC 500, staff daily shift schedule, staff trainings/training schedule, facility rules, activity schedule and cell phone policy. LPA also requested Covid-19 safety protocols, Covid-19 client/staff positive cases, receipts of personal protective equipment (PPEs) and staff cleaning schedule. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2) on 5/8/21 via telephone. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Pamela Silva 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/22/2021

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

report_type: Complaint Investigation

met_with: Julia Castillo, Facility Manager

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Statements obtained from confidential interviews conducted were consistent and revealed the client's bathrooms had water temperatures that were uncomfortable while showering. Four of the seven clients interviewed reported that the water temperature of the showers was hot. During an inspection by LPA Larios on 7/26/ LPA Larios measured the water temperature of the showers and faucets used by clients. The water temperature in the shower located on the ground floor measured at 118 degrees Fahrenheit. While inspecting the water temperature in the ground floor shower, LPA Larios observed water leaking from the flange of the shower head. The water temperature in the upstairs shower located between bedroom #1 and #2 measured 122 degrees Fahrenheit and the faucet water temperature measured 126 degrees Fahrenheit. The water temperature in the upstairs shower located between bedroom #3 and #4 measured 141 degrees Fahrenheit. The faucet in this restroom was not tested due to construction material inside the bathroom. Based on information obtained from interviews conducted, records reviewed and observation during an inspection on 7/26/21 the allegation was substantiated, the facility did not provide comfortable water temperatures for children in care. Facility cited for California Code of Regulations, Title Division Six, regulation 80088(e)(1): Furniture, Fixtures, Equipment and Supplies. During an inspection conducted on 7/26/21 two showers used by clients had water temperatures of 126 degrees Fahrenheit and 141 degrees Fahrenheit. Facility cited for California Code of Regulations, Title Division Six, regulation 80087(a): Buildings and Grounds. During an inspection conducted on 7/26/ LPA Larios observed water leaking from the flange of the shower head in the shower located on the ground floor. Exit interview conducted and appeal rights were discussed and provided. The administrator was provided signed copies of the LIC9099 and LIC9099D.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/26/21 at 11: AM. During the inspection LPA Larios met with Administrator Erin Robinson and was given a tour of the facility by Child Care Worker Daysi Espinoza. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with five County Social Workers (CSW) on 7/6/21 and 7/7/21, seven Clients on 7/7/21 and 7/13/21 and six facility Staff on 7/13/21. On 2/25/ LPA Larios conducted a records review and obtained copies of the facility sketch, staff roster, client roster, special incident reports from December 2020 to February 2021 and work orders related to facility plumbing from August 2020 to February 2021. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 07/26/2021

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Erin Robinson

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Investigation revealed the following: It was alleged that client receives less allowance for failure to attend therapy or school, staff refused to take client to store because she did not attend school and staff did not clean or replace client's backpack after being thrown in the trash. Interviews conducted with C1 stated that S1 refused to take C1 to the store and that allowances varied based on C1 attending school and therapy. Additionally, C1 stated that S1 mixed up their backpack with someone else's and ultimately threw the backpack in the trash. However, initial statements made by C1 were indecisive in that names of staff differed as to who was involved in the incidents. C1 was not able to provide specific dates, names of individuals or provide details as to who else observed these incidents or how often this was occurring. Interview conducted with C2 had similar statements of an incident occurring of children not receiving allowances, staff refusing to take children to the store and of a backpack being lost. However, C2 was not able to provide names or dates in incidents. Interviews conducted with staff (S2-S4) had similar statements in that staff try to follow companies' policies and procedures and that they are not aware of any staff not being compliant with that. Staff stated that allowances are provided based on children's point system. Children can earn tickets based on different things they do. If children have no tickets, they at least get 5 dollars a week. Staff stated if children do not attend school or therapy, they get blacked out meaning they do not go on outings unless it's an emergency or they need essential items. Furthermore, staff denied not cleaning or providing new backpacks to C1 when the backpack was observed to be in the trash. Documents reviewed did not identify any specific information related to these allegations or of incidents occurring. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/30/ Licensing Program Analyst (LPA) Janeth Chavez made an unannounced visit to the Daughter's Project Youth facility for the purpose of concluding the above complaint investigation on behalf of LPA Dawn Mahecha. LPA met with Teodora Corbell regarding the findings to the above identified allegations. LPA informed Administrator of findings. Investigation consisted of the following: On 5/19/21, LPA conducted 10-day inspection to facility, interviewed Administrator and requested documents (see LIC 811 confidential names, dated 5/19/21). Additionally, between 09/21/21-9/23/ LPA Elnora Smith interviewed four (4) staff, two (2) children (C1 and C2) and attempted to interview an additional four (4) children who declined to be interviewed. On 9/22/ LPA Mahecha reviewed interviews and information provided. Report Continues on Next Page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/30/2021

