summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2023, Community Care Licensing met with several Riverside County agencies, via Microsoft Teams, to discuss the review of the Riverside County Transitional Shelter Plan of Operations and Program Statement edits and revisions submitted to Community Care Licensing on April 26, 2022. Children's Residential Program Licensing Program Manager, Natasha Dunlap, Licensing Program Analyst (LPA) Darlene Oseguera, Larry Fluharty, California Foster Care Ombudsperson, Systems of Care Analyst, Gina Jones, Provider Policy Implementation Unit Manager, Alicia Bernstein, met with Deputy Director, Dana Young, Administrator, Heidi Lombardi, Administrator Analyst Ross Jenell and Administrative Service Manager, Nicole Ford. During the meeting the following was discussed: revisions to Application and Supporting Documents, Plan of Operation, Program Statement, Core Services and Supports and possible name change. The opportunity for questions about the revisions was provided to facility representatives with a summarized review of revisions. The 2nd revised plan of operation and program statement, and any application and supportive documentation will be due on August 30, 2023 (per facility request). The following is a summary of the review of the revisions to the Plan of Operation/ Program Statement completed by LPA Darlene Almaraz-Oseguera, Systems of Care (SOC) Policy Analyst Gina Jones, and California Foster Care Ombudsperson, Larry Fluharty. CCL Review: Pink (CCL's 2nd review) SOC Review: Orange (Policy's 1st review) Foster Care Ombudsman: Blue (Ombudsman 1st review) Part I Program Identification Continued on page Part II Program Population, Services and Capabilities Pg 8 - Program Specializes This section says you take ages 0-17- so all sections of the Operating Standards, Chapter 12, Version 1, February 2023, that apply to children under six should be included in the application. Children with developmental disabilities should be checked in this section as the program statement says the facility takes children with developmental disabilities. In this section under "other" please add parenting minors as you indicate you want to be licensed for this population in your program statement and will need to include those sections of the Operating standards that apply. Pg 11- structured supervision- Ratio of regular staff is 1:4 except from 10pm - 7 am its 1:6. Per section 86665.5- Here and in the plan of operation page 30 special services/programs offered, Section 5, please add for children ages 0-6 ratio will be 1:3. Please add to your program statement, For children ages 0-2 direct supervision is always required. Given the specialized population you may be serving please add to Pg 30- Special Services Programs offered - Section 5, Per section 86665.6 - The licensee shall ensure that staff providing specialized in-home health care are responsible for the provision of care and supervision to no more than three children. Please see 2. Program specializes section- the application indicates that Mental health treatment by riverside county is for crisis intervention only- please clarify what this means in section 5 special services / programs offered pg. 30-31. Wont all youth be receiving mental health treatment for trauma? Given that all youth who are removed from their family's experience trauma and need trauma informed mental health treatment. You also indicate you anticipate crisis intervention will be provided to 50% of the youth you care for- what will you do if 100% need crisis intervention. How will you respond? Continued on page Part III Program Narrative A. PROGRAM DESCRIPTION Section 3. PROGRAM DESCRIPTION, PURPOSE, METHODS GOALS · Last paragraph on (page 36) states youth's average length of stay to be less than 72 hours, we recognize that securing a more permanent placement sometimes requires additional time to identify an appropriate, supportive placement for the youth. As such, in accordance with Health & Safety Code 1502.3, the WC may provide short-term care for youth up to 90 days from the date of admission. Pg 25 under goals- To be clearer add trauma informed services and supports/ therapeutic interventions to minimize trauma and stabilize youth Pg 25 - In methods it says that information obtained from screening and assessment will be quickly communicated to social workers to help inform placement decisions. This should include both" trauma informed services and inform placement decisions" O.S. 86678. SEE BLUE HIGHLIGHTS TO ADD TO PAGE pg. 25- population to be served. You are requesting to be licensed for ages 0-17, including those under six. Parenting minors are also discussed later in application. Please include serving parenting minors and youth with developmental disabilities in this section as well. Please add exclusion information to this section as well. Found in Section 8 - intake section pg. 36. You state you are not accepting youth that are under the jurisdiction of riverside county probation as the lead agency. And you do not accept medically fragile youth. Page 27 # How will this be accomplished in a way that complies with § 16009.1 (a)(10) Section 4. PLANNED ACTIVITIES/USE OF COMMUNITY RESOURCES How will you select staff to ensure that the facility applies the reasonable and prudent parent standard to ensure age and developmentally appropriate activities 86679? What if a child is not taking a prescribed psychotropic medication how will you determine they are able to safely participate in activities? 86672.1 (e) Wic 362. Do you have an employee whose primary responsibility are planned activities- they should also be listed in the lic 500 what are their qualifications? Page Educational Activities- Youth must attend school of origin, unless that is not feasible and should attend regular Page 29 (Calendar date July 18, 2022) - not sure that creates the best dynamics Section 5. PERSONAL SERVICES/PROGRAMS OFFERED Please spell out acronym LE Pg 32 it says maintenance of consistent child supervision ratios per ILS standards. It should say operating standards. What culturally relevant trauma informed services will youth have access to, depending on the outcome of the screening and assessments? H& S Code 1522.45; 86678. How will facility ensure after assessments, services are received timely? Including to a mental health provider? How do your Trauma informed Interventions and services demonstrate the following? (H& S code 1522.45), (A) Recognition and understanding of the trauma that children have experienced and how trauma impacts children. Including young children- initial placement, older children- initial placement, youth leaving placement without permission, substance use disorder, exploitation and or trafficking. (F) a child's need to feel safe, be respected, informed, connected and hopeful regarding their own experience with trauma 86678 (H) How will you seek to build circles of support for children to strengthen organic, lifelong relationships? What supports for both children and their family are provided in identifying and accessing services and support needed to heal from trauma, reduce the risk of traumatizing and foster wellbeing and resiliency. This may include: · Healing practices. · Engagement with family and loved ones. · Maintaining connections to important people in the child's life Disaster response Where is this section coming from? 87065.1 is not in operating standards. Do you have relocation sites and safe temporary accommodations for clients as well as transportation arrangements? Pg 31 86623(d) How often are disaster drills? they should be every six months. Disaster response is 86623 in operating standards not 87065.1. when you say regional manager is contacted do you mean CCLD regional manager? Page Runaway Response- I suggest reviewing ACIN I-19-14 although it is specific to CSEC, youth it is informs practice for all youth Page Notification of Emergency Situations- I would include parents and for youth with tribal connections tribes as well Sec MEDICAL/DENTAL · Please describe where will the medication be stored? Please ensure this section covers the following details of screenings and assessments ☐Who receives these screenings? (all children?) ☐Why are screenings done? ☐What is the time frame for screening? (24 hours after acceptance) ☐Who performs the medical and mental health screenings, what are their qualifications and? ☐how are the screenings documented? ☐Who receives the assessments? ☐Why are assessments done? (what are the criteria for having an assessment) ☐What is the time frame for assessments? ☐Who performs the medical and mental health assessments? ☐how are assessments documented? ☐Are assessments only done at intake or throughout stay? ☐How are the screening and assessment procedures modified to meet the needs of youth with special health care needs? 86610.1 ☐How will you ensure screening and assessments are trauma informed? ☐Identify staff positions responsible for dispensing and destroying medications ☐What do you do when clients refuse medications? 86672.1 (e) What are the rights of the clients to refuse medications? How do you document this? 86670(h)(13)(G) ☐How will the facility ensure the health and safety of children during their entire stay at the facility, including a plan to ensure appropriate levels of care and supervision is provided as determined by the screenings and assessments OS 86622 ☐If separation from others is required how will the separation room be used in a trauma informed way for medical or mental health purposes? What will a separation room not be used for? 86675 (c) ☐What do you do when clients refuse medications? 