facility_name: SACRAMENTO CHILDREN'S HOME #1

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on LPA's interviews and a records review, the preponderance of evidence standard has not been met; therefore, the allegations are found to be UNSUBSTANTIATED-although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Interim Licensing Standards or Title Regulations were cited during today's inspection. Exit interview conducted and a copy of this report, along with a copy of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 03/01/2022, Licensing Program Analyst (LPA) Chad Cabigon delivered the findings of this complaint investigation. LPA was met by Annette Jumper, Director of Child & Family Programs, with whom the report was discussed. Prior to opening the investigation, LPA reviewed the facility's history of complaints, deficiencies, and relevant incident reports. The investigation was then formally opened at the facility on 11/04/2021. Interviews were conducted with four youth clients, two facility staff, and three case-carrying County Social Workers. The following records were obtained: the Needs & Services Plan for the referenced child, training records for the staffer in question, and documentation pertaining to supervised visits. No other youth client corroborated child C1 on staff S1 hitting or handling C1 in any rough manner; C1's depiction of the alleged action by S1 was within the context of staff having to apply a restraint on C1-this emergency intervention, according to at least one other youth who witnessed part of the incident, looked to be justified. None of the other residents reported instances-witnessed or directly experienced-of any facility staff making inappropriate comments to, or about, any minors in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 03/01/2022

met_with: Annette Jumper


state: CA

raw_content:
Narrative:
The minor had no previous incidences of self-harm since placement at the facility; the youth having ingested a detergent pod was new and unusual behavior-LPA found no reported occurrences of the client even attempting to do self-harm or expressing suicidal ideations. As such, there was no reasonable cause to restrict the client's access to cleaning supplies during chore time during which youths are encouraged and expected to complete assigned chores as part of the facility's daily program. Per the clients interviewed, the cabinet in which the cleaning chemicals are stored is otherwise always locked; this LPA, during an unannounced inspection, also found the storage of these chemicals to be secured. The minor, upon exhibiting GI symptoms, was taken to acute care to be treated for ingestion of a toxic substance. The case-carrying County Social Work Supervisor confirmed that this was uncharacteristic of the youth, that the client had no prior instances of self-harm at the facility, and expressed confidence in the facility's ability to provide care and supervision to the minor in question. Though the youth did gain access to a potentially hazardous cleaning agent, this was not due to neglect, a lack of supervision, or incompliance with the youth's care plan on the part of facility staff. Based on LPA's interviews and a records review, the preponderance of evidence standard has not been met; therefore, the allegation is found to be UNSUBSTANTIATED-although the allegation may have been valid, there is not a preponderance of evidence to prove a violation did or did not occur. No Interim Licensing Standards or Title Regulations were cited during today's inspection. Exit interview conducted and a copy of this report is being provided to the facility.

Investigation Findings:
13On 04/25/2022, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection at this facility to deliver the findings of this complaint investigation. LPA was met by John Glass, Training & Recreation Therapy Manager, and the following report was discussed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 04/26/2022

report_type: Complaint Investigation

met_with: John Glass

complaint_status: unsubstantiated


raw_content:
Narrative:
It was reported that a youth was "slammed" to the ground by a staff member. Though this was corroborated by one other youth, there were inconsistent details between obtained statements surrounding the incident including who else was there to witness it. None of the purported witnesses corroborated seeing anything like what was described by the youth, and none of the other interviewed youths reported ever seeing the staffer in question do anything that they would describe as physical abuse to any of their peers. In the staffer's statement, he was responding to, or intervening in, a situation where a potential assault was being perpetrated by the youth on a female staff-person, and that the extent of his actions were to hold back that youth which then caused them both to fall to the floor. Though there was some sort of physical contact between the staff-person and the youth, the force with which the youth hit the ground cannot be determined, nor can it be ascertained if "slam" was an appropriate description of how the staffer and the youth fell to the floor. The youth did not sustain any injuries from the incident and did not report feeling unsafe with, or around, the staff member in question. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Exit interview conducted; a copy of this report, along with the Appeal Rights, is being provided to this facility.

Investigation Findings:
13On 07/07/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this facility. LPA met with John Glass, Training & Recreation Therapy Manager, to whom the findings of this complaint investigation was delivered. The following report was discussed: The complaint investigation was opened on 03/29/2023-LPA met with Clinical Program Manager Amanda Drumheller who facilitated a tour of the STRTP (Short Term Residential Therapeutic Program) grounds and interviews with a child referenced in the complaint (C1) as well as the direct-care staff (S1) in question. Interviews were also conducted with two other youth who were potential witnesses to the incident in question and one other direct-care staffer. Records reviewed were the following: C1's Needs & Services Plans, S1's disciplinary record with the Sacramento Children's Home (SCH), that staffer's training records, and the facility's submitted report on the incident in question. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 07/07/2023


raw_content:
Narrative:
Based on information obtained from witness interviews, the child is active, intelligent, plays in a rough manner, hits, kicks, bites, pulls hair, yet, over the last couple of months, the child has improved significantly both behaviorally and emotionally. Different information obtained indicates the child had multiple injuries due to staff handling the child roughly and that multiple scratches and bruises were observed. There is no evidence to indicate staff were subject to disciplinary actions. Witness interviews corroborate the child is not afraid, appropriate discipline is used for children, and positive reinforcement is applied to include "behavior bucks" for children. It is unclear if the child's injuries were due to rough play, accidents, or because of inappropriate staff interventions. Although the allegation that staff was rough with minor causing multiple bruises may have happened, or may be valid, there is not a preponderance of the evidence to prove the alleged violation did, nor did not occur, therefore, the allegation is UNSUBSTANTIATED. LPA conducted exit interview, provided appeal rights, and delivered this report January 16, 2024.