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

met_with: Teodora Corbell


raw_content:
Narrative:
C1 stated that staff was not informed about the stolen cash or body suit and that it might have happened in May or June of this year. Also, that no one else witnessed this incident. It was alleged that staff do not respect resident's privacy. Staff denied the allegation and stated that they announce themselves by knocking on the door and then proceeding to unlock their room to conduct their hourly safety check. C1 stated that staff does not knock on their door before unlocking it. C6 stated that sometimes they do knock on the door and then staff enters their room. It was alleged that staff forces resident to attend medical appointments. Staff denied the allegation. Interviews conducted with S1-S5 revealed that staff does not force residents to attend their medical appointments. C1 & C6 stated that depending on how they are feeling that day they will choose to attend or decline to go to their medical appointments but that sometimes they feel like they are being forced to go. Staff encourages residents to attend their medical/therapy appointments by earning additional allowance money or by earning tickets with the incentive point system. Staff, however, reminds the residents of their child guidance, medical and therapeutic appointments but ultimately it is the residents choice to attend or refuse these appointments. It was alleged that staff did not intervene when resident was verbally abused by another resident. Staff denied the allegation. Staff revealed that when residents are verbally abused by other residents the staff tries to de-escalate the situation by separating the residents from each other and offering to take them out for a ride to calm them down before it turns to a physical altercation. C1 stated that sometimes the staff does not do anything to intervene and was unable to provide dates of similar incidents. However, C1 feels that staff is not doing enough to intervene and that they should do more. C6 stated that when residents get into verbal fights the staff might try to intervene and distract them from the other resident. It was alleged that facility is not maintained clean, sanitary and in good repair at all times. Staff denied the allegation. Interviews conducted revealed that the facility is maintained clean, sanitary and in good repair at all times. During, LPAs inspection on 06/19/21 the facility was clean, sanitary and in good repair. LPA inspected the residents rooms and observed them to be sanitary and furniture in good repair. Staff stated that when something is broken the administrator is informed so that it can be fixed or replaced. C1 & C6 could not provide dates of any time a fixture or furniture was broken or needed repair. LPA tried to interview C2-C5 on 06/19/21 but they declined to be interviewed. Therefore, due to conflicting statements and information not reported to staff by the residents and no other witnesses the allegations cannot be substantiated. The documents reviewed did not identify any specific information related to these allegations or of incidents occurring. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore, the allegation is unsubstantiated. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/30/ Licensing Program Analyst (LPA) Janeth Chavez made an unannounced visit to the Daughter's Project Youth facility for the purpose of concluding the above complaint investigation. LPA met with Teodora Curbell regarding the findings to the above identified allegations. LPA informed Administrator of findings. Investigation consisted of the following: On 6/19/21, LPA interviewed Reporting Party (RP), conducted 10-day inspection to facility, interviewed two staff (S1 and S2), interviewed one (1) youth (C1) and attempted to interview four (4) other youth (C2, C3, C4 & C5) who declined to be interviewed. Also, LPA requested documents (see LIC 811 confidential names, dated 6/19/21). On 09/30/21, LPA conducted interviews with one youth (C6) and three (3) staff (S3-S5). (See Confidential Names List dated 09/30/21). It was alleged that licensee did not safeguard resident's personal property. Staff denied the allegation. Interviews conducted with C1, C6, S1-S5 revealed that all residents have a personal locker on the first floor where they can keep their cash and valuable belongings. Staff encourages residents to safeguard their money and valuables in their personal locker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/30/2021

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


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this report was provided to the facility representative.

Investigation Findings:
13On October 6, 2021 at 9: AM, Licensing Program Analyst (LPA), Jean Herring delivered the findings of a complaint investigation to Administrator, Teodora Corbell. On December 10, 2020, Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: the Administrative Assistant at the facility on September 24, 2021, a witness and the County Social Worker via telephone on October September 21 and September 28, 2021, respectively; client (see Confidential Names, LIC Ref. #1 dated October 5, 2021). LPA Karen McGee observed special incident reports, and Needs and Services Plan for Ref. #1. Ref. #1 and the Administrative Assistant denied the allegation. The investigation revealed that Ref. #1 was not compliant with the facility policies and refused all interventions. LPA McGee observed eighteen (18) Law Enforcement Contact Reports (LE624), one (1) Unusual Incident/Injury Report and one (1) Bakersfield Police Report for Ref. #1. The LPA observed that the facility met Reporting Requirements regarding Ref. #1. There were no witnesses to the allegation. The LPA was unable to corroborate the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Jean Herring 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/06/2021

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

met_with: Teodora Corbell, Administrator


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The Department received a report alleging a client (C1) was observed smoking marijuana in the facility parking lot and staff did not prevent it. Per statements obtained from confidential interviews conducted S1 attempted to verbally redirect C1 by stating "Your coach will notice if you are high and you might not get to play." However, it was reported, the staff did not shadow C1 as she walked out of the facility and into parking lot and was observed smoking marijuana shortly after. S1 initially stated the reported alleged incident could have possibly occurred, then admitted the incident did take place. S1 stated she personally does not walk outside and stand there if she thinks clients are smoking. S1 stated the following reasons for not going outside: being exposed to secondhand smoke, not wanting to appear as if she is smoking with clients if someone were to observe her outside or being short staffed and clients requiring supervision. Based on information obtained from interviews conducted and records reviewed the allegation was Substantiated. S1 did not provide direct care and supervision for C1 as require by the Interim Licensing Standards (ILS) Ver. 3. Sec. 87065.2(b)(1). The allegation is valid because the standard of the preponderance of evidence has been met. Facility cited for violation of Interim Licensing Standards (ILS) Ver. 3. Sec. 87065.2(b)(1): Personnel Duties. Statements obtained from interviews conducted corroborated the allegation that staff did not prevent a client in care from smoking while on the premises. Exit interview conducted and a copy of this report along with a LIC9099D and LIC811 were provided to the facility representative. Appeals rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/11/21 at 2: PM. During the inspection LPA Larios met with Administrator Erin Robinson. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with two staff (S2,S3) on 9/28/21 and one staff (S1) on 10/9/21, three County Social Workers (CSW) on 10/5/21, two CSW on 10/6/21, one CSW on 10/7/21, one client (C3) on 9/28/21, and one client (C2) on 10/6/21. Three clients (C4,C5,C6) declined to provide a statement regarding the allegation. Client (C1) was unavailable for an interview. A records review was conducted on 6/7/21 and LPA Larios obtained copies of the following documents: staff roster, facility sketch and unusual incident reports. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/11/2021

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

met_with: Erin Robsinson


raw_content:
Narrative:
The Department received a report alleging the facility staff refused to take a client (C1) to a critical medical appointment on 9/21/21. Statements obtained from interviews conducted with staff, CSW and A1 revealed C1 has a required blood transfusion appointment scheduled every three weeks. Statements obtained from interviews conducted with staff indicated the hospital notified the facility C1's appointment for 9/21/21 was cancelled due to being scheduled a week early. Statements obtained from an interview conducted with A1 corroborated staff statements and revealed C1 attended a blood transfusion appointment on 9/28/21, three weeks after her previous appointment on 9/7/21. Based on information obtained through interviews conducted and records reviewed the allegation is Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/11/21 at 3: PM. During the inspection LPA Larios met with Administrator Erin Robinson. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with three staff (S1, S2, S3) on 9/28/21, one County Social Workers (CSW) on 10/7/21, one client (C1) on 10/7/21, one client (C2) on 9/28/21 and one Nurse (A1) on 10/7/21. Three clients (C3, C4, C5) declined to provide a statement regarding the allegation. A records review was conducted on 9/28/21 and LPA Larios obtained copies of the following documents: copies of the LIC500, LIC9020, one client (C1) needs and services plans, special incident reports, medical related documents and morning staff shift log notes for 9/21/21. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/11/2021