86672.1 (e) What are the rights of the clients to refuse medications? How do you document this? 86670(h)(13)(G) ☒How will the facility ensure the health and safety of children during their entire stay at the facility, including a plan to ensure appropriate levels of care and supervision is provided as determined by the screenings and assessments OS 86622 ☐If separation from others is required how will the separation room be used in a trauma informed way for medical or mental health purposes? What will a separation room not be used for? 86675 (c) Section TRANSPORTATION ☐Describe arrangements for transporting children, including to and from health-related services, school, and extracurricular, enrichment, and social activities. ☐How will facility ensure that there is not a lapse in care or services for youth who experience stays in shelters, HSC 1501, ☐How will you ensure that the transportation provided safeguards and health and safety of a child and shall not violate the personal rights of a child including the right to have equal access to all available services and not be subjected to discrimination based on actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, sex, sexual orientation, gender identity and expression or mental or physical disability or HIV status? HSC 1501, A. ADMISSION/ASSESSMENT/DISCHARGE POLICIES AND PROCEDURES Section 8. ADMISSION/INTAKE Pg 48. In intake section Is case carrying worker the same as case carrying social worker. We want to know the qualifications of person doing screening and assessments- is it a licensed professional? Please be clearer here. Are the screening and assessment tasks clearly indicated on duty statements? OS section 86668.1 says the person doing screening and assessment must be a licensed professional Same for emergency placement who does the pre-screening is it also the social worker or other licensed professional? what is the time frame to screening? OS 86668.1 says no later than 24 hours. What's the time frame from screening to assessments? What's the time frame from assessments to services? ☐ How will you ensure all screening and assessments, including QI assessments and services needed and provided at the shelter, will be documented in the child's file? ☐ How will you ensure that information is entered timely, accurately and is complete? ☐ How will you work with the county to ensure accurate and timely data entry and documentation in CWS/CMS? Pg 49 services to Youth 0-17 you site STRTP interim licensing standards 87072 please use Operating standards for this TrSCF. Does the intake and admission process include a child's advance directive regarding early triggers, de-escalation, or the use and non-use of seclusion or behavioral restraints What information shall the facility request and use to determine the compatibility for the shelter placement for that individual youth and determining commonality of need? It may include the following: · Why was each child removed from prior living arrangements and what are the services needed to transition to next placement? · The services that were provided to prevent removal of the youth from their previous living arrangement or placement. · The reasonable efforts that were made by the county to place the youth with a relative, tribal member, nonrelative extended family member, in a licensed certified, approved or tribally approved foster home, resource family, or a short-term residential therapeutic program (STRTP). · Information from the authorized representative about why the youth was moved from their prior living arrangement or placement, if known, to inform what services the youth need at the shelter. · For youth already in foster care, providing the date and action item/summary of the last child and family team (CFT) meeting, what services were offered, or have not yet been offered, and why. ☒ is there commonality of need considerations for youth assessed as requiring STRTP level care? ☐what are the timeframe for responding to referring agencies regarding acceptance or rejection of referral ☐Describe the process for engaging and collaborating with child and family teams, interagency leadership team, and other local team members with intake. ☐Describe how the TrSCF will support the county placing agencys efforts to secure an immediate STRTP placement for a child assessed as meeting the applicable criteria for placement in an STRTP ☐Will there be an admission form completed and signed before admission 86668. Page The Intake Staff shall complete the following intake steps #2 (d) - Youth must consent this inventory as it amounts to a search. Page Personal Rights of Children Served- Although the LIC 613B is a required form and must be signed by the youth. It is not a substitute for providing the youth copies of the material created by the OFCO. Page Services to Youth 0-17- The regs are in the process of update but do to reflect current law in §16001.9. Suggest reference to the statute. The LIC 613B is recommended. Section 9. CLIENT PLANS (NEEDS AND SERVICES PLANS) /ASSESSMENTS ☐Although not required, how will the case plan or needs and services plan be used and updated ☐ How will the facility ensure screening and assessments are documented? ☐How will the facility ensure services provided meet the treatment needs of the child as assessed? ☐ How will the facility ensure consistency with the case plan/TILP as developed by the county placing agency and recommendations by the child and family team. ☐ Please explain Care plans for children that meet criteria for STRTP placement ☐ Please explain how the licensee will consider the child's medical and mental health screening and assessments and observe and evaluate the behaviors and social interaction and other important characteristics for the purpose of informing the child case worker about the child to facilitate appropriate and timely placement into an approved or licensed home or facility 86668. Section 10. DISCHARGE/REMOVAL Describe the shelter's procedures and resources utilized for working with counties to ensure case worker is actively developing placement options that meet the individual needs of children/NMDs/ including those needing STRTP level of care. Describe how Discharge/Removal or Transfers are trauma informed in accordance with 86678. Describe once placement is identified, how are children placed in a timely manner For children under six years old, Please describe procedures to introduce the child to the family or staff associated with the next placement and allow a TrSCF staff trusted by the child to accompany the child on a visit to the next placement For children under six, How will the staff be transporting the youth to the new placement, while still using trauma informed practices? What are your policies and procedures for working with counties and your local team including regional centers, schools, mental and behavioral health, and families to identify appropriate placement, transition, and aftercare services? Are family finding and engagement supports consistent with the recommended practices of the Active Supportive Intervention Services for Transition program (ASIST). For more information visit the ASIST/Specialized Permanency website How will policies and procedures be trauma informed in accordance with Section 86678.2 and shall be designed to maximize the physical and psychological safety for the child and reduce the risk of re-traumatization. 86668. Describe your procedure to maintain an intake and exit log for each child with date, time child is admitted and exits from placement and location and type of placement made Per OS 86668.4(f) Section 11. VISITATION RULES AND POLICY 86672 (8) PERSONAL RIGHTS says youth are to have visitors visit privately during waking hours without prior notice with siblings, family, relatives. They are only prohibited by a court order. On page 51 visitation Rules- section 11 it states visitation with youth will only be allowed per court order. And no visitation will occur at the facility. This would violate personal rights and needs to be corrected. You will need to have adequate indoor space for visitation subject to section 86672© Please explain your Statement of the facility's policy concerning family visits and other communications with the client pursuant to H & S Code Section Will the child have a prior meeting with the new placement or visit before being transferred? When, where and under what circumstances children or nonminor dependents can be visited by family members, friends, and others. Children are to have visits with siblings, family members and relatives privately, unless prohibited by court order and to ask the court for visitation with siblings 86672 (8) PERSONAL RIGHTS please explain how will you provide for this? Page 40 - This is a violation of Foster Youth Rights. Youths should be permitted to visit with people important to them, unless prohibited by court order. Section 12. HOUSE RULES/ PERSONAL RIGHTS Please Describe policies and procedures that demonstrate compliance with personal rights, WIC 16001.9 and H& S Code 1530.91 and provide: ☐each child and their authorized rep with their rights at admission, ☐ the child their rights at the request of a child and ☐each time a new right is added. ☐ provide the child an age or developmentally appropriate orientation ☐ provide the child a written copy ☐ provide the child and authorized representative contact information regarding entities to contact regarding violations of rights ☐Please explain where the foster child's rights are posted in the facility. Wic 16001.9(a) ☐Please explain how will you ensure an age or developmentally appropriate orientation that includes an explanation of the rights and address the child's questions and concerns? ☐Describes steps to ensure the safety and personal rights of children with varying level of needs (i.e., those entering shelter care after a placement disruption, those needing a STRTP level of care, or youth with a developmental disability). Page Unsupervised time in the community- This is a violation of youth rights. C. GENERAL POLICIES AFFECTING CHILDREN PLACED Section 13. DISCIPLINE POLICIES ☐ Please explain how staff, children, and authorized representatives shall receive copies of discipline policies and procedures. Signed copies are maintained in child's files. The description must include how the types of discipline are trauma informed. Health and Safety Codes (HSC) Section 1501, 1531, ☒Please provide a description of positive discipline policies and procedures describing type(s) of discipline permitted and rationale, conditions under which each type of discipline will be used, ☐Please provide a description of how trauma-informed practices are embedded in the provider's discipline procedures, as well as how discipline policies account for the nature of youths' trauma (including specialized populations). Health and safety Code, Section 1522. What is your e stablished procedures to periodically check-in with children/NMDs to remind them of their personal rights? Please state that any form of discipline that violates a child's personal rights as specified in section 86672 shall be prohibited 86672. Please clarify that calling or threatening to call law enforcement is prohibited as a form of discipline 86672. Children under six 86872.1 ☐For children under six please describe discipline practices use and not used for children under six that will be consistent among caregivers including redirection, focus on the rule to learn, providing acceptable alternatives, providing time away from the situation, arrange environments to allow safe testing of limits. For children under six, Please clarify how discipline shall not include confinement to cribs, highchairs, playpens or other similar furniture or equipment Page 41 threats to call law enforcement Page Last Resort Emergency Physical Control Techniques- On-site law enforcement is not trauma informed and violates FYR, more information is needed about this Section 14. EMERGENCY INTERVENTION PLAN Pg 42. Although you have begun to develop your EIP and have provided a list of early interventions and expected