raw_content:
Narrative:
On October 18, 2024, the Department received a complaint alleging that staff did not provide a minor with adequate school supplies. It was alleged that staff withheld a minor's personal belongings. It was alleged that staff restricted minor's ability to place/receive phone calls. It was alleged that staff withheld food from minor. It was alleged that staff handled the minor in a rough manner. It was alleged that staff were not communicating with a minor's representative in a timely manner. And it was alleged that staff spoke to minor in an inappropriate manner. LPA's investigation revealed that the STRTP provides school supplies to clients as new school year starts. The STRTP screens incoming packages to prevent contraband, so although there may be a slight delay, the packages are ultimately delivered to clients. The facility notified clients' social workers of phone outage via email immediately. The facility requires clients to wash their hands before going in to refrigerator for food. interviews with staff reported that school supplies provided were not to client's liking, so he refused them. Staff stated that when youth asked for his package, staff was unaware it had arrived as it had already been moved to admin's office for safekeeping. Staff stated that though phone line was out, internet was still working, so client could have made calls over wifi from his cell phone. Staff stated client was asked to wash hands before going in to the fridge, refused, and tried to push his way past staff, who simply held their ground; reporting party stated that after speaking with minor, she understood this to be correct version of events. The facility social worker stated that she has been the one to engage authorized representative in communicating. Staff denied speaking to minor inappropriately, stating that he was who tended to call others out of their name. Professional contacts had no concerns over the allegations. Confidential interviews provided conflicting information, neither corroborating nor refuting allegations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Administrator. Appeal rights provided.

Investigation Findings:
13On January 24, 2025, at 10:15 a.m., Licensing Program Analyst (LPA) John Bonilla conducted a follow-up complaint investigation at Walt's Home For Young Men, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings on the above allegation. LPA met with Carlene Logan. LPA's investigation consisted of the following: On 10/21/24, LPA spoke with reporting party; reviewed the facility file and complaint history; conducted a collateral inspection at a high school, interviewing an adult and attempting to interview a client; and performed 10-day inspection at STRTP, interviewing four adults and five clients. On 12/03/24, LPA interviewed one staff. On 12/04/24, LPA interviewed a County Social Worker, a staff, and reviewed documents obtained througout investigation including but not limited to personnel roster, client roster, house rules, a client's (C1's) (See LIC Confidential Names list dated 10/21/24) Needs and Services Plan, special incident report's related to C1, and emails between facility and County Social Workers alerting them to telephone outage at STRTP. LPA also reviewed Department databases, and reports from other agencies. (Continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 01/24/2025

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


state: CA

facility_name: WALT'S HOME FOR YOUNG MEN

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The Following Allegation(s) were reported: The staff members (S1, S2, and S3) denied the allegation, asserting that no visible marks were seen on any clients, and expressed surprise when informed by C2's Social Worker about the report of C2 having a black eye. The staff noted that they consistently engage with all clients and perform bedroom checks every thirty minutes or less, depending on the client's condition. They emphasized that all staff have received extensive training in Trauma-Informed Care and understand the importance of creating a healthy environment. Furthermore, the staff mentioned that they later discovered from C1 and C3 that C2 had been involved in a confrontation with another student; however, they did not specify where the alleged incident took place. When questioned about the alleged incident, C2 recounted several different accounts of how they acquired a black eye on one occasion, claiming it happened at school, while in another account, they stated it occurred when they fell off their bed and struck themselves against a set of dumbbells positioned near their bed. Additionally, the staff revealed that no reports of physical confrontations had been documented, explaining that clients occasionally argue with each other, and that staff are prompt to verbally redirect and separate them if necessary. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred; therefore, the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Administrator.

Investigation Findings:
13On September 30, 2025, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Administrator, Carlene Loagn. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On May 2, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): A minor sustained an unexplained injury while in care. This LPA conducted an investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with the three staff (S) members. LPA Joe Martinez obtained a statement from (S1) on 5/9/25. LPA Moroney obtained statements from (S2) on 6/5/25, S3 on 6/24/25, and 2 of 3 clients (C1 and C2) on 5/15/25. No statement was obtained from C3 due to their refusal to provide a statement. (Reference Confidential Names Form LIC 811, dated September 30, 2025.) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 09/30/2025

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

report_type: Complaint Investigation

met_with: Carlene Loagn

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint regarding multiple incidents of Neglect/Lack of Supervision by the facility staff alleging that a minor had access to a firearm, staff did not prevent minors from using substances while in care, a minor was permitted to have unauthorized visits and staff do not prevent physical altercations between minors. The facility administrator denied the allegations. Information obtained during the course of the investigation did not support the allegations. Regarding the allegations of firearms and substances abuse, statements obtained from confidential interviews conducted revealed that photographs depicting a facility client in possession of firearms and alcohol were taken in an unlicensed home, prior to the youth being placed at the facility. It was alleged a minor was permitted unauthorized visits with relatives, based on statements obtained from the youth's social worker, which corroborated staff's statements that the visits were approved by the caseworker assigned to the youth at the time. Regarding the allegation of minors fighting without staff intervention, the investigation provided insufficient evidence to support the allegation. Based on interviews and records review conducted by Investigator Munoz and LPA Larios, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. A copy of this report and Confidential Names form LIC811 dated 10/20/25 were provided to the above-mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/20/25 at 11: AM. During the inspection LPA Larios met with Administrator Carlene Logan. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegations. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Ruben Munoz and LPA Larios. During the course of the investigation SI Munoz conducted interviews with a social worker, two facility clients and two facility staff. The interviews were conducted between 4/15/25 and 5/06/25. Also, LPA Larios conducted interviews with three county social workers, one facility client and one facility staff. The interviews were conducted between 7/25/25 and 10/08/25. Also, LPA Larios conducted a records review on 4/18/25, and obtained copies of LIC500, LIC9020, staff contact information, client educational information, child family team meeting notes, needs and services plans and special incident reports. (See Confidential Names form LIC811 dated 10/20/25) (Continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 10/20/2025