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


raw_content:
Narrative:
Interviews conducted with four (4) children identified that staff are not allowing children go to school and that staff are not enrolling them in the schools they wish to be at. Children stated they were not given the opportunity to choose what school they wanted to attend, and that staff are not allowing them to go every day. Documents reviewed identified children signing they understood the schedules and the schools they would be attending. Additionally, documents identified that children were enrolled to attend school on one day as the school agreement signed by children. Interviews conducted with county social workers identified working with facility and children to get enrolled in the proper schools during time in which facility relocated. It was also alleged; facility staff are not ensuring that minor is provided hygiene product. Staff denied the allegation. Staff stated that children are given opportunity to get hygiene items throughout the month depending on the need. Staff stated that facility also keeps additional hygiene items in cases of emergency if children may need it. Interviews conducted with all children identified not receiving hygiene items and that staff deny children from obtaining hygiene items. LPA toured facility and observed children to have hygiene items available and additional products within the facility for emergency purposes for all children in care. Furthermore, it was alleged facility staff are not ensuring that minor is provided an age-appropriate allowance. Staff denied the allegation. Staff stated that children receive allowances and sign that they obtained it. However, staff state that money is kept on a card and that children are encouraged to save some of their money. Children stated they are not given allowances and that staff do not provide them with the appropriate amounts of money for allowance. Documents reviewed identified children signing for receiving allowances and identified within their needs and service plans it identified how much children could maintain on their persons. It was alleged, facility staff are supplying alcohol to minors in care. Staff denied the allegation. Staff stated that children have sometimes come into the facility intoxicated or try to bring alcohol into the facility. However, staff stated if children are caught with contraband, they confiscate contraband and document incident to report to proper overseeing agencies. Children were unable to identify which staff if any supplied alcohol to children, when or where. Children were unable to provide a date of occurrence or how staff were able to get alcohol within the facility. Additionally, it was alleged facility staff are not preventing minors from using substances while in care. Staff denied the allegation. Staff stated that children have been observed passing vape pens and other contraband. Staff identified when they observe children using substances, they verbally ask children to hand over the contraband or if children do not give staff the contraband staff will confiscate it when observed available for staff to take away. Staff stated they document incidents and report incidents to overseeing agencies. LPA observed staff redirecting children when staff identified children were observed passing a vape pen. Staff stated they asked for children to stop and to hand over the vape pen and children did not. Staff completed incident reports to document incident. Interviews conducted with children identified that staff would confiscate their contraband or request they give it to them but that they don't want them to take it, so they don't give it to them. Children identified hiding contraband from staff. It was alleged, facility staff are not following proper reporting requirements involving minors in care. Staff denied the allegation. Staff stated they report all incidents that happen in the facility within the time frames to meet reporting requirements. Staff stated that each shift documents what transpires on each shift and incident reports are sent out to overseeing agencies. Children were not able to identify if staff are reporting incidents. Children stated that things have transpired within the facility, but they don't feel as though staff report incidents as nothing is done about it. LPA received documents show casing various incidents transpiring within the facility. Lastly, it was alleged facility is in disrepair. Staff denied the allegation. Staff stated that facility was just relocated approximately 3 weeks ago. Staff stated that they are moving and transitioning a lot of things. Staff provided documentation that home is being exterminated regularly and that home is in the process of updating and transitioning. LPA observed home to be clean and free of obstructions. Facility had completed and full kitchen, rooms had adequate bedding and facility grounds were maintained. Interviews with children identified observing snakes in walls, rats, and bugs within the facility. Documents reviewed showed facility had recently completed a pre licensing and that facility had required items within the home to meet the needs of all children in care. Documents reviewed and interviews conducted showed that children are enrolled or in process of being enrolled in school and that children signed acknowledgment of school schedule. It was also identified that staff report incidents, confiscate contraband and do not supply or allow children to consume alcohol or controlled substances. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/3/ Licensing Program Analysts (LPAs) Dawn Mahecha and Caitlin Chambers made an unannounced visit to the Daughters Project STRTP for the purpose of concluding the above complaint investigation. LPAs met with representative and discussed the following findings. Investigation consisted of the following: On 9/30/ LPA Brent Lockhart completed initial 10-day inspection to investigation (see LIC811 dated 9/30/2024). LPA Mahecha interviewed four (4) children on 9/19/2024 and facility manager. LPA toured facility and contacted county social worker. Investigation revealed the following: It was alleged Facility staff are not allowing minor to go to school. Staff denied the allegation. Staff stated that facility just moved to new location and that facility staff have been Facility staff stated they were also ensuring that the schools that children chose can meet children's needs. Staff stated that children signed school's enrollment forms and stated they understood the schedule and terms of the scheduled classes. working with county social workers and schools to ensure children are enrolled in schools they chose to be at. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024

