raw_content:
Narrative:
On 02/02/2021, the Department received allegations that staff used inappropriate form of discipline on C1 and staff do not allow C1 to speak with their biological parent. It was alleged that staff would discipline C1 by leaving C1 outside in the cold. Confidential interviews revealed that C1 is disciplined by removing privileges such as use of the game room, and early bedtime. Confidential interviews did not reveal C1 being left outside in the cold was a form of discipline used by staff. There are no witness to C1 being left outside in the cold. Confidential interviews revealed that there are phone hours for outgoing and incoming phone calls. Additional information revealed that phone calls are only denied when court ordered. There are no witness to C1 being denied to speak with C1's biological parent. Based on confidential interviews and file review, the allegations that that staff uses inappropriate form of discipline on C1 and staff do not allow C1 to speak with their biological parent may have occurred, however it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, appeal rights and LIC 811 was given to PSPM Rogers.

Investigation Findings:
13On 06/14/2021 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Alicia Rogers to discuss and deliver the investigative findings for the allegation noted above. On 01/28/21, LPA Meza-Gonzalez initiated the complaint investigation. During the investigation, LPA Meza-Gonzalez interviewed two out of three clients [Client #1 (C1) and Client #2 (C2)] and five out of five staff [ Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Staff #5 (S5) ] (see confidential name list, LIC811, dated 06/14/2021) Client #3 (C3) was not available to be interviewed. LPA Meza-Gonzalez reviewed the following documentation: special incident reports (SIRs), staff roster, child history report, virtual assessment screening form, medical notes, personal inventory sheet, and menu. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/14/2021

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


state: CA

facility_name: A.B. JESSIE POLINSKY CHILDREN'S CENTER

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
being unresponsive to LPA Mena's requests to interview C1 regarding this allegation. Based on confidential interviews, the allegation that Group Home child sustained injury while in care, more specifically that a bruise was observed underneath C1's left eye which appeared as if she had been punched, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza conducted an inspection to the Children's Residential Center on January 21, 2021 at 1:00pm. No immediate hazards observed. LPAs interviewed four staff members (S1, S2, S3 & S4), as well as reviewed client and facility records. Community Care Licensing received information on January 14, 2021 alleging that Group Home child sustained injury while in care, more specifically that a bruise was observed underneath Client #1 (C1's) left eye which appeared as if she had been punched. Information obtained did not corroborate the allegation with a preponderance of evidence. Confidential interviews denied that C1 had been punched or hit by any other client or staff. According to confidential information obtained, bruise observed was caused as a result of C1 "running into a pole" during outdoor play. LPA Mena was unable to interview C1 in order to corroborate this information due to C1's legal guardian(s) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/12/2021

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

report_type: Complaint Investigation

met_with: Alica Rogers

complaint_status: unsubstantiated


raw_content:
Narrative:
showed pornography by S1. Confidential interviews stated that all staff, including S1, are never left alone with any client, as well as always maintain proper boundaries with children in care. Confidential interviews also denied that C1 was ever denied the ability to make phone calls to staff and County Social Worker, or that she was ever hit by S1. According to confidential interviews, it was C1 who had accidentally "ran into" S1's arm as they were trying to shield and prevent C1 from attacking another staff and getting involved in an incident involving another resident. Regarding allegation that staff was not insuring that C1 attended school, confidential information obtained during interviews stated that allegation was false, and that it was C1 who refused to go to school or would often times run out of class out of frustration or conflicts with other peers, and that staff did as much as possible to redirect C1 back to class. While other confidential information received by Licensing Office stated that the allegations had occurred. Based on confidential interviews and information obtained, the allegations that Facility Staff #1 (S1) had inappropriate interactions, threatened, spoke inappropriately, as well as showed pornography to C2 on their personal phone, and that facility staff do not make sure that C1 attends school, do not allow her to make phone calls to biological parent and social worker, as well as sustained an injury while in care, more specifically that C1 was hit in the face by S1 during an incident, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on January 28, 2021 at 9:45am and on June 21, 2021 at 11:11am. No immediate hazards observed. LPAs interviewed two of two foster children involved (C1, C2), four staff members (S1, S2, S3 & S4), as well as reviewed client and facility records. Community Care Licensing received information on January 22, 2021 alleging that Facility Staff #1 (S1) had inappropriate interactions, threatened, used profanity, as well as showed pornography to C2 on their personal phone. Allegations also claimed that facility staff do not make sure that C1 attends school, do not allow her to make phone calls to biological parent and social worker, as well as sustained an injury while in care, more specifically that C1 was hit in the face by S1 during an incident. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that C2 was ever cursed at, threatened, or UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/12/2021