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

met_with: Carlene Logan


raw_content:
Narrative:
Page The Department received a complaint regarding an alleged incident involving a facility staff (S1) physically abusing and violating a facility client's (C1) personal rights. It was reported that on, or around, July 12, 2025, S1 confiscated a food delivery order that was placed by C1. During the incident S1 allegedly grabbed C1 by the throat, causing red marks, and verbally threatened C1. S1 denied the allegations and reported that on the date of the alleged incident he confiscated C1's food without struggle. Per S1, C1 responded aggressively by raising his voice and came near S1 and was ultimately verbally redirected. A records review revealed that law enforcement arrived at the facility 7/17/25, around 8: PM, and interviewed C1 and S1. C1 denied he was "choked" to responding officers. Based on interviews and records review conducted by LPA Larios, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. A copy of this report and Confidential Names form LIC811 dated 10/20/25 were provided to the above-mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/20/25 at 11: AM. During the inspection LPA Larios met with Administrator Carlene Logan. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegations. During the course of the investigation LPA Larios conducted interviews with three county social workers, one facility client and three facility staff. Four facility clients either declined or were unbale to provide a statement. The interviews were conducted between 7/25/25 and 10/08/25. Also, LPA Larios conducted a records review on 7/25/25, and obtained copies of staff and client rosters, staff contact information, staff evaluation, training log, shift log and needs and services plans. In addition, LPA Larios obtained law enforcement call records on 9/19/25 (See Confidential Names form LIC811 dated 10/20/25). (Continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 10/20/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On 05/06/21 at 11: AM, Licensing Program Analyst (LPA) Pamela Silva conducted a Post-Licensing Tele-inspection to the Short Term Residential Therapeutic Program (STRTP) as a result of COVID-19 related restrictions. LPA met with Administrator Carlene Logan and Facility Manager/In-House Social Worker Tiffany Earnest. The facility currently has a provisional STRTP license. The STRTP's Mental Health Program Certification is pending approval. This STRTP is licensed to serve up to six (6) male ambulatory clients ages 10-17 and is also licensed to provide services to Non-Minor Dependents (NMD). There are six (6) clients currently in placement. PHYSICAL PLANT Overall, the facility is clean, safe, sanitary and in good repair. The STRTP license, National Accreditation and Emergency Disaster Plan are posted in the facility. Passageways are unobstructed. Disinfectants, cleaning solutions and other chemicals are kept locked in the garage and laundry room cabinets. Sharps and knives are kept inside a locked closet. Room temperature is maintained between 68 and 85 degrees (F). Hot water temperature does not exceed 120 degrees F. Carbon monoxide and smoke alarms were tested and observed to be operational. The fire extinguishers throughout the facility are fully charged. Facility has a working telephone. First Aid kit is complete. All confidential files are in a locked cabinet inside the staff office. The facility has cameras installed in the common areas of the facility. There are no bodies of water in the facility. There are no firearms and ammunition in the facility CARE & SUPERVISION The staff to client ratio at the time of inspection was 3:6. Facility has non-perishable food for at least one week and perishable food for at least two days. Facility provides nutritious meals and snacks. Medications are centrally stored and locked in the hallway closet and accessible only to employees responsible for stored medications. The monthly menu is posted in the kitchen. PERSONAL RIGHTS Children's Personal Rights are posted. Children live in a safe, healthy and comfortable home. Weekly activity calendar/schedule is posted. Children are not restricted in telephone use except by court order. Complaints information posters are posted in the facility. CLIENT RECORDS LPA reviewed three (3) client files. LPA reviewed Admission Agreements; health screenings; consent forms; weight records; ID and Emergency information; Needs and Services Plans; Immunization Records; TB test results; Safeguards for Cash Resources and Property/Valuables; and Personal Rights. Needs and Services Plan are assessed every 30 days and is updated as needed. STAFF RECORDS LPA reviewed three (3) staff records. LPA reviewed First Aid/CPR Certificates; fingerprint clearances, Child Abuse Index Checks; education verification, Personnel Records/Job Applications; health screenings; TB test results; Criminal Record Statement, Employee Rights, and annual training records. Facility staff meet qualifications and training requirements. An exit interview was conducted and a copy of the LIC809, LIC809C, LIC 858, and LIC 859 were provided to the above-mentioned facility representatives. There were no deficiencies cited during today's tele-inspection.

report_type: Facility Evaluation

met_with: Carlene Logan & Tiffany Earnest


summary: Facility Evaluation

raw_content:
Narrative:
On 11/09/2021 at 8:45 am, Licensing Program Analysts (LPAs) Pamela Silva, Jenny Mundo and Gilbert Gutierrez conducted an SB (Senate Bill) Psychotropic Medication Inspection and met with Carlene Logan, the facility Administrator. Currently, there are six 6) clients placed at the facility. Three (3) of the six (6) clients are taking psychotropic medications. Two (2) clients are placed by Tulare County Health and Human Services. One (1) client is placed by Kern County Department of Human Services and is getting services from Kern Regional Center LPAs conducted a facility tour with the Administrator at 8: AM. The facility is clean, safe, sanitary and in good repair. All medications are centrally stored, locked and accessible only to employees responsible for stored medications. LPAs reviewed the facility's Program Statement. LPAs reviewed three (3) client files and three (3) staff files. LPAs interviewed three (3) staff members. LPAs were unable to interview three (3) clients due to clients not being at the facility. LPAs conducted an exit interview. No deficiencies are being cited at this time. LPAs provided two (2) Advisory Notes - Technical Assistance (LIC 9102TA).