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

met_with: Joellen Gutierrez, Administrator


raw_content:
Narrative:
Staff stated that children sometimes miss the days in which they are scheduled to go get clothing due to being on runaway or because children may be under the influence. Staff stated that sometimes children can go another day in the month or if not, money is accumulated on a card that carries over month to month if not used. Children stated they have no clothing, and that facility does not allow them to buy clothing. Documents reviewed identified that children regularly run away from facility and that children destroyed or threw away most of their clothing based on wanting facility to buy all new clothing. LPA observed children to have clothing and facility to have extra clothing in cases of emergency for all children in care. It was also alleged; staff are not ensuring that minor(s) are provided enough food while in care. Staff denied the allegation. Staff stated that they pick up groceries weekly and that children are given required meals and afforded the opportunity to eat snacks and missed meals after hours by utilizing the snack area that is equipped with a refrigerator and microwave. Additionally, staff stated that children have scheduled times to go into the kitchen and get items but based on safety concerns children are not allowed to just go into the kitchen whenever they feel. Children stated that they are not given the opportunity to cook with staff like in the previous facility. Children stated that they do not have access to snacks or meals in between scheduled mealtimes. LPA observed required food supply in the kitchen for all children in care. LPA received documentation to show food purchased and observed snack area that is accessible to all children in care. Snack refrigerator had packaged and dated meals that showcased food not eaten or missed for children to heat up at later dates. Lastly, it was alleged staff are not adequately supervising minors in care. Staff stated that one to two staff are usually rotating in the home monitoring the children. Staff stated that the cameras are monitored by the Administrator when Administrator is off grounds, but that staff do not use camera system as a means of monitoring children. Staff stated that a plan for camera usage was submitted to licensing and that plan was approved by overseeing agencies. Children did not deny or confirm allegation in that enough staff were or were not present within the facility. Children stated that facility had issues and that staff do nothing to circumvent issues within the facility. Documents reviewed and observations made identified children had required amounts of clothing, food and are supervised adequately by staff. Interviews conducted with additional witnesses identified no concerns or issues with children being placed in the home. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/3/ Licensing Program Analysts (LPAs) Dawn Mahecha and Caitlin Chambers made an unannounced visit to the Daughters Project STRTP for the purpose of concluding the above complaint investigation. LPAs met with representative and discussed the following findings. Investigation consisted of the following: On 9/19/ LPA completed initial 10-day inspection to investigation and interviewed facility manager and four (4) children (see confidential names, LIC811 dated 9/19/2024). LPA Mahecha interviewed four (4) children on 9/19/2024 and facility manager. LPA toured facility and contacted county social worker. Investigation revealed the following: It was alleged staff are not ensuring that minor is provided with an adequate supply of clothing while in care. Staff denied the allegation. Staff stated that children are given an allowance of clothing and are afforded the opportunity to shop once or twice a month. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff does not treat minor with dignity or respect. Staff denied the allegation. Staff stated that all children are treated with dignity and respect. Staff stated that children have expressed no issues or concerns with staff. Staff stated that children do not like being at the facility far away from the city and that children are making up allegations to leave. Interviews conducted with one (1) child identified having no issues with staff being disrespectful or not treating children with dignity. Interviews conducted with three (3) children identified multiple allegations being investigated by various LPAs. However, children did not identify any staff being disrespectful or not treating anyone without dignity. Interviews conducted with social worker to one (1) child identified in investigation identified that child did not disclose any issues or concerns with staff or facility. County social worker stated that child expressed wanting to be moved back to hometown and that child did not express any reason why. Documents reviewed documented various behaviors of children and incidents that transpired within the facility. No documents reviewed showed staff treating any child inappropriately or without dignity. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 10/18/ Licensing Program Analyst (LPA) Winston Moroney made unannounced visit to the Daughters project facility on behalf of LPA Dawn Mahecha for the purpose of closing the following complaint investigation. LPA met with representative and discussed the following findings. Investigation consisted of the following: LPAs spoke with and interviewed facility manager (see confidential names, LIC811 dated 10/3/2024). LPA requested the following documents be emailed to LPA Moroney: Current staff/client roster and one child's needs and service plan. LPA Mahecha interviewed four (4) children between 9/17/2024 and 10/3/2024. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 10/18/2024

met_with: Joellen Gutierrez


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on review of records and e-mails, as well as confidential interviews, it was revealed, that the facility did not meet the reporting requirements for the incident that occurred on 02/22/25 . The incident was not reported to the authorized representative and CCLD until 02/26/25. The second incident, that occurred on 03/15/2025 was reported to CCLD within 24 hr via e-mail, but the final report was not submitted to the Department and authorized representative within 7 days. As a part of investigation, LPA reviewed the SIR folder and was not able to locate the report in the facility folder and requested for the Administrator to e-mail the report to the LPA. The facility had no evidence that the report was emailed to the CCLD within the 7 days from the occurrence. Based on the information collected, the preponderance of evidence has been met, therefore the complaint is SUBSTANTIATED. This violation pose potential Health, Safety, or Personal Rights risk to clients in care. The facility is being cited under ILS 87061(b)(4) for Reporting Requirements on the corresponding LIC9099D page. The copy of this report, LIC 9099D and the appeal rights were given and explained to the Administrator.

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


raw_content:
Narrative:
This LPA conducted the investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and service plans, police reports, medical records, SIR's and interviews with 2 of 3 staff members (S1) on 4/4/25, (S3) on 4/18/25. No statements were received from S2 as they are no longer employed at the STRTP, and C2 has declined to provide a statement. Reference Confidential Names Form LIC 811, dated August 29, 2025. The Following Allegation(s) were reported: 1. The staff did not prevent the youth from engaging in a physical altercation. The staff refuted the allegation, asserting that on the day of the alleged incident, three staff members were present who were actively involved and took necessary actions to ensure the safety of all clients. The staff reported that they employed crisis communication techniques and verbally guided clients, reminding them to utilize their coping skills, while also attempting to escort both clients to separate areas of the facility. However, C1 and C2 were able to push past the staff, leading to a physical confrontation between them. The staff stated that they promptly positioned themselves between the clients and worked to separate them, with S1 escorting C1 outside in an effort to de-escalate the situation. Furthermore, the staff mentioned that the Kern County Sheriff's Department was contacted during the incident and subsequently arrived at the facility, where they spoke with both clients and removed them from the STRTP, placing them in the Kern County Youth Detention Center. Confidential statements from C1 and C3 supported the staff's account of the events, confirming that the staff intervened by verbally redirecting and stepping in between the two clients, escorting them to different sections of the facility. C1 and C3 expressed that they feel secure living at the STRTP and acknowledged the staff's involvement in their daily activities. Continued... Additionally, police reports acquired from the Kern County Sheriff's Department indicated that both C1 and C2 participated in a physical confrontation, with both parties regarded as aggressors towards one another. Consequently, they were expelled from the facility and transferred to the Kern County Youth Detention Center without any further incidents. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Program Coordinator.