outcomes, and have stated you are not using manual restraints, Please explain the process more for accessing the Special investigations unit and peace officers to assist. How are they trained and what interventions will they use? Please review and include these sections from the OS that are applicable and missing from your emergency intervention plan 86700, 86700.1, 86722, 86722.1. If you will not have a protective separation room, please state that. ☐What are the documentation and reporting requirements you will implement with crisis intervention plan, and maintained in the child's record as required in 86761? Including a monthly log of interventions. ☐ Please provide a statement specifying what emergency interventions will never be used. ☐Please provide a description of the circumstances and types of behaviors that may require use of emergency intervention. ☐what are the procedures for reintegrating the child back into the facility routine after an emergency intervention technique? ☐what are the external community resources to be used to assist facility personnel must be identified and listed in the plan? ☐what are the facility's policies and procedures concerning when and how to involve law enforcement in response to an incident involving a child residing in the facility must be included in the plan? Please clarify if your emergency intervention plan is designed and approved in conjunction with the licensee, by an individual with the qualifications of a behavior management consultant as defined in section 86601(b)(3) ☐Please explain that the written emergency intervention plan will be submitted to and approved by the Department prior to implementation. The plan must include the requirements specified in Sections 86722(d) through (h). Section 15. RUNAWAY PLAN · (page 57) WC staff conduct an age-appropriate search and property log update of a youth who was out of adult supervision prior to return. · Please add in this section (section 86661) that CCL will be notified (See additional notes) Page AWOL, It would be great to move away from this term which is pervasive and not well suited for foster youth based on its origins in the military. I prefer "leaving without permission" Not a problem to be solved in this PS Page Procedure- I suggest review of ACIN I-19- How is the plan provided and discussed with each child and their authorized representative at the time of admission? Please spell out acronym LE If the child has a history of running away from placement how is this handled? ☐please explain do social work personnel and authorized rep develop an individualized plan for child ☐ Is the individualized plan is maintained in child's record? ☐ Please clarify if the licensee is prohibited from preventing a child from leaving the facility by locking the child in a room or any part of the facility. Section 16. CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES Pg Section 87072.2 is not in operating standards. The section is 86672.2 please change ☐ Please explain where grievance procedures will be posted as well as the ombudsman and CCLD contact information Page 48- Youth may also call the Ombudsperson's office Section HANDLING OF YOUTH'S FUNDS, ALLOWANCES & SALARIES Page 48 1st paragraph- This is a violation of Foster Youth Rights. Youth have the right to have their own property as well as to have it safely stored. Section NUTRITION/SAMPLE MENU Page Provisions for Special Diet Needs- Disagree with characterization as "special diet" Youth have the right to be provided food consistent with their dietary, cultural and religious needs. This is not special treatment. It is basic meeting individual needs of each youth. A. STAFFING/ADMINISTRATIVE ORGANIZATION Section 21. STAFF SCHEDULE (LIC 500) Section 22. STAFF QUALIFICATIONS Please use the operating standards to develop this section and provide information on ☐People who supervise must be At least 21 years of age ☐Persons including volunteers who provide care and supervision except for volunteer youth or peer mentors must be at least 18 years old ☐All employees and volunteers must have criminal record review. ☐Qualified mental retardation professional 86665(t) monthly consultation if one youth with diagnosis is at facility It is the policy that caregivers of children in foster care possess knowledge and skills relating to the reasonable and prudent parent standard WIC subdivision © of section 362. When regular staff members are absent, there shall be coverage by personnel capable of performing assigned tasks as evidenced by on-the-job performance. The licensee shall designate at least one facility manager to be always present at the facility when children are present. All job titles on lic 500 should have a duty statement and all duty statements should be on lic 500 with the same name so they match. is the regional manager the same as an administrator or is this different? we need to see they meet minimum education and experience requirements in the OS. Os require a licensed mental health professional to do initial screening and more in-depth assessments. Who is doing these are they a licensed professional? Missing duty statement for social supervisor I. the temporary community services representative is not found on the lic 500 nor the activity planner. Section 23. JOB DESCRIPTIONS Section 24. INSERVICE TRAINING FOR STAFF/ADMINISTRATOR Please identify the organizational strategies to enhance the well-being, retention, and resilience of staff. Please see OS section 86665 personnel requirements regarding training including the following Please state how many hours of job shadowing is required. 4 hours is required in OS Pg You state first aid is required for initial training but don't see the requirement for annual Please clarify how amendments to staff training plan shall be submitted to department within ten days following the occurrence. Please clarify that first aide/CPR training will be age appropriate from qualified agencies including American red cross, adult and pediatric. Please clarify that First aid and CPR is required in addition to the 24-hour initial training and 20 hours of annual training For the 24 hours required for Staff initial training, Please explain how the training will include the minimum required topics A - X as stated in the personnel requirements section 86665 (v)(3). Please explain the process for emergency intervention training orientation for new staff and ongoing training Please explain the procedures for evaluating staff. The OS state that Within 7 calendar days of completing 8 hours of training the administrator/or their designee shall assess if staff understand and can apply the training ☐ Please describe how staff training will Be designed to ensure: 1. Cultural competency and sensitivity; including but not limited to best practices for providing adequate care, services, and supports for children across diverse ethnic and racial background, as well as children identifying as lesbian, gay, bisexual, transgender, or nonbinary. ☐ Please describe your training on methods to behaviorally support children as appropriate for children impacted by trauma or child abuse and neglect; and ☐ please describe how your training includes best practices for addressing the permanence, well-being, and educational needs of children, including children with disabilities. ☐ How will staff training Include information about how to engage members of the child's family and community, including parents, siblings, caregivers, other relatives and nonrelated extended family members, and other supportive adults consistent with law and any applicable court orders. ☐86665(ee) How will your training plan include: administrator's, facility managers, social work and childcare staff hired after February 28,2023 must receive (4) hours of training on the specialized needs of children in transition before being responsible for supervising children or being counted in the staff to child ratio. ☐ Please clarify how you will ensure that staff responsible for planning activities much have six months experience in organizing and providing planned activities In section The OS state the annual training plan shall include for each subject please provide the following: Title, subject matter Learning objectives and activities Number of hours per training Qualifications of trainer Training evaluation Page Minimum Initial and Annual Training Hours- I think everyone staff members and youth to have more training before supervising youth without support Sec 25. ADMINISTRATION Sec 26. VOLUNTEERS- N/A Sec 27. CONTROL OF REAL PROPTERTY Sec 28. FACILITY SKETCH (LIC 999) Sec 29. BOARD OF DIRECTORS STATEMENT ADDITIONAL NOTES: Reporting Requirements and Continuous Quality Control ☐ Please explain how will the licensee work together to ensure the data is collected and provided to CDSS to understand the need and usage for shelters, reduce the length of stay youth experience in the TrSCF, clarify and eliminate the gaps in the continuum of care, and ultimately reduce the state's reliance on shelter-based care? What methods are in place to ensure continuous quality improvement to understand gaps in services and work with CDSS to reduce reliance on shelters? ☐Your reporting requirements section should contain the new requirements around reporting. Please add information on overstay and monthly reports to CDSS in section 86661 (s) (t) and (u). ☐Incident reports 86661 (p) - Please add to your reporting requirement section The licensee must report to CDSS and child's authorized representative of any incident that affects the health and safety "and personal rights" of any child in the facility no later than the next business day ☐ Please include in your reporting requirements section the procedures for seeking technical assistance from the System of Care (SOC) Branch as needed The System of Care and Reducing Reliance on Shelters Please create a summary timeline of how things occur at the facility from the first to last day of placement for the following areas: intake; screening and assessment; health, mental health, behavioral health, or other services as needed, CFT meeting, placement finding, and placement/discharge, reporting requirements. Please indicate how you will work with your local team to coordinate services in the timeline including schools, regional centers, BCBA and mental health providers and families. How will you build relationship among county entities that will support partnerships and strengthen communication to ensure services and timely placements including interagency placement committees, interagency leadership teams and other individual and system level activities to support you in meeting this timeline. Provide a description of how the facility will monitor and ensure the adequacy and quality of care, supervision, and services through a continuous quality improvement plan assessments, referrals, and services.