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

met_with: Alicia Rogers


raw_content:
Narrative:
always intervene and redirect any type of bullying or physical aggression between clients. According to confidential interviews it was often C2 who would also sometimes bully and display physical aggression towards staff and other clients. While other confidential information received stated that allegations had occurred, and that staff would not always intervene whenever C1 and C2 reported bullying, or where involved in physical altercations. LPA Mena was unable to speak to C1 and C2 regarding complaint allegations, due to C1 and C2's legal guardian's refusal to allow children to be interviewed by LPA Mena. Based on confidential interviews and information obtained, the allegations of a lack of supervision resulting in minor being hit and bullied by another child in care and that facility staff had hit child, more specifically that Staff # 1 (S1) had hit Child # 2 (C2), may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on January 28, 2021 at 11:30am and LPA Mena on August 26, 2021 at 11:00am. No immediate hazards observed. LPAs interviewed five staff (S1, S2, S3, S4 & S5), one of three foster children involved, Resource Parent, as well as reviewed client and facility records. Community Care Licensing received information on February 17, 2021 alleging a lack of supervision resulting in minor being hit and bullied by another child in care and that facility staff had hit child, more specifically that Staff # 1 (S1) had hit Child # 2 (C2), and that Child # 1(C1) was being bullied by Child # (3). Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff, including S1 had ever hit or bullied any child in care. According to confidential interviews, although bullying sometimes does occur, staff UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/17/2021

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


raw_content:
Narrative:
received, C1 was placed on a restraint on that date due to C1 having become aggressive and physically assaulting staff after coming back to the facility from an AWOL (Absence Without Official Leave). According to confidential interviews, restraint was done according to protocol and at no point was C1 choked, hit or scratched by any of the staff. Confidential interviews also stated that C1's scratches and bruises were already present and most likely a result of C1 climbing over back wall and going thru bushes and trees during multiple AWOLs. Confidential interviews also stated that C1 sometimes had visible "hickeys" on the neck that they had gotten while on AWOL. While other confidential information received stated that allegation had occurred and that C1 was pushed into bushes as well as was chocked by staff during restraint. LPA Mena spoke to County Social Worker who stated that C1 had admitted to hitting staff during incident and that C1 had a history of aggressive behaviors. LPA Mena was unable to speak to C1 regarding complaint allegations dues to C1's current whereabouts being unknown. Based on confidential interviews and information obtained, the allegations that Facility Staff inappropriately restrained and handled Child # 1 (C1) in a rough manner, as well as caused injury to C1, more specifically that he received scratches and bruises on his neck and back as a result of being choked and restrained, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on March 01, 2021 at 9:45am and LPA Mena on August 26, 2021 at 11:00am. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), County Social Worker, Probation Officer, as well as reviewed client and facility records. Community Care Licensing received information on February 17, 2021 alleging that Facility Staff inappropriately restrained and handled Child # 1 (C1) in a rough manner, as well as caused injury to C1, more specifically that C1 received scratches and bruises on the neck and back as a result of being choked and restrained. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that C1 was inappropriately restrained and handled in a rough manner, or that staff had caused any injuries to C1. According to confidential information UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/17/2021