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

visit_type: Annual

met_with: Amanda Drumheller, Residential Clinical Program Manager


raw_content:
Narrative:
On whether or not the facility adhered to proper law enforcement contact procedures and if they responded appropriately to a runaway situation, the facility was able to provide documentation that timely notification was made to the correct Sacramento Police Department unit (Warrants & Missing Persons)-this protocol was confirmed by a current Detective in the unit. While an individual who used to work in that unit may have provided incorrect information in the past, the correct procedure was clarified by the aforementioned current Detective. Additionally-according to facility records and corroborated by the youth, themself-the youth did not present as a danger to themself or others for staff to have called 911 or the non-emergency number at the time of the incident in question. The youth also stated that staff did, at the time of the particular incident, try to discourage the youth from absconding, and that they did try to follow the youth-the youth stated that this was the usual practice of facility personnel in AWOL situations. The youth was unaccounted for for a few days but did return to the facility eventually. Although the allegations have have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 01/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Amanda Drumheller, Clinical Residential Program Manager, and the following report was discussed: LPA opened the investigation on 09/22/2023; records reviewed as part of the investigation were the following: a youth's Needs & Services Plans, email correspondences, a Missing Person Report Information Form, facility incident reports, an audio recording of a phone call between a parent and a Sacramento PD worker, and the Sacramento Children's Home's (SCH) Program Statement. The following were interviewed: several facility youth, a youth's parent, facility administration/management and direct-care staff, and Sacramento Police Department detectives and other personnel. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 01/31/2024


raw_content:
Narrative:
Obtained documentation from the Sacramento Children's Home (SCH, or facility) as well as corroborating statements that support it, show that an assessment or evaluation, and medical treatment if needed, was offered to a youth after an incident took place wherein a youth's hand was caught on a door that was being shut by a facility therapist. At the time, the clinician was actively attempting to address that youth's escalated behavior-the youth being in crisis threatened to harm other clients in the facility, according to the therapist. There was no photographic evidence produced that could show the state of the child's hand after the incident; consequently, there is no direct evidence that supports whether or not the youth actually sustained an injury. The youth's disclosure that resulted in this complaint investigation alleged that the SCH staff shut the door on purpose. In LPA's interview with the youth, when asked to confirm whether or not the youth thought it was done on purpose, the youth stated, "I don't know." Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the FFA.

Investigation Findings:
13On 01/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with and the following was discussed: LPA opened the investigation on 01/04/2024, during which a tour of the interior and exterior areas of the facility's physical plant was given, interviews were conducted with youth clients and staff, and a youth's Needs & Services Plan was requested. Additional interviews were conducted on 01/06/2024 with more clients and staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 01/31/2024

met_with: Amanda Drumheller,


raw_content:
Narrative:
Clients interviewed were in corroboration about the incident in question and the events that led up to it; according to interviews with youth and staff, one youth was consistently instigating arguments or fights with peers. Based on obtained statements, including those from youth, appropriate interventions-pre-emptive or responsive-were done by facility staff to mitigate instances of physical fights and further injury, and no serious bodily harm was sustained by any youth. Regarding a threat made by youth to other youth, this was in direct response to, and within the context of, that instigating youth persisting with inflammatory comments towards their peers. Sacramento Children's Home also made a housing change to prevent further conflict. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted and a copy of this report and of the Appeal Rights are being provided to CRH.

Investigation Findings:
13On 10/25/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) to close the complaint investigation. LPA met with Residential Clinical Program Manager Amanda Drumheller to whom the following report was delivered: LPA opened the investigation on 06/19/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and children's records were requested. Interviews were conducted with multiple youth and facility staff between 06/19/2024 and 10/17/2024. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 10/25/2024

met_with: Amanda Drumheller


raw_content:
Narrative:
During an incident that took place on 04/26/2025 in which a facility staffer was attempting to verbally de-escalate a client, a certain term was used by that staff member and directed it to the client. Although the exact word was in dispute, there was enough corroboration from three confidential interviews, including that staff-person's own admission, that it was disparaging and inconsistent with trauma-informed language. The staff member was formally counseled by their supervisor on 05/23/2025 (prior to the investigation being opened). Based on interviews and a records review, the preponderance of evidence standard has been met; therefore, the allegation is found to be Substantiated. Interim Licensing Standards 87072(c)(1) is being cited on the attached LIC 9099-D. Exit interview conducted; a copy of this report is being provided, along with the Appeal Rights, to the facility. Though there was some corroboration between two client statements about a possible improper hold or restraint applied to a client, details were inconsistent as to how and when this was purported to happen. Staff consistently were able to describe the proper tenets of emergency intervention techniques and justifications for use, including the application of manual restraints, and that no physical holds that resemble a "choke hold" should ever be utilized. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Exit interview conducted; a copy of this report, and of the Appeal Rights, is being provided to the facility.

Investigation Findings:
13On 06/20/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) to close the complaint investigation. LPA met with Residential Clinical Program Manager Amanda Drumheller to whom the following findings were delivered: LPA initiated the investigation on 05/28/2025 during which time the following records were requested: specific incident reports, disciplinary or counseling documentation from a personnel file, a youth's Needs & Services Plan, and placement preservation meeting notes; an interview was also done with one staffer. During the course of the investigation, additional interviews were conducted with other Sacramento Children's Home (SCH) staff, current and former clients in care, and clients' family. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 06/20/2025


summary: Facility Evaluation

raw_content:
Narrative:
On 09/30/2021, starting at approximately PM, Licensing Program Analysts (LPA) Yuvi Diaz and Chad Cabigon conducted an unannounced inspection of this facility. LPAs were mainly assisted by Director of Child & Family Programs Annette Jumper and Residential Clinical Program Manager Amanda Drumheller. The interior and exterior areas of the physical plant were toured; preliminary interviews were conducted with facility personnel; no clients were interviewed for the day. Additional time is needed to complete this inspection. No citations are issued currently as no deficiencies were observed through today's Physical Environment inspection. A copy of this report is being provided to the facility.

report_type: Facility Evaluation

met_with: Annette Jumper, Amanda Drumheller


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Hugo Licea conducted a case management inspection on October 5, 2021 at 10:56am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 6 out of Direct Care Staff and 5 out of 7 youth files as identified on the LIC 811 confidential names dated October 5, 2021, were reviewed. 3 out of Direct Care Staff and 1 out of 7 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Amanda Drumheller, Residential Clinical Program Manager.