report_type: Facility Evaluation

visit_type: Annual

met_with: Heidi Lombardi


state: CA

facility_name: HARMONY HAVEN CHILDREN AND YOUTH CENTER

summary: Facility Evaluation

raw_content:
Narrative:
On November 09, 2023, Community Care Licensing met with several Riverside County agencies, via Microsoft Teams, to discuss the review of the Riverside County Transitional Shelter Plan of Operations and Program Statement edits and revisions submitted to Community Care Licensing on April 26, 2022. Children's Residential Program Regional Manager, LaCresha Cook, Licensing Program Manager, Natasha Dunlap, Licensing Program Analyst (LPA) Darlene Oseguera, Systems of Care Analyst, Gina Jones, Provider Policy Implementation Unit Manager, Alicia Bernstein, met with Deputy Director, Allison Donahoe, Administrator, Heidi Lombardi, Administrator Analyst Jenell Ross and Administrative Service Manager, Nicole Ford. During the meeting the following was discussed: revisions to Application and Supporting Documents, Plan of Operation, Program Statement, Core Services and Supports and possible name change. The opportunity for questions about the revisions was provided to facility representatives with a summarized review of revisions. The revised plan of operation and program statement, and any application and supportive documentation will be due on November 27, 2023 (per facility request). The following is a summary of the review of the revisions to the Plan of Operation/ Program Statement completed by LPA Darlene Almaraz-Oseguera, Systems of Care (SOC) Policy Analyst Gina Jones,Family Intake and Engagement Unit, Adele Carlson and California Foster Care Ombudsperson, Larry Fluharty. CCL Review: Pink SOC Review: Green Family Intake and Engagement Unit Orange: Foster Care Ombudsman: Blue Part I Program Identification Part II Program Population, Services and Capabilities Part III Program Narrative A. PROGRAM DESCRIPTION Sec 3. PROGRAM DESCRIPTION, PURPOSE, METHODS GOALS In this section you mention several times that you are designed to provide care and therapeutic services up to 90 days from date of admission and site the Health & Safety code 1502.3. We recommend instead that you be consistent throughout with the use of the wording in the Operating Standards for Transitional Shelter Care Facilities (TrSCFs), February 2023, section 86622 (l) Plan of operation which states "The plan of operation shall provide that no child may stay in the facility longer than 72 hours...". As all counties are working with their local system of care to reduce reliance on shelters, 72 hours is the goal of Transitional Shelter Care facilities. Pg 26. In this section, you briefly discuss services, please expand to include more about the type of therapeutic activities, counseling and services to families, transition services and wraparound, that are evidence based and trauma informed (Provide a summary of your services here as discussed in section 5 etc.). How will the facility support the differing needs of children and their families including LGBTQ+, those with developmental disabilities, CSEC youth, pregnant and parenting youth, those under six years of age, those needing STRTP level of care and those being removed from their home for the first time. The information provided needs more development. Sec 4. PLANNED ACTIVITIES/USE OF COMMUNITY RESOURCES Pg 27 you discuss how the facility will partner with the case carrying social worker to provide access to community resources. List all the community resources available in your area. In section Please explain what these agencies are and what are the services they will provide. For example, what kind of agency is Faith in Motion? the family resource center and what services will they and the community college provide? List them out. create more of a chart with types of service and contact information, and how will these resources be used to support the populations you are serving at your facility? What are your community resources for youth with developmental disabilities- name the regional center etc, LGBTQ+, Pregnant and parenting youth, CSEC, children under six and families etc.? The resource list should be more fully developed for your area. WIC 16001. Please clarify extracurricular activities that include but are not limited to access to computer technology and the internet, consistent with the child's age, maturity, developmental level, sexual orientation, and gender identity and expression. Visits and contact with siblings, family members, and relatives, social contacts with people outside ethe foster care system including teachers, coaches, religious or spiritual members, mentors and friends. Please clarify the activities suitable for under six. Pg 28- activities that meet needs identified in the youth's case plan. This should include not only case plan but individual program plan (for those youth receiving regional center services) p. Exclusion from Extracurricular Activities based on psychotropic meds. FYR violation and discrimination based on a disability. Sec 5. PERSONAL SERVICES/PROGRAMS OFFERED Disaster response Do mention relocation sites and safe temporary accommodations for clients, please provide more information about where are the relocation sites? 86623© please explain how the licensee shall instruct all clients, age and abilities permitting, in their duties and responsibilities under the disaster response plan. In your runaway response section you provide the ratio of staff to children so could label this information so its easier to find or also add it to your program description section. Please include as stated in 86665.5 © that if the children require special care and supervision because of age, behavior or other factors, the number of on duty child care staff shall be increased. What culturally relevant trauma informed services will youth have access to and how the facility will be culturally responsive? Please provide more information on What kind of cultural and religious groups will you connect youth to? For example you say individual and group activities "are culturally responsive" or "support culture, ethnicity and identities of the youth" , Please explain how. For example how will you ensure your facility is accepting of all youth? LGBTQ+, different race and ethnicities, those with disabilities etc. H& S Code 1522.45; 86678.2 how will you ensure fair and equal access to all services, placement, care and treatment and benefits. How will facility ensure after assessments, services are received timely? Including to a mental health provider? Please ensure what's discussed in section 5 regarding screenings and assessments aligns with section 6. Pg 31 under intervention and practices "screening and assessment", the third sentence says " after assessment, " within one week, referrals are made to mental health providers when necessary." Please clarify, given this is a three-day facility, please provide a more expedited time frame to meet the needs of the child while at the facility. Per 86668.1 screenings to identify the child's mental and medical needs shall happen within 24 hours. How will you meet the needs of the child as identified through screening and assessments with reasonable promptness and enable timely transitions from the facility. WIC 16001.9. Please note this time frame for mental health screenings is different in section 6 where you say 24 hours. Sec MEDICAL/DENTAL Please clarify how screening and assessments are used. Are screenings used to initially identify needs that may trigger a more thorough assessment? What is the criteria for a more thorough assessment? Given the differing level of needs, why would all youth need an assessment? How will you ensure screening and assessments are trauma informed? ☐How are the screening and assessment procedures modified to meet the needs of youth with special health care needs? 86610.1- don't see ☐How will you ensure screening and assessments are trauma informed? - don't see this Please explain how the facility will ensure the health and safety of children during their entire stay at the facility, including a plan to ensure appropriate levels of care and supervision is provided as determined by the screenings and assessments OS 86622 ☐If separation from others is required how will the separation room be used in a trauma informed way for medical or mental health purposes? What will a separation room not be used for? 86675 (c) Page 33 2nd to the last paragraph: In above section it states that staff will evaluate if they can go on outing recreational outing based on if they are refusing psychotropic medications. This statement seems to be a contradiction. p. Medication storage: appears to conflict with CCL guidance for youth who can administer their own medication Sec TRANSPORTATION You state "communication is is maintained with the region "Please explain what you mean by "the region" You state that "while youth are staying at the facility staff will ensure there isn't a lapse in care services. " and "the decision for staff to transport a youth is dependent on both the availability of a vehicle and if staff are available, otherwise, the social worker is responsible for transporting the youth." In those situations where the social worker is responsible for transporting the youth how will the facility ensure this happens so there isn't a lapse in care services? A. ADMISSION/ASSESSMENT/DISCHARGE POLICIES AND PROCEDURES Sec 8. ADMISSION/INTAKE Pg 37 in the section titled "Prior to youth arrival" what does 7) mean WC does not utilize an admission form. This statement is confusing is this different than an admission agreement? consider deleting unless you think its necessary and explain what an admission form is. OS section 86668.1 says medical and mental health screening shall be performed by a licensed physician or designee, who is also a licensed professional. You state that social service supervisors I/II are not licensed professionals. Please explain how social service supervisors I/II will meet the OS requirements? If a screening indicates a more thorough assessment is needed. What's the time frame from screening and assessments to services? 86668.1 (a)(3) states that ongoing supportive services identified during the pre-admission screenings shall be provided as needed by the child during their placement in the facility. At intake you mention creating a child's file. How will you ensure all screening and assessments, including QI assessments and services needed and provided at the shelter, will be documented in the child's file? How will you ensure that information is entered timely, accurately and is complete in the child's file? Pg 39 please spell out acronym IRC Does the intake and admission process include a child's advance directive regarding early triggers, de-escalation, or the use and non-use of seclusion or behavioral restraints- don't see this What information shall the facility request and use to determine the compatibility for the shelter placement for that individual youth and determining commonality of need? Don't see this - Please explain commonality of need considerations for youth assessed as requiring STRTP level care. How will you ensure the safety of all children with differing level of needs? - don't see this what are the timeframe for responding to referring agencies regarding acceptance or rejection of referral - dont see this Please explain how the "weekly think together Thursday meetings", are described more -in your reporting requirements and continuous quality control section. and briefly describe here how these meetings will support the county placing agencys efforts to secure an immediate STRTP placement for a child assessed as meeting the applicable criteria for placement in an STRTP. Will there be a list of STRTPs that the county will have a relationship with for example? Sec 9. CLIENT PLANS (NEEDS AND SERVICES PLANS) /ASSESSMENTS Although you are not using a needs and services plan, how will the case plan be used and updated? Will this also be kept in the client folder? How will the facility ensure screening and assessments are documented? How will the facility ensure services provided meet the treatment needs of the child as assessed? How will the facility ensure consistency with the case plan/TILP as developed by the county placing agency and recommendations by the child and family team. Please explain Care plans for children that meet criteria for STRTP placement Please explain how the licensee will consider the child's medical and mental health screening and assessments and observe and evaluate the behaviors and social interaction and other important characteristics for the purpose of informing the child case worker about the child to facilitate appropriate and timely placement into an approved or licensed home or facility 86668. Sec 10. DISCHARGE/REMOVAL You added information about working with the county with the transition plan and discharge. Please explain how this plan also involves the child's local team and local system collaboration including with regional center, school, mental and behavioral health, and family to identify appropriate placement, transition, and aftercare services. 