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


raw_content:
Narrative:
altercations. According to confidential interviews, staff sometimes cannot intervene immediately whenever children have become engaged in a physical altercation, due to sometimes requiring additional staff for assistance. Confidential information stated that staff will try and do as much as possible in order to prevent any physical altercations, but that sometimes it cannot be prevented if children are determined to engage. According to confidential interviews staff never record fights with cellphones, and that it is typically other clients who are present that do this. Confidential interviews also denied that staff ever walk into bathrooms whenever children are changing or suing the restroom without knocking, and that staff ensure to let janitorial staff know whenever there are children using the restroom. While other confidential information received by Licensing Office stated that allegations had occurred, and that staff do not always intervene whenever children are engaged in a physical altercation and will let them fight, or they will be slow to respond. Confidential information received also stated that facility staff walked into restroom on two separate occasions while C1 was changing and using the restroom; once without knocking and the other without giving C1 a chance to respond after a "quick knock" on the door. LPA Mena spoke to C1's County Social Worker who stated that at this moment, they had no concerns regarding children's privacy and staff's level of care and supervision. Based on confidential interviews and information obtained, the allegations that facility staff did not intervene with minors engaged in a physical altercation and that staff did not accord minor privacy, more specifically that facility staff had walked into bathroom while Child # 1 (C1) was changing and using the restroom, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on March 01, 2021 at 10:30am and LPA Mena on August 26, 2021 at 11:01am. No immediate hazards observed. LPAs interviewed five staff (S2, S3, S4, S5 & S6), two foster children (C1, C2), County Social Worker, Probation Officer, as well as reviewed client and facility records. Community Care Licensing received information on February 18, 2021 alleging that facility staff did not intervene with minors engaged in a physical altercation and that staff did not accord minor privacy, more specifically that facility staff had walked into bathroom while Child # 1 (C1) was changing and using the restroom. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that staff do not intervene whenever children are engaged in physical UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/24/2021

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


raw_content:
Narrative:
does have a history of sometimes throwing themselves on the floor or against walls when they do not get their way. Confidential interview also stated that bruising could have been caused by "harness device" that C1 is placed in during school bus transport. While other confidential information received by Licensing Office stated that allegation had occurred, and that bruising observed on C1's upper right arm and left forearm appeared to be consistent with C1 having been grabbed. Based on confidential interviews and information obtained, the allegation of child sustaining unexplained bruising while in care, more specifically that bruising had been observed on child # 1's (C1) arms which appeared to be "grab marks," may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Manager, Elizabeth Rosas to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted inspections to the Children's Residential Center on March 15, 2021 at 2:15pm and on September 17, 2021 at 10:36am. No immediate hazards observed. LPAs interviewed five staff (S1, S2, S3, S4 & S5), one foster child (C2), as well as reviewed client and facility records. LPAs Meza and Mena were unable to interview C1 due to their limited verbal ability. Community Care Licensing received information on March 03, 2021 alleging that child sustained unexplained bruising while in care, more specifically that bruising had been observed on child # 1's (C1) arms which appeared to be "grab marks." Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that any staff had ever hit or mishandled any child in care, including C1, causing bruising. Confidential interviews denied knowledge of how bruising on C1's arms had been obtained. According to confidential information obtained, C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 10/14/2021

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

met_with: Elizabeth Rosas


raw_content:
Narrative:
that video posted on "TikToK" social media had been taken while at this facility. According to confidential interviews, video was most likely taken while C1 was on AWOL (absence without official leave), or at a previous placement. While other confidential information received by licensing office stated that the allegation had occurred, and that C1 does have a history of bringing in contraband to the facility after an AWOL, including marijuana. Confidential information obtained also confirmed that C1 does have possession of a cellphone inside this facility. Based on confidential interviews and information obtained, the allegation that facility staff are not properly supervising youth, more specifically that C1 had been observed to have been smoking and drinking in a social media post while at facility, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Manager, Elizabeth Rosas to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted inspections to the Children's Residential Center on March 15, 2021 at 1:30pm, September 17, 2021 at 11:30am and on September 24, 2021 at 12:20pm. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), one of one foster child (C1), as well as reviewed client and facility records. Community Care Licensing received information on March 03, 2021 alleging that facility staff are not properly supervising youth, more specifically that C1 had been observed to have been smoking and drinking in a social media post while at facility. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that C1 had ever been observed to have been posting videos of them drinking and smoking at the facility. Confidential interview denied UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 10/14/2021

