facility_name: NEW PASSAGES - PURVIS HOUSE

summary: Facility Evaluation

narrative: On the above date, Licensee Patricia Bratcher and Accountant/Office Staff Martha Arellano met with Licensing Program Analyst Daiquiri Boyd and Licensing Program Manager Juanita Arroyo to go over the first submission of their Application and Program Statement. Timeline was discussed and agreed upon, revision to be returned on November 10, 2023. Reviewed and discussed the letter that LPA Boyd previously mailed to Patricia Bratcher.


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On 1/25/ Licensing Program Analyst (LPA) Daiquiri Boyd met with Licensee/Administrator Patricia Bratcher to go over the submitted application and Program Statement for New Passages Purvis House. LPA completed a review of the Plan of Operation, Program Statement and application with Licensee. LPA presented a letter to Licensee with corrections needed for 2nd revision, which is attached to this document. LPA answered any questions regarding submission of application and Program Statement the Licensee had. LPA completed Group Home Orientation with the applicant on this date. Orientation Certificate has been provided.

report_type: Facility Evaluation

met_with: Patricia Bratcher


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, 2024, Licensing Program Analyst (LPA) Briana Placencia and Licensing Program Manager (LPM) Juanita Arroyo met with Patricia Bratcher, Martha Arellano, and Irene Marquez from New Passages. This meeting was to discuss the third review of the application, and component two of the application process. The following items were discussed: LIC 401, LIC 404, a review of the House rules as well as staffing to ensure that the Administrator will be at each facility minimum of 20 hours each week. Administrator shared her history in working in this field and her passion for her program statement, she shared that she enjoys working with the girls and looks froward to working with the CVRC population. Discipline policy was reviewed as well as emergency intervention plan. Types of Licensing Visits: ~Pre Licensing ~Post Licensing ~Annual unannounced ~Complaint unannounced ~Plan of Correction unannounced ~Case Management unannounced Their 4th revision is due to CCL on June 10, 2024.. An exit interview was conducted and a signed copy of this LIC 809 was given to Patricia Bratcher.

visit_type: Case Management

met_with: Patricia Bratcher, Martha Arellano and Irene Marquez


summary: Facility Evaluation

raw_content:
Narrative:
On July 19, Licensing Program Analysts (LPAs) Briana Placencia and Sonia Sanchez travelled to New Passages-Purivs House, located at Purvis Ave Clovis CA 93611, to conduct a Pre-licensing inspection. LPA's were met at the facility by Licensee Patricia Bratcher. 1. Facility Grounds were clear from debris 2. Outdoor space observed. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications storage was observed. 5. First aid kit was observed. 6. Adequate storage space observed. 7. Individual beds in good repair with enough storage. 8. The house has 4 bedrooms, single/double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. 10. Weekly mock menu observed. 11. Dining room observed. Table and chairs for the facility were observed during inspection. 12. Facility has two full restrooms, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. Temperature is currently reading 119. F. 13. Licensee has a vehicle for use at the facility. Including insurance and registration. 14. Licensee already has a guardian account and three staff are currently associated with one pending. Fire extinguishers were serviced on November 6, 2023.

visit_type: Prelicensing

met_with: Patricia Bratcher, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Sonia Sanchez conducted a post-licensing inspection at New Passages Group Home and met with Patricia Bratcher, Administrator. A inspection of the facility was conducted. The Group Home currently has no clients in care. The Group Home currently employs Administrator/Facility Manager and two direct care staff. LPAs interviewed one staff. The Group Home currently has no firearms and no swimming pool. An inspection of the facility was conducted and the following was observed: The facility was inspected indoors and outdoors. Hot water temperature measured at 128.6 degrees. Individual beds were observed with appropriate clean linens and are in good repair. Cleaning chemicals inaccessible to clients. The facility is maintained at 77 degrees. All facility smoke and carbon monoxide detectors appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced in December 10, 2024. Medication lock boxes are available for centrally stored medication when needed. LPAs reviewed the outcome of post licensing. There is no citations being issued at todays inspection. Administrator states the plan is to continue to reach out to CVRC for referrals/placement's of clients. At this time licensing will be extending the provisional licence for another 6 months. Post License and Annual/Required Inspection are being completed concurrently on this date. A copy of this report is left at the agency with Administrator.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, 2024, Licensing Program Analysts (LPA's) Sonia Sanchez and Briana Placencia conducted an unannounced Annual/Required inspection at New Passages - Purvis House and met with Patricia Bratcher, Administrator. An inspection of the facility was conducted. The Group Home currently has no clients in care. The Group Home currently employs Administrator/Facility Manager and two direct care staff. LPAs interviewed 1 staff. The Group Home currently has no firearms and no swimming pool. An inspection of the facility was conducted and the following was observed: The facility was inspected indoors and outdoors. Hot water temperature measured at 128.6 degrees. Individual beds were observed with appropriate clean linens and are in good repair. Cleaning chemicals are inaccessible to clients. The facility is maintained at 77 degrees. All facility smoke and carbon monoxide detectors appear to be in working order, fire extinguisher is properly charged and was last services in December 10, 2024. Medication lock boxes are available for centrally stored medications when needed. LPAs reviewed the outcome of the Annual/Required Inspection. There is no citations being issued at today's inspection. Administrator states the plan is to continue to reach out to CVRC for referrals/placement's of clients. At this time licensing will be extending the provisional license of another 6 months. Post License and Annual/Required Inspection are being completed concurrently on this date. A copy of this report is left at the agency with Administrator.


facility_name: NEW VISION SERVICES RESPITE RETREAT

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Based on LPA's observations, interviews, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. A signed copy of this report was provided to the facility. An exit interview was conducted, and appeal rights provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Amber Watkins, Administrator and Melissa Johnson, Administrator. LPAs Misty Valencia and Lyta Vue conducted the complaint investigation. The investigation was opened with the facility on 07/13/2023. The following were interviewed: Reporting Party, two (2) Administrators, three (3) staff, and one (1) Regional Center case manager. On 7/13/2023, LPAs Valencia and Vue attempted to interview one (1) client, but the client does not use words to communicate. Six out of seven (6/7) individuals interviewed denied the allegations, reporting they have never heard of staff smoking marijuana at the facility. Six of those individuals interviewed also stated they never witnessed minors left unattended or in soiled diapers. While LPAs were conducting the health and safety inspection, LPAs did not smell any marijuana or urine odor. The facility was clean and organized. LPAs observed one client present who appeared clean and happy. Record review indicated no staff had been written up or terminated for drug use. The facility has a policy of no substance use at the facility and no staff shall be impaired by substances while working. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Wendy Brown 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: NEW VISION SERVICES RESPITE RETREATFACILITY NUMBER: VISIT DATE: 09/19/2023