86668.4(a)(1) When discussing the technical assistance calls, are you speaking of State level technical assistance calls? Please clarify contact information for State level TA calls as discussed on this website. Child-Specific Technical Assistance Calls Website - This website provides information on types of TA calls, resources for reducing barriers to placement for complex care youth, and funding. If these are the TA calls you are referring to, please add the provider or shelter staff familiar with the youth, will be on the call when needed (not just the case carrying social worker) Sec 11. VISITATION RULES AND POLICY Will the child have a prior meeting with the new placement or visit before being transferred? You state that the youth may ask that they meet the family/ facility first before being placed with them, please explain will you discuss this with the youth? And will it be discussed upon admission or when? Sec 12. HOUSE RULES/ PERSONAL RIGHTS Completing homework - will there be assistance with homework? What is your e stablished procedures to periodically check-in with children to remind them of their personal rights? p. 55 rules Touch only Siblings (this may violate FY rights, it would be difficult to enforce and clinically backwards), getting dressed changing only in bathroom or shower A. GENERAL POLICIES AFFECTING CHILDREN PLACED Sec 13. DISCIPLINE POLICIES The plan of operation discusses how children, and authorized representatives shall receive copies of discipline policies and procedures. Please explain how Signed copies of the discipline policies and procedures are maintained in child's files. Health and Safety Codes (HSC) Section 1501, 1531,- don't see this Page 44 when discussing physical control techniques, and that the WC staff will be trained in CPI, nonviolent crisis intervention...Please spell out the acronym CPI - is this evidence based? Please provide citation. Please provide a description of how trauma-informed practices are embedded in the provider's discipline procedures, as well as how discipline policies account for the nature of youths' trauma (including specialized populations). Health and safety Code, Section 1522. Please clarify that calling or threatening to call law enforcement is prohibited as a form of discipline 86672. Sec 14. EMERGENCY INTERVENTION PLAN Pg 42. Although you have begun to develop your EIP and have provided a list of early interventions and expected outcomes, and have stated you are not using manual restraints, Please explain the process more for having the Special investigations unit and peace officers to assist in your emergency intervention plan. Wouldn't they be considered part of your staff since they are working in your facility and with your clients and included on the lic 500? How will you provide oversight of this staff and ensure they are available at all times that youth are in care? How quickly can they respond from an offsite trailer? Please explain how their manual restraint training and plan meet the OS requirements. Is this verbal Judo: the gentle art of persuasion and post certification" model approved by a behavioral specialist? You mention an LCSW only. How does the model follow the requirements of the OS section 86700, 86700.1, 86722, 86722.1.? note: In addition to techniques specified in Section 86700.1(a), how will you ensure that any emergency intervention technique not approved for use as part of the licensee's emergency intervention plan are not used at any time? 86700.1 (e ) please clarify Law enforcement must not be contacted as a substitute for effective care and supervision or the facility's approved continuum of emergency interventions. Please explain more about when you would involve law enforcement or not and how it will be used as a"last resort." 86722 (e )(B). Please add names of facility personnel including security personnel trained to use emergency interventions. (86722)(d)(1). Please ensure you have the following in your manual restraint plan regarding timelines during the use of restraints with a child. Please see OS 87622 (f)(1)-(2) Pg 44. You mention that the special investigations unit is onsite in a trailer as peace officers and will assist with physical control techniques as necessary. And you list what restraints or interventions will never be used by WC staff, what restraints and interventions will never be used by the peace officers or are they considered WC Staff,? If the peace officers will be called, how do you ensure that manual restraints will not be used when youth have a medical condition that would contraindicate the use of manual restraints or when the child's current condition contraindicates the use of manual restraints. Pg 45- please clarify the community resources listed and how they will assist. Pg When you say ongoing training is required for all WC staff in this section, please clarify what kind of training you are referring to. On page 46 you state that where a youth is presenting imminent risk of danger to themselves or others, a lead staff will immediately decide to remove the youth from the situation by regrouping or use intervention techniques, please explain how you will remove the youth if they don't want to go? You state WC staff do not use physical restraints. What do you mean you will move youth to a neutral location? If there is no separation room, Where will they go? Please explain. What are the documentation and reporting requirements you will implement with crisis intervention plan, and maintained in the child's record as required in 86761? Including a log of interventions. Please clarify how you will document those interventions used by the peace officer staff in your facility. Procedures for using emergency interventions if more than one child requires the use of emergency intervention at the same time 86722(d)(6). Per OS 87622(d)(6)-(10), please include procedures for: ensuring care and supervision is maintained in the facility when all available facility personnel are required for the use of emergency interventions. Please clarify what are the procedures for reintegrating the child back into the facility routine after an emergency intervention technique? Please clarify if your emergency intervention plan is designed and approved in conjunction with the licensee, by an individual with the qualifications of a behavior management consultant as defined in section 86601(b)(3)- and does the licensed clinical social worker you mention meet the qualifications of a behavior management consultant? Please provide criteria for assessing when: an emergency intervention plan needs to be modified or terminated. 87622 (d)(9) and / the facility does not have adequate resources to meet the needs of a specific child 87622(d)10) Please use the language that the written emergency intervention plan will be submitted to and approved by the Department prior to implementation. The plan must include the requirements specified in Sections 86722(d) through (h). Sec 15. RUNAWAY PLAN How is the runaway plan provided and discussed with each child and their authorized representative at the time of admission and maintained in the child's record? Sec 16. CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES p. Seem to be conflating CCL and Ombudsperson's office. Need to specify that these are separate and youth can complain to both confidentially and without fear of retaliation. Sec 17. HANDLING YOUTH FUNDS Please include language regarding the following Per OS 86626(h)(1) accounting requirements, including (k) handling money with death of a client and (m) gifts. p. Allowance. What is the plan if youth says longer than 3 days. This will happen. Need a plan for allowance if a youth is there more than a week. Ideally, youth should receive allowance for a week regardless of length of stay so that allowance is not an incentive to remain at the WC. A. STAFFING/ADMINISTRATIVE ORGANIZATION Sec 21. STAFF SCHEDULE (LIC 500) Sec 22. STAFF QUALIFICATIONS Please use the operating standards to develop this section and provide information on ☒Qualified mental retardation professional 86665(t) monthly consultation if one youth with diagnosis is at facility- DON'T SEE Don't see clearly the qualification requirements for an administrator (AKA regional manager) in the text. Please ensure that the administrator qualifications and duties adhere to OS Section 86664 (g) Don't see clearly the qualification requirements for a manager and what the title you use for manager. Please ensure that the facility manager meets the following requirements: OS 86665(q) we need to see they meet minimum education and experience requirements in the OS. Os Missing duty statement for social supervisor I. The temporary community services support representative is not found on the lic 500 nor the activity planner. Please indicate who is the manager on the lic 500 and duty statement as well as in the body of the text. Os 86669(a) requires a licensed physician or designee who is also a licensed professional to do screenings please clarify at intake and client medical assessment section as well as on the duty statements. Who does the assessments?. are they a licensed professional? Sec 23. JOB DESCRIPTIONS Sec 24. INSERVICE TRAINING FOR STAFF/ADMINISTRATOR Please explain the process for emergency intervention training orientation for new staff and ongoing training 86722- please clarify what is required for orientation vs annual training. Please list all minimum training topics required in the OS Personnel requirements including (f) (1)-(6) and (v) (3) (A)-(X). Please describe how staff training will Be designed to ensure: 1. Cultural competency and sensitivity; including but not limited to best practices for providing adequate care, services, and supports for children across diverse ethnic and racial background, as well as children identifying as lesbian, gay, bisexual, transgender, or nonbinary. - don't see ☐ Please describe your training on methods to behaviorally support children as appropriate for children impacted by trauma or child abuse and neglect; and- don't see ☐ please describe how your training includes best practices for addressing the permanence, well-being, and educational needs of children, including children with disabilities.- don't see In section The OS state the annual training plan shall include for each subject please provide the following: - don't see Title, subject matter Learning objectives and activities Number of hours per training Qualifications of trainer Training evaluation p. Why is youth rights ½ hour but RPPS is 2 hours? This is out of balance. OFCO rights trainings are typically 2 hours or more to cover FYBOR and RPPS. Sec 26. VOLUNTEERS- N/A Sec 27. CONTROL OF REAL PROPTERTY Sec 28. FACILITY SKETCH (LIC 999) Sec 25. ADMINISTRATION- cant read organizational chart Sec 29. BOARD OF DIRECTORS STATEMENT ADDITIONAL NOTES: Reporting Requirements and Continuous Quality Control- ok The System of Care and Reducing Reliance on Shelters Please create a summary timeline of how things occur at the facility from the first to last day of placement for the following areas: intake; screening and assessment; health, mental health, behavioral health, or other services as needed, CFT meeting, placement finding, and placement/discharge, reporting requirements. - see the timeline can you indicate what is planned on day 1-3? Please indicate how you will work with your local team to coordinate services in the timeline including schools, regional centers, BCBA and mental health providers and families. - Don't see p. Exclusion from Extracurricular Activities based on psychotropic meds. FYR violation and discrimination based on a disability. p. Medication storage: appears to conflict with CCL guidance for youth who can administer their own medication p. 41 rules Touch only Siblings (this may violate FY rights, it would be difficult to enforce and clinically backwards), getting dressed changing only in bathroom or shower p. Seem to be conflating CCL and Ombudsperson's office. Need to specify that these are separate and youth can complain to both confidentially and without fear of retaliation. p. Allowance. What is the plan if youth says longer than 3 days. This will happen. Need a plan for allowance if a youth is there more than a week. Ideally, youth should receive allowance for a week regardless of length of stay so that allowance is not an incentive to remain at the WC. p. Why is youth rights ½ hour but RPPS is 2 hours? This is out of balance. OFCO rights trainings are typically 2 hours or more to cover FYBOR and RPPS. In addition to the above information it was also discussed clarification of the fire clearance. The facility was advised by Regional Manager (RM) LaCresha Cook that CCL needed to know if the fire clearance was going to be for one or the four individual buildings/addresses. RM Cook also advised that if there were any staff fingerprints/clearances that were delayed 30 or more days or if the facility was having any issues with Guardian to please follow up with LPA or LPM to get those clearances expedited. The facility was also advised by RM Cook that if the clients were going to be placed at the facility longer than the 72 hours, that the facility needed to submit documentation with regard to a request to operate outside of the latest Operating Standards for Transitional Shelter Care facilities. It was also discussed clarification regarding a recommendation provided by Office of Foster Care Ombudsman (OFCO) in regard to client allowances. Licensing Program Manager (LPM) Natasha Dunlap explained that CCL will follow up with OFCO and provide an update once received. A copy of this report was emailed to Heidi Lombardi, for signature.