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2022, at 9:50AM, an unannounced Senate Bill 484 (SB484) Psychotropic Medication Inspection was conducted by Humberto Flores, Licensing Program Analyst (LPA), at Walt's Home For Young Men Short Term Residential Therapeutic Program (STRTP) and met with Carlene Logan. LPA Flores conducted a tour inside and out of the facility at 10:10AM. No deficiency was found. LPA Flores conducted a review of 3 children's file at 10:45AM. LPA Flores observed the following deficiencies: Child Ref #1 (C1) (see Confidential Names form LIC811 dated 12/06/2022). - Medication Ref #1 (M1). The count is not accurate, is off by 3 pills for the month of November. C1 was in home pass for 10 days, but notations reflect only 3 days and they were made in the space for "Medications Not Administered", instead of the spaces for "Home Visits". - The Psychotropic Medication Administration Record (PMAR) for November 2022, there is no date of prescription, quantity of medication and refills initially prescribed. This is a violation of Interim Licensing Standards, Version 4, Section 87070. cont.#2 Children's Records. (b) The following information regarding the child shall be obtained and maintained in the child's record: (13) A separate log for each psychotropic medication prescribed to a child documenting all of the following: (B) The date of the prescription. (C)The quantity of medication and number of refills initially prescribed. (D) When applicable, any additional refills prescribed. Child #2 (C2). - Medication Ref #2 (M2), in the Psychotropic Medication Administration Record (PMAR) for November 2022, there is no date of prescription, quantity of medication and refills initially prescribed. This is a violation of Interim Licensing Standards, Version 4, Section 87070. - Medication Ref #3 (M3), in the Psychotropic Medication Administration Record (PMAR) for November 2022, there is no date of prescription, quantity of medication and refills initially prescribed. This is a violation of Interim Licensing Standards, Version 4, Section 87070. - Medication Ref #4 (M4). There is no separate PMAR. Children's Records. (b) The following information regarding the child shall be obtained and maintained in the child's record: (13) A separate log for each psychotropic medication prescribed to a child documenting all of the following: cont.#3 (B) The date of the prescription. (C) The quantity of medication and number of refills initially prescribed. (D) When applicable, any additional refills prescribed. Child Ref #3 (C3) - Medication Ref #7 (M7). Currently the child is not taking the mediation. There is no documentation in the child's file to proof that the medication was discontinued. The child's JV-223 states that the medication was authorized. - Medication Ref #8 (M8). Currently the child is not taking the mediation. There is no documentation in the child's file to proof that the medication was discontinued. The child's JV-223 states that the medication was authorized. - Medication Ref #7 (M9). The PMAR for the month of December 2022, there is no date of prescription, quantity of medication and refills initially prescribed. This is a violation of Interim Licensing Standards, Version 4, Section 87070 (see above). - The night dosage for M9 for November 18, 21, 23 was not administered (pill is still in the bubble pack), but the PMAR states that these dosages were administered. No Special Incident Report (SIR) was submitted to Community Care Licensing Division (CCLD). - Medication Ref #9 (M9). Medication count is not accurate. The PMAR states that it was administer, but the pills are in the bubble pack for November 2, 21, 28, 29. No SIR was submitted to CCLD. - PMAR shows that on November 16/2022, child refused the medication for M10, but the pill is in the bubble pack, no SIR was submitted to CCLD. - There is no documentation in the child's file to proof that M10 was authorized by the Court or a physician. cont.# LPA Humberto Flores was unable to complete the psychotropic medication inspection on this date and will conduct another inspection where citations observed today will be issued. A copy of this report and LIC811 was provided to the STRTP representative upon completion. Exit interview with STRTP representative at 5:00PM.

met_with: Carlene Logan, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/12/23 at 3: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced Case Management Inspection at Walt's Home For Young Men. Purpose of the inspection was to follow up on a late reported awol special incident report dated 04//06/23.LPA met with Craignlisha Wright- Facility Manager. During todays inspection, LPA reviewed pertinent documents associated to STRTP, interviewed two (2) staff and toured the home inside and out with facility manager. Further Interviews will be conducted as necessary Additional time is needed. A signed copy of this report was provided to the STRTP along with a copy of the 811 (confidential names list) Exit interview conducted.

met_with: Craignlisha Wright-Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 05/26/23 at 3: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted and unannounced Annual Inspection at Walt's Home For Young Men. LPA met with Melissa Rodriguez- Facility Manager. Buildings and grounds was initiated and due to time constraints a follow up visit to complete inspection is needed. Exit interview conducted

visit_type: Annual

met_with: Melissa Rodriguez- Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 06/01/23 at 11: A.M., Licensing Program Analyst (LPA) went to Walt's Home For Young Men to continue an unannounced annual inspection. LPA met with Carlene Logan-Administrator. LPA explained Technical Advisories, explained and had administrator sign 809D's. Administrator made the necessary corrections while LPA was present. Annual was continued. Due to time constraints, LPA will continue annual at a later date. Exit interview conducted.

met_with: Carlen


summary: Facility Evaluation

raw_content:
Narrative:
On 06/02/23 at 12: P.M., Licensing Program Analyst (LPA) went to Walt's Home For Young Men to continue an unannounced annual inspection. LPA met with Carlene Logan-Administrator. On 06/02/23 at 12: P.M., Licensing Program Analyst (LPA) conducted an unannounced Annual Inspection at the facility. LPA met with Carlene Logan-Administrator. This STRTP is licensed to serve up to six (6) ambulatory children ages 10-18 years of age. There are currently five (5) minors in placement. This facility is a 4-bedroom, two (2) bathroom, two (2) story home. There are no bodies of water on the premises. There are no ammunition and firearms in the facility. LPA conducted a walk-through of the entire facility. Physical Plant The license, facility sketch, Personal Rights, Emergency Disaster form, Complaints poster, Foster Youth Bill of Rights, Complaints/Grievance policy, emergency phone numbers and menus are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked closet in the hallway. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers are fully charged. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and was measured at a safe operating range. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Emergency exits are free from obstruction. Overall, the facility is clean, safe, sanitary and in good repair. Continued... Continued... Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility has developed, maintained and implemented written complaint procedures. The facility is licensed to accept children ages 10-15. During records review, one (1) client is not within the age range specified in their license. Emergency Intervention Documentation of emergency intervention training for staff is on file. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Client Records LPA reviewed five (5) client records. Client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; removal/discipline/complaints form and medication administration records. Continued.... Continued.. Staff Records LPA reviewed five (5) staff records. Based on records review, one (1) staff has not completed their TB testing. Administrator will email me proof when it has been received by staff. Documentation of the required education and experience requirements are maintained in the personnel file. Documentation of staff training are on file. LPAs interviewed five (5) staff members. LPA interviewed one (3) clients. Two (2) clients were unavailable for interview at the time of inspection. Three (3) deficiency citations, Technical Violation and three (3) Technical Advisory's were issued during today's inspection, see LIC809D and LIC9102TV, LIC 9102AN. Plan of Corrections were discussed with the Administrator. An exit interview was conducted, and a signed copy of this report was emailed to the administrator, LIC809D,LIC9102, LIC811 and appeal rights were provided to a Melissa Rodriguez-Facility Manager.

met_with: Carlene Logan- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPAs) Timika Martin, Juliet Robles and Pamela Silva 10/17/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Administrator, Carlene Logan and inspected the facility inside and out. LPAs reviewed one (1) child record and two (2) of staff personnel files on site at the facility. LPAs reviewed one (1) child psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs were unable to interviewed one (1) of child currently prescribed psychotropic medication due to to cognitive/ developmental barriers. A technical violation (TV) was issued. LPAs conducted exit interview with Administrator, Carlene Logan.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles, Timika Martin and Pamela Silva on 10/09/25 at 12: PM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Carlene Logan, Administrator, and inspected the facility inside and out. LPAs reviewed zero (0) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed zero (0) of children's psychotropic medications and medication records. LPAs interviewed two (2) staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed zero (0) children currently prescribed psychotropic medication. No deficiencies are being cited at this time. A Technical Advisory was issued (see LIC 9102). LPAs conducted exit interview and provided a copy of this licensing report to Administrator, Carlene Logan.