Investigation Findings:
13On September 4, 2025, at 4: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with Elizabeth Sausedo. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On March 25, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent the youth from engaging in a physical altercation; The staff did not ensure reporting requirements were followed in a timely manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/04/2025

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

met_with: Elizabeth Sausedo


raw_content:
Narrative:
This LPA conducted the investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and service plans, police reports, medical records, SIR's and interviews with 3 of 3 staff members (S1, S2, S3) on 6/6/25, one of three clients (C1) on 7/23/25. No statements were obtained from C2 and C3 as they opted not to take part in the interviews. (Reference Confidential Names Form LIC 811, dated September 4, 2025.) The Following Allegation(s) were reported: 1. The staff did not seek medical attention for the minor. The staff members identified as S1, S2, and S3 collectively denied the allegation concerning the incident in question. They asserted that on the day of the alleged occurrence, all three were present and actively engaged in their professional duties. According to their account, they took appropriate and timely measures to ensure the safety and well-being of client C1 throughout the day. Earlier that morning, staff reported that C1 had participated in a telehealth consultation with a physician. Said appointment was due to C1's symptoms of vomiting, experienced the previous night, coupled with ongoing discomfort upon waking. Following the consultation, S2 noted that the physician diagnosed C1 with a stomach virus and issued a formal doctor's note to document the condition. Staff further stated that no additional health concerns were raised until later that evening, on May 19, 2025. At that time, C1 reported continued stomach discomfort. In response, staff administered over-the-counter medication to alleviate the symptoms and support C1's recovery. On the following day, May 20, 2025, S1 confirmed that C1 was transported to an urgent care facility for further medical evaluation. A physician prescribed medication, after which C1 was discharged and returned to the Short-Term Residential Therapeutic Program (STRTP). S1 explained that the prescribed medication had been ordered and was pending delivery to the facility. However, according to S1, C1 grew increasingly impatient while awaiting the medication. Rather than continuing to wait, C1 independently contacted emergency services using their personal cellphone. This action resulted in paramedics arriving at the facility and subsequently transporting C1 to Kern Medical Center for further evaluation. Continued. 2. The staff are not ensuring that the minor receives behavioral health services. S1 refuted the allegation, stating that the STRTP provides four Clinicians who provide three group sessions a week, and each Clinician meets with all clients once a week for an hour. S1 further disclosed that C1 would often refuse to meet with said Clinicians and decline to participate in group sessions. S1 stated that the facility staff have received trauma-informed care training and understand the importance of providing care to all clients. S1 further stated that C1 has never expressed any concerns to them, that S1 maintained a positive relationship with C1, frequently assisting staff with managing C1's unpredictable behavior and returning C1 to baseline. 3. The staff are not providing a comfortable environment for minor. The staff refuted the allegation, asserting that all staff members provide exceptional care to every child residing in the STRTP, ensuring that their physical, emotional, psychological, and developmental needs are met with compassion, consistency, and professionalism. Staff are trained in trauma-informed practices and work diligently to create a safe, nurturing environment where each child feels valued, heard, and supported. Through individualized care plans, daily routines, and therapeutic engagement, staff foster a sense of stability and belonging. They build trusting relationships with the children, encouraging positive behavior, emotional growth, and resilience. Staff also work closely with social workers, educators, healthcare providers, and families to ensure continuity of care and to advocate for each child's best interests. Above all, the team is committed to empowering children to heal, grow, and thrive-helping them build the confidence and skills they need to navigate life's challenges and envision a hopeful future. Furthermore, the statement obtained from C1 corroborated the staff's account of the events, affirming that support was provided to all clients and that they (C1) felt safe residing at the STRTP. However, on the day they were transported to Kern Medical Emergency Department, they perceived a delay in receiving support and independently contacted paramedics to expedite assistance. Continued.... Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Program Coordinator.

Investigation Findings:
13On September 4, 2025, at 4: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with Elizabeth Sausedo. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On May 22, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not seek medical attention for minor; The staff are not ensuring minor receives behavior health services; and The staff are not providing a comfortable environment for minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney 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: DAUGHTER PROJECT GIRLS HOMEFACILITY NUMBER: VISIT DATE: 09/30/2025

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

met_with: Elizabeth Gutierrez


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2024, at 10:00 a.m., Licensing Program Analyst (LPA) John Bonilla and Licensing Program Manager (LPM) Jean Herring conducted an announced Pre-licensing inspection at Valpredo Avenue, Bakersfield, CA 93313. LPA and LPM met with Joellen Gutierrez, Administrator. The Short-Term Residential Therapeutic Program (STRTP) is a single story facility with an added loft space upstairs located in a residential area surrounded by agricultural fields. The facility consists of 5 bedrooms, 3.5 bathrooms (including one staff restroom), 2 offices, living room, dining room, kitchen, laundry room, protective separation room, and activity room (upstairs loft). Outside buildings include a garage, currently not in use, and a small uninhabitable unit in the far rear corner of the property. The facility's plan for the small unit is to tear down. Overall, the facility is in good repair. All passageways are unobstructed and all doors open freely. There are no bodies of water in the facility. At the time of visit, the following was observed: Physical Plant - No Deficiency: 87072(a)(1) - No personal rights posters observed. Physical Plant - No Deficiency: 80087(g) - No products stored in facility yet. Physical Plant - No Deficiency: 80076(a)(19) - Dishwasher did not power on. Stove inoperative due to lack of propane service. Physical Plant - No Deficiency: 87076(c)(3) - Refrigerator not in place yet. Physical Plant - No Deficiency: 80073(a) - No telephone service on premises yet. Physical Plant - No Deficiency: 87077(a)(1) - Laundry room hookups present, no appliances installed yet. Physical Plant - No Deficiency: 80088(a)(1) - Central air present, not on during this inspection. ... Physical Plant - No Deficiency: 80088(e) - Propane service not ready yet. Physical Plant - No Deficiency: 80088(e)(3) - Bathroom facilities must be cleaned and sanitized. Physical Plant - No Deficiency: 87088(b)(2) - Shower needs shower curtain. Shower also has long cable hanging from ceiling. Physical Plant - No Deficiency: 87088(c)(4)(A) - Closets to be covered. Physical Plant - No Deficiency: 87087.2(a) - Facility has incomplete fencing around perimeter, clients may have access to neighbors barn. Possible health, safety, or personal rights risk to persons in care. Physical Plant - No Deficiency: 87087.2(a)(3) - Areas accessible due to incomplete perimeter fencing. Physical Plant - No Deficiency: 80088(b) - Screens and window sills need to be cleaned and installed. Debris found around windows. Physical Plant - No Deficiency: 80087(a) - Facility-wide cleaning necessary before licensure. Many pests including spiders and yellow jackets found in eaves and corners of buildings. 2 uncovered outlets in kitchen. 2 doorknobs in bathroom need to be corrected. Paint job needs to be completed throughout facility. Disaster Preparedness - No Deficiency: 1565(a)(7)(A) - Licensee provided with PIN 21-03 to aid with updating written disaster plan. Facility sketch must include all buildings on property. Corrections were discussed with Joellen Gutierrez. Applicant was advised corrections need to be completed prior to licensure. Another inspection is required to inspect all corrections made. Exit interview conducted. A signed copy of this report, LIC809-C were provided to Joellen Gutierrez.