visit_type: Case Management

met_with: Amanda Drumheller, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/14/2021, starting at approximately 11: AM, Licensing Program Analyst (LPA) Chad Cabigon continued the Required Inspection of this Short-Term Residential Therapeutic Program (STRTP). LPA met with Residential Clinical Program Manager (CPM) Amanda Drumheller who assisted with the inspection. A review of the manual restraint log was completed and included a discussion with CPM about the facility's process of reviewing and interpreting the data, and how that data informs the implementation of improvements, where necessary, to its policies and practices. The facility's CQI (Continuous Quality Improvement) policies, procedures, and practices were also discussed: various elements of the STRTP are subject to ongoing analyses via the collection of qualitative or quantitative information obtained from the client population, their families, and other means. Three more individual staff records and one client file were reviewed on today's inspection. Interviews were conducted with three of the facility's current residents, all of whom reported that their needs are being met and that they feel safe in the facility. Interviews were also conducted with two program personnel, each of whom was able to describe a sufficient understanding of critical elements of the facility's program statement and of a client's Needs & Services Plan. No citations are being issued as of this time; more time is needed to complete this Required Inspection. A copy of this report is being provided to CPM.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/20/21, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced Annual/Random Inspection of this facility-this was in continuation from 09/30/2021. LPA met with, and was assisted by, Residential Clinical Program Manager Amanda Drumheller. LPA conducted a walk-through of the facility, inside and out, on 09/30/2021. Facility staff-client ratio at time of inspection was 2:7, which was within the Regulatory requirements. Number of staff interviewed: six total. Number of clients interviewed: three total. LPA observed six client bedrooms and four full bathrooms on the premises. LPA inspected and/or reviewed the following: I. Physical Plant Posting of license and Children's Personal Rights checked; Disinfectants/Cleaning solutions were found to be kept inaccessible to clients in locked cabinets/areas. The common, clients', refrigerator's temperature was read at 40 degrees Fahrenheit; the freezer temperature was at 0 degrees Fahrenheit. There was nonperishable food sufficient for at least one week; fresh, perishable food was in stock-two days' worth. A menu was posted in the kitchen area; there is a working landline telephone. All carbon monoxide and smoke detectors were checked with the assistance of the facility's maintenance worker-there was one detector installed in each of the clients' bedrooms, all of which were in good working condition. A First Aid Kit that was fully stocked was kept in the staff office. An adequately-sized common room was available. The dining area had enough space to accommodate clients; clients' medications were found to be centrally stored, locked and/or inaccessible to the clients. The staff office was secured and inaccessible to the children. Running hot water was provided at various temperatures, with all readings between 105-120 degrees F.Four fire extinguishers were situated in common areas readily available in the case of a fire-the tags on the extinguishers indicated a service date of January 12, 2021. (, 9099-c) Toilets, sinks, bath and shower fixtures were all in good repair. Provisions of soap, paper towels, and other personal hygiene staples were observed. The laundry area was clean; required linen and furnishings were found to be present and in working order at the clients' bedrooms. The facility's service vehicles appeared properly maintained. There was no indication of the facility campus having any pest infestation. II. Operations The complaint procedures for youths were reviewed; the CQI requirements and protocol were already discussed at the previous inspection day. III. Disaster Preparedness The facility has a disaster and mass casualty plan that is up-to-date and readily available. Drills are conducted monthly. Disaster preparedness supplies were verified to be on-hand. IV. Emergency Intervention A review of the manual restraint log was completed via a discussion with the facility's Clinical Program Manager; staff training documentation was present in the records. V. Staffing Number of Staff files reviewed: Six. Criminal record clearances were verified. First Aid Certifications were also verified. VI. Client Files: Seven client files were reviewed and found to be in compliance. This completes the Annual/Random Inspection. No citations are issued as a result of this inspection. A copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An announced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP Sacramento Children's Home located at address above on 12/3/21 at 12: PM. During the inspection, LPA met with Candy Hernandez, facility Health Services Coordinator, and inspected the facility inside and out. There were no deficiencies noted. A medication count was also conducted. All psychotropic medications were reconciled correctly. LPA's reviewed three children's records. LPA's did not interview any children. LPA's interviewed two staff on site during the inspection at 1: PM. LPA's reviewed two staff personnel files. LPA's will return to the facility to conduct interviews with the seven children taking psychotropic medication and to review four additional records of children. LPA conducted exit interview with Candy Hernandez, facility Health Services Coordinator, who signed the LIC 809. Appeal rights were not explained, as no citations were given. LPA provided the Summary Report, upon completion, by email.

met_with: Candy Hernandez


summary: Facility Evaluation

raw_content:
Narrative:
An announced SB Psychotropic Medication Inspection continuation was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP Sacramento Children's Home located at address above on 12/6/21 at 11: AM. During the inspection, LPA's met with Candy Hernandez, facility Health Services Coordinator. LPA's reviewed three children's records. LPA's interviewed three children. One child (C3) declined and two children (C1)(C4) absconded during inspection. File review revealed that six out of six clients' Needs and Services plans were not signed by the authorized representative. An email requesting the authorized representative's signature was present in all six files. LPA is providing advisory in reference to California Code of Regulations Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87068.2(d) the licensee shall ensure and document that the child, and his/her authorized representative(s), and the child and family team were offered the opportunity to participate in the development of the needs and services plan (NSP). LPA's conducted exit interview with Candy Hernandez, facility Health Services Coordinator, who signed the original LIC 809. Appeal rights were not explained, as no citations were given. LPA's provided the ammended Summary Report, upon completion, by email to be signed and returned.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jean Stidman and Kim Pawlowicz on Tuesday, December 13, 2022 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPAs Stidman and Pawlowicz met with Erica Arreygue, Health Services Coordinator and inspected the facility inside and out. LPAs did not review any children's records and LPAs reviewed two staff personnel files on site at the facility. LPAs did not review any children's psychotropic medications and medication records. LPAs interviewed two staff on site to discuss the facilities policies and procedures of operation. LPAs did not interview any children currently prescribed psychotropic medication. LPAs provided a copy of this licensing report to Erica Arreygue, Health Services Coordinator. No deficiencies are being cited at this time. LPAs conducted exit interview with Erica Arreygue, Health Services Coordinator.


summary: Facility Evaluation

raw_content:
Narrative:
On January 11, 2023 at 11: AM Licensing Program Analyst (LPA) Stephannie Verna arrived at the facility to interview a youth in care, FC1, related to complaint investigations pertaining to another facility. LPA Verna met with Amanda Drumheller, Residential Clinical Program Manager. LPA Verna conducted one confidential interview with FC1. No citations were issued during today's visit. LPA Verna left a copy of this report with Amanda Drumheller, Residential Clinical Program Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/26/ Licensing Program Analyst (LPA) Chad Cabigon started the Required Annual Inspection of this STRTP (Short Term Residential Therapeutic Program). A walk-through of the interior and exterior areas of the facility's physical plant was conducted; two facility clients and three facility staff were interviewed in private; the file review was also started. No deficiencies are being cited currently; more time is required to complete the inspection. A copy of this report is being provided to the facility.