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

report_type: Complaint Investigation

met_with: Administrators Watkins and Johnson

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 8/25/ Licensing Program Analysts (LPAs) Kellie McKinley and Katherine Deaton met with Administrator Amber Watkins. The facility was inspected inside and out.. Facility was in good repairs with minor fixes needed. Bedrooms were observed with beds with clean linens, dressers and storage areas with closets. All medications and chemicals were secure and in locked cabinets. LPAs interviewed two staff members and reviewed client file. Due to time constrains LPAs will have to return to complete the annual inspection at a later date. No citation were given on the first day of the visit.

met_with: Evelyn Landers- Williams


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Kellie McKinley and Katherine Deaton completed the annual inspection at the facility address listed above. The LPAs reviewed two staff files and attempted to interview the facility's only placement. This child is not a foster youth and is privately placed by the Far Northern Regional Center. The LPAs provided the facility with PPE per their request. The LPAs reviewed the following Advisory Notes - Technical Violations with the Administrator: Title Section 84065(i)(2)(B), Title Section 84065(j)(6), and Title Section 80070(a). The LPAs explained that citations were not issued for these deficiencies because there is no immediate or potential risk to health or safety of the clients in care. The LPAs conducted an exit interview with the Administrator and will provide them with a copy of this report . [Title Section 84065(i) Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16 hour training as specified in (1) and (2) below: (2) Sixteen hours of training shall be completed by new child care staff within 90 days of hire. (B) Within 30 days of completion of the 16 hour training, the administrator or administrator's designee shall assess if each newly hired child care staff understands and can apply the training. Title Section 84065(j)(6) Documentation of successful completion of training shall be maintained in the personnel record for each child care staff. Title Section 80070(a) The licensee shall ensure that a separate, complete, and current record is maintained in the facility for each client.]

met_with: Evelyn Landers- Williams, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 7/25/23, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Amber Watkins, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 8/27/21. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for children ages 7 to 17 years. The facility currently has one client, a Regional Center placement. One client was present during the inspection. The facility is licensed for a maximum capacity of 5. Staff to client ratio is 1:2. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of four bedrooms available for clients, with each client having their own bedroom, but one room is set up with two beds, and can occupy two clients. One bedroom is use for a playroom. LPA observed the client bedrooms, living room, kitchen, four bathrooms, the backyard, and the garage to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. Every bedroom was decorated with the client's personal items. LPA observed a locked staff file located in the laundry room. Medications are stored in the kitchen in a locked cabinet. LPA observed the proper postings including: facility license, complaint hot-line, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen and in the refrigerator. Disinfectants and cleaning solutions were inaccessible. LPA reviewed two client files, 1 was permanent and 1 was a respite who comes to stay occasionally. The permanent client were taking court ordered psychotropic medications and had current court authorization or parental consent on file. Report continued on 809c Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Clients were current on CHDP physical exams and dental exams. The client's Needs and Services Plan/Individual Program Plan were complete and up to date. LPA reviewed four staff files. Staff files had completed criminal record clearance. All required initial and annual training were not completed and not up to date. All 4 of the staff files were missing current Emergency Intervention Training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed two staff on site. LPA was unable to interview the client, the client is non-verbal. Facility is issued a citation per California code of Regulations, Title Regulations 84365(d): Emergency Intervention Staff Training, (d) The licensee must maintain a written record of the facility staff training. A signed copy of this LIC-809 (and LIC-809C, and LIC 809D) report was provided to Amber Watkins, Administrator.. An exit interview was conducted. Appeal rights were provided.

met_with: Amber Watkins, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 08/20/24, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Amber Watkins, Administrator. The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 07/25/23. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 7 to 17 years. The facility currently has one client and is Regional Center placement. 0 client was present during the inspection. The facility is licensed for a maximum capacity of 5. Staff to client ratio is 1:1. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of three bedrooms available for clients, with 1 client utilizing their own bedroom. LPA observed the client bedrooms, living rooms, kitchen, three (3) bathrooms, the backyard, the garage to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. One bedroom utilized was decorated with the client's personal items. LPA observed a locked file drawer for staff files in the living room area. Medications and the client in care's file are locked and stored in the kitchen in the bottom cabinet. Facility has another file drawer that stored past client files in the dining area. LPA observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms were in working order, fire extinguishers were current and will be expired November 2024, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 2 days of perishable food and 7 days of non-perishable food in the kitchen. Disinfectants and cleaning solutions were stored in a locked cabinet in the garage and where it's inaccessible. Annual Report continued on 809c LPA reviewed one (1) client file. 1 client is taking psychotropic medications and had current parental consent on file. Psychotropic medication logs for clients were written on separate Psychotropic Medication Administration Records. Client was current on CHDP physical exams, but not current on dental exams due to Autism behaviors. The client's Needs and Services Plan/Individual Program Plan were complete and up to date. LPA reviewed three (3) staff files. Staff files had completed criminal record clearances, and all required initial and annual training. First Aid and CPR certifications were up to date for all staff. Administrators Certificate was valid. LPA interviewed two (2) staff on site. LPA interviewed zero (0) clients. (Client was not present and client is non-verbal) No citation was issued A signed copy of this LIC-809 and LIC-809C report was provided to the Administrator.. An exit interview was conducted. Appeal rights were provided


summary: Facility Evaluation

raw_content:
Narrative:
On 08/12/25, Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility and met with Amber Watkins, House Manager (HM). The purpose of the visit was to conduct a Required Annual Inspection of the facility. The last Annual inspection for the facility was on 08/20/24. LPA utilized the CARE Tool to complete the Annual inspection. The facility is licensed to provide treatment services for ambulatory children ages 7 to 17 years. The facility currently has zero (0) clients. The facility is licensed for a maximum capacity of 5. Staff to client ratio is 1:1. LPA conducted an inspection of the physical plant and checked for all necessary requirements. The facility had no noticeable odor and maintained an acceptable room temperature. There are a total of three bedrooms available for clients, and none is being utilized. LPA observed the bedrooms, living rooms, kitchen, three (3) bathrooms, the backyard, and the garage to be clean and organized. LPA observed each client bedroom to have a closet, a dresser, and a clean mattress. Sheets, blankets, and pillows were in good condition. LPA observed a locked file drawer for staff files in the living room area. A cabinet in the kitchen is ready to store medications and client files when the facility has placements. Annual Report continued on 812c Facility has another file drawer that stored past client files in the dining area. LPA observed the proper postings including facility license, complaint hotline, menu, and emergency disaster plan. Smoke alarms and carbon monoxide were in working order, fire extinguishers were current and will be expired October 2026, and a first aid kit was fully stocked. The facility has no outstanding fees. LPA observed 7 days of non-perishable food in the kitchen and the facility has had no clients since January 2025 and has not kept fresh foods on site due to no clients. Disinfectants and cleaning solutions were stored in a locked cabinet in the garage and where it's inaccessible. LPA reviewed zero (0) client file. LPA reviewed one (1) staff file. LPA interviewed one (1) staff on site. LPA interviewed zero (0) clients. (facility has no clients) No citation was issued A signed copy of this LIC-809 and LIC-809C report was provided to the House Manager (HM). An exit interview was conducted. Appeal rights were provided

met_with: Amber Watkins, House Manager (HM)


facility_name: NEWPORT ACADEMY

raw_content:
Narrative:
Therefore the medication was accessible to the client. Based on confidential interviews and records reviewed, the preponderance of evidence standard has been met regarding the allegation that C1 had access to medications, therefore the allegation is found to be substantiated. California Code of Regulations, Title 22, 80075 (k)(1) Health-Related Services, are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report, along with the appeal rights were explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith. Confidential interviews resulted in inconclusive information as to how long C1 was left unattended in regard to whether it was age and developmentally inappropriate or not. Confidential interviews also revealed that C1 did not obtain the medication from the medication room at the facility. Based on confidential interviews, and records reviewed, the allegation that C1 overdosed while in care due to a lack of supervision is unsubstantiated. Meaning, 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. An exit interview was conducted and a copy of this report, along with the appeal rights were explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.

Investigation Findings:
13On January 17, 2023, at 2:29pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility and met with Program Manager Ellen Asquith of Newport Academy to discuss the investigative finding for the allegation noted above. LPA conducted an inspection with the facility on November 17, 2022, at 10:11am, no deficiencies were noted. During the investigation LPA interviewed four children (C1, C3, C4, C5), one biological parent (BP5), and one facility staff (S1). During the investigation, LPA reviewed C1's Needs and Services Plan, one Serious Incident Report (SIR) dated 10/30/2022, and the facility's staff shift report dated 10/30/2022. On November 10, 2022, the Department received an allegation that a minor had access to medications. It was reported that C1 had obtained approximately Tylenol pills while at the facility and was rushed to the emergency room. Confidential interviews revealed that C1 did not obtain the medication from the medication room at the facility, the medication was left unattended in the staff office which was not locked. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 01/18/2023

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

met_with: Ellen Asquith


raw_content:
Narrative:
****PAGE During the investigation, there was no corroborating evidence to support the allegations, however there were no witnesses to the said incident as well. In addition, S4 was not able to be interviewed. Based on confidential interviews and records reviewed S4 made a C1 in care feel uncomfortable S4 would not allow a C1 to reschedule their therapy session, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, LIC 811 along with appeal rights was provided to Amanda Seymour.

Investigation Findings:
13On January 27, 2025 at 09:50 a.m, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Residential Director, Amanda Seymour, to discuss the investigative findings for the allegations noted above. On 08/05/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA interviewed four Clients (C1-C4), three Staff (S1-S3) and attempted to interview one Staff (S4), however after several attempts LPA was unsuccessful to make contact. During the investigation, LPA reviewed facility client file for C1. On 08/01/24, Community Care Licensing (CCL) received allegations that staff made a minor in care feel uncomfortable and staff would not allow a minor to reschedule their therapy session. Specifically, it was stated that S4's style of therapy made C1 uncomfortable and when C1 canceled a session with S4, C1 was not allowed to reschedule a new appointment. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 01/27/2025

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

met_with: Amanda Seymour-Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On May 18, 2022 at 11:49am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Required Two-Year Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 117.6 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a cabinet in one of the staff offices. Sharp knives are inaccessible and stored in a locked food preparation room. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Claudia Jaimes. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. The property contains a pool in the backyard which is covered by a safety net. Emergency exits were free from obstruction. Due to the need to complete staff/client interviews and staff/client file reviews, this inspection will need to be continued at later date. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Program Manager Claudia Jaimes.

met_with: Claudia Jaimes


summary: Facility Evaluation

raw_content:
Narrative:
On May 20, 2022 at 10:27am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two-Year Annual inspection that began on 05/18/2022. LPA met with Program Manager Claudia Jaimes. During the inspection, LPA reviewed staff and client files. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. LPA discussed and reviewed the following inspection components; Operations, Emergency Intervention Plans, and Emergency Disaster Preparedness. During the inspection, interviews were conducted with three children, and three staff. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/06/2025 at 10: AM Licensing Program Analyst (LPA) Stefanie Mutialu arrived at the facility for the purposes of performing an Annual Inspection for a Group Home. At 10: AM LPA was met by Residential Director, Amanda Seymor. LPA identified herself and disclosed the purpose of the inspection. LPA was granted entry into the facility by the Director. LPA provided Facility Checklist to Residential Director. Present in the home were the Residential Director, six clients and nine staff at the time of the inspection. The six-bedroom, four-bathroom, two story home includes an entry way, family room, kitchen, laundry room, living room, and dining room. The facility is licensed to serve up to six ambulatory clients, ages 12-17 years of age and have a census of six clients. The Residential Director accompanied LPA inside the facility during the visit. At 10: AM the Residential Director (RD) provided updated Personnel Report and updated Client Roster to LPA. At 10: AM, LPA began the tour on the north side of the facility and was accompanied by the RD. LPA observed locked Care Coordinator office with stored sharps. LPA observed medication room was locked and all medication was locked in cabinets within the medication room. LPA observed locked hygiene closet had a surplus of hygiene and grooming products available to clients. A locked storage closet is available to clients to safeguard valuables. LPA toured the den and observed a L-shaped couch with seating for six clients plus two chairs and a high-top dining table with six chairs to accommodate six clients plus additional seating for visitors. The den has a television plus activities, and a refrigerator to store food surplus. LPA toured the second floor located only on the north side of the home which is being used for staff purposes: client therapy sessions and staff bathroom, which remains locked when not in use. LPA toured the Family Therapy session room near the facility entrance. LPA observed client bedroom #1 having a twin-size bed, walk in closest, a six-drawer dresser, one night stand, and a desk. Client bedroom #2 is now being used as the therapist's office. Client bedroom #3 had two full size beds, a walk-in closet, two chairs, two desks, and two four drawer dressers. Page LPA observed the south side of the home beginning in the hallway. LPA observed the hallway had overhead lighting, hallway closets contained a snack pantry and food pantry, a bathroom, a bookcase with books and craft/activities available for client use, the entrance to the chef's kitchen, and the chef's office. The room temperature met Title Regulations of 65 degrees Fahrenheit (F) to 85 degrees F with a temperature of 70 degrees F per facility thermostat located in the hallway. LPA toured the main living room and observed two couches, a sofa chair, two chairs along with a picnic style dining room table. LPA observed a refrigerator and small kitchen used by clients and staff for breakfast and snacks. Small kitchen included client's dishes and utensils, and a locked cabinet to store cleaning supplies. All required posting were displayed in a prominent place in the main living room. LPA observed a television and arts and crafts for client's leisure. LPA toured bedroom four and observed a twin bed, five drawer dresser, one night stand, a desk, and private bathroom. LPA toured Client bedroom #3 and observed two twin beds, two seven drawer dressers, two desks. and chairs. LPA observed client bathrooms. All chemicals and cleaners were inaccessible to clients in a locked cabinet in the small kitchen and laundry room. The bathrooms were free from dirt, debris, and pests. There was a drawer for each client to use. The toilets, showers and sinks were found to be operational. Bathrooms one and two water temperature on the north side of the building was measured between 94.6- and 96.3 degrees F due to pipes being replaced on the north side of the building. Per Residential DR, and maintenance personnel repairs will be completed next week at the latest. LPA reminded RD to advise assigned LPA prior to any repairs or construction. Bathrooms three, four, and five water temperature were between 105 degrees F and 120 degrees F with a temperature reading of 112.6 which is in compliance per Title 22 regulations. LPA toured the chef/main kitchen, walk in freezer, walk in refrigerator, and prepping kitchen all areas were found to be within regulations. LPA observed kitchen to be well lit, disinfected, organized, free of dirt, pests, and odor. Food was stored in tight fitting containers, expiration dates were current, there was perishable items for two days and non-perishable items for three days. A weekly menu was posted in the kitchen. The laundry room is located next to the prepping kitchen. The laundry room has a washer and dryer for client use and all laundry detergent and chemicals are padlock in a storage closets. The backyard was toured and found to be with in regulations. The backyard was free of hazards, provided a shaded area to play or rest, the grass and garden was maintained, and enclosed. Page LPA observed workout equipment, a fuze-ball table, a pool table, a skate ramp, and skee ball. There is a pool located in the backyard that is enclosed by a 5-foot fence that is locked and meets per Title 22 regulations. When pool is in use there are staff members present at all times. Per RD there are no firearms or weapons on premises and smoking is prohibited. LPA reviewed five out twenty-eight staff (S1 - S5) files, and six of six client (C1 - C6) files. Due to time constraints, LPA will return to the facility to conduct staff and client interviews. No deficiencies cited. An exit interview was conducted, the report and appeal rights were discussed and provided to the Residential Director at the time of visit. Page 3

met_with: Amanda Seymor, Residential Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 10, 2025 10, at 4: PM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on March 06 ,2025. LPA met with Facility Family Therapist, Michelle Valenzuela. LPA conducted interview with two staff, S1 and S2. LPA conducted interview with clients, C1 and C2. No deficiencies cited. An exit interview was conducted, and a copy of this report and appeal rights were provided to Amanda Seymour. A copy of this report will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On May 19, 2025, at 10: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced Case Management inspection at the facility and met with Residential Director, Amanda Seymour, regarding Incident Report (IR) that occurred on 5/16/25. The Department received the IR on 5/16/25. The incident involved medication error involving staff (S1) and client (C1). LPA reviewed staff (C1) and client (C1) records and obtained records. LPA interviewed one client (C1). Due to further review needed, this Case Management is is being extended. No deficiencies were noted at this time. An exit interview was conducted, a copy of this report along with LIC 811 was reviewed and given to Residential Supervisor, Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2026, at 9: AM Licensing Program Analyst (LPA) Gilbert Marquez met with Regional Compliance Specialist Whitney Rodgers for the purpose of conducting an annual inspection of the facility. The facility is licensed to serve up to six ambulatory clients, ages 12-17 years of age. The facility is current with licensing fees. The facility is a two-story home that includes four bedrooms and six bathrooms. A physical plant inspection was completed with Regional Compliance Specialist Whitney Rodgers and included the following checks: two staff offices, medication room, therapy room, family room, kitchen, living room, dining room, kitchen prep space, backyard and laundry room. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. All the required linens were on every bed. The four bathrooms and six bedrooms are arranged the following way: Bedroom #1 sleeps one client, and has a twin-size bed, walk in closet, a six-drawer dresser, one night stand, and a desk Bedroom #2 sleeps two clients, and has two full beds, walk in closet, two six-drawer dressers, two night stands, and a bathroom attached (Bathroom #1) Bedroom #3 sleeps one client, and has a twin size bed, and two dressers **Continued on LIC809C** **Continued from LIC809** Bedroom #4 sleeps two clients, and has two twin beds, one eight-drawer dresser, two night stands, a desk, and a bathroom attached (Bathroom #3) Bathroom #1 is attached to Bedroom #2 and has a sink, shower, and toilet Bathroom #2 is located in the first floor north hallway and has a jack and jill sink, shower, and toilet Bathroom #3 is located in the first floor south hallway and has a sink, and toilet Bathroom #4 is attached to Bedroom #4 and has a sink, shower, and toilet Bathroom #5 is adjacent to bedroom #4 and #5 and has a sink, shower and toilet Bathroom #6 is located on the second floor and is for staff use only and has a jack and jill sink, shower, and toilet Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. The hot water in the bathroom # was measured at 119.3 degrees Fahrenheit, which is within regulatory requirements. All facility smoke detectors and carbon monoxide detectors were tested and observed to be in working order; fire extinguishers are properly charged and serviced. The sharps are locked in a hallway cabinet. A locked storage closet is available to clients to safeguard valuables. The small kitchen included a locked cabinet to store cleaning supplies. All required forms are posted including Grievance Procedures, Personal Rights, and the Emergency Disaster Plan. LPA toured the main kitchen, walk-in freezer, and walk-in refrigerator. Food was stored in tight fitting containers, expiration dates were current, and there were perishable items for two days and non-perishable items for three days. A weekly menu was posted in the kitchen. The laundry room is located next to the prepping kitchen. The laundry room has a washer and dryer for client use and all laundry detergent and chemicals are locked in storage closets. The backyard was toured and was free of hazards, provided a shaded area to play or rest, the grass and garden were maintained, and enclosed. There is a pool located in the backyard that is enclosed by a 5-foot fence that is locked and meets Title 22 regulations. **Continued on LIC809C Page2** **Continued from LIC809C** All client files are stored in a secured digital database. LPA reviewed five client files (C1 - C5, See Confidential Names List LIC811) to ensure clients had all required documents per Title 22. Client files had education records, tb test examinations, Needs and Services plans, and mental health notes. LPA also reviewed five client medication records. All staff files are stored in a secured digital database. LPA reviewed five staff files (S2, S3, S5, S6, S7) to ensure staff had all required documents such as criminal record clearance or exemption, health screening and tb test, driver's license, personnel record LIC501 or job application, and all required trainings. Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies were observed during today's inspection. An exit interview was conducted, this report was discussed, and a copy of this report and the Confidential Names List LIC811 were provided to Regional Compliance Specialist Whitney Rodgers. A copy of this report will be placed in the facility file.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed that the facility did locate an SIR for the incident. Confidential interviews and a review of the Department's SIR database for the facility revealed that the SIR was not submitted to the Department within the required time frame. Based on confidential interviews and record review, the preponderance of evidence standard has been met regarding the allegation that staff did not properly report an incident, therefore the allegation is substantiated. This poses a potential Health, Safety or Personal Rights risk to the children in care. The facility will be cited for violating California Code of Regulations, Title 22, 80061(b) Reporting Requirements. Exit interview was conducted and a copy of this report, a Confidential Names List (LIC 811) along with the appeal rights were explained and provided to Program Manager Claudia Jaimes.

Investigation Findings:
13On June 30, 2022, at 1:42pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility and met with Program Manager Claudia Jaimes of Newport Academy to discuss the investigative findings for the allegation noted above. LPA conducted an inspection with the facility on December 8, 2021 at 1:29pm. No deficiencies were observed. During the investigation, LPA interviewed one Group Home staff (S1), one biological parent (A2), and sixa clients (C2, C3, C4, C5, C6, C7). LPA also reviewed one Serious Incident Report (SIR) dated November 16, 2021. C1 declined to be interviewed. On November 29, 2021, the Department received an allegation that staff did not properly report an incident. It was reported that on 11/16/2021 between 6:30pm and 7:00pm, it is believed that at least one youth ran away from the facility resulting in Law Enforcement (LE) and paramedics involvement. It was also reported that a youth was observed being removed from the facility on a gurney. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 06/30/2022

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On May 27, 2022 at 11:14am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Required Two-Year Annual inspection of the facility. The facility was inspected inside and out with Residential Supervisor Benji Benitez. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in the kitchen sink was measured at 113.5 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a cabinet in the garage, and also in a locked cabinet in the kitchen. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Residential Supervisor Benji Benitez. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Due to the need to complete staff/client interviews and staff file reviews, this inspection will need to be continued at later date. LPA discussed and reviewed the following inspection components; Operations, and Emergency Disaster Preparedness. A sample of five client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. Cont. on 809-C Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Residential Supervisor Benji Benitez.

met_with: Benji Benitez


summary: Facility Evaluation

raw_content:
Narrative:
On May 31, 2022 at 11:25am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two-Year Annual inspection that began on 05/27/2022. LPA met with Director Amanda Seymour. During the inspection, LPA reviewed staff files. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. LPA discussed and reviewed the following inspection components; Operations, and Emergency Intervention Plans. During the inspection, interviews were conducted with three children, and four staff. Three children declined to be interviewed. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Director Amanda Seymour.

met_with: Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu met with Residential Director, Amanda Seymour Residential Supervisor (RS), Marcos Medina and Facility Administrator (FA), Monica Garcia for the purpose of conducting an annual inspection of the facility. The Facility is licensed to serve six (6) ambulatory children ages 12-17 years old. The current census is four (4) children. A physical plant inspection was completed with Residential Supervisor and included the following checks: three bedrooms, Kitchen, five bathrooms (three client, two staff), medication room, dining room, living room, family room, four staff offices, and outdoor living space. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. LPA observed one Ring Doorbell camera at the facility in the front of the home. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Fire extinguisher is properly charged and serviced on 03/07/2025. Fire clearance inspection was completed on 02/05/2025 and LPA received a copy of the approved Fire Clearance to place in facility file. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. All three bedrooms contain two twin beds. The facility has three client bathrooms. The water temperature was tested in bathroom one which measured 113.4 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. Per facility staff, no firearms or weapons are allowed in the facility. No deficiencies cited during today's inspection. Due to time constraints LPA will return on another day to conduct client and staff interviews, and client and staff file reviews. The licensing fee payments are current. An exit interview was conducted, and a copy of this report and appeal rights were provided to Amanda Seymour. A copy of this report will be placed in the facility file.

met_with: Residential Director,Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On March 19, 2025, at 1: PM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on March 12 ,2025. LPA met with Residential Supervisor, Marcos Medina. LPA conducted interview with two staff, S1 and S2. LPA conducted interview with clients, C1, C2, and C3. No deficiencies cited. An exit interview was conducted, and a copy of this report and appeal rights were provided to Marcos Medina. A copy of this report will be placed in the facility file.

met_with: Residential Supervisor, Marcos Medina


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2026, at 08: AM, Licensing Program Analyst (LPA) Jacqueline Garcia conducted an unannounced Case Management inspection at the facility and met with Compliance Specialist, Whitney Rodgers, regarding an open complaint dated 02/27/26. After review, it was determined the open complaint was generated under the wrong facility. LPA Garcia conducted one staff interview. No deficiencies were noted at this time. An exit interview was conducted, a copy of this report along with LIC 811 was reviewed and given to Compliance Specialist Whitney Rodgers.

met_with: Whitney Rodgers-Compliance Specialist


raw_content:
Narrative:
Confidential interviews and a review of the Department's SIR database for the facility revealed that the SIR was not submitted to the Department within the required time frame. Based on confidential interviews and record review, the preponderance of evidence standard has been met regarding the allegation that staff did not properly report an incident involving C1 while in care, therefore the allegation is substantiated. This poses a potential Health, Safety or Personal Rights risk to the children in care. The facility will be cited for violating California Code of Regulations, Title 22, 80061(b) Reporting Requirements. Exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Residential Supervisor Jared Washington. Other confidential interviews revealed that staff did not make attempts at verbal intervention to prevent C1 from AWOLing. Based on confidential interviews, there were no additional witnesses that observed the AWOL incident. Based on confidential interviews, the allegation that staff did not provide adequate supervision to C1 while in care, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Residential Supervisor Jared Washington.

Investigation Findings:
13On April 29, 2022, at 11:52am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility and met with Residential Supervisor Jared Washington of Newport Academy to discuss the investigative findings for the allegation noted above. LPA conducted an inspection with the facility on September 29, 2021, at 11:51am. No deficiencies were observed. During the investigation, LPA interviewed two Group Home staff (S1, S2), and three of four clients (C1, C2, C3). LPA also reviewed one Serious Incident Report (SIR) dated September 12, 2021. Client #4 (C4) declined to be interviewed. On September 22, 2021, the Department received an allegation that staff did not properly report an incident involving a minor while in care. It was reported that on 09/12/2021 at approximately 11:45am, one youth ran away from the facility resulting in Law Enforcement (LE) involvement. Confidential interviews revealed that the facility did locate an SIR for the incident. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 04/29/2022

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

met_with: Jared Washington


raw_content:
Narrative:
Confidential interviews revealed that it was C1 who pulled down their own pants on multiple occasions. Due to C1 not being able to be interviewed C1 could not confirm nor deny the alleged incident. Based on confidential interviews and records reviewed staff did not prevent other minors from attacking C1 while in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Amanda Seymour.

Investigation Findings:
13On May 29, 2024 at 08: AM, Licensing Program Analyst (LPA) Jacqueline Garcia arrived unannounced at the facility and met with Amanda Seymour, to discuss the investigative finding for the allegation noted above. On 11/06/ LPA conducted an inspection of the facility, and no deficiencies were noted. LPA interviewed three clients (C3, C5, C7), three staff (S1-S3) and attempted to interview clients (C1, C2, C4, C6), however after several attempts LPA was unsuccessful to make contact. During the investigation, LPA reviewed the following documents: C1's treatment plan, C1's contact notes, C1's picture, C1's face sheet, C1's SIR's, Client roster, Staff roster and Staff schedule. On 11/03/23, Community Care Licensing (CCL) received an allegation that staff did not prevent other minors from attacking another minor while in care. During the investigation, there was no corroborating evidence to support the above allegation. Although the department received information that other minors pulled down C1's pants and spanked C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacqueline Garcia 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 22-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ORANGE COUNTY RO, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 05/29/2024

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dahl Larios conducted a case management inspection June 9, 2022 at 9:34 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection,10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 5 out of Direct Care Staff and 5 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated June 9, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Dahl Larios observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Director of Residential Amanda Seymour.

met_with: Director of Residential - Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2022 at 10:31am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual/Random inspection of the facility. The facility was inspected inside and out with Program Manager Ellen Asquith and Residential Supervisor Jared Washington. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 113.9 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked supply closet. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Ellen Asquith. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Due to time constraints and the need to complete client interviews and client file reviews, this inspection will need to be continued at a later date. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Cont. on 809-C LPA discussed and reviewed the following inspection components; Operational Requirements, and Emergency Disaster Preparedness. During the inspection, five staff were interviewed. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Jared Washington. Due to printer malfunction, this report will be emailed to Residential Supervisor Jared Washington.

met_with: Ellen Asquith, Jared Washington


summary: Facility Evaluation

raw_content:
Narrative:
On July 19, 2022 at 2:15pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Annual/Random inspection that began on 07/14/2022. LPA met with Residential Supervisor Jared Washington. During the inspection, LPA conducted client interviews. Due to time constraints and the need to complete client interviews and client file reviews, this inspection will need to be continued at a later date. Based on the facility inspection, and interviews there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Jared Washington. Due to printer malfunction, this report will be emailed to Residential Supervisor Jared Washington.


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2022 at 10:56am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Annual/Random inspection that began on 07/14/2022. LPA met with Residential Supervisor Jared Washington. During the inspection, LPA reviewed client files. A sample of four of four client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. LPA discussed and reviewed the following inspection components; Emergency Intervention Plan. One client declined to be interviewed. Interviews with the three remaining clients were already conducted on 07/19/2022. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Jared Washington. Due to printer malfunction, this report will be emailed to Residential Supervisor Jared Washington.


summary: Facility Evaluation

raw_content:
Narrative:
On March 17, 2025, at 9: AM, Licensing Program Analyst (LPA) Stefanie Mutialu met with Care Coordinators (CC), Jordyn Goldman. Care Coordinator, Bryan Lee, and Compliance Specialist (CS), Whitney Rodgers for the purpose of conducting an annual inspection of the facility. The Facility is licensed to serve six (6) ambulatory children ages 07-12 years old. The current census is six (6) children. The facility is a two story three-bedroom, five-bathroom home. A physical plant inspection was completed with CS and included the following checks: three client bedrooms, four client bathrooms, one staff bathroom, kitchen, living room, dining room, office, school, therapy office, care coordinator office, laundry room, family therapy room, recreation room, garage, and yard including a two-horse stable. All required forms are posted including Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster, the Emergency Disaster Plan was also posted. Clients' medications were observed to be inaccessible and stored in medication room. LPA observed one Ring Doorbell camera at the facility in the front of the home. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. All facility fire extinguishers are properly charged and serviced on 02/05/2025. Fire clearance inspection was completed on 02/05/2025 and LPA received a copy of the approved Fire Clearance to place in facility file. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. ***Continued on Page 2*** ***Continued from Page 1*** Individual beds were observed with clean linens, pillows, comforters, and mattress in good repair. Two bedrooms contain two twin beds and one bedroom contain two full beds. The facility has four client bathrooms. The water temperature was tested in one bathroom the appropriate range of 105 degrees to 120 degrees Fahrenheit. LPA observed hydrogen peroxide cleaner under the sink of school bathroom and accessible to clients. All client files are stored and maintained on a secure internet database. LPA reviewed five client files to ensure clients had all required documents per Title 22. LPA reviewed five client medication records. LPA reviewed five staff files to ensure staff had all required documents per Title 22 regulations. Staff records are stored via a secured records portal. Per a review of Guardian, all staff have a criminal record clearance. LPA will return on another day to conduct staff and client interviews. Facility cited for violation of California Code of Regulations, Title Division six, regulation 80087 (g): Buildings and Grounds. Per facility staff, no firearms or weapons are allowed in the facility. The licensing fee payments are current. An exit interview was conducted, and a copy of this report and appeal rights were provided to Whitney Rodgers. A copy of this report will be placed in the facility file.

met_with: Compliance Specialist, Whitney Rodgers


summary: Facility Evaluation

raw_content:
Narrative:
On March 19, 2025, at 2: PM, Licensing Program Analyst (LPA), Stefanie Mutialu continued the unannounced annual inspection, which was started on March 17 ,2025. LPA met with Residential Supervisor, Susan Telles. LPA conducted interview with two staff, S1 and S2. LPA conducted interview with client C1,and C2. No deficiencies cited. An exit interview was conducted, and a copy of this report and appeal rights were provided to Susan Telles. A copy of this report will be placed in the facility file.

met_with: Residential Supervisor, Susan Telles


raw_content:
Narrative:
Based on confidential interviews, the allegation that staff did not provide adequate supervision, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report, along with appeal rights were explained and provided to Program Manager Claudia Jaimes.

Investigation Findings:
13On July 9, 2021 at 12:22pm Licensing Program Analyst (LPA) Adrian Mendez conducted an unannounced inspection with the facility and met with Program Manager Claudia Jaimes of Newport Academy to discuss the investigative findings for the allegation noted above. LPA conducted an unannounced tele-inspection with the facility on December 18, 2020, at 11:08am. No safety concerns were observed. During the investigation, LPA interviewed three children (C1, C2, C3), and three facility staff (S1, S2, S3). LPA also reviewed one Serious Incident Report dated 11/30/2020. On December 9, 2020, the Department received an allegation that staff did not provide adequate supervision. It was reported that on 11/30/2020, at approximately 3:15pm, an adolescent ran away from the facility. Confidential interviews revealed that C1 was upset and requested space in C1's bedroom. Confidential interviews also revealed that C1 was on one to one supervision with facility staff. It is unknown if facility staff was able to keep a line of sight on C1 when C1 was in the bedroom. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 07/09/2021

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


raw_content:
Narrative:
Other confidential interviews revealed that de-escalation requests from the client were denied by facility staff. Based on confidential interviews, the allegation that facility staff did not prevent C1 from AWOLing, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report, along with appeal rights were explained and provided to Director Amanda Seymour.

Investigation Findings:
13On July 19, 2021 at 11:46am Licensing Program Analyst (LPA) Adrian Mendez conducted an unannounced inspection with the facility and met with Director Amanda Seymour of Newport Academy to discuss the investigative findings for the allegation noted above. LPA conducted an unannounced tele-inspection with the facility on January 13, 2020, at 1:33pm. No safety concerns were observed. During the investigation, LPA interviewed four children, child #1 (C1), child #2 (C2), child #3 (C3), and child #4 (C4), and two facility staff, staff #1 (S1), and staff #2 (S2). LPA also reviewed one Serious Incident Report (SIR) dated 12/21/2020. On January 4, 2021, the Department received an allegation that facility staff did not prevent a youth from AWOLing. It was reported that a repeated unaccompanied adolescent with pink hair went absent without leave/permission (AWOL) from the facility on 12/21/2020 from approximately 7:30pm to 9:00pm. Confidential interviews revealed that the facility staff did attempt using de-escalation techniques and offered coping skills to the client. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Adrian Mendez 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 22-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, THE CITY DR., SUITE FACILITY NAME: NEWPORT ACADEMYFACILITY NUMBER: VISIT DATE: 07/19/2021

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


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2022 at 11:46am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Required Two-Year Annual inspection of the facility. The facility was inspected inside and out with Program Manager Claudia Jaimes. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 117.8 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a locked cabinet in the kitchen. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager Claudia Jaimes. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Due to time constraints and the need to complete client interviews and client file reviews, this inspection will need to be continued at a later date. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 9 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Cont. on 809-C Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2022 at 2:53pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two-Year Annual inspection that began on 06/29/2022. LPA met with Program Manager Claudia Jaimes. During the inspection, LPA began the review of client files. All client files are maintained on a secured internet database. Due to time constraints and the need to complete client interviews and client file reviews, this inspection will need to be continued at a later date. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and provided to Program Manager Claudia Jaimes.


summary: Facility Evaluation

raw_content:
Narrative:
On July 7, 2022 at 11:26am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two-Year Annual inspection that began on 06/29/2022. LPA met with Residential Supervisor Rylee Kaczynski. During the inspection, LPA reviewed client files. A sample of six client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. LPA discussed and reviewed the following inspection components; Operations, Emergency Intervention Plans, and Emergency Disaster Preparedness. During the inspection, interviews were conducted with five children. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Rylee Kaczynski. Due to printer malfunction, this report will be emailed to Residential Supervisor Rylee Kaczynski.

met_with: Rylee Kaczynski


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022, at 2:47pm, Licensing Program Analyst (LPA) Adrian Mendez conducted an inspection with the facility for the purposes of initiating a complaint investigation. LPA met with Residential Supervisor Monica Garcia, and conducted a safety inspection of the facility. During the inspection it was confirmed that the incident surrounding the allegations occurred at a different facility location. No deficiencies were observed. An exit interview was conducted and this report was explained to Residential Supervisor Monica Garcia. Due to printer malfunction, this report will be emailed to Residential Supervisor Monica Garcia.

met_with: Monica Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On February 19, 2005 at 10:15am, Licensing Program Analyst (LPA) Gilbert Marquez conducted an inspection with the facility for the purposes of doing an annual inspection. LPA Marquez met with Program Manager Monica Garcia, and conducted a full plant inspection of the facility buildings and grounds. The census is 0 and there were no youths who were residing on the premises.According to Joe Viccaro, Executive Director, the facility ceased intake of clients as of December 27, 2024. LPA Marquez stated that Community Care Licensing (CCL) had not been given a written notice that the facility was pausing its operations. A written statement from the LIcensee is required to state the date the "pause in intake" occurred, and give the expected date of resuming intake of youth to be served at this facility. The physical plant inspection started with the "UR Building" where youth can have space for downtime and a break. Currently the back yard is not available due to painting renovations at the "Main Building." The UR building has a bottom floor where the youth bathroom is located. The bathroom hot water temperature was measured at 105.8 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible in areas where clients will not have access. Cleansers/chemicals are locked and stored in a locked cabinet in one of the locked staff offices. The First Aid Kit is located on the second floor and contained all required supplies; the tweezers are located in the locked staff office downstairs. The building had one smoke/carbon monoxide detector in the hallway, and were checked and were operable. There are no guns or weapons in the facility as stated by Program Manager. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures and Personal Rights. The disaster plan and visitor policies were in storage at Main building due to the renovation painting. Emergency exits were free from obstruction in the UR building. Cont. on 809-C The backyard was not available to youth during the painting renovation. However LPA Marquez and Program Manager Garcia did a walk through of the yard space. LPA observed that there are no signs giving caution about the prominent eastern hillside on facility grounds, and neither are there hand rails. LPA and Program Manager inspected the "old tree house" and the abandoned chicken coop. Both small buildings are accessible by walking on a steep upward hill walkway made from both wooden beams on the ground and large rock tiles. The facility will be given a type B deficiency and asked to have a Plan of Correction submitted to LPA Marquez to resolve this issue, see LIC809-D for specific regulation and deficiency summary. The Main Building was inspected and LPA Marquez observed that all rooms were being repainted, and all cabinets were being repainted. The courtyard of the Main Building was not an accessible walkway due to being currently renovated. Its renovation will be completed in the near future and before clients are residing in the Main Building. All the staff files are stored and secured digitally. LPA reviewed 3 staff files. One staff, Program Manager Monica Garcia was interviewed. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Based on the facility inspection, and files reviewed there was one deficiency, type B given for hazardous area accessible in the backyard of the facility. An exit interview was conducted with Program Manager Monica Garcia, and a copy of this report was explained and provided to her, and emailed to Crystal Goodwin, Regional Licensing and Compliance Manager of Newport Healthcare.

met_with: Monica Garcia, Progam Manager


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2026, at 1: PM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced case management inspection of the facility. LPA Mutialu met with Executive Director, Amanda Seymour. LPA conducted a walkthrough of the facility, and no deficiencies were observed. On February 17, 2026, the Department received an Incident Report stating that on February 12, 2026, a Child (C1), please refer to Confidential Names List dated 03/11/2026, gained access to a kitchen knife and began running with the kitchen knife when staff (S1) went to grab a kiwi. For this reason, the Group Home (GH) is receiving a Type A citation for violation of Title California Code of Regulations, Division 6, Chapter 1, Article 06, Continuing Requirements, section 80078(a): Responsibility for Providing Care and Supervision (See LIC809-D). LPA conducted one (S1) staff interview and requested/reviewed client records. An exit interview was conducted and a copy of this report, and Confidential Names (LIC 811), and Appeal Rights were provided to Executive Director, Amanda Seymour. Due to technical difficulties a copy of this report was emailed to the facility at the time of inspection

met_with: Executive Director, Amanda Seymour


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2022 at 1:48pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct a Required Two Year Annual inspection of the facility. The facility was inspected inside and out with Residential Supervisor Fausto Aramburo. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water in one of the client bathrooms was measured at 118.2 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked drawer in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Residential Supervisor Fausto Aramburo. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible with a pool cover. Emergency exits were free from obstruction. Due to time constraints and the need to complete client/staff interviews, client/staff file reviews, this inspection will need to be continued at a later date. LPA discussed and reviewed the following inspection components; Operational Requirements, and Emergency Disaster Preparedness. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Residential Supervisor Fausto Aramburo. Due to printer malfunction, this report will be emailed to Residential Supervisor Fausto Aramburo.

met_with: Fausto Aramburo


summary: Facility Evaluation

raw_content:
Narrative:
On August 17, 2022 at 10:46am, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two Year Annual inspection that began on 07/21/2022. LPA met with Program Manager Ellen Asquith. During the inspection, LPA reviewed client and staff files. A sample of six client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. All the staff files are stored and secured at a different facility location (#306090011). Staff records are also accessible electronically via a secured records portal. LPA reviewed 10 staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. One facility staff was interviewed. Based on the facility inspection, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Program Manager Ellen Asquith. Due to printer malfunction, this report will be emailed to Program Manager Ellen Asquith.

met_with: Ellen Asquith


summary: Facility Evaluation

raw_content:
Narrative:
On August 19, 2022 at 12:26pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced at the facility to conduct an Annual Continuation of the Required Two Year Annual inspection that began on 07/21/2022. LPA met with Director Amanda Seymour. During the inspection, LPA conducted client and staff interviews. LPA discussed and reviewed the following inspection components; Emergency Intervention Plan. During the inspection, LPA conducted interviews with three facility staff and four children. Two children declined to be interviewed. Based on the facility inspection, interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Director Amanda Seymour. Due to printer malfunction, this report will be emailed to Director Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
On May 29, 2024 at 10: AM, Licensing Program Analyst (LPA), Jacqueline Garcia arrived unannounced at the facility to conduct an Annual inspection of the facility. The facility was inspected inside and out with Amanda Seymour. LPA discussed and reviewed the following inspection components, Physical Plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, and client and staff files. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water measured at 113 degrees, which is within regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will not have access. The medications were stored and locked in a cabinet in the medication room in the hallway. Cleansers/chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked drawer in the staff office. The First Aid Kit is located in the medication room and contained all required supplies. The facility's smoke/carbon monoxide detectors in the hallways were checked and were operable. There are no guns or weapons in the facility as stated by Amanda Seymour. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Visitation policies, Emergency Disaster Plan and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. There is a swimming pool located in the backyard of the facility which is made inaccessible by gated fence. Emergency exits were free from obstruction. **. LPA reviewed client and staff files a sample of six client files were reviewed during the inspection. All client files had the required documents per Title Regulations. All client files are maintained on a secured internet database. LPA interviewed one client and second client declined to be interviewed. All the staff files are stored and secured at a different facility location (#306004815). Staff records are also accessible electronically via a secured records portal. LPA reviewed five staff files. All the staff have met the training and qualification requirements per regulation requirements. Per a review of the Community Care Licensing Information System (LIS), all staff met DOJ/FBI criminal record clearances and Child Abuse Index Check requirements. Two facility staff were interviewed. Based on the facility inspection, interviews, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and given to Amanda Seymour.


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2026 at 9: AM, Licensing Program Analyst (LPA) Gilbert Marquez arrived unannounced at the facility to conduct an annual inspection of the facility. The facility was inspected inside and out with Whitney Rodgers, Compliance Specialist. Facility is licensed to serve six ambulatory clients, age groups 7-12 or 12-17 years of age. The facility is current with their licensing fees. The census was zero clients at the time of the inspection. LPA discussed and reviewed the following inspection components, Physical Plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, and client and staff files. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. All the required linens were on every bed. The two bathrooms and three bedrooms are arranged the following way: Bedroom #1 will sleep two clients, and has two twin beds, drawer space, walk-in closet and one large desk Bedroom #2 will sleep two clients and has two twin beds, drawer space, closet and one large desk Bedroom #3 will sleep two clients and has two full beds, drawer space, walk-in closet, and two desks Bathroom #1 is next to bedroom #1, and has a toilet, sink, shower, and a nonfunctional hot tub and is used by clients Bathroom #2 is next attached bedroom #3, has a jack and jill sink, shower, toilet and is used by clients The hot water measured in bathroom #1 and bathroom #2 was at 119.5 degrees Fahrenheit, which is in the regulatory range of 105 degrees to 120 degrees Fahrenheit. All hazardous items have been properly made inaccessible to clients. The medications are going to be stored and locked in a cabinet in the locked medication room in the hallway. **Continued on LIC809C** **Continued from LIC809** Cleansers and chemicals are locked and stored in a locked supply closet. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the medication room and contained all required supplies. There are no guns or weapons in the facility as stated by Whitney Rodgers. The facility's smoke and carbon monoxide detectors in the hallways were checked and were operable. The facility has several fire extinguishers on campus and were all maintained in February 2026. There was a sample menu posted in the kitchen. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, and Emergency Disaster Plan. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is a swimming pool located in the backyard of the facility which is made inaccessible by gated fence, and no less than five feet high, with a latch that is no more than six inches from the top of the gate. There are three additional buildings on this facility campus. The MMA Studio was toured by LPA, and no health and safety hazards were found. There is a therapy cottage that has therapy offices for use by the staff and clients. LPA toured the therapy cottage and no health and safety hazards were found. There is a classroom building where clients would attend their online courses, and there are staff offices. LPA toured the classroom building and no health and safety hazards were found. LPA interviewed one staff, and there are no clients in care. Based on the facility inspection, interview, and files reviewed there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained and given to Whitney Rodgers, Compliance Specialist.

met_with: Whitney Rodgers, Compliance Specialist


facility_name: NEWPORT ACADEMY- ARENA

raw_content:
Investigation Findings:
13On 9/27/22 at 12: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Newport Academy- Arena and spoke with Rajay Peralta, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. This complaint was taken as an assignment by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Eddie Phung on 07/28/2022. During investigation, confidential interviews, police reports, and physical evidence were obtained, it was determined that a staff sexually abused client in care. Therefore, the preponderance of evidence standard has been met, therefore the above allegation, Staff sexually abused client in care is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 84072(d)(11) Personal Rights. Please refer to attached 9099D. An exit interview was conducted, and a copy of this report was given to RayJay Peralta, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: NEWPORT ACADEMY- ARENAFACILITY NUMBER: 015650125

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

met_with: RayJay Peralta