report_type: Facility Evaluation

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On August 21, 2024, at 09:15 a.m., Licensing Program Analysts (LPAs) Gilbert Gutierrez and John Bonilla conducted an announced Pre-licensing inspection at Valpredo Avenue, Bakersfield, CA 93313. LPAs met with Joellen Gutierrez, Administrator. During this inspection, LPAs observed the following: · The bedroom windows do not have curtains/blinds. · The beds have no beddings. · The monitor for the video cameras was not yet installed to determine if none of the cameras capture the bedrooms. · The facility has stated that all appliances (refrigerators, freezers, washer/dryer) will be moved from current location upon licensure. Per administrator, everything will be in place by August 30, 2024. An exit interview was conducted and copy of the report provided to the administrator. No deficiency citation issued at the time of the inspection.


facility_name: DELILU ACHIEVEMENT HOME

raw_content:
Investigation Findings:
13This amended report supersedes report dated 04/12/2020. On April 12, 2021, Licensing Program Analyst (LPA) Charmetha White contacted the above location via telephone for the purpose of delivering findings on the above allegation. LPA spoke to Program Supervisor, Jameka Johnson and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Interviews and records did not produce corroborating evidence to support the allegation. Staff denied the allegation and stated they do not use profanity when speaking to clients and that they do not have the ability to control how long hospitals place clients on holds. Staff #4 stated she built a good rapport with Client #1 and said she uses crisis communication when speaking to clients in order to prevent situations from escalating. Additionally, Client #1 stated Staff #4 has never been mean to her, has never cursed at her, and said Staff #4 is her favorite person at the facility. Based on information obtained the allegation regarding Personal Rights is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview completed and copy of this report was emailed to Program Supervisor, Jameka Johnson for signature. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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

met_with: Program Supervisor - Jameka Johnson


raw_content:
Investigation Findings:
13On 09/21/2021, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of concluding the investigation and to deliver findings on the above allegations. LPA spoke with the Facility Manager, Carlos Davis. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Interviews and records did not produce corroborating evidence to support the allegations. Staff denied all allegations. Staff stated none of the staff have falsified documents. Staff said the facility does not have a rat infestation and that the facility is serviced regularly by a Pest Control company. Staff stated unsafe food has never been served to any child and none of the staff have reported to work under the influence of any kind. Client interviews said they have not seen staff come to work under the influence and that staff are serving food per the menu. Clients revealed that rats have been seen outside by the back shed, but not inside the facility. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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 2

met_with: Facility Manager - Carlos Davis


raw_content:
Investigation Findings:
13During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Staff denied the allegation and stated Child #1 awoled 07/15/2020 and Child #1's bed was closed 07/23/2020. Staff stated awol procedures were followed, a missing person report was filed with law enforcement, and the child's social worker was notified. LPA was unable to obtain a statement from Child #1 as the child's whereabouts are unknown. Based on information obtained statements and records did not produce corroborating evidence to support the allegation, facility staff did not adequately supervise minor in care. Therefore, the allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. This facility forfeited its license as of November 8, 2021 and is no longer in operation. There are no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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


raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties. Staff stated a client's parent was called by staff to come to the facility, when the parent arrived the parent hit a bathroom door with a hammer while clients were inside the bathroom. Client interviews revealed a client's parent came to the facility and was banging and kicking on the bathroom door while they were inside. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5. Facility cited for violation of California Code of Regulations, Title Division 6, regulation SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DELILU ACHIEVEMENT HOMEFACILITY NUMBER: 198203559

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


raw_content:
Investigation Findings:
13During the course of this investigation, LPA interviewed pertinent parties. Interviews did not produce corroborating evidence to support the allegation. Staff denied the allegation and stated they did not end the client's placement. Based on the information obtained, this investigation, it is being closed as Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove violations occurred. This facility forfeited its license as of November 8, 2021 and is no longer in operation. There are no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2021 at 2: PM, Licensing Program Analyst (LPA) Charmetha White arrived at the facility for the purpose of conducting an Annual/Required Inspection Visit. LPA met with Facility Manager, Keta Davis who granted access to the facility and a tour of the facility was conducted at 2: PM. Currently residing in the facility are 7 clients. The facility is licensed to care for 8 female clients. The census this day is seven. This two-story home located in a residential area and the home is set up as follows: 5 bedrooms, 3 bathrooms, a staff office, living room, dining room, kitchen, laundry area, a therapy room, and a backyard. All bedrooms are located on the second floor, bedrooms #1, #2, #3 are furnished with two twin beds, bedrooms #4 and #5 are furnished with one twin bed. Bedroom # LPA observed both beds to have sagging mattresses. Bedroom # LPA observed one bed to have a sagging mattress, and the screen on the window to be full of dirt. Bedroom # LPA observed one bed to have a sagging mattress. Bathrooms: LPA tested the hot water in all bathrooms and found the temperature to be between 105-120 degrees (F). The bathroom faucet located in bedroom #1 was broken. Living room: LPA observed the furniture to be removed and the room to be under construction as facility floor is being replaced. Dining room: is equipped with a wood table and chairs. At the time of this inspection LPA observed the living room furniture to be placed in dining room along with a sofa that had paint thrown on it. Kitchen: was observed to be clean and was equipped with a 4-burner gas stove, a refrigerator/freezer, dishwasher, and a microwave. The kitchen trash can was covered with a lid. The facility was observed to have a two-day supply of perishable foods and a one week supply of non-perishable food and appear to be following the posted menu. Report continued on LIC 809-C. Staffing office: LPA observed the files to be removed and the room to be under construction as facility floor is being replaced. LPA observed all sharp knives and prescribed medications to be placed in a locked file cabinet located in a locked hall closet and made inaccessible to clients in care. The first aid kit was checked and found to be complete. Smoke detectors and carbon monoxide detectors were tested were in appropriate working order. The facility has regulation fire extinguishers. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. All required forms are posted. At time of this inspection this facility does not have a permanent Administrator. This facility employs Facility Managers, Case Managers, and 13 direct care staff. LPA discussed the following with the Facility Manager: Incident reporting, including incidents related to Law Enforcement contacts as well as incidents involving Emergency Intervention. Personnel files were not reviewed as files are maintained off-site. A review of client records was also completed on this date. LPA will return to cited deficiencies observed during this inspection. A copy of this report was left with the Facility Manager.