summary: Facility Evaluation

raw_content:
Narrative:
On December 19, 2023, at 8:50am, Licensing Program Analysts (LPAs), Darlene Almaraz-Oseguera and Emina Preciado, arrived at the facility for the purpose of conducting pre-licensing inspection at the facility. LPAs were greeted by facility administrator Heidi Lombardi. During the inspection, LPAs completed a health and safety assessment of cottages: 1, 2, 3, and 4 and gym inside and out. During the assessment LPAs observed that each cottage had two wings (A & B) and mirrors one another. Each wing has space for 7 placement's. Cottage #1 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water on facility grounds. Each cottage has a family room with sofas and recreation space. Cottage #2 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and no bodies of water. Family room with sofas and recreation space. Cottage #3 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water. Family room with sofas and recreation space. This cottage also has 4 administrative office and staff lunch/break-room. Cottage #4 consists of 7 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water. Family room with sofas and recreation space. This cottage also has one administrative office. Daily meals are prepared in a centralized kitchen and brought to each cottage. The laundry rooms are located in each cottage. There is a bulletin board in each cottage with all required documents posted; Personal rights, grievance procedures, emergency disaster plan, food menu, daily schedule, and activity schedule. Each cottage had its own medication office/staff office. The medications will be stored in a closet inside that office. Sharps and knives are also stored in the staff office. Cleaning supplies are all stored in a locked closet outside of each cottage. Based on observation, there are no deficiencies observed or corrections needed at this time, therefore the facility meets the Regulatory requirements. After a final file review, the facility will be submitted for licensure. Exit interview conducted a copy of this report was provided to Heidi Lombardi .

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility and met with facility administrator. LPA completed a health and safety inspection of the outside of the facility. Based on observation, there are no deficiencies observed or corrections needed at this time.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On January 25, 2024, Community Care Licensing (CCL) met with Harmony Haven Children and Youth Center facility, via Microsoft Teams, to discuss the review of the Riverside County Transitional Shelter Plan of Operations and Program Statement revisions submitted to Community Care Licensing on December 15, 2024. Participants on the call were: CCL Riverside North Regional Manager LaCresha Cook, CCL Riverside South Regional Manager Natasha Dunlap, Licensing Program Analyst (LPA) Darlene Oseguera, Gina Jones Systems of Care Analyst, Alicia Bernstein Provider Policy Implementation Unit Manager, Ashley Bray Staff Service Manager II, Dana Young Deputy Director, Heidi Lombardi Administrator, Keisha Winder Admin Services Manager II, and Nicole Ford Administrative Service Manager. During the meeting the following was discussed: revisions to Application and Supporting Documents, Plan of Operation, Program Statement, Core Services and Supports, pool and gym (nearby but separate address), criminal record clearances for maintenance staff and security officers. The opportunity for questions about the revisions was provided to facility representatives with a summarized review of revisions. The revised plan of operation and program statement, and any application and supportive documentation will be due on February 07, 2024 (per facility request). The following is a summary of the review of the revisions to the Plan of Operation/ Program Statement completed by LPA Darlene Almaraz-Oseguera, Systems of Care (SOC) Policy Analyst Gina Jones, Family Intake and Engagement Unit, Adele Carlson and California Foster Care Ombudsperson, Larry Fluharty. Riverside County Transitional Shelter Care Facility - Program Statement /Plan of operation- System of Care Review Summary Are the peace officers, special investigations unit (SIU) apart of the staff? Do they go through staff training and evaluation? Are they listed on the LIC 500 and fingerprinted? Or how is there oversight of this unit by CCL? Is the Verbal Judo used by the SIU approved by the LCSW/behaviorist as part of the emergency intervention plan along with the CPI techniques? Section 15- Runaway Plan How is the runaway plan discussed with the youth's authorized representative at time of admission and how are they included in creating an individualized plan for those youth who need one? Not fully answered- please see 86722.2 (e) and 86722.2 (e) (1) (A) and (1)(B). Section 31 - Reporting Requirements and Continuous Quality Control For overstay reports, please include as it is written in OS 86661 (s)- "The licensee shall submit the report to the Department, through a process determined by the Department." At this time, please have the licensee email overstay and monthly reports to both licensing and the CCR performance mailbox: ccrperformance@dss.ca.gov.


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2024 at 1:47 pm Licensing Program Analyst (LPA), Emina Preciado, conducted a collateral visit at Harmony Haven Children and Youth Center, Transitional Shelter Care Facility. LPA met with Facility Administrator, Heidi Lombardi. The purpose of the visit was to conduct a confidential interview with a client. A copy of this report, LIC 809, was provided to, Heidi Lombardi, Administrator.

met_with: Heidi Lombardi, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility and met with Supervisor Kamisha Johnson. LPA completed a health and safety inspection of the facility. The purpose of this inspection is to follow up with some incident reports that were submitted to Community Care Licensing (CCL) on April 02, 2024. LPA requested several pertinent documents. Exit interview conducted a copy of this report was provided to Kamisha Johnson.

met_with: Kamisha Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2024 at 1: PM, Licensing Program Analyst (LPA), Sarah Lo arrived unannounced to Harmony Haven Children and Youth Center, Transitional Shelter Care Facility, to conduct a collateral visit. LPA conducted a client interview regarding allegations from a prior placement. An exit interview conducted, and a copy of this report was provided to Social Service Supervisor I, Kristin Arrington.

met_with: Kristin Arrington, Social Service Supervisor I


summary: Facility Evaluation

raw_content:
Narrative:
On June 05, 2024, at 8:25 am, Licensing Program Analysts (LPAs), Darlene Almaraz-Oseguera and Jose Gonzalez, arrived at the facility for the purpose of conducting post-licensing inspection at the facility. LPAs were greeted by facility administrator Heidi Lombardi. During the inspection, LPAs completed a health and safety assessment of cottages: 1, 2, 3, and 4. During the assessment LPAs observed that each cottage had two wings (A & B) and mirrors one another. Each wing has space for 7 placement's. Cottage #1 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water on facility grounds. Each cottage has a family room with sofas and recreation space. Cottage #2 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and no bodies of water. Family room with sofas and recreation space. Cottage #3 consists of 8 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water. Family room with sofas and recreation space. This cottage has 4 of the eight bedrooms as administrative office and staff lunch/break-room. Continued on Page Cottage #4 consists of 7 bedrooms, twin beds, closet and dresser space, desks, ample lighting, hygiene supplies, mattress covers, fitted and flat sheets, comforters, and pillows. Restroom with 8 sinks, 4 showers and 6 toilets. Kitchen area with a pantry for snacks. Dining room with tables and chairs for 8 clients. The smoke and carbon monoxide detectors were tested and are in operable working order. The water temperature is no more than 120 degrees and there are no bodies of water. Family room with sofas and recreation space. This cottage also has one administrative office. Daily meals are prepared in a centralized kitchen and brought to each cottage. The laundry rooms are located in each cottage. There is a bulletin board in each cottage with all required documents posted; Personal rights, grievance procedures, emergency disaster plan, food menu, daily schedule, and activity schedule. Each cottage had its own medication office/staff office. The medications will be stored in a closet inside that office. Sharps and knives are also stored in the staff office. Cleaning supplies are all stored in a locked closet outside of each cottage. LPAs reviewed six staff records. All staff met the minimum qualifications and training requirements with the execption of Staff #1 (S1) and Staff #2 (S2) did not have performance evaluations. A review of records shows that all staff have FBI, DOJ, and Child Abuse Index Check clearances. LPAs reviewed six client files. All files reviewed were complete and had the required documents Based on observation, there are no deficiencies observed or corrections needed at this time, therefore the facility meets the Regulatory requirements.


summary: Facility Evaluation

raw_content:
Narrative:
On July 16, Licensing Program Analyst (LPA), Cynthia Robinson conducted a collateral visit at the above mentioned facility. The purpose of the visit was to conduct a confidential interview with a client. A copy of this report was provided to, Heidi Lombardi, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2024, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz conducted a collateral visit at the facility listed above and met with facility Social Services Supervisor, Kamisha Johnson. The purpose of the inspection was to conduct an interview of a foster child (FC1) see Confidential Names form LIC 811 dated July 24, 2024, regarding a prior placement of FC1. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Kamisha Johnson.


summary: Facility Evaluation

raw_content:
Narrative:
On August 8, 2024, at 1: PM Licensing Program Analyst (LPA) Michael Almaraz conducted a collateral visit at the facility listed above and met with facility administrator Heidi Lombardi. The purpose of the inspection was to conduct an interview of a foster child (FC1) see Confidential Names form LIC 811 dated August 8, 2024, regarding a prior placement of FC1. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Heidi Lombardi.