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


raw_content:
Narrative:
touching. According to confidential interviews, C1 and C2 were being properly supervised by staff # 1 (S1) when C1 and C2 began making sexualized comments and gestures towards each other, and were prompted numerous times to stop and behave properly, but were ignored, so S1 proceeded to call for additional assistance. Other confidential information obtained during interviews denied that any inappropriate touching had ever occurred inside the Library between C1 and C2. While other confidential information received by Licensing Office stated that the allegations had occurred, and that C1 had touched C2's private area over their clothes while inside the library, and that this was due of a lack of supervision by staff. Based on confidential interviews and information obtained, the allegation of a lack of supervision resulting in inappropriate interactions between minors, more specifically that Child # 1 (C1) and Child # 2 (C2) had engaged in inappropriate sexualized behaviors while in the facility's Library, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Elizabeth Rosas to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza and Mena conducted inspections to the Children's Residential Center on March 30, 2021 at 3:00pm and on October 22, 2021 at 9:56am. No immediate hazards observed. LPAs interviewed three staff (S1, S2 & S3), two of two foster children involved (C1 & C2), as well as reviewed client and facility records. Community Care Licensing received information on March 25, 2021 alleging a lack of supervision resulting in inappropriate interactions between minors, more specifically that Child # 1 (C1) and Child # 2 (C2) had engaged in inappropriate sexualized behaviors while in the facility's Library. Information obtained did not corroborate the allegations with a preponderance of evidence. LPA's Meza and Mena obtained conflicting information as to what had actually taken place inside the Library. Confidential interviews denied allegations that C1 and C2 were not properly supervised when C1 and C2 began to make sexualized comments towards each other and attempted to engage in inappropriate UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 10/27/2021

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


raw_content:
Narrative:
On 07/29/2021, Community Care Licensing received allegations that minors are using drugs while in care, staff are mishandling minors while in care and staff allow inappropriate sexual interactions while in care. Confidential interviews revealed that clients did use marijuana while in care and staff try to retrieve the contraband from the clients, but staff cannot physically take it from the clients. Other confidential interviews gave conflicting statements where the clients smoke the marijuana some individuals stated outside of the cottage and some individuals said that they smoke inside of the cottage. Due to not all clients being interviewed it is unknown of all circumstances involving the clients smoking marijuana. Confidential interviews revealed that no one has witnessed staff mishandle minors, however they have witnessed staff putting clients in restraints. Staff are trained in PRO-ACT and trained to restrain minors as last resort to prevent harm to themselves or others in care. Other confidential interviews revealed that staff may not be conducting restraints correctly. Confidential interviews revealed that no one has witnessed clients have inappropriate sexual interactions but have heard rumors of sexual activity or kissing. Confidential interviews could not confirm or dispute that staff is mishandling minors while in care and that staff allow inappropriate sexual interactions while in care. Based on interviews conducted and evidence gathered during the investigation, the allegations that staff is mishandling minors while in care and staff allow inappropriate sexual interactions while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, LIC 811, and appeal rights were reviewed and explained to Administrator Elizabeth Rosas.

Investigation Findings:
13On November 19, 2021 at 9: AM, Licensing Program Analyst (LPA) Danielle Garcia, met with Administrator, Elizabeth Rosas to deliver the findings regarding the allegations as stated above. LPA Garcia initiated the investigation on August 3, 2021 at 3: PM, no deficiencies were noted. During the investigation, LPA Garcia interviewed two of the five Clients (C2, C4), four staff (S1, S2, S3, S4), and record review of facility documents (Special Incident Reports, Staff Contact List, Cottage D Roster of Staff, Cottage D, Roster of Clients, all clients face sheets and needs and services plans). LPA Garcia was not able to locate C1; C3 and C5 refused to be interviewed by LPA Garcia. ***Continued on Page 2*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Danielle 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 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 11/19/2021

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


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegation that C1 sustained unexplained injuries, while in care due to care and supervision issues or staff violating client personal rights. Based on interviews and record reviews the allegation that C1 sustained an injury while in care, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Clarissa Patrick.