visit_type: Annual

met_with: Facility Manager - Keta Davis


summary: Facility Evaluation

raw_content:
Narrative:
On 08/18/2021 at 3: PM, Licensing Program Analyst (LPA) Charmetha White conducted a Plan Of Correction (POC) Inspection at the above location to ensure deficiencies initially cited on 07/02/201 have been corrected. LPA met with Facility Manager, Keta Davis and was granted access into the facility. During the inspection LPA observed the following: The mattresses in bedroom #1, bedroom #2, and bedroom #3 have been replaced with new mattresses. The faucet in the bathroom attached to bedroom #1 has been repaired and found to be in working condition. Additionally, the Licensee provided LPA with a written detailed policy addressing the NSP development process, that included proper authorized signatures and tracking processes to ensure timely completion and adherence to ILS regulations. Deficiencies, initially cited on 07/02/2021 have been cleared. An exit interview was conducted and a copy of this report was issued to the facility.


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On July 2, 2021 at 4: PM, Licensing Program Analyst (LPA), Charmetha White conducted an unannounced visit for the purpose of conducting a Case Management - Deficiencies Inspection for the deficiencies that were observed during the Annual/Required Inspection, 06/29/2021. LPA met with the Facility Manager, Keta Davis who granted access to the facility. During the inspection, LPA conducted a walk through of the home and observed: The mattresses in bedroom #1, bedroom #2, and bedroom #3 were sagging and needed to be replaced. The window screen in bedroom #2 was dirty. The bathroom faucet located in bedroom #1 was broken. LPA reviewed all seven client files and found client records did not have timely nor complete Needs and Services Plans. Deficiencies were cited. (See LIC 809-D) Exit interview was conducted, appeal rights explained, and a copy of this report was left with the Facility Manager.

Deficiencies:
80088(b): All window screens shall be in good repair and be free of insects, dirt and other debris.
80088: All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition.

visit_type: Case Management

title:
1
2
3
4
5
6
780088 (b) Furniture, Fixtures, Equipment, and Supplies

title: (e)(3) Furniture, Fixtures, Equipment, and Supplies


facility_name: DELILU ACHIEVEMENT HOME #2

raw_content:
Investigation Findings:
13On 09/02/2021, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of concluding the investigation and to deliver findings on the above allegations. LPA spoke with the Facility Manager, Stefani Lipsey and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Interviews and records did not produce corroborating evidence to support the allegations. Staff denied the allegations and stated no one is falsifying any documents. Staff stated none of the staff are on drugs and they have never witnessed any staff reporting to work under the influence of alcohol. Staff stated the staff do not yell at or call the clients inappropriate names. Client interviews revealed that clients have not seen staff come to work under the influence and Client #1 denied being bullied by staff. In addition, documents obtained did not corroborate the allegations. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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 2

met_with: Facility Administrator - Stefani Lipsey


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

raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Staff stated they store client items in a lock closet per client request. Staff confirmed Client #1 flat irons were being stored in the locked closet, however staff denied having knowledge of what happened to the flat irons. Client #1 stated her flat irons went missing from a locked facility closet. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5. Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80026 (b) Safeguards for Cash Resources, Personal Property, and Valuables of Residents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DELILU ACHIEVEMENT HOME #2FACILITY NUMBER: 198209576

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

Deficiencies:
80026: If a client is accepted for or maintained in care, his/her cash resources, personal property, and valuables not handled by a person outside the facility who has been designated by the client or his/her1
2
3
4
5
6
7A POC was not issued as this facility is no longer in operation and has forfeited its license as of November 8, 2021.
8
9
10
11
12
13
14authorized representative shall be handled by the licensee or facility staff, and shall be safeguarded in accordance with the requirements specified in (c) through (n).


raw_content:
Investigation Findings:
13During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Interviews and records did not produce corroborating evidence to support the allegations. Staff denied the allegations and stated anytime something needed to be fixed maintenance was called and would come out to make the repairs. Staff stated all staff had received emergency intervention training. Staff stated DCFS came out and conducted a Needs and Service Training. Additionally, LPA conducted a walk through on 06/18/2021 and observed the facility to have monthly NSP's for January 2021 through April 2021. Based on the information obtained, this investigation, it is being closed as Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove violations occurred. This facility forfeited its license as of November 8, 2021 and is no longer in operation. There are no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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 2