raw_content:
Narrative:
Staff denied the allegation. Staff stated clients are not allowed to smoke or have possession of any drugs in the facility. When staff become aware of clients using or smoking paraphernalia either by observance or smell, staff request the clients to surrender the contraband. Staff encourage clients not to smoke marijuana and remind them about dangers and long-term effects of substance use. Clients are informed of house rules of drugs during their intake process. Staff periodically check the rooms to ensure the youth not smoking in the room. When clients come back from community pass or unauthorized absence, staff requests for the youth to turn the pockets upside down and open the backpacks. Staff is not able to search the youth as it is against the personal rights of the youth in care. If youth is found to be in the possession of the drugs or vape pens, the youth might lose the privileges of the community pass. The youth also denied the allegation. They stated they do not smoke in the facility or premises and if the staff sees them in possession of the drugs, they will ask to hand it to them. The Social Worker had no concerns with the facility and did not confirm the allegation of the staff allowing clients to smoke at the facility. The statements obtained from the confidential interview with clients and staff did not provide sufficient information to corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegation is UNSUBSTANTIATED. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On November 4th, 2025, at 1: PM, Licensing Program Analyst (LPA) Olena Maico conducted a follow-up complaint inspection to the facility above to deliver the findings of a complaint investigation. LPA Maico met with representative and discussed the findings to above allegations. The investigation included confidential interviews and records review. LPA interviewed the Administrator on 09/22/25, two staff on 09/17/25, three staff and two clients on 10/10/25. LPA was not able to interview one client due to client no longer residing at the facility, and one client declined to be interviewed (see Confidential Names LIC811, dated November 4th, 2025). LPA also interviewed one staff member on 09/30/25 and one staff on 10/01/25. LPA interviewed County Social Worker on 10/08/25. LPA obtained and reviewed following documents: current staff/client roster, clients' Needs and Services Plans (NSPs). It was alleged staff does provide adequate supervision resulting in minor smoking marijuana. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Olena Maico LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 11/04/2025

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

met_with: Frankiee Reid, Facility Manager


raw_content:
Narrative:
This LPA conducted an investigation of the above allegation(s), and it consisted of but was not limited to a review of records, including the client's needs and service plans, medical records, and interviews with the three staff (S) members (S1), (S3) on 7/11/25, (S2) on 7/14/25, three of two clients (C) C1, and C2 on 7/11/25. No statement was obtained from C3 due to their refusal to provide a statement. (Reference Confidential Names Form LIC 811, dated December 3, 2025.) The Following Allegation(s) were reported: Staff members (S1, S2, and S3) refuted the allegations, stating that all facility staff have received extensive training in trauma-informed care. They emphasized that staffing levels are maintained at two or more staff members, depending on the needs of the facility, ensuring compliance with the required staff-to-client ratio of 1:4. Staff indicated that their highest priority is the safety and well-being of every child placed in the home. They further noted their role in guiding clients through the completion of individualized programs. S1 reported that inappropriate comments made by staff will not be tolerated and will be addressed immediately. Staff collectively stated that they are unaware of any client reporting such incidents. Staff acknowledged that an unrelated incident did occur involving an envelope containing no more than twenty dollars. The envelope was placed on the kitchen counter by a staff member and was missing seconds later when the staff member returned. Clients C1 and C2 were asked if they had taken the envelope; both denied involvement. At no time were any clients accused of taking the envelope. C1 stated that they feel secure at STRTP and that the staff treats all clients with respect. C1 denied any involvement in physical altercations with anyone at the facility and indicated that all clients typically coexist harmoniously, although there may be sporadic verbal disputes. C1 observed that the staff are prompt to intervene in these instances. Furthermore, C1 denied having seen or heard any staff members physically handle clients or make inappropriate comments, confirming that the staff treats everyone exceptionally well and attends to their needs. Continued... C2 refuted the allegations, clarifying that clients occasionally have disputes with each other; however, the staff promptly intervenes by verbally redirecting them or separating them when needed. C2 noted that typically, two to three staff members oversee the clients during the day, whereas at night, only one staff member is present for supervision. C2 conveyed a sense of safety and a positive rapport with the facility staff, asserting that they prioritize the clients' best interests. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred; therefore, the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Administrator.

Investigation Findings:
13On December 3, 2025, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Administrator, Carlene Logan. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On July 1, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent minors from engaging in physical altercations, The staff are not providing a safe environment for minors, Staff made inappropriate comments towards minors, The staff inappropriately accused a minor of stealing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 12/03/2025

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

met_with: Carlene Logan - STRTP Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 09/17/2025 at 11: AM Licensing Program Analyst (LPA) Olena Maico conducted an unannounced case management at the above licensed facility and met with Greyson Henderson, Facility Manager. LPA conducted walk-through the facility and found couple violations of the CCR and Title 22. At 11: AM LPA observed broken dresser downstairs in the client's room with sharp nails sticking out of it.. Facility staff took the dresser out of the room immediately. LPA issued citation to the facility for CCR 80087 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. At 11: AM LPA also observed no lid on the trash can. The facility staff stated it broke recently. LPA issued a Technical Violation for the CCR 80088 (f) (1) All containers, including movable bins, used for storage of solid wastes shall have tight-fitting covers kept on the containers; shall be in good repair, shall be leakproof and rodent-proof. At 11: LPA Maico observed broken tile on the kitchen counter. Staff stated Administrator has a work order for the tile to be fixed. Staff put a tape around the broken tile. The facility is being issued Technical Violation for CCR 80087 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. LPA requested the work order to be e-mailed to her by 09/20/25 at olena.maico@dss.ca.gov LPA informed staff LPA will be visiting facility once again to verify the Technical Violation have been corrected. Exit interview has been conducted. The copy of this report, LIC 809D and LIC 9102TV as well as Appeal Rights were provided to the Facility Representative.

met_with: Greyson Henderson, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/20/25 at 11: AM. During the inspection LPA Larios met with Administrator Carlene Logan. Bakersfield Police Department (BPD) records obtained by LPA Larios revealed that on, or around, July 17, 2025, law enforcement officers arrived to the facility and conducted a welfare check. During their visit, law enforcement interviewed a facility client (C1) and a facility staff (S1) regarding an allegation of S1 choking C1 on, or around, July 15, 2025. Officers found no offense occurred. During a follow up interview regarding the incident, S1 admitted he confiscated a late-night food delivery order placed by C1. S1 stated late night food orders are not permitted and advised he was concerned about the possibility of contraband entering the premises. S1 reported he did not check the contents of the delivery and was unable to confirm if his actions are documented facility policies. The facility is cited for violation of Interim Licensing Standards (ILS) STRTP 87061(j) Reporting Requirements and 87072(c)(16) Personal Rights. Exit interview conducted and a copy of this report, Confidential Names form LIC811 dated 10/20/25, LIC809D and Appeals Rights were provided to the above mentioned facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/24/22 at 1: PM. During the inspection LPA Larios met with Administrator Carlene Logan. The purpose of the inspection was to issue a citation for the facility failing to inform the Department regarding Law Enforcement (LE) contacts involving clients. LPA Larios conducted a review of a Client's (C1) (See Confidential Names Form LIC 811 dated 6/24/22) file at the facility on 1/14/22. LPA Larios observed two (2) Special Incident Reports (SIR) regarding C1 running away from the facility. On 1/31/22, the Department obtained seventeen (17) LE records regarding C1, most of which consisted of the facility notifying LE that C1 had run away. On 6/23/ LPA Larios requested the facility provide all SIR regarding C1 running away. The facility provided two (2) additional SIR. Facility cited for violation of Interim Licensing Standards 87061(j) Reporting Requirements. Record review confirms the facility failed to notify Community Care Licensing Division (CCLD) of incidents regarding law enforcement contact and minors at the facility.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 13, 2022, at 10:00AM, Humberto Flores, Licensing Program Analyst (LPA) initiated a psychotropic medication inspection and returned to the facility on 12/13/2022, to complete the psychotropic medication inspection. LPA Flores reviewed 3 of staff personnel files on site at the facility. LPA Flores interviewed 1 staff on site to discuss the facilities policies and procedures of operation. LPA Flores was not able to interview the children that currently takes prescribed psychotropic medication because they were at school. During the inspection LPA Flores observed deficiencies on 12/06/2022 (see attached 809D and LIC809 dated 12/06/2022), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Carlene Logan. Exit interview conducted.

Deficiencies:
87070: (13) A separate log for each psychotropic medication prescribed to a child documenting all of the following:

title:
CHILDREN'S RECORDS.
(b) The following information regarding the child shall be obtained and maintained in the child's record


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
This report is to amend the original document created on 05/12/23. On 05/26/23 at 3: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted a unannounced visit to drop off findings at Walt's Home For Young Men. LPA met with Melissa Rodriguez- Facility Manager. Findings are as followed: On 05/12/23 at 3: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced Case Management Inspection at Walt's Home For Young Men. Purpose of the inspection was to follow up on a late reported awol special incident report dated 04//06/23.LPA met with Craignlisha Wright- Facility Manager. Based on interview with S3 on 05/16/23, S3 stated the report was sent via email on 04/06/23. I asked S3 if she would forward the original email to me. Email was forwarded to me on 05/16/23 at 12: P.M. Review of the email contained a pdf copy of the LIC LE. After careful review of records it has been found that the special incident report dated 04/06/23 was not reported late. S3 understands to replace the Community Care Licensing phone number for the Fresno office with the correct number for the Monterey Park office. No further follow up required. Exit interview conducted and a signed copy of this report along with the appeal rights were left with (place name here). LIC 811 (Confidential Names list) given.

Deficiencies:
80061(b): Upon the occurrence, during the operation of the facility, ..., a report shall be made to the licensing agency within the agency's next working day during its normal business hours....In addition, a written report... shall be submitted.....1
2
3
4
5
6
7Facility will provide updated training on Reporting Requirements. Proof of correction will inculde a copy of the training attendance sheet and training topics covered. POC will be emailed to LPA by POC due date of (put date here).
8
9
10
11
12
13
14

met_with: Melissa Rodriguez-Facility Manager

title:
1
2
3
4
5
6
780061(b) Reporting Requirements


summary: Facility Evaluation

raw_content:
Narrative:
On May 31, 2024, at 2: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted and unannounced case management inspection. Purpose of the inspection was to discuss two incident reports received on May 21, 2024 and a youth bringing a weapon into the facility. LPA interviewed S1 (see confidential 811 dated May 31, 2024) on May 24, 2024 and May 28, 2024 via telephone, regarding the late filing incident report for C1 (see confidential 811 dated May 31, 2024). Incident date was May 3, and May 6, 2024 and the incident reports were received by Monterey Park Regional Office on May 21, LPA discussed with S1 the interaction between C2 and C3. Based on interview with S1, C2 brought a weapon into the facility. Based on interview with S1, it was determined that staff did not know about the weapon. Deficiencies for late filing were discussed and citation issued. Exit interview conducted.


facility_name: WALT'S HOME FOR YOUNG MEN 2

raw_content:
Narrative:
The Ref. #3 provided inconsistent statements regarding their experience at the facility: there was a statement that the accused staff yelled at Ref. #3, but denied that staff put their hands on Ref. #3; Ref. #3 provided no witnesses that overheard the alleged incident. During the Annual Inspection June 21, 2022, Ref. #3 informed LPA Pamela Silva, "Staff treats client good and they interact well with him." LPA McGee toured the facility on July 14, 2022 and observed it to be safe, clean and in good repair. An interview with the Sr. Facility Manager, revealed that she washed the linen and cleaned the other clients' bed. The Sr. Facility Manager stated that information regarding a vap pen being found was disclosed, but the facility was unable to confirm it. The Ref. #3 denied having inappropriate sized clothing. The LPA observed clothing listed on Ref. #3's Personal Property and Valuables for the months of April and May 2022, and observed $100 clothing allowance that was distributed for each month, April, May and July 2022. The investigation did not reveal that Ref. #3 had a medical problem. The LPA observed Ref. #3's health screening. An interview with the County Social Worker revealed no concerns about the facility and that Ref. #3 has a history of not telling the truth in order to be placed closer to the biological family. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On September 23, 2022 at 5:30 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings a complaint investigation to the facility. The LPA met with Direct Care Staff, Sepie Flowers. On July 5, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the Senior Facility Manager (see Confidential Names, LIC Ref. #1 dated September 23, 2022), and one staff, Ref. #2 and one client Ref. #3 on July 14, 2022 at the facility; one County Social Worker (CSW) via telephone on August 30, 2022. The LPA reviewed correspondence and a signed statement from Ref. #3, the Case Plan, CFT Meeting Plan and Notes, Safety Plan, Special Incident Reports, Behavior Report, Client Personal Property and Valuables, Monthly Clothing Allowance Log and Health Screening. The accused staff denied the allegations of personal rights violations. The LPA observed a statement signed by Ref. #3 that Ref. #3 fabricated the allegations. There was a statement that Ref. #3 was forced to sign the statement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/23/2022

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

met_with: Sepie Flowers


raw_content:
Narrative:
Based on the information gathered, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On October 27, 2022 at 11: AM , Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the findings of an investigation concerning to the allegation above. LPA met with the representative named above and discussed the findings. During the investigation, LPA conducted interviews with three clients and staff on 8/24/22 and 9/22/22. LPA reviewed records on 9/8/22, 9/16/22, and 10/5/22. It was alleged that a client, Ref. #2 exposed themselves to Ref. #1 while they were in the living room watching television on 8/2/22 and that Ref. #1 reported the incident to a staff (Ref. #3) on 8/3/22. Ref. #3 denied having any knowledge of allegations. Three staff who were on duty did not witness Ref. #2 exposing themselves to Ref. #1. The alleged incident was not reported until 8/17/22. LPA attempted to interview clients, Ref. #1 and Ref. #2, however, they declined to be interviewed and stated they did not want to be interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 10/27/2022

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

met_with: Elaine Gomez-Burns, Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff hit minor. Staff denied the allegation. Staff stated that when children get disciplined, they are sent to their rooms or they have privileges/ electronics removed. Staff stated that they did not recall any instance or time when it was observed that a staff hit a child. Additionally, staff stated that they did not recall receiving any complaints from children of staff hitting them. Children denied the allegation. Children had similar statements that they were unable to recall any incident occurring where a staff hit or punched a child. Children stated that when they get into trouble, they are sent to their rooms on time out or that they would have privileges and or electronics taken away. One child stated that a staff grabbed their neck, choked them and took them to the ground, however, child was unable to identify when incident occurred and by what staff. Child also identified that no one else was present during alleged incident occurring. Documents reviewed identified no issues or complaints of staff hitting or punching children. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to Sepia Flowers-Facility Manager. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 4/13/ Licensing Program Analyst (LPA) Demetris Teal made an unannounced visit to the Walts Home for Young Men II facility on behalf of LPA Dawn Mahecha for the purpose of concluding the above identified complaint investigation. LPA met with Sepie Flowers-Facility Manager and discussed the above identified complaint findings. Investigation consisted of the following: On 10/12/ LPA met with and interviewed facility manager, Senior facility manager and one (1) child (see confidential names dated October 12, 2022). LPA requested and obtained copies of current staff/ client roster, staff schedule, criminal record clearances, recent completed training's, children's Needs and service plans, case notes and special incident reports. Between March 25th and March 27, LPA Elnora Smith interviewed three children, staff and additional witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 04/13/2023

met_with: Sepie Flowers-Facility Manager


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Information obtained through confidential interviews and S1 admitting to leaving C1 unattended and unsupervised at Mary K. Shell on 12/20/22 is a Lack of Supervision Violation of the Interim Licensing Standards regulation 87065.2 (b) (1) Personnel Duties Direct care staff shall perform the following duties: "Supervision, protection, and care of children at all times, individually and in groups." If not corrected, it will have a direct and immediate risk to the health and safety of the children in care. Therefore, the above allegation is substantiated. The agency was cited, and a plan of correction was initiated. Appeal rights were provided and discussed with the STRTP Administrator. A copy of the report and the Confidential Name List (LIC811) dated October 7, 2022, was provided to the FFA Administrator, and an exit interview was conducted.

Investigation Findings:
13On May 24, 2023, at 12: PM, Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Walts Home for Young Men II on behalf of LPA Winston Moroney. LPA Mahecha conducted a follow-up complaint inspection to the above facility and met with Samantha Combs - Facility Manager. The purpose of the inspection was to deliver a finding for the above complaint allegation. It was alleged that staff member (S1) did not provide adequate supervision to a minor in care (C1), by failing to abide by their personnel duties providing Supervision, protection, and care of children at all times, individually and in groups. The investigation of the above allegation was conducted by LPA Moroney, which consisted of, but was not limited to, a review of records including the client's needs and services plans, interviews with five Staff members (S1) on 4/25/23, S2 on 1/20/23, S3, S4, S5 on 3/7/23, Client (C1) on 1/20/23, and 1 (OG) Mary K. Shell staff member on 1/19/23. (Reference Confidential Names Form LIC 811, dated April 28, 2023). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 05/24/2023

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

met_with: Samantha Combs, Facility manager

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
C1 admitted that he and C2 did not get along and admitted to punching C2 due to C2 not returning money that C1 had given to him. C1 indicated that two staff stopped the fight between him and C2. C1 denied bullying C2. The investigation did not reveal evidence of C1 bullying C2. The investigation revealed that C2 did not want to cooperate with the investigation and refused the interview. The LPA reviewed incident reports and observed and conducted interviews with staff, but no information about a client almost pushing C2 down the stairs was submitted. Interviews with the staff revealed that there were two similar incidents involving C1 and C2 with money and vape pens. The staff indicated that C1 supplied C2 money or things to sell, but C2 would not do what was agreed upon with the money. A follow-up interview was conducted with another client, C3, who confirmed that C1 slapped C2. The investigation revealed that C1 hit C3 when C3 tried to stop C1 from hitting C2. C3 failed to inform the LPA that he tried to intervene and was hit. C3 indicated that he did not know the reason C1 slapped C2. The investigation revealed no other clients were involved in the two incidents. Based upon the investigation, the staff submitted Law Enforcement Contact Reports (LE) regarding the incidents to Community Care Licensing on March 18, 2025 and March 26, 2025. The LEs indicated that staff verbally re-directed C1 and asked C1 not to hit C2. The investigation revealed that a staff stepped in between the clients to break up the fight and asked both clients to go to their respective bedrooms. The LEs indicated that staff called law enforcement on both occasions. There is no evidence submitted that staff did not follow proper procedures. It is determined that there is not sufficient evidence to corroborate the allegation that staff does not provide a safe environment. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On September 26, 2025 at 3:30 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation. The LPA met with Facililty Manager, Cherrelle Wilson. On March 20, 2025, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: two clients, C1, at the facility on April 15, 2025, and C2 via telephone on July 14, 2025; one Senior Facility Manager at the facility on July 18, 2025 and one Facility Manager via telephone on July 22, 2025; one witness via telephone on June 11, 2025. The LPA reviewed C2's Needs and Services Plan and incident reports. The LPA interviewed a third client, C3, on September 23, 2025 at school. There were statements made that C2 was being bullied and assaulted at the facility. The investigation revealed that there were incidents involving C1 and C2 at the facility. The interview with C1 revealed that he is younger in age, shorter in height and smaller in weight than C2. The LPA was able to confirm that C2 is older, taller and weighed more than C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 07/25/2025

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

met_with: Cherrelle Wilson


raw_content:
Narrative:
The Following Allegation(s) were reported: The staff members (S1, S2, and S3) denied the allegations, emphasizing that such behavior from staff is intolerable and will be addressed accordingly. They stated that all staff have undergone comprehensive training in Trauma-Informed Care and recognize the significance of fostering a healthy environment. They noted that staff sometimes need to raise their voices to direct clients and avert verbal disputes. The staff dismissed any claims that clients or other staff members have reported inappropriate language being directed at them or in their presence. Additionally, the staff revealed that clients frequently resort to using profanity towards one another or staff when they are frustrated and do not achieve their desired results. The Staff refuted the claim of restricting clients' access to food and water, asserting that all clients have ample access to food and snacks. However, the staff also noted that after 10: PM, clients are prohibited from using the stove to prepare meals and are instead offered a variety of easy-to-prepare options, including sandwiches and microwavable meals. Information gathered from C1 and C2 corroborated the previously mentioned details and indicated that they feel secure living at the facility, believing that the staff is aiding them in achieving their individualized plans. C1 and C2 revealed that it is the clients who speak disrespectfully to the staff when their desires are not met, and that the staff have raised their voices to discourage or redirect the clients. Furthermore, C1 and C2 stated that they have never encountered any staff member refusing clients access to water or food. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Manager.

Investigation Findings:
13On September 4, 2025, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Manager, Ms. Wright. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On April 30, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff conduct poses a risk to children in care, the staff speaks inappropriately to children in care, and the staff does not give children access to water. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, SIR's and interviews with the three staff members (S1, S2) on 5/15/25, (S3) on 5/23/25, 2 of 3 clients (C1, C2) on 5/6/25. No statement was obtained from C3 as they chose not to provide one. Reference Confidential Names Form LIC 811, dated September 4, 2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/04/2025

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

met_with: Craignlisha Wright - Facility Manager


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Continue... On 5/22/2025, LPA conducted a review of the STRTP's complaint history, reviewed documentation obtained from other agencies and Guardian. On 5/23/2025, LPA obtained and reviewed the facility's LIC500 (Personal Report), current client roster, initial/current Needs and Services Plans for client 1 (C1), Medication Administration Record (MAR), any relevant Special Incident Reports (SIRs) and the Facility Home Sketch. On 8/28/2025, LPA obtained and reviewed a JV-223 court order authorizing C1's continued use of M1, M2, and M3. On 9/19/2025, LPA obtained and reviewed the initial psychotropic prescription for C1 written by the assigned Nurse Practitioner. On May 19, 2025, the Department received a complaint alleging that staff dispensed medication that was not prescribed by physician, but instead by a Nurse Practitioner (NP). The investigation revealed that C1 was admitted to the facility on 2/07/2025. On 3/13/2025, a Nurse Practitioner prescribed medications M1, M2, and M3 for C1. The Medication Administration Record (MAR) shows that staff has been administering these psychotropic medications to C1 since 3/13/2025 without a valid prescription from a physician or psychologist. This practice is in violation of Title 22, Interim Licensing Standards (ILS) section number 87075 (c)(1) of the California Code of Regulations - which mandates that Psychotropic medications shall be used only in accordance with the written directions of the prescribing physician. On 7/23/25, a JV-223 court order was obtained to authorize C1's continued use of M1, M2, and M3. The delay in obtaining the court order was due to the transition of Medi-Cal services from another county. Based on the information gathered, the preponderance of evidence standard has been met, therefore, the above allegation is determined to be Substantiated. California Code of Regulations (Title 22, Interim Licensing Standards (ILS) section 87075 (c)(1)) is being cited on the attached LIC9099D: dated 9/25/2025. An exit interview was conducted and a signed copy of this report along with appeal rights were discussed and provided to the Facility Representative.

Investigation Findings:
13On September 25, 2025, at 10:32 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Walt's Home for Young Men #2 - Short-Term Residential Therapeutic Program (STRTP) for the purpose of delivering updated / amended findings on the above allegations. LPA met with Craignlisha Wright, STRTP Facility Manager. LPA's investigation consisted of a phone interview with the County Social Worker (CSW) on 5/20/2025, and a collateral visit with C1 (See LIC811 - Confidential Names on list dated 9/25/2025) on 5/23/2025 at Stockdale Highschool in Bakersfield CA. On 5/23/2025, LPA completed staff interviews with S1 and S2 at the STRTP and obtained a written statement via email concerning the allegations from staff (S3), due to S3 not being available/present during the initial 10-day visit. Continued on LIC9099c. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/25/2025

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90

met_with: Craignlisha Wright, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 5/6/21, at 10: 03 am Licensing Program Analyst conducted a scheduled pre-licensing virtual inspection with Director, Mr. Samuel Campbell. During the tour both the external and internal area of the home was observed. This is a new application for a Short Team Residential Therapeutic Program. This facility is a two story, four-bedroom home located in a residential neighborhood. All bedrooms are located on the second floor, on the first floor consist of the living room, dining room, kitchen, a family room, staff area with a bedroom, and laundry room. The first aid box appeared to be complete, smoke detector and carbon monoxide were tested and operable. The Carbon monoxide and smoke detectors are connected to ADT alarm company. There's a bulletin board containing COVID 19 related information, emergency disaster plan, client information LIC 9020, complaint, grievance procedures, menu, activities log personal rights, house rules, the anit-bullying policy and facility sketch. The second floor has four bedrooms Bedroom # 1 vacate waiting for placement has two twin beds, a dresser and two personal locked lockers. Bedroom # 2 vacate waiting for placement has two twin beds, a dresser and two personal locked lockers. Bedroom # 3 vacate waiting for placement has two twin beds, a dresser and two personal locked lockers. Bedroom # 4 is designated as the administrative office the telephone, fax and computer Overall, the facility is clean, safe, sanitary, and in good repair. All passageways are unobstructed, and all doors open freely. There are no bodies of water in the facility. The home is centrally heated and air-conditioned. Staff records, client files and medications, disinfectants, and other toxic materials will be centrally stored and locked near the staff work area. During this inspection, LPA observed a surveillance camera installed outside the home and in the kitchen area. Mr. Campbell was advised to submit an addendum to the Short Team Residential Therapeutic Program statement to include the use of surveillance cameras inside the facility. The addendum should include the following reason for installing surveillance camera equipment; identify the areas where cameras are installed; procedures for operation of the cameras; personnel authorized to view the footage; surveillance advisory; procedures to ensure that children's personal rights are not violated. An exit interview was held with Mr. Campbell and a signed copy of this report was provided to Mr. Campbell via email.

visit_type: Prelicensing

met_with: Mr. Samuel Campbell


summary: Facility Evaluation

raw_content:
Narrative:
On 03/22/22 at 8: AM, Licensing Program Analyst (LPA) Pamela Silva conducted an unannounced Post Licensing Inspection at the facility. LPA met with Carlene Logan, Administrator. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application is pending approval. This STRTP is licensed to serve up to six (6) ambulatory male children ages 10-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) ambulatory minors currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files. This facility is a two-story home with three (3) bedrooms, three (3) bathrooms, a staff office, kitchen, dining, a living room, and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 9: AM, LPA conducted a walkthrough of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 115 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Client Records LPA reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. LPA observed that all three (3) clients' file do not contain signed removal/discipline/complaints form. Staff Records LPA reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Documentation of staff training on file. LPA interviewed three (3) staff members. No client was interviewed due to two (2) clients being in school and one (1) client on AWOL at the time of inspection. At the conclusion of the inspection, LPA discussed the findings with the facility administrator. LPA issued one (1) Type B deficiency citation. LPA agreed to work with the facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. An exit interview was conducted, and a signed copy of this report, LIC811, LIC809D and appeal rights were provided to the facility administrator.

met_with: Carlene Logan


summary: Facility Evaluation

raw_content:
Narrative:
On 06/21/2022 at 8: AM, Licensing Program Analyst (LPA) Pamela Silva conducted an unannounced Annual Inspection at the facility. LPA met with Carlene Logan, Administrator. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application is pending approval. This STRTP is licensed to serve up to six (6) ambulatory male children ages 10-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) ambulatory minors currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files. This facility is a two-story home with three (3) bedrooms, three (3) bathrooms, a staff office, kitchen, dining, a living room, and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 9: AM, LPA conducted a walk-through of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 110 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. However, there are no window screens installed in all the bedrooms and living room windows as well as the sliding door leading to the backyard. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Client Records LPA reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records LPA reviewed two (2) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Documentation of staff training on file. LPA interviewed one (1) staff member and one (1) client. The other two (2) clients were not present at the time of inspection. At the conclusion of the inspection, LPA discussed the findings with the facility administrator. LPA issued one (1) Type B deficiency citation. LPA agreed to work with the facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. An exit interview was conducted, and a signed copy of this report, LIC811, LIC809D and appeal rights were provided to the facility administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 04/28/23 at 11: A.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home For Young Men 2 (STRTP). LPA met with Sepie Flowers-Facility Manager. Purpose of the visit was to follow up on multiple Incident reports, including multiple case management. During todays inspection, LPA reviewed pertinent documents associated to STRTP, interviewed two (2) staff, toured the home inside and out. Further Interviews will be conducted as necessary Additional time is needed to resolve this case. A signed copy of this report was provided to the STRTP.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/15/23 at 11: A.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home For Young Men 2 (STRTP). LPA met with Carlene Logan- Administrator. Purpose of the visit was to follow up on multiple Incident reports, including multiple case management's. LPA discussed late filing with administrator. Further Interviews will be conducted as necessary. Additional time is needed to resolve this case. An exit interview was conducted and a signed copy of this report along with 811 (Confidential Name List), was left with administrator.

met_with: Carlene Logan-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2024, at 3: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection, at the above-named facility. The purpose of the visit was to follow up on a special incident report received by the Department on April 11, 2024, regarding the death of Client #1 (C1) (see LIC 811 confidential names list dated April 16, 2024). LPA Teal met with Administrator Samantha Combs. LPA requested a copy of C1's needs and services plan, date of placement including the assigned social workers information (Documents received). On April 12, 2024, Walt's Home for Young Men 2 reported to the Department that on April 11, 2024, the Kern County Sheriff Coroner's Office informed facility staff that C1 was deceased. It was reported that C1 had been at the coroner's office since April 7, 2024. According to facility staff it is believed that the death is the result of a train accident, but neither facility staff nor the placing agency have been provided with the cause of death. On April 9, 2024, the facility reported to the Department that the youth left the facility without permission on April 6, 2024, at approximately 11: P.M. Facility staff filed a runaway report with Bakersfield Police Department on April 7, 2024, at approximately 3: A.M. and notified the Madera County Social Worker of the death on April 11, 2024. At this time, this is the most current information. LPA conducted an interview with C1's roommate. This case requires further investigation. Exit interview conducted. A signed copy of the LIC 809, LIC 811 including the appeal rights were given to Administrator Samantha Combs. There were no citations issued.

met_with: Samantha Combs- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Pamela Silva on 10/17/24 at 11: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Samantha Combs, Senior Facility Manager and inspected the facility inside and out. LPAs reviewed one (1) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed one (1) of children's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed 0 of child currently prescribed psychotropic medication due to child's refusal. No deficiencies are being cited at this time. LPAs provided copies of this report and conducted exit interview with Senior Facility Manager, Samantha Combs.

met_with: Samantha Combs


summary: Facility Evaluation

raw_content:
Narrative:
*Amending document to add closing information for the Case Management* On July 11, 2025, at 1: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Walt's Home For Young Men 2. LPA met with Samantha Combs-Facility Manager. Purpose of the visit was to follow up on a incident report. LPA discussed the SIR dated June 4, 2025. Youth attempted to stab another youth in the home after an altercation. Youth brought a concealed weapon into the home. LPA interviewed two (2) youth and one (1) staff. (See confidential 812's.) The case management inspection did not show that there were any violations. The inspection was completed. Based on interviews conducted no deficiencies were cited at this time. An exit interview was conducted and a signed copy of this report including the appeal rights were left with the Facility Manager.

met_with: Samantha Combs-Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 08/01/2022 at 8: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted an unannounced Annual Inspection at the facility. LPA met with Samantha Combs, Lead Facility Manager. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application is approved. This STRTP is licensed to serve up to six (6) ambulatory male children ages 10-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) ambulatory minors currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Fire Clearance, LIC C Emergency Disaster Plan, Board of Meeting Minutes, Clients and Staff Files. This facility is a two-story home with three (3) bedrooms, three (3) bathrooms, a staff office, kitchen, dining room, living room, and laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 8: AM, LPA conducted a walk-through of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. The facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 110 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, the facility is clean, safe, sanitary and in good repair. However, there are no window screens installed in all the client bedrooms and living room area. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Core/Therapeutic Services Facility provides core services and support to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least monthly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Client Records LPA reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records LPA reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Documentation of staff training on file. LPA interviewed two (2) staff members and attempted one (1) client; client refused. The other two (2) clients were not present at the time of inspection. At the conclusion of the inspection, LPA discussed the findings with the lead facility manger. LPA issued one (1) Type B deficiency citation. LPA agreed to work with the facility manager to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. An exit interview was conducted, and a signed copy of this report, LIC811, LIC809D and appeal rights were provided to the facility manager.

met_with: Samantha Combs, Senior Facility Manager