Investigation Findings:
13On December 10, 2021 at 10:10am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Clarissa Patrick. LPA Gloria Meza conducted a tele- inspection of the facility on May 11, 2021 at 11:00 am and no immediate deficiencies were observed. Three of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 had a bruise/mark on C1's left bicep and a small scratch on C1's right bicep area. Confidential staff interviews reported that once staff became aware and saw the marks on C1, staff followed all the correct protocols and notified all appropriate parties. Additional staff interviews report that C1 did not have the bruise or scratch prior to going to school. When C1 returned from school that is when staff noticed the bruise. C1 is non-verbal and LPA was unable to interview C1. Information obtained from confidential interviews revealed was inconsistent as to whether the marks/bruises occurred at the facility or at school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/10/2021

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

met_with: Clarissa Patrick


raw_content:
Narrative:
abused while in care by staff. Based on interviews and record reviews the allegation that C1 was sexually abused while in care by staff, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Clarissa Patrick.

Investigation Findings:
13On December 10, 2021 at 10:10am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Clarissa Patrick. LPA Gloria Meza conducted a tele- inspection of the facility on May 11, 2021 at 11:00 am and no immediate deficiencies were observed. Three of three children (C1, C2, C3,) four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was sexually abused while in care. Confidential staff interviews reported that when a client is brought to this facility the client is first screened and an intake process is completed by law enforcement and medical staff. Additional interviews reported that C1 was asked to remove clothing as part of the procedure, in which C1 did. Additional confidential interviews reported that C1 was inappropriately touched during this procedure. Information obtained from confidential interviews revealed was inconsistent as to whether C1 was inappropriately touched by staff. The interviews that were provided to the LPA were not consistent regarding the allegation that C1 was sexually UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/10/2021

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


raw_content:
Narrative:
On May 17, 2021, Community Care Licensing (CCL) received an allegation that the staff inappropriately handled C1, the facility does not provide a safe environment for C1 and that staff does not prevent C1 from being bullied. Confidential interviews revealed that C1 was triggered when S3 was following C1 to the nurse's door. Additional information revealed that S1 and S2 restraint C1 due to C1 hitting S3 in the face for not opening the nurse's door due to C1 being escalated. There were no witnesses to that alleges that staff inappropriately restrained C1. Confidential interviews revealed that C AWOL from the facility and staff followed C1 for safety. Additional information revealed that staff stayed with C1 until C1 returned to baseline. Confidential interviews revealed inconsistency to whether C1 is bullied by other clients. There were no witnesses to the bullying of C1. Based on confidential interviews and record review, although the allegations that S3 inappropriately handled C1, the facility does not provide a safe environment for C1 and that staff does not prevent C1 from being bullied while in care may or may not have occurred, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. An exit interview was conducted, a copy of this report, the appeals and LIC 811 were given to PSPM Elizabeth Rosas.

Investigation Findings:
13On December 20,2021 at 11:05AM, Licensing Program Analyst (LPA) Carol Anderson conducted an unannounced complaint inspection at the facility. LPA Anderson met with Protective Service Program Manager (PSPM) Elizabeth Rosas to discuss and deliver the investigative findings for the allegations noted above. LPA Linda Haynes conducted a virtual inspection with the facility on March 25, 2021 due to Public Health Safety of COVID-19. No safety concerns were observed. During the investigation, LPA Meza-Gonzalez interviewed one (Client #1 [C1]) and two out of three staff (Staff #1 [S1] and Staff #2 [S2]) (see confidential name list, LIC811, dated 12/ DD/2021). Staff #3 (S3) was not available to be interviewed. LPA Meza-Gonzalez reviewed the following documentation: special incident report (SIR), child history and medical notes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/20/2021