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2024, at 9: AM Licensing Program Analyst (LPA) Cynthia Robinson conducted a collateral visit at the facility listed above and met with facility administrator Heidi Lombardi. The purpose of the inspection was to conduct an interview of a foster child (FC1) see Confidential Names form LIC 811 dated September 24, 2024, regarding a prior placement of FC1. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Heidi Lombardi.


summary: Facility Evaluation

raw_content:
Narrative:
On September 26, 2024, at 10: AM Licensing Program Analyst (LPA) Sarah Lo conducted a collateral visit at the facility listed above and met with Regional Manager, Leticia Pop. The purpose of the inspection was to conduct an interview of a client (C1) see Confidential Names form LIC 811 dated September 26, 2024, regarding a prior placement of C1. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Regional Manager, Leticia Pop.

met_with: Leticia Pop, Regional Manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 8, 2024, at 11: AM Licensing Program Analyst (LPA) Cynthia Velasquez conducted a collateral visit at the facility listed above and met with Residential Care Supervisor, Nathan Steward. The purpose of the inspection was to conduct an interview of a client (C1) see Confidential Names form LIC 811 dated November 8, 2024, regarding a prior placement of C1. Upon arrival, C1 was not present at the facility. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Residential Care Supervisor, Nathan Steward.

met_with: Nathan Steward, Residential Care Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, 2024, at 11: AM Licensing Program Analyst (LPA) Jose Gonzalez conducted a collateral visit at the facility listed above and met with Residential Regional Manager Leticia Pop. The purpose of the inspection was to conduct an interview of a client (C1) see Confidential Names form LIC 811 dated December 9, 2024, regarding a prior placement of C1. Upon arrival, C1 was not present at the facility. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Regional Manager, Leticia Pop.

met_with: Regional Manager Leticia Pop


summary: Facility Evaluation

raw_content:
Narrative:
On December 10, 2024, at 11: AM, Licensing Program Analyst (LPA), Jason Dalton, arrived unannounced, to the Transitional Shelter Care Facility (TSCF) for the purpose of interviewing client #1 (C1) for an unrelated investigation. See Confidential Names List (LIC 811), dated December 10, 2024. A copy of this report and appeals rights were given to Heidi Lombardi, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 12, 2024, at 10: AM Licensing Program Analyst (LPA) Jose Gonzalez conducted a collateral visit at the facility listed above and met with Residential Regional Manager Heidi Lombardi. The purpose of the inspection was to conduct an interview of a client (C1) see Confidential Names form LIC 811 dated December 9, 2024, regarding a prior placement of C1. Upon arrival, C1 was not present at the facility. An exit interview was conducted. No deficiencies were cited. A copy of this report and LIC 811 was provided to Regional Manager, Heidi Lombardi.

met_with: Harmony Haven Children and Youth Center Regional Manager (RM) Heidi Lombardi


summary: Facility Evaluation

raw_content:
Narrative:
On July 9, 2025, Licensing Program Analyst (LPA) Adaleyci Caballero arrived at the facility to conduct an interview with FC1 listed on the Confidential Names List (LIC811) dated 07/09/25 regarding an incident unrelated to this facility. LPA met with Facility Residential Care Social Worker Margaret Basilious who granted LPA access to cottage 1A. LPA then met with Residential Care Supervisor Kristin Arrington who signed this report. A copy of this report and LIC811 was provided to Kristin Arrington via email.

met_with: Residential Care Supervisor-Kristin Arrington


summary: Facility Evaluation

raw_content:
Narrative:
On 09/11/2025, Licensing Program Analyst Jose Gonzalez, Licensing Program Manager Cheraki Davis, and Regional Manager Natasha Dunlap were invited to attend a Meet and Greet at Harmony Haven Children and Youth Center Transitional in Cottage A in their conference room. We met with Executive Director Julissa Castillo and Regional Manager Brian Satterfield. A copy of this report was provided to Regional Manager Brian Satterfield.

met_with: Regional Manager Brian Satterfield


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed that the interaction occurred on the patio of the second-floor balcony, located in front of the dining room area on the other side of the hill. Other confidential interviews indicated that facility staff members (unknown) monitored the C1 and C2s to ensure no inappropriate interactions occurred. Confidential interviews revealed that C1 never reported being inappropriately touched or having any safety concerns. Confidential interviews revealed that staff members (unknown) supervised C1 and C2 as they walked around the campus, holding hands and hugging each other. Confidential interviews disclosed that C1 and C2 would not kiss each other as they walked around the campus. Confidential interviews revealed that C1 and C2 ran away from the supervision of facility staff members (whose identities are unknown) and left the facility grounds. LPA was unable to determine whether the allegation occurred or did not occur due to C1's refusal to be interviewed and the lack of information regarding which staff members provided supervision. Based on confidential interviews and facility record review, the allegation that a child (C1) was inappropriately touched while in care is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Harmony Haven Children and Youth Center Regional Manager (RM), Letty Pop.

Investigation Findings:
13On November 19, 2025, at 11: AM, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Harmony Haven Children and Youth Center Regional Manager (RM) Letty Pop to deliver the findings for the above-stated allegations. LPA inspected Harmony Haven Children and Youth Center at 2: PM on May 8, 2025; no immediate health and safety hazards were observed. LPA reviewed two client records (C1 and C2). During the investigation, interviews were conducted with one client (C2), a Facility Staff Member (S1), a Regional Manager (RM), and a County Social Worker (CSW). LPA attempted to interview C1 but was unsuccessful due to C1's refusal to participate in the interview. On May 7, 2025, the Department received an allegation that a child (C1) was inappropriately touched while in care. Confidential interviews disclosed that C1 and C2 ran away from the facility staff members' (unknown) supervision and had consensual sexual interaction. Confidential interviews indicated that C2 did not force themselves on C1, and the incident occurred only once. **CONTINUED on LIC 9099** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez 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 19-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, MAIN ST., SUITE FACILITY NAME: HARMONY HAVEN CHILDREN AND YOUTH CENTERFACILITY NUMBER: VISIT DATE: 11/19/2025

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

report_type: Complaint Investigation

met_with: Regional Manager (RM) Letty Pop

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews revealed that HHCYC staff members did not interact with clients and were not meeting their needs. Confidential interviews indicated that HHCYC staff members were disrespectful, used inappropriate language, and were unprofessional toward C1 and other clients. Other confidential interviews indicated that staff never made inappropriate comments to C1. Additional confidential interviews revealed that HHCYC staff members did not speak to C1 inappropriately and did speak to C1 with respect. Confidential interviews revealed that HHCYC staff members interact with clients and meet their needs. Confidential interviews indicated that RM, S1, and S2 remained professional when interacting with C1 and other clients. Based on confidential interviews and facility record review, the allegation that staff members are having inappropriate interactions with minors (C1) is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Harmony Haven Children and Youth Center Regional Manager (RM), Brian Satterfiled.

Investigation Findings:
13On December 3, 2025, at 11: AM/PM, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Harmony Haven Children and Youth Center (HHCYC) Regional Manager (RM) Brian Satterfield to deliver the findings for the above-stated allegation. LPA inspected Harmony Haven Children and Youth Center at 9: AM on May 27, 2025; no immediate health and safety hazards were observed. LPA reviewed one client record (C1). During the investigation, interviews were conducted with one client (C1), with two Residential Campus Supervisors (S2 and S3), a Regional Manager (RM), and a County Social Worker (CSW). On May 23, 2025, the Department received an allegation that staff are having inappropriate interactions with minors (C1). Confidential interviews indicated that HHCYC staff members made inappropriate comments towards C1 and other clients (unknown). Confidential interviews revealed that they did not remember the inappropriate comments made by HHCYC staff members towards C1 and the other clients. R- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: HARMONY HAVEN CHILDREN AND YOUTH CENTERFACILITY NUMBER: VISIT DATE: 12/03/2025

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

met_with: Regional Manager (RM) Brian Satterfield


raw_content:
Narrative:
Additionally, confidential interviews showed that C1 was exhibiting hot flashes, was observed cooling their face with water, and standing in front of a fan. Confidential interviews indicated that facility staff offered C1 medical attention, but C1 had a blank stare. Staff contacted American Medical Response (AMR) for assistance, but C1 refused AMR's medical attention. Confidential interviews confirmed that C1 was taken to the hospital for medical aid, and that all minors, including C1, have access to medical care. Other interviews affirmed that HHCYC staff have never denied any minor's access to medical care. Furthermore, interviews indicated that C1 was not under the influence of an unknown substance at this time, and a toxicology examination conducted at the hospital was negative. Based on confidential interviews and facility record review, the allegations that staff does not ensure minor (C1) does not have access to drugs and staff does not ensure minor (C1) receives medical attention are unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Harmony Haven Children and Youth Center Regional Manager (RM), Brian Satterfiled.

Investigation Findings:
13On December 4, 2025, at 11: AM, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Harmony Haven Children and Youth Center Regional Manager (RM) Brian Satterfield to deliver the findings for the above-stated allegations. LPA inspected Harmony Haven Children and Youth Center (HHCYC) at 11: AM on November 4, 2025; no immediate health and safety hazards were observed. LPA reviewed two client records (C1 and C2). During the investigation, interviews were conducted with clients (C1 and C2), a Facility Staff Member (S1), a Regional Manager (RM), and a County Social Worker (CSW). On October 27, 2025, the Department received an allegation that staff did not ensure that minor (C1) did not have access to drugs and staff did not ensure that minor (C1) received medical attention. Confidential interviews disclosed that staff believed C1 was under the influence of an unknown substance. Confidential interviews also revealed that another client informed facility staff that C1 had consumed drugs, specifically "Percocet." ***CONTINUED on LIC 9099C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez 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 19-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, MAIN ST., SUITE FACILITY NAME: HARMONY HAVEN CHILDREN AND YOUTH CENTERFACILITY NUMBER: VISIT DATE: 12/04/2025

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


raw_content:
Narrative:
Confidential interviews indicated that a confidential witness waited a few minutes to see if HHCYC staff would redirect C3 and C4 as the interaction continued. In addition, the confidential witness instructed HHCYC staff (names unknown) to intervene, stop, and separate C3 and C4 from their public display of affection. Based on confidential witness statements and observations, the preponderance of evidence standard has been met and the allegation that staff failed to prevent inappropriate interaction between minors (C3 and C4) is substantiated. The facility is being cited for violation of Operating Standards Chapter 12, Version 1, Transitional Shelter Care Facility 80078(a) Responsibility for providing care and supervision: The licensee shall provide care and supervision as necessary to meet the clients needs. The HHCYC staff members (names unknown) did not prevent inappropriate interaction between minors (C3 and C4). An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Harmony Haven Children and Youth Center (HHCYC) Regional Manager (RM) Brian Satterfield. Confidential interviews indicated that minors (C1, C2, C3, and C4) leave HHCYC staff members (names unknown) to meet up with their boyfriends or girlfriends. Confidential interviews revealed that HHCYC staff members (names unknown) do not interact with clients and were not meeting their supervision needs. Additional confidential interviews revealed that HHCYC staff members are unaware of the minors' (C1, C2, C3, and C4) interactions because they left HHCYC staff supervision. Other Confidential interviews indicated that HHCYC staff provided appropriate care and supervision. Other confidential interviews revealed that HHCYC staff members supervise the minors' (C1, C2, C3, and C4) interactions. Confidential interviews revealed that it is difficult for HHCYC staff members to prevent minors (C1, C2, C3, and C4) from running away. Based on confidential interviews and facility record review, the allegation that minors (C1, C2, C3, and C4) AWOL'd from the facility due to a lack of care or supervision from staff is unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Harmony Haven Children and Youth Center Regional Manager (RM), Brian Satterfiled.

Investigation Findings:
13On December 12, 2025, at 9: AM, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Harmony Haven Children and Youth Center (HHCYC) Regional Manager (RM) Brian Satterfield to deliver the findings for the above-stated allegation. LPA inspected Harmony Haven Children and Youth Center at 12: PM on May 8, 2025; no immediate health and safety hazards were observed. LPA reviewed one client record (C1). During the investigation, interviews were conducted with one client (C1), with two Residential Campus Supervisors (S2 and S3), and two County Social Workers. On April 28, 2025, the Department received an allegation that HHCYC staff (names unknown) did not prevent inappropriate interaction between minors (C3 and C4). Confidential interviews indicated that HHCYC staff (names unknown) did prevent inappropriate interaction between minors (C3 and C4). Confidential interviews revealed that HHCYC staff (names unknown) were within six feet of C3 and C4. Confidential interviews disclosed that a confidential witness observed C3 and C4's public display of affection by C3 and C4 kissing and giving each other hickey marks.**CONTINUED on LIC 812C** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez 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 19-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, MAIN ST., SUITE FACILITY NAME: HARMONY HAVEN CHILDREN AND YOUTH CENTERFACILITY NUMBER: VISIT DATE: 12/12/2025

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:


summary: Facility Evaluation

raw_content:
Narrative:
On June 6, 2025, at 1:02 p.m., Licensing Program Analyst (LPA) Jose Gonzalez met with Harmony Haven Children and Youth Center Transitional Shelter Care (TrSC) Residential Care Supervisor, Marivel Ocegueda, to deliver a report on case management deficiencies. According to information obtained by Community Care Licensing (CCL), Harmony Haven Children and Youth Center has been using handheld metal detector wands on clients before the clients are allowed to enter the cottages. Based on the information received, the facility has been using handheld metal detector wands on clients without approval from CCL. The facility is being cited for violation of Operating Standards (OS) Plan of Operation (e) any changes in the plan of operation that affect the services to clients shall be subject to licensing agency approval and shall be reported as specified in Section 86661 which poses a potential Health, Safety, or Personal Rights risk to clients in care. A copy of the report was discussed and provided, along with appeal rights, to the Harmony Haven Children and Youth Center Residential Care Supervisor, Marivel Ocegueda.


summary: Facility Evaluation

raw_content:
Narrative:
On November 14, 2024, at 12:22 pm, Licensing Program Analyst (LPA) Jose Gonzalez met with Harmony Haven Children and Youth Center Regional Manager (RM) Heidi Lombardi to deliver a case management report. According to information obtained by Community Care Licensing (CCL), staff 1 (S1) held Client (C1) by the neck on 11/05/2024. The incident was witnessed by staff 2 (S2). It was disclosed that C1 was not injured and refused medical attention. S1 employment at the facility was terminated. LPA collected all the pertinent documentation and conducted interviews with the facility's Regional Manager (RM), Heidi Lombardi. See Confidential Names List (LIC 811) dated November 14, 2024. Based on document review and facility RM interviews, the facility is being cited for violation of Transitional Shelter Care Facility Operating Standards Chapter 12 version Section Personal Rights (c)(19) To be free from physical, ..., emotional, or other abuse, and from corporal or unusual punishment,... Staff (S1) did not provide C1 to be free from physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, which poses an immediate Health, Safety, or Personal Rights risk to children in care. A copy of the report was discussed and provided to Harmony Haven Children and Youth Center Regional Manager (RM) Heidi Lombardi, along with appeal rights and LIC 811.


facility_name: HARMONY HOUSE

raw_content:
Narrative:
Although the allegation may have happened or is valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted, appeal rights provided, and a copy of this report left with Core Program Supervisor Damian Nomellini, whose signature on this form confirms receipt.

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

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


raw_content:
Narrative:
Based on confidential interviews, four of the interviewees had relayed that there was a time that C1 was not received into the facility because the social worker had not arrived quickly. According to one of the confidential interviews, the interviewee felt that there was a mistake in calling the correct social worker's number and the number was corrected. Based on confidential interviews, the allegation that a staff member did not follow admission process for one client in care has not met the preponderance of doubt and is therefore unsubstantiated. LPA conducted an exit interview with Zeida Alvarez, Direct Care Staff at 1:50pm whose signature confirms the receipt of this document.

Investigation Findings:
13On 3/12/2024 at 1:38pm, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the above allegation. LPA met with Zeida Alvarez, Direct Care Staff. LPA informed Damian Nomellini, Administrator, of the findings through a phone call. During the course of the investigation, LPA conducted five confidential interviews from 2/8/2024 and 3/11/2024. LPA attempted to contact one client's county caseworker three times, but the attempts were not successful. LPA reviewed the staff schedule, client files, staff training records, program statement, and incident reports. Based on the file review, the client involved had a history of unauthorized absences and was consistently informed of the return process. LPA observed two incident reports regarding unauthorized absences for the client in 2024. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Selena Hood LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO ASC, TRAEGER AVE., SUITE FACILITY NAME: HARMONY HOUSEFACILITY NUMBER: VISIT DATE: 03/12/2024

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

met_with: Zeida Alvarez