met_with: Angelique Stephney-Hasting; Amanda Drumheller


summary: Facility Evaluation

raw_content:
Narrative:
On 02/29/ Licensing Program Analyst (LPA) Chad Cabigon continued, and completed, the Required Annual Inspection of this STRTP (Short Term Residential Therapeutic Program). LPA met with Residential Clinical Program Manager Amanda Drumheller who facilitated, over two inspection days, the review of records, interviews with staff and clients, and a tour of the interior and exterior areas of the facility's physical plant. The facility's fire alarm system was tested and found to be operational. The kitchen, food prep, and storage areas were observed to be clean and sanitary. The refrigerator and freezer temperatures were found to be within the required ranges. Stock of perishable and non-perishable food items were found to be sufficient. The children's bedrooms had the required bedding and the furniture were in good repair. A First Aid Kit/Box was fully stocked with the required items. Medication were found to be centrally stored and secured. No potentially hazardous areas or items such as household chemicals and/or cleaning solutions, knives and other sharp kitchenware, were found to be left accessible to clients. The required posting were observed to be present: facility license, Foster Youth Rights; Five total staff interviews were conducted; two facility clients were interviewed in total (no additional client interviews were done on this day as none were available at the time of the inspection). Five staff files and five client files were reviewed-all of which were found to contain the required records. No citations are being issued as a result of this inspection; the facility was found to be in substantial compliance with Title Regulations including the Interim Licensing Standards. A copy of this report is being provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Aleza Ruiz on 05/14/2024 at 9:00AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Ruiz met with Anjelique Stephanie-Hastings, Administrator and inspected the facility inside and out. LPA reviewed 1 of 6 child's records and 3 of 8 staff personnel files on site at the facility. LPA reviewed 1 of 6 child's psychotropic medications and medication records. LPA interviewed 3 of 8 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 6 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Anjelique Stephanie-Hastings, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Anjelique Stephanie-Hastings, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 1, 2024 at approximately 10: AM, Licensing Program Analyst (LPA) Zaria Turner, made an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP). LPA Turner met with Residential Clinical Program Manager, Amanda Drumheller. A tour was conducted of the facility, the facility is in compliance. LPA Turner observed the following deficiencies. · Damaged shower wall (See LIC TV) This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Residential Clinical Program Manager, Amanda Drumhellerr.


summary: Facility Evaluation

raw_content:
Narrative:
An announced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Connie Goldie on 05/21/2025 at 09:00 am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Goldie met with Annette Jumper, Director of Child and Family Programs, Angelique Stephney-Hastings, Administrator and Ashley Mejia, Health Services Coordinator. LPA Goldie inspected the facility inside and out. LPA reviewed 0 of 0 child's records and 5 of 5 staff personnel files on site at the facility. LPA reviewed 1 of 1 child's psychotropic medications and medication records. Youth is not a dependent. LPA interviewed 4 of 4 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 of 0 children currently prescribed psychotropic medication. No deficiencies were issued during inspection. LPA conducted exit interview with Angelique Stephney-Hastings.

met_with: Amanda Drumheller, Administrator Ashley Mejia Health Services Coordinator


raw_content:
Narrative:
There was not enough clear corroboration from statements by interviewed youth to substantiate instances of staff speaking inappropriately to minors. The facility was able to furnish documentation showing a client went on a number of outings throughout their placement at the facility; however, corroborating statements also indicate that loss of some privileges due to non-engagement in one's program, or some sort of failure to meet agreed-upon expectations, might include outing restrictions. Regarding a situation wherein a client was "jumped" presumably by peers, the incident occurred while youth were on an outing and though the minor was under the care, supervision, and responsibility of the facility it was unclear if staff could have reasonably prevented the attack. On food provisions in the facility, this LPA conducted multiple unannounced spot check inspections of the cottage's food supply and found sufficient stock of entrée and snack items; youth statements, however, describe a somewhat restrictive environment wherein snack provisions are scheduled and sometimes strictly enforced, and most of the food or snack items are secured and typically accessed only with the assistance of staff. As for a client's communication with family members, varying accounts suggest that the minor might not have been notified of certain incoming calls (and requests for return-calls) because of a lack of follow-up. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 12/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Annette Jumper, Director of Child and Family Program, and the following report was discussed: The investigation was initiated on 09/18/2025 by LPA Sara Luman-Gonzalez onsite at the Sacramento Children's Home (SCH) campus, during which time a tour of the facility's interior and exterior grounds was done. Records obtained at the time were Needs & Services Plans, Menus, Activity Calendar(s), Staff Schedules, and documentation of Personal Rights training. Throughout the course of the investigation, interviews were conducted with youth clients, facility staff, County personnel, and other members of a youth's care team. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 12/31/2025


raw_content:
Narrative:
Interviews with youth and with facility visitors were not conclusive on the amount of time that direct-care floor staff spend on their phones while on shift-with some statements suggesting that work-related communication is being done using staff cellphones, while other accounts describe certain staff to be "on their phones all day." There were inconsistent statements about the provision of laundry services in the facility: of note was at least one report describing all of a client's clothes to be dirty or in need of washing, though it was unclear what the expectations were between the minor and the facility given that youth are allowed and/or encouraged to do their own laundry. Regarding planned activities for clients, though the majority of the youth stated that they, themselves, would refuse to participate in activities, it was not definitively determined that clients were being offered enough of the kinds of activities (specific to the youth, for example) that would have more likely engaged them, with some accounts suggesting that more effort or persistence on the part of staff could have been used to ultimately get the youth to engage in activities. As for whether a client was treated with dignity, conflicting statements describe instances of staff talking to a youth about that client's foster care case in a way that may have been received as demeaning or disrespectful to that youth's family, though not enough corroboration was found. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 12/31/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Annette Jumper, Director of Child and Family Program, and the following report was discussed: The investigation was initiated onsite at the Sacramento Children's Home (SCH) campus on 09/25/2025, during which time a tour of the facility's interior and exterior grounds was done with focus on food accessibility and storage; interviews with youth were also conducted on the same day, and records of staff training were preliminarily requested while additional records were obtained later such as CFT (Child & Family Team) and Placement Preservation meeting notes. Throughout the course of the investigation, more interviews were conducted with youth, facility staff, County personnel, and other members of a youth's care team. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: SACRAMENTO CHILDREN'S HOME #1FACILITY NUMBER: VISIT DATE: 12/31/2025


facility_name: SAGANA HAUS

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Jean Stidman and Elena Gonzalez-Soto met with applicants Edward Dondi and Elizabeth Dondi, to discuss the application for licensure. LPA Stidman discussed the application requirements in depth and did discuss expectations of the operation of the facility. LPA Stidman discussed application documents and that any forms needing revisions must be original documents with live signature(s). LPA discussed the client population to be served, organizational structure, administrator qualifications and educational requirements and any previous experience(s) in a licensed facility as a licensee, administrator/director and/or staff, need from banking institution(s) to verify three months of expenses as listed on the LIC401 line 37, postings required in the facility, and other topics during the meeting. LPA Stidman emphasized that the training needs to have a thorough training plan and have adequate staffing to meet the needs of the youth in care. LPA Stidman provided hard copies of the STRTP Review Tool which included the list of revisions needed, the Core Services Matrix, the STRTP Interim Licensing Standards (ILS) version 5. LPA also provided copies of the STRTP Review Tool, Core Services Matrix, ILS v.5 via email. LPA Stidman and the agency set a date for the corrections to be turned in by 11/04/24. Exit interview conducted and a copy of this report provided to Edward Dondi.

met_with: Edward Dondi, applicant


facility_name: SAN DIEGO CENTER FOR CHILDREN

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews stated C1 was hit by a resident at a different facility however there was no mention of staff abuse. Other confidential interviews stated that C1 disclosed being physically abused by a staff although no information or details were provided to them but still believed the abuse occurred. Based on confidential interviews, the allegation that Client #1 (C1) was physically abused while in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, a copy of this report was emailed to Program Director Ervey Salinas for signature. Original signed reports will be placed in facility file.

Investigation Findings:
13On 04/29/2021 at 12:00 p.m., due to COVID 19, Licensing Program Analyst (LPA) Marisol Lopez conducted a tele-inspection with Program Director Ervey Salinas of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On 09/21/20 at 10: AM, LPA Jesus Cervantes, arrived at the facility to conduct an unannounced initial complaint investigation for the above stated allegation and met with Facility Supervisor, Michelle Drake. During the investigation, LPA Lopez conducted confidential interviews with four staff, one client, one administrator, one social worker and reviewed incident report. On 09/11/2020, the Department received allegations that Client #1 (C1) was physically abused while in care. It was reported that on 9/09/20 it was disclosed that a staff member was physically abusing C1. It was also reported there was no information regarding who the alleged staff person was, how C1 was being physically abused, or how often it occurred. Confidential interviews contradicted the information, stating C1 has not been physically abused by any staff at the facility and C1 has not experienced abuse by a staff. (see continuation form LIC 9099C dated 04/29/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Stephanie Hudak LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 04/29/2021

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

met_with: Ervey Salinas


raw_content:
Narrative:
Confidential interviews contradicted the information, stating S1 did not cause an injury to C1 and staff were not aware of any staff causing injury to C1. Confidential interview stated nursing assessed C1 and observed a small quarter sized discolored area on the right forearm just above the wrist, and a dime sized area was noted on the upper right corner of the left knee; both markings were noted to have appeared old. LPA attempted to interview C1 however C1 was not available for interview due to being out of the state with guardian. Based on confidential interviews, the allegation that S1 caused an injury to C1 while in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was emailed to Facility Representative Michelle Drake and Program Administrator Ervey Salinas.

Investigation Findings:
13On 05/07/2021, at 11:15 a.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Facility Representative Michelle Drake, of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On 09/29/2020, at 3: PM LPA Lopez arrived at the facility to conduct an unannounced initial complaint investigation for the above stated allegation and met with Facility Representative, Michelle Drake. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA Lopez conducted confidential interviews with six staff (S1 through S6), one administrator, one social worker, attempted client (C1) and guardian interviews and reviewed incident report. On 09/22/2020, the Department received an allegation that Staff #1 (S1) caused an injury to Client #1 (C1) while in care. It was reported that law enforcement conducted a safety check on C1 and they observed C1 had a brown spot on C1's left arm that appeared to be old. Confidential interviews stated law enforcement was contacted due to a concerned guardian, however no evidence of injury was found. (see continuation form LIC9099-C dated 05/07/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 05/07/2021

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

met_with: Program Representative Michelle Drake


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews stated C1 initially refused to be taken to the hospital however staff convinced C1 and C1 was taken to the hospital for evaluation. Confidential interviews stated that S1 administered a medication dose amount to C1 that was not authorized by a physician and stated it was accidental due to unintentional oversight. Confidential interviews stated that C1's dosage was changed from liquid form to pill form and the type of syringe being used had been changed to a more accurate syringe for liquids. Confidential interviews stated S1 was given a corrective action, and re-training. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that S1 mismanaged child's medication is substantiated at this time. This poses an immediate health, safety, or personal rights risk to residents in care. The facility is being cited for violation of California Code of Regulations, Interim Licensing Standards 87075(c):Health Related Services. An exit interview was conducted, appeal rights explained, and a signed copy of this report was provided to Program Administrator Ervey Salinas, along with the LIC 811. (See Continuation Form LIC9099-D dated 05/27/2021)

Investigation Findings:
13On 05/27/2021 at 1:30 p.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Michelle Pechtl of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On 12/29/2020 at 3:25 p.m, due to COVID 19, LPA met with Program Administrator Ervey Salinas via tele-inspection to initiate complaint investigation and conducted a safety check; no safety hazards observed. During the investigation, LPA Lopez conducted confidential interviews with three staff (S1, S2, S3), one administrator, one client (C1) and reviewed incident report. On 12/22/2020, the Department received an allegation that S1 mismanaged child's medication. It was reported that C1 was lethargic at the facility and was taken to the hospital. Confidential interviews stated S1 gave C1 an incorrect dose of medication and S1 contacted the doctor and nurse supervisor for instructions due to the error. (see continuation form LIC9099-C dated 05/27/2021) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: 374602245

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

met_with: Michelle Pechtl

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
Confidential interviews contradicted the information stating staff prevent C1 from self-harming them self and are aware of C1's suicidal ideation, staff are continuously following C1's medical needs and C1's mental health is being addressed including seeing a therapist. Confidential interviews stated C1 has had suicidal ideations(SI) and threatened themselves, however staff have maintained C1 safe, involved the nurse/therapist and reported incidents. Confidential interviews stated C1 has been seen by the dentist every six months, however the root canal appointment was prolonged more than the two to four weeks the dentist had requested due to rescheduling because C1 did not feel well and the pending approval time for use of anesthesia. LPA received inconsistent information regarding the allegations. Based on confidential interviews, the allegation that staff did not prevent C1 from self-harming, staff is not following C1's medical needs, and staff is not meeting C1's mental health needs may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative Michelle Drake.

Investigation Findings:
13On 07/27/2021, at 2:00 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Michelle Drake, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On 02/19/2021 at 12:48 p.m., due to COVID19, Licensing Program Analyst (LPA) Adrian Mendez conducted a tele-inspection and met with Residential Supervisor James Boyer to initiate a complaint investigation. LPA Mendez conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA Mendez and LPA Lopez conducted confidential interviews with three staff (S1 through S3), one administrator, one social worker, one client (C1) and reviewed incident reports. On 02/12/2021, the Department received allegations that staff did not prevent client (C1) from self-harming, staff is not following C1's medical needs, and staff is not meeting C1's mental health needs. It was reported that C1 had attempted to drink a bottle of nail polish so C1 could self-harm and staff failed to follow-up on a dental appointment. (see continuation form LIC9099-C dated 07/27/21) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/27/2021

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

met_with: Michelle Drake


raw_content:
Narrative:
Confidential interviews stated staff supervise clients and razors are not allowed in the children unit where C1 was placed. Confidential interviews stated staff observed C1's room to be clean, no razor was found and on 03/23/2021 a safety check was conducted by law enforcement however no concerns were observed. Multiple attempts to interview C1 were made however they were unsuccessful. C1 was discharged to biological parent. Based on confidential interviews, the allegations that C1 had access to a sharp object and facility staff did not ensure that C1 had clean linens may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 10:00 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 9, 2021 at 12:15 p.m., due to COVID 19, LPA Ann Valenzuela conducted a tele-inspection and met with Program Administrator Ervey Salinas to initiate a complaint investigation. LPA Valenzuela conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA Valenzuela conducted a confidential interview with Staff #1 (S1) and LPA Lopez conducted confidential interviews with three staff (S2 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/01/2021, the Department received allegations that C1 had access to a sharp object and facility staff did not ensure that C1 had clean linens. It was reported C1 shaved C1's arm and C1's room was dirty. Confidential interviews contradicted the information and stated C1 did not have access to a sharp object at the facility and all clients' linens are washed on a cycle however clean sheets are always available. (see continuation form LIC-9099C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

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

met_with: Meghan Dambacher


raw_content:
Narrative:
Confidential interviews stated that C1 was provided with a workshop session with a nursing staff on how to bathe themselves and given the opportunity to ask questions to address any concerns on self -bathing. Confidential interviews stated C1 did not have poor hygiene and instead had darkened skin around C1's neck that was weight related however, it was alleged C1 had bad hygiene. Confidential interviews stated C1 did not have issues sleeping in C1's room and did not mention C1 had night terrors as alleged. Confidential interviews stated facility staff conducted bed checks every fifteen minutes nightly and documented C1 waking up at night to use the bathroom however C1 did not have trouble going back to sleep. Multiple attempts to interview C1 were made however they were unsuccessful. C1 was discharged to biological parent. Based on confidential interviews, the allegation that C1's needs are not being met may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative, Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 10:45 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative, Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 24, 2021 at 09:30 a.m., due to COVID 19, LPA Lopez conducted a tele-inspection and met with Program Administrator Meghan Dambacher to initiate a complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with four staff (S1 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/18/2021, the Department received allegations that C1's needs are not being met. It was reported that C1 had poor hygiene and staff would not provide C1 with a roommate to help with C1's night terrors. Confidential interviews stated it was reported to staff that C1 could not bathe themselves and requested that staff bathe C1, however staff do not bathe any clients and C1 was capable of bathing themselves. (see continuation form LIC9099-C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
Confidential interviews stated C1 was assessed by nursing due to having darker skin around C1's neck which caused chaffing while being active and it was documented. Confidential interviews stated C1 ate a well-balanced food plan offered by the facility. Confidential interviews stated C1 was benefiting from the program however, C1 was discharged against professional advice to biological parent. Multiple attempts to interview C1 were made however they were unsuccessful. Based on confidential interviews, the allegation that C1 is being sexually abused while in care, C1 developed scabies while in care and staff are not following C1's dietary plan may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted and a copy of this signed report was provided to Program Representative, Meghan Dambacher.

Investigation Findings:
13On 08/12/2021, at 11:25 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative, Meghan Dambacher, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On March 25, 2021 at 12:00 p.m., LPA met with Program Administrator Ervey Salinas to conduct an unannounced initial complaint investigation for the above stated allegations. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with four staff (S1 through S4), one administrator, one social worker, reviewed incident reports and attempted to interview Client #1 (C1). On 03/23/2021, the Department received an allegation that Client #1(C1) is being sexually abused while in care, C1 developed scabies while in care and staff are not following C1's dietary plan. Confidential interviews contradicted the allegations stating C1 was not being physically abused, C1 did not develop scabies and C1 was not on a specific or medically requested dietary plan. Confidential interviews stated C1 never mentioned any form of physical abuse at the facility and was doing well with C1's peers. (see continuation form LIC9099-C dated 08/12/2021) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2021

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


raw_content:
Narrative:
It was also reported C1 had not expressed concerns about mistreatment at the facility to one of two guardians and that the doctor was not concerned about inflicted physical abuse. Confidential interviews stated multiple allegations were made during C1's stay at the facility. Confidential interviews stated all restraints were conducted appropriately, with witnesses and documented at the facility however allegations were made during the restraint. Confidential interviews stated staff did not physically abuse C1 and nursing documented C1 having no pain however an allegation was made that staff scratched C1's leg. Confidential interviews stated staff met C1's medical needs and maintained documentation however it was reported C1 missed a follow-up doctor appointment. Confidential interviews had opposing responses on whether the follow-up was urgent and both guardians were not in agreement. Confidential interviews stated staff did not prevent C1 from using the restroom in any case however it was reported this occurred during a ten minute time-out. Confidential interviews stated staff did not retaliate against C1 and C1 continued treatment until C1 was discharged however it was reported C1 was treated differently although no details on how were provided. Confidential interviews denied all allegations occurred however; other information provided alleged the incidents occurred. Based on confidential interviews, the allegations facility staff inappropriately restrained C1, staff member physically abused C1 causing bruising, staff is not meeting C1's medical needs, staff does not allow C1 to use the restroom and staff is retaliating against C1 for making complaints may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Program Representative, Lynette Castillo.

Investigation Findings:
13On 10/28/2021, at 3:30 p.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Lynette Castillo, of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On April 12, 2021 at 9:15 a.m., LPA conducted an initial complaint investigation and met with Program Administrator Ervey Salinas to conduct an unannounced initial complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with two guardians (guardian #1(G1) and guardian #2 (G2)), five facility staff (S1 - S5), one administrator, one agency worker, reviewed incident reports, case notes and interviewed client (C1). On 04/05/2021, the Department received allegations that facility staff inappropriately restrained C1, staff member physically abused C1 causing bruising, staff is not meeting C1's medical needs, staff does not allow C1 to use the restroom and staff is retaliating against C1 for making complaints. (see continuation form LIC-9099C dated 10/28/21) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 10/28/2021

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

met_with: Lynette Castillo


raw_content:
Narrative:
in sexual intercourse or other sexualized behaviors with each other during their stay at the facility. Confidential interviews stated that proper supervision was provided at all times; which would have prevented this from occurring. While other confidential information received by Licensing Office stated that these allegations had occurred, and that C2 had a history of not respecting personal boundaries, and that C1 claimed that they and C2 were in a romantic relationship. There were no other known witnesses to this allegation. Based on confidential information obtained during the course of this investigation, the allegation that children engaged in inappropriate interactions, more specifically that Child # 1 (C1) had engaged in sexualized behaviors with Child #2 (C2) during their stay at this facility, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Supervisor, Michelle Drake-Trevino to discuss the investigative findings for the above stated allegation. Licensing Program Analysts (LPAs), Marisol Lopez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on May 24, 2021 at 10:30am and on April 20, 2022 at 9:26am. No immediate hazards noted. LPAs Lopez and Mena interviewed five staff (S1, S2, S3, S4 & S5), one of two foster children involved (C1), as well as reviewed client and facility records. LPA Mena was unable to interview Child # 2 (C2) due to C2's legal guardian not granting LPA permission to speak to C2 about these allegations at this time. Community Care Licensing received information on May 18, 2021 alleging that children engaged in inappropriate interactions, more specifically that Child # 1 (C1) had engaged in sexualized behaviors with Child #2 (C2) during their stay at this facility. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that C1 and C2 had engaged UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena 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 08-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, FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 05/20/2022

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

met_with: Michelle Drake-Trevino


raw_content:
Narrative:
Confidential interviews stated C1 was placed in a 1:1 with staff to keep C1 safe however, C1 managed to continue to self-harm. Confidential interviews stated staff supervised C1 while respecting C1's personal rights however, C1 intentionally ingested items and staff was not able to prevent all attempts. Confidential interviews stated it was determined C1 needed a higher level of care and C1 was pending new placement. Confidential interviews stated that C1's safety plan was followed however, other information provided alleged the allegation occurred. Based on confidential interviews, the allegations that allegation that staff did not follow the safety plan for C1 to prevent C1 from self-harming while in care may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was emailed to Facility Representative Antwan McDougal

Investigation Findings:
13On August 12, 2022, at 9:15 a.m., Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Facility Representative Antwan McDougal of San Diego Center for Children to discuss the investigative findings for the allegations noted above. On November 12, 2021, at 3:00 p.m, Licensing Program Analyst (LPA) Marisol Lopez met with Program Representative Lynette Castilloto conduct an unannounced initial complaint investigation. LPA conducted a safety inspection and no deficiencies were observed at that time. During the investigation, LPA conducted confidential interviews with one program administrator, one supervisor, one clinical manager, four staff (S1-S4), client #1 (C1) and reviewed incident reports and nurse notes. On November 08, 2021, the Department received an allegation that staff did not follow the safety plan for C1 to prevent C1 from self-harming while in care. It was reported C1 was transported to the hospital multiple times for swallowing items and self-harming. (See continuation form LIC9099-C dated 08/12/22) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/12/2022

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

met_with: Antwan McDougal


raw_content:
Narrative:
Confidential interviews stated staff supervise throughout all shifts and conduct random 15 minute room checks. Confidential interviews stated both C1 and C2 were separated into separate rooms and staff maintained supervision. Confidential interviews stated staff re-direct clients on inappropriate comments or action to ensure clients are safe, clients are aware to report any inappropriate behaviors or actions to staff and staff report all incidents. Confidential interviews denied lack of supervision however clients (C1, C2) were not available for interview. Based on confidential interviews, although the allegation that lack of supervision resulted in client inappropriately touching another client, may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Facility Administrator Ervey Salinas and Program Representative Michelle Drake.

Investigation Findings:
13On 12/02/2022, at 10:45 a.m. Licensing Program Analyst (LPA) Marisol Lopez arrived at the facility unannounced and met with Program Representative Michelle Drake, of San Diego Center for Children to discuss the investigative findings for the allegation noted above. On April 22, 2022 at 12:31PM, Licensing Program Analyst (LPA), Carol Anderson conducted an unannounced complaint investigation at the above facility and met with Facility Supervisor (FS) Antwan McDougal. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation consisted of confidential interviews with one facility administrator, two facility staff (S1, S2), two of four clients, one service worker, one of two guardians and review of incident reports. LPA attempted to interview client #1 (C1) and client #2 (C2) however they were discharged to guardians and was unable to be interviewed. On 04/22/2022, the Department received an allegation that lack of supervision resulted in client inappropriately touching another client. Confidential interviews stated it was unclear whether C1 or C2 asked to touch the other client (C1 or C2) however it was stated nothing occurred and they went back to sleep. (See continuation form LIC9099-C dated 12/02/2022) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Marisol Lopez 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 12/02/2022

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


raw_content:
Investigation Findings:
13On this date, Licensing Program Analyst (LPA) Tamara Melikian met with Short Term Residential Therapeutic Program (STRTP) Administrator Yasmin Williams to discuss the investigative findings for the above allegation. LPA Carol Anderson conducted an inspection to the STRTP on March 24, 2022 at 2:03PM. No immediate hazards observed. LPA reviewed and requested facility and client records. On March 24, 2022, Community Care Licensing received information alleging that Staff #1 (see LIC811 dated 03/14/2023) pushed minor #2 (see LIC811 dated 03/14/2023) while in care. Confidential interviews with two staff revealed that the minor was pushed by the staff while multiple witnesses were present. Documentation was received of three written witness statements. Confidential interviews confirm that the staff member #S1 did push the minor in care. The minor was unable to be interviewed at this time although multiple attempts were made. LPA received consistent confidential information and documentation that the allegation occurred. Based on interviews and information gathered during the investigation, the preponderance of evidence standard has been met and the Department has determined the allegation that the staff #1 pushed the minor #2 while in care is substantiated. This posed an immediate health and safety risk to the children placed in care. These actions are in violation of the Interim Licensing Standards (ILS) Chapter 7.5, Version 4, Article 6, 87072(c) Personal Rights. See attached LIC 9099D for cited deficiency. An exit interview was conducted, and a copy of the report and appeal rights were provided. Due to technical difficulties with printing the report, the report was scanned and emailed to the licensee. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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 08-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, FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: 374602245

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

met_with: Yasmin Williams


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
On April 06, 2023, the Department received an allegation that staff (S1) sexually abused minor (C1) while in care. It was reported that S1 touched C1's genital area and raped C1. Confidential interviews stated S1 never touched C1 in the private area. Confidential interviews stated C1 had pain in their genital area and was checked by a doctor and everything was okay. No additional details were provided and there were no witnesses to the event. Based on confidential interviews, the allegation that staff (S1) sexually abused minor (C1) while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Lynette Castillo, Lead Shift Supervisor.

Investigation Findings:
13On July 13, 2023, at 2: PM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Lynette Castillo, Lead Shift Supervisor of San Diego Center for Childrens to discuss the investigative findings for the allegation noted above. On April 7, 2023, Community Care Licensing's (CCL) Investigations Branch Bureau (IB), Investigator Ge Sun was assigned the investigation. On April 12, 2023, at 10: AM, LPA conducted an initial complaint investigation and met with Marissa Jones, Clinical Program Manager. LPA conducted a safety inspection, and no deficiencies were observed at that time. The investigation, consisted of confidential interviews by Investigator Sun with two witnesses (W1-2), Child Protective Service Social Worker (SW1), Escondido Police Detective (W1), Client (C1) refused to be interviewed, and review of documents: DVD with therapist report from Triumph Youth Services. LPA Jauregui conducted one staff interview (S1) and reviewed San Diego Police Dept Crime/ Incident Report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 07/13/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Lynette Castillo, Lead Shift Supervisor


raw_content:
Narrative:
Based on confidential interviews and document review, the allegations that facility staff handled C1 in a rough manner and facility staff inappropriately restrained C1 causing injury are SUBSTANTIATED because the preponderance of evidence has been met. This posed an immediate Health, Safety, or Personal Rights risk to children in care, the facility will be cited for violating Interim Licensing Standards version 4, STRTP Article 03. Application Procedures, Plan of Operation 87022 (c)(17) A description of trauma informed and evidence based intervention and de-escalation techniques that will be used to promote the safety of all individuals in the facility, including but not limited to children or non minor dependents who have a propensity for behaviors that result in harm to self or others. An exit interview was conducted, and plan of corrections was developed with Senior Clinical Director Ervey Salinas. A copy of this report and appeal rights were provided to Senior Clinical Director Ervey Salinas.

Investigation Findings:
13On August 29, 2023, at 12: PM, Licensing Program Analyst (LPA) Carol Anderson conducted an unannounced complaint inspection. The purpose of the inspection is to deliver the findings for the above allegations. LPA Anderson met with Clinical Director Ervey Salinas, Senior Director. LPA Jauregui conducted an inspection of the facility on April 12, 2023, and no deficiencies were noted. During the investigation, LPA Jauregui obtained incident reports, client roster, C1's needs and services plan, C1's safety plan, staff schedule, and staff contact information. LPA conducted three staff interviews (S1-S3) and reviewed SIR dated 3/29/23. On April 4, 2023, Community Care Licensing (CCL) received the allegation that facility staff handled minor in a rough manner and facility staff inappropriately restrained minor causing injury. Confidential interviews indicated while C1 was climbing a fence, S4 and S6 initiated a hold by placing their hands on C1s shoulders, S2 and S5 placed their hands on C1s legs to prevent C1 from climbing any further, S4 removed C1s hands from the fence causing C1 to fall back and hit their head. This procedure was not in compliance with Safe and Positive Approaches. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson 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 08-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, METROPOLITAN DR. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 08/23/2023

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


raw_content:
Narrative:
Based on confidential interviews, the allegation that due to lack of supervision minors are engaging in sexual acts at the facility may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Yasmin Williams, Clinical Program Manager.

Investigation Findings:
13On October 6, 2023, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Yasmin Williams, Clinical Program Manager to discuss the investigative findings for the allegation noted above. LPA Jauregui conducted an inspection of the facility on April 12, 2023, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed four clients (C1-C4), eight staff (S1-S8), obtained client roster, C1's needs and services plan, staff schedule, and staff contact information. On April 6, 2023, the department received an allegation that due to lack of supervision C1 and C2 are engaging in sexual acts at the facility. LPA received conflicting statements whether sexual acts occurred at the facility. There were no witnesses to the alleged allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 10/06/2023

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


raw_content:
Narrative:
Based on confidential interviews, the allegation that C1 was inappropriately touched while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report along with appeal rights was provided to Michelle Drake, Shift Supervisor.

Investigation Findings:
13On October 30, 2023, at 9: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived at the facility unannounced and met with Michelle Drake, Shift Supervisor to discuss the investigative findings for the allegation noted above. LPA Jauregui conducted an inspection of the facility on May 18, 2023, and no deficiencies were noted. During the investigation, LPA Jauregui interviewed five staff (S1-S3,S5-S6), one client (C2) and obtained 1:1 close observation logs, SIR, and staff contact information. LPA attempted to interview C1, however C1 refused. LPA attempted to interview S4, however after numerous attempts LPA was unsuccessful. On May 16, 2023, the department received allegations that minor was inappropriately touched while in care. Documents reviewed indicated C1 was on close observation when the allegation was made. Confidential interviews revealed C1 and C2 did not reside in the same unit. There were no witnesses of the alleged allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 10/30/2023

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

met_with: Michelle Drake, Shift Supervisor


raw_content:
Narrative:
Based on confidential interviews and documents reviewed, the allegation that facility staff is allowing C1 to be sexually harassed by another minor while in care, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this signed report was provided to Yasmin Williams, Clinical Program Manager.

Investigation Findings:
13On January 5, 2024, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced complaint inspection and met with Yasmin Williams, Clinical Program Manager. The purpose of the inspection is to deliver the findings for the above allegation. LPA conducted an inspection of the facility on July 5, 2023, and no deficiencies were noted. During the investigation LPA conducted six staff interviews (S1-S6), two client interviews (C1,C2) and obtained 15-minute close observation documentation record, and staff schedule with contact information. On June 28, Community Care Licensing (CCL) received the allegation that staff is allowing a minor to be sexually harassed by another minor while in care. Confidential interviews indicated C2 asked C1 to have sex with them. The staff placed a 10-foot protocol to separate C1 and C2 however it is unknown when the protocol was put into place and when the staff found out about the inappropriate comments, the Department could not confirm the allegation occurred or did not occur. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: LUCERO JAUREGUI 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SO. Cal Sc/res, Metropolitan Dr. # FACILITY NAME: SAN DIEGO CENTER FOR CHILDRENFACILITY NUMBER: VISIT DATE: 01/05/2024

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