summary: Facility Evaluation

raw_content:
Narrative:
On June 28, 2021 at 10: AM, Licensing Program Analyst (LPA) Charmetha White arrived at the facility for the purpose of conducting a Annual/Required Inspection Visit. LPA met with Administrator, Stefani Lipsey who granted access to the facility and a tour of the facility was conducted at 10: AM. Currently residing in the facility are four (4) clients. The facility is licensed to care for 6 female clients, ages 12 -17 years, ambulatory only. The census this day is four. The facility is a single story home located in a residential neighborhood and it is set up as follows: 4 bedrooms, 3 bathrooms, a living room, a dining room, kitchen, staff office, a laundry area, therapy office, and a detached garage. Bedroom #1, #2, and #3 are equipped with two (2) twin beds, 2 dressers, and an exit window. Bedroom #4 is being utilized as the staffing office and it is equipped with a desk, a chair, and a cabinet. All bedrooms were observed to have adequate closet space. Each room was observed to have appropriate clean linens. Bathrooms: were checked and found to be in working order. The hot water was tested, and the temperature was found to be between 105-120 degrees (F). Both the living room and dining room furniture was in good repair. The kitchen was observed to be clean and was equipped with a working 6-burner gas range/oven, a refrigerator/freezer, and a microwave. The kitchen trash can was covered with a lid. The facility was observed to have a two-day supply of perishable foods and a one-week supply of non-perishable food and appear to be following the posted menu. All sharp knives are kept locked in a cabinet located in the laundry area and made inaccessible to clients in care. All prescribed medications are centrally stored in a locked box located in a locked closet along the hallway which is made only accessible to employees. Report continued on LIC809C. LPA observed a hard-wired fire alarm system, along with a pull alarm system. Carbon monoxide detector was tested and was in appropriate working order. The facility has regulation fire extinguishers readily available and fully charged. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. There is no pool or bodies of water on the premises. There are no weapons or guns on the premises. LPA observed the detached garage to be used for conference room. All required forms are posted. The Administrator is present at the facility a minimum of 20 hours a week, as verified by the staff schedule. Appropriate staff/client ratios were verified during this inspection. The facility employs Facility Manager, Case Manager, and 9 direct care staff. LPA discussed the following with the Administrator: Incident reporting, including incidents related to Law Enforcement contacts as well as incidents involving Emergency Intervention. Personnel files were not reviewed as files are maintained off-site. Client records were reviewed and found to be missing timely Needs and Services Plans. Based on today's inspection one deficiency was cited per California code of regulations Title 22 division 6. A copy of this report was left with the Facility Administrator.

met_with: Administrator, Stefani Lipsey


facility_name: DELILU ACHIEVEMENT HOME #3

raw_content:
Investigation Findings:
13On July 29, 2021 at 1: PM, Licensing Program Analyst (LPA), Charmetha White arrived at the above location for the purpose of delivering findings on the above allegation. LPA met with Facility Manager, Tawana Newbell and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties, reviewed records, and obtained relevant documents. Staff stated Client #1 was issued her money while she was still in placement. Staff admitted Client #1's clothing was not stored properly. Staff admitted Client #1's Social Security card had been misplaced and was located then given to Client #1's Social Worker. LPA was unable to obtain a statement from Client #1. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5. Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80026 (b) Safeguards for Cash Resources, Personal Property, and Valuables of Residents. Exit interview was conducted, Appeal Rights were issued and a copy of this report was left at the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DELILU ACHIEVEMENT HOME #3FACILITY NUMBER: 198208930

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

Deficiencies:
80026: If a client is accepted for or maintained in care, his/her cash resources, personal property, and valuables not handled by a person outside the facility who has been designated by the client or his/her authorized representative shall be handled by the 1
2
3
4
5
6
7Facility staff will maintain accurate records of client's case resources, personal property, and valuables. A written accounting ledger with columns for income, disbursements, and balances and a space for client's signature will be drafted. Cash given to clients from their account will require client's signature. Receipts for purchases shall be obtained and placed
8
9
10
11
12
13
14licensee or facility staff, and shall be safeguarded in accordance with the requirements specified in (c) through (n).

met_with: Facility Manager - Tawana Newbell


raw_content:
Investigation Findings:
13This facility is closed. Associate Governmental Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org . Associate Governmental Program Analyst (AGPA) Tonya Barnes-Woodard and Licensing Program Analyst Charmetha White conducted the investigation into the above allegation. AGPA queried fingerprint associations in Guardian to located staff to conduct interviews as well as conducted a query of CWS/CMS to locate children who were placed in the home. Based on confidential interviews obtained during the investigation process, the allegation could not be corroborated. Although the allegations may have happened or are valid, there was not a preponderance of the evidence to prove that the alleged violation occurred., therefore the Medication allegation was unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Tonya Barnes-Woodard 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: Facility Representative


raw_content:
Investigation Findings:
13This facility is closed. Associate Governmental Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org . Associate Governmental Program Analyst (AGPA) Tonya Barnes-Woodard and Licensing Program Analyst Charmetha White conducted the investigation into the above allegation. AGPA queried fingerprint associations in Guardian to locate staff, as well as obtained staff phone numbers through interviews conducted, and queried CWS/CMS to locate children who were placed in the home during the time of the allegation. Based on confidential interviews obtained during the investigation process, the allegation could not be corroborated. Although the allegations may have happened or are valid, there was not a preponderance of the evidence to prove that the alleged violation occurred., therefore the Personal Rights allegation was unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Tonya Barnes-Woodard 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:


raw_content:
Investigation Findings:
13On 05/03/2022, Licensing Program Analyst (LPA) Bernice Karnsrithong had completed the above complaint investigation. During the investigation of the allegations that staff does not adequately supervise group home children and that the facility does not provide a safe environment for group home child, LPA Karnsrithong had conducted confidential interviews. Statements did not produce corroborating evidence to support that staff does not adequately supervise children while in care and that the facility did not provide a safe environment for clients. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. This facility is no longer in operations and has forfeited its licensed as of November 08, There are no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong 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


raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Based on confidential interviews and records obtained during the investigation process, the allegations could not be corroborated. Although the allegations may have happened or are valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations staff falsified facility records, facility has rat infestation, staff served residents unsafe food, staff under the influence are not able to provide proper care for children, and facility staff allow minors to smoke on premises were unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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 2

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


raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Based on confidential interviews and records obtained during the investigation process, the allegations could not be corroborated. Although the allegation may have happened or is valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation facility operating out of ratio is unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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:


raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Based on confidential interviews and records obtained during the investigation process, the allegations could not be corroborated. Although the allegation may have happened or is valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation facility night shift staff sleep while on duty at their shift unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White 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: