summary: Facility Evaluation

raw_content:
Narrative:
On August 6, 2025, at 10:30 a.m., Licensing Program Analysts (LPAs) Ashley Ruacho and John Bonilla conducted an unannounced Case Management inspection at Scott's Youth Facility, a Short-Term Residential Therapeutic Program (STRTP). LPAs met with Trina Smith, Administrator. The purpose of the visit was to provide a copy of the Decision and Order CDSS No.6224337201C ordered July 14, 2025 and becoming effective July 24, 2025, pertaining to staff reference #1, see LIC811 (Confidential Names List dated 08/06/25). An exit interview was conducted. A signed copy of the LIC809, LIC811 and Decision and Order were provided to Trina Smith, Administrator.. No deficiency citations were issued at the time of the inspection. Appeal Rights provided.


state: CA

facility_name: SCOTT'S YOUTH FACILITY

summary: Facility Evaluation

raw_content:
Narrative:
On August 6, 2025, at 11:00 a.m., Licensing Program Analysts (LPAs) Ashley Ruacho and John Bonilla arrived unannounced at Scott's Youth Facility for the purpose of conducting an Annual/Required inspection. LPAs met with Trina Smith, Administrator. A tour of the facility was conducted, and LPAs reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records, Clients with Special Health Care Needs and Core/Therapeutic Services. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked in a closet and sharps are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked in office. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 72 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. ... Operational Requirements: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. The board of directors regularly conducts meetings to review and discuss the STRTP's operation. Cash resources are kept on the facility premises in a locked and secure location. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month 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, and portable register of clients. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPAs observed documentation of Emergency Intervention Training and on-going training. Staffing Records: LPAs reviewed five (5) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review are fingerprint cleared and associated to the facility at the time of the inspection. Client Records/Clients with Special Health Care Needs: LPAs reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records reviewed include, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessments; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Core/Therapeutic Services: Facility provides core services and supports to children 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 services to achieve permanency. During today's inspection, LPAs provided seven (7) Advisory Notes/Technical Violations (LIC9102TV). An exit interview was conducted, and a signed copy of this report, LIC9102TVs, LIC Confidential Names list and appeal rights were provided to the facility representative.

report_type: Facility Evaluation

visit_type: Annual

met_with: Trina Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/21/25, at 12: PM, Licensing Program Analyst (LPA) Christopher Larios conducted a case management inspection to the facility. During the inspection LPA Larios met with Facility Manager (FM) Chrissha Davis. On 11/20/24, the Department issued a citation for an incident that occurred at the facility on 6/5/24 when a client's personal rights were violated by a staff (See Confidential Names form LIC811 dated 5/21/25). A plan of correction was developed and the facility agreed to provide documentation verifying the plan was completed. As of 5/21/25, no documentation has been provided. The facility is reissued the citation for violation of Interim Licensing Standards (ILS) STRTP 87072(c)(1) Personal Rights. A copy of this report, LIC809D, LIC811 dated 5/21/25 and appeals rights were provided to the above-mentioned facility representative. Exit interview conducted.

visit_type: Case Management

met_with: Chrissha Davis


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2025, at 10:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Incident inspection at Scott's Youth Facility, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow-up on a Special Incident Report (SIR) received by the Department on June 2, 2025. LPA met with Maria Vidales, Facility Manager. On June 2, 2025, the Department received an SIR stating that a client (C1) (See LIC Confidential Names list dated 06/10/25) had been allowed to go out after school, but was to be home by curfew at 10:00 p.m. Per the SIR, C1 called at 10:00 p.m. requesting a ride home from STRTP staff, who stated that they could not pick C1 up due to being the lone staff at the STRTP, and then proceeded to call Law Enforcement to report an unauthorized absence for C1. Based on document review, C1 called the STRTP to arrange for transportation to avoid an unauthorized absence, but was denied a ride home, instead having been reported to Law Enforcement. The STRTP was issued one deficiency under Interim Licensing Standards (ILS) and one technical advisory during this inspection. Refer to LIC809D (deficiency page) and LIC9102TA (technical advisory page). Exit interview was conducted. Signed copies of Licensing Reports were provided to STRTP representative. Appeal rights explained.

met_with: Maria Vidales, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 11/20/24 at 11: AM. During the inspection LPA Larios met with Unit Coordinator (UC) Jackilyn Aguilar. The purpose of the inspection was to issue a citation regarding a personal rights violation on a youth in placement which occurred at the facility on 6/05/24. Statements obtained from an interview conducted with staff (S1) (See Confidential Names form LIC811 dated 11/20/24) revealed that on 6/05/ S1 engaged a client (C1) in a struggle for possession of a curtain rod. S1 stated that during the struggle C1 tripped, fell backward on top of her bed, and S1 fell on top of C1 while both maintained a grip of the curtain rod. While on the bed C1 relinquished the curtain rod and S1 and C1 stood up. S1 stated she attempted to take the curtain rod away from S1 due to feeling she was going to be struck by C1. However, S1 did not state C1 swung the curtain rod in her direction. The facility is cited for violation of Interim Licensing Standards (ILS) STRTP 87072(c)(1) Personal Rights. C1's personal rights were violated when S1 engaged her to take away a curtain rod in her possession which began a struggle and ultimately S1 falling on top of C1 on a bed. A copy of this report, LIC809D, LIC811 dated 11/20/24 and appeals rights were provided to the above-mentioned facility representative. Exit interview conducted.

met_with: Jackilyn Aguilar


summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2026, at 09:30 a.m., Licensing Program Analyst (LPA) John Bonilla went to the above named facility and met Trina Smith, Administrator. The purpose of the visit was to provide a copy of the Decision and Order CDSS No.6224337201 dated 12/31/2025 pertaining to staff reference #1 and #2, see LIC811 (Confidential Names List dated 01/28/26). An exit interview was conducted, and a copy of the LIC809, LIC811 and Decision and Order were provided to the facility representative. No deficiency citations were issued at the time of the inspection.


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
This LPA conducted an investigation into the above allegation(s). The investigation included, but was not limited to, a review of facility records such as client needs and services plans, medical records, SIR's, and Daily Activity reports. This LPA also conducted interviews with three staff members-S1 and S2 on 9/11/25, and S3 on 9/12/25-and with four of the five clients (C1, C2, C3, and C4) on 9/11/25. A statement was not obtained from C5, as they declined to participate. (See Confidential Names Form LIC 811, dated January 30, 2026.) The Following Allegation(s) were reported: Staff members S1, S2, and S3 refuted the allegations, stating that they consistently engage with all clients and conduct bedroom checks every thirty minutes or less, depending on each client's needs. They reported that all staff are trained in Trauma Informed Care and understand the importance of maintaining a safe and supportive environment. Staff further indicated that no clients have reported incidents consistent with the allegation. S3 reported that on the day in question, C1 missed the school bus due to a slow start that morning. Prior to transporting C1 to school, S3 observed that C1's bed was unmade and instructed C1 to make it. According to S3, C1 responded defiantly and stated they would not comply. S3 attempted to encourage C1 by offering assistance, but C1 refused, stating, "Don't touch my shit." C1 then returned to their room and made their bed. S3 stated that upon arrival at the school, C1 exited the vehicle, kicked the door closed, and walked into the school without further incident. S3 firmly denied the allegations, asserting that at no time did she threaten C1 with harm or attempt to run C1 over with a vehicle. Continued... Interviews with clients C1, C2, C3, and C4 indicated that they feel safe residing in the STRTP and maintain positive relationships with staff. The clients emphasized that staff are supportive and foster a safe environment for all residents. C4 stated that they feel safe in the STRTP and maintain positive relationships with both staff and other residents. C4 refuted the allegation, reporting that they have never witnessed or heard staff engage in threatening behavior or actions that could harm any client. C4 further explained that it is often the clients who create challenges for staff, particularly when being redirected or when staff confiscate contraband upon clients' return to the facility. C4 denied making any statements to anyone at their school regarding the allegation and stated to the LPA, "It was taken out of context. I feel safe here." 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 Unit Coordinator.

Investigation Findings:
13On January 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 Unit Coordinator. The inspection aimed to deliver the finding(s) regarding the above referenced 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): Licensee is not ensuring that the minor is provided a safe environment while in care. 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: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 01/30/2026

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

report_type: Complaint Investigation

met_with: Maria Vidales - Unit Coordinator

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Ashley Ruacho and Pamela Silva on 03/03/26 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, Trina Smith and inspected the facility inside and out. There are three clients at this facility eligible for inspection. LPAs reviewed three (3) child record and three (3) of staff personnel files on site at the facility. LPAs reviewed three (3) child 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 zero (0) clients due to them being at school at the time of the inspection. LPAs will attempt to interview clients at a later time. LPAs provided a copy of this licensing report to Administrator, Trina Smith. No deficiencies are being cited at this time. LPAs conducted exit interview with Administrator, Trina Smith.

met_with: Trina Smith - Administrator


facility_name: SCOTT'S YOUTH FACILITY II

raw_content:
Narrative:
The LPA reviewed at least Law Enforcement Contact Reports (LIC624-LE) from January 2021 to May 2021 submitted to MPCRP involving Ref. #1 and #2. The LIC624-LEs indicate that staff followed procedure. One CSW revealed no concerns with supervision at the facility. It revealed that since May 2021, Ref. #1 has raised their level and no special incident reports have been received by Ref. #1's CSW. Ref. #2's CSW was recently assigned Ref. #2's case and was unable to provide a statement regarding the facility's supervision. The former CSW is no longer with their department. Based upon interviews, Ref. #1 no longer hangs out at the mailboxes. The facility put in place a plan for staff to pick-up trash left at the mailboxes. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegation. A copy of this complaint was emailed to CEO Robert Carter.

Investigation Findings:
On August 14, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation. The LPA met with Facility Manager, Celest Almengor. On April 22, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: Administrator Assistant, Kenneth Calvin, at the facility on July 16, 2021; one client (see Confidential Names, LIC Ref. #1 dated August 14, 2021) and two county social workers (CSWs) via telephone on August 13, 2021. The LPA was unable to interview client Ref. #2, whose status is runaway since May 24, 2021. The LPA reviewed the client's Needs & Services Plan and Special Incident Reports. The investigation revealed that at least two clients, Ref. #1 and #2, were hanging out at mailboxes around the corner from the facility and leaving trash (i.e. - e-cigarettes, fast food wrappers, styrofoam cups and water bottles, etc.). It revealed that the clients at the facility are ages 12 to 17 years old and engage in teenage behavior. It revealed that other teenagers in the neighborhood hangout at the mailboxes, along with the clients at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 08/14/2021

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

met_with: Celest Almengor


raw_content:
Narrative:
One CSW revealed no concerns with supervision at the facility. It revealed that since May 2021, Ref. #1 has raised their level and no special incident reports have been received by Ref. #1's CSW. Ref. #2's CSW was recently assigned Ref. #2's case and was unable to provide a statement regarding the facility's supervision. The former CSW is no longer with their department. The investigation revealed that there were statements made that when Ref. #1 and #2 ran away from the facility that they engaged in a sexual relationship with an adult male neighbor in the community who was supplying them drugs. It revealed that the individual who reported the information recanted the statements. It revealed that the neighbor's partner called Ref. #1 threatening Ref. #1 for having sexual contact with the adult male. The report revealed that Ref. #1 and #2 denied having a sexual relations with the neighbor and denied that the neighbor supplied them with drugs. The LPA was unable to corroborate the allegation. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegation. A copy of this complaint was emailed to Ms. Ramos.

Investigation Findings:
13On September 11, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation for the above mentioned facility to Scott's Youth Facility located at Glenwood Dr, Bakersfield, 93306 due to Covid Outbreak. The LPA met with HR Manager, Mary Ramos. On May 13, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: Administrator Assistant, Kenneth Calvin, at the facility on July 16, 2021; one client (see Confidential Names, LIC Ref. #1 dated August 14, 2021) and two county social workers (CSWs) via telephone on August 13, 2021. The LPA was unable to interview client Ref. #2, whose status is runaway since May 24, 2021. The LPA reviewed the client's Needs & Services Plan and Special Incident Reports. The LPA obtained a copy of Bakersfield Police Department's Report dated May 7, 2021. The LPA reviewed at least Law Enforcement Contact Reports (LIC624-LE) from January 2021 to May 2021 submitted to MPCRP involving Ref. #1 and #2. The LIC624-LEs indicate that staff followed procedure. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 09/11/2021

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

met_with: Mary Ramos


raw_content:
Narrative:
The allegations are that staff members engage in verbal and physical altercation with clients. All staff members and clients that were interviewed denied the allegations. No client and staff member ever witnessed any staff getting physical with a client nor have they witnessed any staff engaging in verbal altercation with a client. Interviews consistently revealed that when a client becomes physically or verbally aggressive, staff members would re-direct the client or would take the client out for a walk or drive to calm the client down. Clients that were interviewed feel safe in the facility and have no concerns regarding staff members. CSW has no concerns regarding the facility and its staff members. The allegation indicated that a staff member provoked and hit a client, giving the client a busted lip. Contrary to the allegation, a review of records revealed that the client headbutted the staff, busting the staff's lip. Based on the information gathered through interviews and record review, there is not enough evidence to corroborate the allegations. Although the allegations may have happened or are valid, the preponderance of the evidence to prove the allegations were not met, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the agency representative. There were no deficiencies cited during today's inspection. (Page 2 of 2)

Investigation Findings:
13On October 12, 2021 at 4: PM, Licensing Program Analyst (LPA) Jean Herring conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA met with Karissa Davis, Unit Coordinator. During the course of the investigation, LPA Pamela Silva conducted telephone interviews with one (1) client, one (1) staff member and a county social worker (CSW) on 09/28/21. One (1) client and two (2) staff members were also interviewed via telephone on 10/06/21. LPA Silva was unable to interview client C1 due to whereabouts unknown. Attempts to interview two (2) staff members were unsuccessful due to voice messages requesting for a call back were not returned (reference confidential names list LIC 811 dated 10/12/21). LPA Silva obtained and reviewed Personnel Report LIC500, Client and Staff Roster, Special Incident Reports (SIR), Law Enforcement Contact Reports and Needs and Services Plan (NSP). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Jean Herring LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 10/12/2021

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

met_with: Karissa Davis, Unit Coordinator


raw_content:
Narrative:
It was alleged that staff physically assaulted a minor in care, and staff do not properly supervise minors in care. Confidential statements obtained during the investigation were unable to corroborate the allegations as there were no statements obtained to support the allegations. Facility staff denied the allegations of either witnessing or subjecting residents to any physical abuse. Facility staff also denied the allegation of neglecting any of the clients in care at any time. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On January 13, 2022 at 12: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, LPA interviewed facility clients on 1/13/22, facility administrator and facility staff on 1/13/22; LPA attempted to contact a former facility client who reunified with family on 12/2/21 and 12/9/21 (see Confidential Names Form dated January 13, 2022). LPA also reviewed documents on 1/12/22 including but not limited to the placing agency records, facility incidents reports and placing agency service logs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 01/13/2022

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

met_with: Kenneth Calvin, Administrator Assistant


raw_content:
Narrative:
Records revealed that minor made inconsistent statements about the sexual assault to other investigating parties. The minor's medical examination revealed no signs of trauma. The staff who supervised the minor during the trip also denied the allegation. There was no corroborating evidence found to support the allegation. Based on the above information, the allegation is closed as unsubstantiated. Although the allegation may have happened or is valid, there was no preponderance of evidence found to support it. An exit interview was conducted. A copy of this signed report, the Confidential Names Form and Appeal Rights forms were provided to the facility representative. There were no deficiencies cited during the inspection.

Investigation Findings:
13On May 10, 2022 at 1: PM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The allegation was investigated by Investigations Branch (IB) State Investigator Maria Barragan and the undersigned LPA. Investigator Barragan conducted confidential interviews with the minor, placement agency worker and the alleged staff/perpetrator. Investigator Barragan reviewed the medical and law enforcement reports and incident reports. LPA interviewed other related parties and reviewed the facility complaint history. It was alleged that minor was sexually assaulted while in care. Confidential interviews reveal that the incident allegedly happened during an outing in Los Angeles. The alleged staff/perpetrator was not present during the said outing and did not supervise the minor. Furthermore, minor denied the allegation against the staff/perpetrator and wrote a note of apology to the alleged staff/perpetrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Kenneth Calvin, Assistant Administrator


raw_content:
Narrative:
Staff denied the alleged allegation further indicating clients are always being supervised by three to four staff members and at times even more depending on the needs of the facility. Staff indicated that due to the facility not being a lockdown facility, clients are given the privilege of community passes upon being approved by their Social Worker or addressed on the clients' Needs and Service Plan. Furthermore, any client who is deemed AWOL from a community pass or for any other reason, staff will conduct a search and if not located will file a missing person report with local law enforcement as described in their program statement. Information obtained from clients indicated that they feel safe and that staff is always looking out for their best interests. Clients further indicated that when they AWOL staff will follow them and try to discourage them from leaving and informing them of the dangers they may face if they AWOL. Clients indicated that they are aware of what staff can and can't do and if they want to leave will leave. . Therefore, based on the information received, the above allegations are determined to be unsubstantiated. 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 found to be unsubstantiated. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On May 18, 2022, at 5: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program Facility (STRTP) and met with the Facility Administrator Adiministrator. The purpose of the inspection was to deliver findings for the above complaint allegations. On November 22, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegation: Facility staff is not adequately supervising youths in care. The investigation of the above allegations was conducted by this LPA and it consisted of but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with 3 staff members S1, S2 on 12/2/21, S3 on 12/6/21, and Clients on 12/2/21 (Reference Confidential Names Form LIC 811, dated May 18, 2022). 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 05/18/2022

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

met_with: Kenneth Calvin - Administrator


raw_content:
Narrative:
Three (3) Staff denied the alleged allegation further indicating clients are always being supervised by three to four staff members and at times even more depending on the needs of the facility. Staff indicated that due to the facility not being a lockdown facility, clients are given the privilege of community passes upon being approved by their Social Worker or addressed on the clients' Needs and Service Plan. Furthermore, any client who is deemed AWOL from a community pass or for any other reason, staff will conduct a search and if not located will file a missing person report with local law enforcement as described in their program statement. Information obtained from clients indicated that they feel safe and that staff is always looking out for their best interests. Clients further indicated that when they AWOL staff will follow them and try to discourage them from leaving and informing them of the dangers they may face if they AWOL. Clients indicated that they are aware of what staff can and can't do and if they want to leave will leave. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. 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 found to be unsubstantiated. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Human Resources Manager.

Investigation Findings:
On 06/17/22, at 10: AM., Licensing Program Analyst (LPA) Zeyda Loera, conducted a complaint inspection to the above Short Term Residential Therapeutic Program Facility (STRTP) and met with Mary Arriaga, Human Resource Manager. The purpose of the inspection was to deliver findings for the above complaint allegations. Facility staff are not adequately supervising minors in care. The investigation of the above allegations was conducted by this LPA and it consisted of but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with 3 staff members S1, S2 on 12/2/21, S3 on 12/6/21, and Clients on 12/20/21 (Reference Confidential Names Form LIC 811, (dated 6/17/22). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Zeyda Loera 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 06/17/2022

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

met_with: Mary Arriaga, HR Manager


raw_content:
Investigation Findings:
On February 2, 2023 at 12:50 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation. The LPA met with Administrator, Kenneth Calvin. On October 6, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: the Administrator via telephone on January 23, 2023; one Staff, Ref. #1 and Client Ref. #2 (see Confidential Names, LIC 811 dated February 2023) via telephone on January 24, 2023. The LPA reviewed the Special Incident Reports and Needs & Services Plan. The investigation revealed that Ref. #1 denied making inappropriate comments or emotionally abusing Ref. #2 by calling Ref. #2 weird or commenting on Ref. #2's sex life. Ref. #1 indicated that they did not know the reason the allegation was made. Ref. #2 denied that Ref. #1 made inappropriate statements or emotionally abused Ref. #2. There were no witnesses to the allegation. The LPA was unable to corroborate the allegations. There is not a preponderance of 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. 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 1

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

met_with: Kenneth Calvin


raw_content:
Narrative:
Due to inconsistent information obtained during the investigation, it cannot be determined whether the above allegations occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On April 11, 2023, Licensing Program Analyst (LPA), Johanna Lofton met with Katherine Nava, Facility Manager to issue the investigative findings for the above stated allegations. During the investigation, LPA Lofton conducted interviews with facility staff, facility clients and county social workers (see Confidential Names List LIC 811 dated April 11, 2023). Documents reviewed during the investigation included: Clients' Needs and Services Plans, Serious Incident Reports, County Investigation Narrative and other documents (clients' statements). While conducting confidential interviews, inconsistent statements were obtained. Facility clients confirmed the incident happened during LPA's first visit to the facility but during LPA's Lofton second visit, some clients recanted their statements stating the incident never happened. Facility staff was not aware or denied the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 04/11/2023

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

met_with: Katherine Nava- Facility Manager


raw_content:
Narrative:
Staff provided that C1 had come to the facility from school with scratches on her arm and leg from being restrained for behaviors. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegations. Based on the information gathered, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are 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 July 12, 2023, 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 allegations above. The LPA met with the representative named above and discussed the findings. The investigation included confidential interviews that consisted of but were not limited to: two staff on April 25, 2023, the LPA was unable to interview clients as they refused to be interviewed. The LPA was unable to contact the County Social Worker (CSW) after several attempts. The LPA reviewed Client Register, Personnel Report, Needs & Services Plan, Health Exams, and Special Incident Reports for C1. It was alleged that a client sustained unexplained injuries and staff do not provide proper supervision. Staff denied the allegations stating clients are supervised when they are in the facility. If clients leave the facility without permission, staff follows clients and redirects them in attempt to persuade them from leaving the facility. C1 has history of self-harm and staff supervise the client to ensure the safety of the client. 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 07/12/2023

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

met_with: Kenneth Calvin, Administrator


raw_content:
Narrative:
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 these allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On November 29, 2023 at 4 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with PM Unit Coordinator, Amanda Abbott. On June 1, 2023, 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: Administrator at the facility on July 14, 2023 at the facility, two clients - Client Ref. #1 at the facility on September 21, 2023 and Client Ref. #2 at their new placement on November 7, 2023; one Staff via telephone on November 1, 2023. After a few attempts, the LPA was unable to contact two County Social Workers. The LPA reviewed the Needs & Services Plans, and the incident reports. There was a statement made that the Staff hit Ref. #1 and Ref. #2 with an object. The investigation revealed that all witnesses denied that the Staff hit Clients Ref. #1 and #2. There were not witnesses to the allegation. The LPA was unable to corrobarate the allegation. 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 11/29/2023

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

met_with: Amanda Abbott


raw_content:
Narrative:
The staff was counseling client to hand over the piece of glass, but client refused and became physically aggressive with staff. Client cut staff with the piece of glass. Staff called other staff for assistance and due to client's continued refusal to release the piece of glass, the client was restrained for client's own safety. The client admitted to engaging in self harm but insisted the allegation happened and it involved one of the staff who responded to the facility and restrained the client. Staff denied the allegation; the client sustained a bruise to the elbow due to client hitting the walls and evading from being restrained. Client also sustained superficial cuts to the arms from self harm. Records reviewed show a corroboration of the details of the incident by staff and no physical altercation between staff and client occurred. There was no witness found to support the allegations. Based on information obtained during the investigation, there was no preponderance of evidence found to support the allegations, so the allegations are unsubstantiated. A copy of the following reports were provided at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights were provided and explained. There was no deficiency citation issued.

Investigation Findings:
13On November 29, 2023 at 9: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegations. The investigation was conducted by this LPA, and it consisted of a review of pertinent records on 8/30/23, 9/22/23 and 11/14/23 and confidential interviews with staff, clients and other related parties between 8/30/23 to 11/15/23. Copies of records were obtained such as Personnel Report, Personnel Contact List, Register of Clients, Needs and Services Plan and Incident Reports. LPA also reviewed the county placement agency report and law enforcement report. Confidential interviews reveal that a staff and client engaged in physical altercation which eventually resulted in client sustaining a bruise to the elbow after being pushed into a bathtub by staff. The incident started after the client, who has a history of self harm, was observed by another staff with a piece of glass. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 11/29/2023

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


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The LPA was provided with copies of the videos and observed the following: In the first video The Facility Manager #5, who's back is to the camera initially, grabbed something out of Ref. #2's hand. Ref. #2 verbally responded and the Facility Manager stepped towards Ref. #2. Ref. #2 splashed what appeared to be water from a bottle onto the Facility Manager and the Facility Manager attempted to grab the bottle and Ref. #2's hands. Ref. #2 grabs the Facility Manager's hair and the Facility Manager grabs Ref. #2's hair and they began wrestling and fell onto the hardwood floor continuing to wrestle. The Facility Manager noticed and mentioned Ref. #1 video recording the incident. In the second video, the Facility Manager and Ref. #2 are still wrestling and had moved to the carpet and pulling each other's hair. The Facility Manager sat with her buttocks on Ref. #2's face. Ref. #2 asked the Facility Manager to get off of her and began to cry and stated that she could not breath. The LPA corroborated statements that Facility Manager Ref. #6 was transporting another client at the time the physical altercation. It is determined that there is at least one eye witness and video recordings of the physical altercation between the facility manager #5 and Client Ref. #2. At no time in the videos did the LPA observe the Facility Manager Ref. #5 try to avoid, walk away, call for assistance or verbally de-escalate Ref. #2. The Facility Manager #5 did not attempt to conduct a proper restraint as trained by the facility on Ref. #2. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. The facility is being cited for violation of the Interim Licensing Standards (ILS), Section 87072(c)(11), Personal Rights . To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, exploitation, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning.- (see 809d) The LPA conducted an Exit Interview and provided a copy of this report, along with a Appeal Rights and Proof of Correction to the agency representative via email. The LPA was provided with copies of the videos and observed the following: In the first video The Facility Manager #5, who's back is to the camera initially, grabbed something out of Ref. #2's hand. Ref. #2 verbally responded and the Facility Manager stepped towards Ref. #2. Ref. #2 splashed what appeared to be water from a bottle onto the Facility Manager and the Facility Manager attempted to grab the bottle and Ref. #2's hands. Ref. #2 grabs the Facility Manager's hair and the Facility Manager grabs Ref. #2's hair and they began wrestling and fell onto the hardwood floor continuing to wrestle. The Facility Manager noticed and mentioned Ref. #1 video recording the incident. In the second video, the Facility Manager and Ref. #2 are still wrestling and had moved to the carpet and pulling each other's hair. The Facility Manager sat with her buttocks on Ref. #2's face. Ref. #2 asked the Facility Manager to get off of her and began to cry and stated that she could not breath. At the end of the second video, another person, believed to be Facility Manager Ref. #6 came into the video. It is unknown what Ref. #6 attempted to do, because the video ended. The LPA corroborated statements that Facility Manager Ref. #6 was transporting another client at the time the physical altercation began. It is determined that there is at least one eye witness and video recordings of the physical altercation between the facility manager #5 and Client Ref. #2. At no time in the videos did the LPA observe the Facility Manager Ref. #5 try to avoid, walk away, call for assistance or verbally de-escalate Ref. #2. The Facility Manager #5 did not attempt to conduct a proper restraint as trained by the facility on Ref. #2. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. The facility is being cited for violation of the Interim Licensing Standards (ILS), Section 87072(c)(11), Personal Rights . To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, exploitation, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning.- (see 809d) The LPA conducted an Exit Interview and provided a copy of this report, along with a Appeal Rights and Proof of Correction to the agency representative via email.

Investigation Findings:
On December 28, 2023 at 2:15 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation to the facility. The LPA met with Administrator, Kenneth Calvin. On August 30, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: four clients - Ref. #1 and 3 at the facility on September 21, 2023, Ref. #2 at school on October 6, 2023, Ref. #4 at their new placement on November 7, 2023; the Administrator via telephone on September 22, 2023 and December 19, 2023; Facility Manager Ref. #6 via telephone on December 28, 2023. On several occasions with no success, the LPA attempted to contact the Facility Manager, Ref. #5, who terminated their employment at the facility. The LPA reviewed two videos of the assault, a Termination Report, a Debriefing, and incident reports. The investigation revealed two videos of a physical altercation between Facility Manager Ref. #5 and Ref. #2, 11 years old, at the facility. It revealed that at least one client, Ref. #1 was a witness and recorded the video. The investigation revealed that Ref. #2 did not suffer injuries, marks or bruises due to the altercation. SubstantiatedEstimated 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 12/28/2023

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

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff caused injuries to a minor while in care. Staff denied the allegation. Staff stated that the child bruises easily due to medical condition and that child had blood drawn which caused discoloration to child's arm. Most children declined to meet with LPA, however, one child who was interviewed denied the allegation and stated that staff are always there to support children in care and denied that staff caused any injuries. It was also alleged staff were verbally abusive to a minor while in care. Staff denied the allegation and had similar statements that staff are not verbally abusive to children, but that one child has been verbally abusive towards staff and other children in the home. Staff stated they redirect children and provide support to other children but that staff continue to work with children in comments that they make to others in the home. Most children denied speaking with LPA, however, two children had similar statements of staff and stated that one child is verbally aggressive and causes problems in the home with staff and other children. Lastly, it was alleged staff are physically abusive to a minor while in care. Staff made similar statements and denied ever physically abusing a child. Staff stated that one child has been physically aggressive towards other children in the home, but that child is redirected to keep their hands to themselves. One child who was interviewed denied staff being physically abusive but had similar statements of staff that one child in the home has been physically aggressive and that staff try their best to redirect the behavior and provide support to remove the aggressive child from the situation or area. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 1/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to Scotts Youth facility II for the purpose of concluding the above complaint investigation. LPA met with the Administrator and discussed the above identified findings. Investigation consisted of the following: On 11/15/ LPA met with and interviewed unit coordinator and one (1) child. LPA attempted to meet with an additional three (3) children who declined to meet with LPA (see confidential names LIC811 dated 11/15/2023). LPA requested and obtained the following copies: Children's needs and service plans for four (4) children, facility case notes or log of incidents from September to present date 2023, staff training, criminal record clearances and any recent medical visits conducted for children in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 01/03/2024

met_with: Mary Arriaga, HR Manager and Coordinator


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Staff stated that the staff in which incident occurred with child was injured and that staff was defending themselves from being attacked by children by grabbing one child's hair to stop child from hitting and stomping on them. Interviews conducted with children had similar statements and stated that a staff grabbed and pulled a child's hair and staff punching a child in the back after children threw water and condiments at staff. Additionally, children provided video documentation of staff pulling child's hair and child being on the ground. Interviews conducted with witnesses stated an ongoing problem with one staff and some children. Witnesses stated that staff communicated issues or concerns with children and that situation may have arisen from previous issues. It was also alleged facility staff physically restrained youth in care. Staff had similar statements and denied the allegation. Staff stated there was an incident that occurred where a child threw soap and water at a staff. Staff provided video footage of staff falling and staff getting up and grabbing a child from behind to prevent child from throwing another item. Staff were unable to provide a clear guideline or description of how to properly restrain a child and identified multiple ways in which children have been restrained. Interviews conducted with children had similar statements in that staff complete restraints that have ranged from pushing, wrist grabbing, floor restraints and various other restraints that are not apart of facilities plan of operation or program statement. LPA reviewed video and video did not depict a restraint being utilized in this incident however, based on interviews and information obtained staff did not properly restrain children in previous incident where staff handled child roughly. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights were provided to the agency representative via electronic mail. Exit interview completed, no deficiencies cited and a copy of this report was provided to facility representative.

Investigation Findings:
13On 4/4/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to amend report completed on 1/3/2024. On 1/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Scotts Youth facility II for the purpose of opening/ concluding complaint investigation. On 1/3/ LPA met with human resources (HR) and discussed the above complaint investigation. On 4/4/ LPA met with Administrator and discussed the following amendments. Investigation consisted of the following: LPA met with and interviewed Administrator and four (4) children (see confidential names, LIC 811 dated 01/03/2024). LPA requested LIC500/ client roster, law enforcement report, video snap shots, children videos, incident reports and any associated documented daily logs. Additionally, LPA requested needs and service plans for six (6) children. Investigation revealed the following: It was alleged facility staff handled youth in a rough manner. Staff had similar statements and identifed an incident occuring in the home where a child was having behaviors and was throwing items at one staff. 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 01/03/2024

met_with: Mary Arriaga, Human Resource


raw_content:
Narrative:
Confidential interviews reveal that the clients were observed smoking marijuana outside the facility. Clients refused redirection from staff then started verbally and physically assaulting two staff. Staff defended themselves by attempting containment and avoided further conflict by walking towards the staff office. There were no other staff or clients who witnessed the full incident, but one client recalled observing the client/victim physically assaulting a staff, and staff kicked the client to stop client's continued physical assault on staff. Clients continued with their physical assault of staff until staff was able to contact law enforcement. Paramedics responded to treat the client/victim who was bleeding from the nose and mouth when law enforcement arrived, but client refused medical care. There was no mark or injury observed on the client/victim's stomach. Additional information revealed that the client/victim was purposely hit in the face by the other client so they can put the blame on staff when law enforcement arrived. Although there is a five second video showing the client/victim with blood from the nose, it cannot be determined from the video if the client was spitting blood from the mouth or was spitting blood that dripped from the nose to the mouth. The video did not show how this injury was sustained by the client/victim. Records show that there was no indication of any physical abuse by staff to clients. Staff were protecting themselves from being repeatedly assaulted by the clients. Furthermore, there was evidence found that one of the clients also vandalized the vehicles of the staff. In regard to the alleged theft by staff, LPA was informed that the facility provides for the meals of staff who work at the facility. Staff either bring their own meals or partake from the meals they cook for the clients. Staff and clients eat together and none of the clients had any issues with this until one of the two clients involved came into placement. Interviews obtained did not provide any corroborating evidence of theft. Based on information obtained during the investigation, there was no preponderance of evidence found to support the allegations, so the allegations are unsubstantiated. A copy of the following reports were provided at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights were provided and explained. There was no deficiency citation issued.

Investigation Findings:
13On January 17, 2024 at 10:30AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the findings for the above allegations. The investigation includes a review of pertinent records on 9/29/23, 10/2/23 and 1/16/24. Those records include, but were not limited to, Personnel Report, Register of Clients, Incident Reports and Needs and Services Plans. Confidential interviews were conducted with staff, clients and other related parties between 9/29/23 to 1/11/24. The clients involved refused to provide any statement. LPA was unable to obtain a full statement from the staff involved; one staff voluntarily quit while the other is on medical leave. LPA obtained and reviewed the law enforcement report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 01/17/2024

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


raw_content:
Narrative:
Ref. #2 worked at the facility without a criminal record clearance or exemption. The LPA observed no history in the Licensing System indicating that Ref. #2's submitted fingerprints for a criminal record review. Guardian observed that Ref. #2's Live Scan was uploaded on February 8, 2023. Guardian indicated that Ref. #2 required a Criminal Record Exemption on April 28, 2023 via correspondence that was generated and mailed to Scott's Youth Facility at H St #25, Bakersfield 93301. The HR Manager indicated that all of the mail comes to the Glenwood address and that the corporate address was incorrect. Guardian indicated that Ref. #2 obtained an Exemption Approval October 23, 2023. The LPA obtained evidence that Ref. #2 worked at the facility, because the LPA conducted a telephone interview with Ref. #2 via telephone regarding a complaint against the facility dated June 30, 2023. Based upon this information, there is evidence that Ref. #2 worked at the facility without a criminal record clearance or exemption for approximately 178 days. Ref. #3 worked at the facility without a criminal record clearance or exemption. The LPA observed that Ref. #3 had submitted to a criminal record review and initially obtained fingerprint clearances. The information was present in Ref. #3's personnel record and in the Licensing System. Guardian indicated that on May 23, 2022, Ref. #3 required a Criminal Record Exemption. Correspondence was generated and mailed to three addresses for Scott's Youth Facility, Rancho Sierra St, Bakersfield, 93306, H St., #25, Bakersfield 93301 and Glenwood Drive, Bakersfield, 93306. The correspondence indicated that Ref. #3 could not work or be present in an agency licensed by the Department As mentioned above, the HR Manager indicated that the H St address is incorrect. The HR Manager denied receiving correspondence regarding Ref. #3 needing an exemption. Guardian indicated that on March 9, 2023, Ref. #3 was denied an exemption. The denial letter was sent to the three addresses mentioned above. The letter indicated the prohibition regarding Ref. #3 work in a licensed facility by the Department. The HR Manager provided the LPA with an Employee Status Change dated November 7, 2023 indicating that Ref. #3's employment was terminated. Based upon this information, there is evidence that Ref. #3 worked at the facility without a criminal record clearance or exemption for approximately 594 days. Based upon the previous information, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. It is determined that a citation be issued: The facility is being cited for violation of Title 22, General Licensing Regulations, Personnel Requirements, Section 80065(i)(1). Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: Obtain a California clearance or a criminal record exemption as required by law or Department regulations. - (see 809d) It is determined that a civil penalty be issued: The facility is being issued a civil penalty due to criminal background check violations prescribed by California Health and Safety Code section 1522, 1568.09, 1569.17, or 1596.871. As a result, a civil penalty of $100 per person per day for a maximum of 5 days is being assessed. A total of $1000 is being assessed. The LPA conducted an Exit Interview. The licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. A copy of this report was provided to the facility's authorized representative.

Investigation Findings:
13On January 25, 2024 at 2:30 p.m., Licensing Program Analyst (LPA), Karen McGee delivered the findings of the complaint investigation to the Glenwood facility for the purpose of meeting with Human Resource Manager, Mary Arriaga. On September 11, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: the Human Resources Manager on September 22, 2023 at Scott's Youth Facility located at Glenwood Drive, Bakersfield 93306. The LPA reviewed three Staff (see Confidential Names, LIC Ref. #1, #2 and #3 dated January 26, 2024) files, Personnel Records (LIC500), Guardian, the Licensing System and Employee Status Change for Ref. #3. The investigation revealed the following: Ref. #1 obtained a criminal record clearance. Ref. #1's status in Guardian indicates Eligible. SubstantiatedEstimated 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 01/25/2024

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

met_with: Mary Arriaga


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Narrative:
It was revealed that S1 did not provide direct care of clients due to medical restriction for several months prior to S1 leaving for medical leave in January 2024. Staff indicated that they did not witness any clients being treated inappropriately or abused by any staff. The statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On May 24, 2024, at 9: AM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with Karissa Davis, Unit Coordinator, and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: the Administrator, on March 1, 2024, two staff on February 6, 2024 and February 21, 2024, and staff (S1) on May 24, 2024. The LPA was unable to interview the client as the client declined to be interviewed. The LPA was unable to contact County Social Worker (CSW) after several attempts. The LPA obtained and reviewed daily activity logs of client (C1, see Confidential Names LIC811, dated May 24, 2024) from January 1, 2024, through January 12, 2024. It was alleged that staff pulled client's hair. Administrator and staff denied the allegation. It was revealed that C1 was on home pass from January 1, 2024, through morning of January 7, 2024. (Cont.) 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: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 05/24/2024

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

met_with: Karissa Davis


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Narrative:
Investigation revealed the following: It was alleged staff hit client. Interviews conducted with staff had similar statements and denied the allegation. Staff stated that some children told them that one staff hit a child with a tablet during the time of an altercation. However, staff denied being present or observing staff hit any clients. Staff stated they try to talk with children and de-escalate the incidents before they have to do any sort of restraints. Interviews conducted with two of the four children had similar statements and denied witnessing staff hit child with a tablet. Children stated they were told about the incident occurring with staff but stated they did not witness incident. Interviews conducted with additional two children had similar statements and stated that one staff was trying to obtain a tablet from one child and that as staff was grabbing and pulling at tablet from child the tablet hit child in the face. Children further stated that the incident was caught on camera and clearly depicted staff hitting child. All children interviewed stated that one staff has been known to hit clients and drag clients by the hair, but children were not able to identify which client staff was hitting when or where. Interviews conducted with county social workers had similar statements and stated they were told by children in the home of an altercation between staff and a client and that staff hit client with a tablet. County social workers denied observing the altercation or observing any marks or bruises on children. LPA obtained a video from one child which showed child hitting staff and staff trying to take a tablet from child, however, video did not show staff hitting client or that staff hit client with the tablet. It was also alleged staff solicited client to assault another client. Staff had similar statements and denied the allegation. Staff stated that they do not solicit children to assault each other. Staff denied ever being told or seeing a staff give money to children to assault anyone. Interviews conducted with children varied in that one child recalled hearing or seeing a staff provide twenty dollars to a client to assault another child. Child was unable to recall which staff provided the money and what client received money or who was assaulted. Interviews conducted with additional three children denied knowing or observing interaction with staff or children. County social workers and witnesses denied knowing or receiving information regarding a staff soliciting money to children to assault anyone in or out of the home. Furthermore, it was alleged staff discloses personal information. Interviews conducted with four staff had similar statements and denied the allegation. Staff stated that they do not disclose personal or confidential information about anyone. Interviews conducted with two staff identified that one staff started a rumor about another staff not really being pregnant, however staff were unable to say who was provided the information and what information was directly disclosed. Interviews conducted with children were similar in that all children denied the allegation. Children stated they were not aware of any staff disclosing personal information or receiving any personal information from staff. Lastly, it was alleged facility is not reporting incidents. Staff had similar statements and denied the allegation. Staff stated that incidents are documented and submitted by Administrator or facility managers. Staff stated that incident reports go out with in the required time frames and that all agencies receive notification of incidents or complaints. Children had similar statements and did not know if facility staff are reporting incidents or not. Children stated that they do not disclose or report issues as they do not believe that anything will be resolved. County social workers had similar statements and stated that agency reports incidents regularly and on time and had no concerns with facility reporting. Documents reviewed identified that staff had reported incidents to required agencies and that an altercation had occurred between one identified staff and client. LPA observed no documents that identify staff being documented as being aggressive towards children or other staff. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 6/19/ Licensing Program Analyst (LPAs) Dawn Mahecha and John Bonilla made an unannounced visit to the Scotts Youth facility II for the purpose of closing the above complaint investigation. LPA met with Unit Coordinator and discussed identified findings. Investigation consisted of the following: On 1/17/ LPA Irene Yamamoto conducted initial 10-day inspection to facility and completed the following. LPA met with Administrator and requested for copies of the updated staff and client roster and staff contact list. LPA Mahecha requested for the following documents to be emailed to her: Documented complaints against staff, special incident reports submitted for incidents involving staff, copies of staff complete training, resume, job duties and qualifications, client allowance logs, any documented videos of incidents occurring or saved clips of inappropriate interactions with staff/clients, and list of clients discharged within the last year. Between 2/15/2024 and 5/15/ LPA Elnora Smith interviewed six (6) staff including Administrator and Director, and four (4) children. Additionally, LPA interviewed two (2) county social workers and additional witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 06/19/2024

met_with: Cecilia Ramos, PM Unit Coordinator


raw_content:
Narrative:
The investigation revealed that Ref. #2, 3, 4 and 5 attacked Ref. #1 with the intent of beating Ref. #1. It revealed that the Facility Manager and PM Unit Coordinator attempted to shield and protect Ref. #1 from being hit multiple times. The investigation revealed statements that the reason the clients attacked Ref. #1 was due to Ref. #1 bullying. The investigation revealed that there were no sharps, that is scissors or knives, available to the clients. It revealed that Ref. #5 had obtained the paper towel dispenser and attempted to hit Ref. #1 with it. The investigation revealed that law enforcement was called to the facility. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate 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 these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On August 9, 2024 at 3:30 p.m., Licensing Program Analyst (LPA), Karen McGee delivered the findings of a complaint investigation. The LPA met with PM Unit Coordinator, Cecilia Ramos. On February 26, 2024, 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: four clients - Ref. #1 at the new placement on July 12, 2024, Ref. #2, and #3 at the facility on August 3, 2024, and Ref. #4 at Kern County Juvenile Hall on August 9, 2024; two staff - the PM Unit Coordinator Ref. #6 and Facility Manager, Ref. #7 via telephone on July 29, 2024; three County Social Worker's via telephone on July 22, 2024, July 29, 2024 and August 6, 2024. The LPA was unable to interview Client Ref. #5 after several attempts to Ref. #5's authorized representative at Tulare County Juvenile Detention Center. The LPA reviewed Needs & Services Plan and incident reports. 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 MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 08/09/2024

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

met_with: Cecilia Ramos


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Narrative:
Allegation #1. There were statements made that the staff allow the clients to do whatever they want without consequences; that the former administrator covers for all the employees so they can't get in trouble; the clients are up all night causing ruckus and ringing the neighbors doorbells at 5:00 a.m.; a pregnant staff is constantly being punched in the stomach by a client with no repercussion to the client; and another staff member was hit in the face by a client. The former administrator is no longer at the facility and voluntarily terminated their employment due to finding another position. The investigation revealed that on one occasion, clients went to the next door neighbor to get a ball out of the yard. The CEO indicated that no one allowed the clients to hit others. There was no evidence provided that law enforcement was involved as it relates to the clients punching or hitting staff. The CEO indicated that there is a rule that law enforcement is not normally called, but they do utilize law enforcement action if necessary and MAB. Allegation #2. There was a statement that a client sleeps in the living room. The investigation revealed that Ref. #14 was sleeping in the living room on occasion, because Ref. #14 was accustomed to having their own bedroom after living in a resource home and Ref. #14 did not like their roommates cleanliness and hygiene. Allegation #3. There was a statement that the staff use facility funds inappropriately. The CEO indicated that all managers have credit cards and there are threads on each staff's telephone. The CEO indicated that all the logs go thru the CEO, Human Resources or the Administrator. Allegation #4. There was a statement that staff eat the clients food. The CEO indicated that there is a policy that the staff have to eat with the clients and if they eat out, then they are required to bring the clients the same food, unless the staff have a special dietary need. The CEO stated that there is a food budget of $700 per week. Allegation #5. There was a statement that staff discontinued a client's therapy. The investigation did not reveal any information on which client's therapy was discontinued. The CEO indicated the only reason a client's therapy would be discontinued is if the client's behavior was an issue. Allegation #6: There was a statement that staff is not qualified for position. The staff in question is the Human Resources (HR) Director. The Interim Licensing Standards has no requirements for the HR Director, who has submitted to a criminal record review and (cont'd) Allegation #7. There was a statement that the PM Unit Coordinator and the HR Director smelled like marijuana. The investigation revealed that all staff and clients denied the allegation. It revealed that the PM Unit Coordinator was pregnant at the time and denied the allegation. It revealed that the HR Director denied the allegation, does not work out of the facility and does not allow clients at their personal home. Allegation #8. There was a statement that staff are not performing their duties. The investigation revealed no evidence to support this allegation. Allegation #9. There was a statement that clients records are not safeguarded. The investigation revealed no evidence to support this allegation. The LPA was unable to corroborate the allegations. There was no preponderance of the evidence to substantiate 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 these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On November 7, 2024 at 1:20 p.m., Licensing Program Analyst (LPA), Karen McGee delivered the findings of the complaint investigation to the facility. The LPA met with AM Unit Coordinator, Cecelia Ramos. On July 16, 2024, 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: Chief Executive Officer (CEO); Human Resources (HR) Director; HR Administrative Assistant; Head of Service (HOS); AM Unit Coordinator; Facility Manager (FM); PM Unit Coordinator; NOC FM; three clients, Ref. #9, 11 and 12; and one County Social Worker. After attempts the LPA was unable to interview three clients, Ref. #10, 13 and 14. The investigation revealed that all staff and two clients denied the allegations. 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 MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 11/07/2024

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

met_with: Cecelia Ramos