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


raw_content:
Narrative:
interviews, although S1 did intervene in incident involving C1 and C2, they did not witness S1 pull nor handle C1 in a rough manner during the incident, and that no bruises were ever reported or observed on C1. While other confidential information received by Licensing Office stated that allegations had occurred, and that S1 had grabbed C1 from underneath their arms resulting in an injury, in an attempt to separate C1 from C2. Based on confidential interviews and information obtained, the allegations that facility staff had handled minor in a rough manner resulting in an injury, more specifically that Staff # 1 (S1) had grabbed C1 from underneath their arms during an incident involving C2 which resulted in C1 receiving a bruise on their side, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Elizabeth Rosas to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on May 06, 2021 at 12:15am and LPA Mena on December 16, 2021 at 12:38pm. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), two of two children involved (C1 & C2), as well as reviewed client and facility records. Community Care Licensing received information on April 30, 2021 alleging that facility staff had handled minor in a rough manner resulting in an injury, more specifically that Staff # 1 (S1) had grabbed C1 from underneath their arms during an incident involving C2 which resulted in C1 receiving a bruise on their side. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interview denied allegations that C1 was handled in a rough manner resulting in injury. According to confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/21/2021

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


raw_content:
Narrative:
up allegations to get S1 into trouble, but subsequently recanted these allegations. While other confidential information received by Licensing Office stated that allegations had occurred, and that S1 had grabbed C1 by the chin in a rough manner during an excursion, in the presence of staff # 2 (S2). LPA Mena was unable to speak to C1 regarding complaint allegations, due to C1's legal guardian's refusal to allow child to be interviewed by LPA Mena. Based on confidential interviews and information obtained, the allegations that facility staff had handled minor in a rough manner, as well as had caused them an injury, more specifically that Staff # 1 (S1) had grabbed Child # 1 (C1) by the chin in a rough manner resulting in C1 receiving a scratch on the chin, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Elizabeth Rosas to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on May 06, 2021 at 10:15am and LPA Mena on December 16, 2021. No immediate hazards observed. LPAs interviewed three staff (S1, S2 & S3), County Social Worker (CSW) as well as reviewed client and facility records. Community Care Licensing received information on April 30, 2021 alleging that facility staff had handled minor in a rough manner, as well as had caused them an injury, more specifically that Staff # 1 (S1) had grabbed Child # 1 (C1) by the chin in a rough manner resulting in C1 receiving a scratch on the chin. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff, including S1, had ever hit or grabbed C1 on the chin in a rough manner resulting in injury. According to confidential interviews, C1 had allegedly made UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/21/2021

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

met_with: Elizabeth


raw_content:
Narrative:
as inside the facility; resulting in bruising. While other confidential information received by Licensing Office stated that allegations had occurred, and that staff had "assaulted" and pushed C1 upon return from an AWOL, resulting in bruising. According to confidential information, C1 was under the influence upon their return to the facility and could not recall many of the details of this incident. Based on confidential interviews and information obtained, the allegations that facility staff handled Child # 1 (C1) in a rough manner and had caused C1 to receive bruising as a result of this, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Chief of Agency Operations, Steven Wells to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted an inspection to the Children's Residential Center on May 06, 2021 at 11:30am and LPA Mena on December 16, 2021. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), two foster children (C1 & C2), as well as reviewed client and facility records. Community Care Licensing received information on April 29, 2021 alleging that facility staff handled Child # 1 (C1) in a rough manner and had caused C1 to receive bruising as a result of this. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff had ever hit, pushed or handled C1 in a rough manner resulting in bruising. According to confidential interviews, C1 would often AWOL (Absence without official leave) and sometimes get into physical altercations with other clients outside of the facility, as well UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 01/07/2022

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

met_with: Steven Wells


raw_content:
Narrative:
medical attention needs were not met or that they were not provided their medication. According to confidential interviews, C1's weight and medical needs were closely monitored by facility's supervising and nursing staff. According to confidential interviews, although C1's weight did fluctuate, staff was aware of the importance of monitoring and maintaining C1's weight and food intake. While other confidential information received by Licensing Office stated that allegations had occurred, and that C1 was not being properly supervised and had lost up to six pounds while under the care of the facility, as well as was not provided their medication. LPA Mena was unable to speak to C1, due to C1's legal guardian being unresponsive LPA Mena's telephone and letter requests to speak to C1 regarding these allegations. Based on confidential interviews and information obtained, the allegations that facility staff did not give Child # 1 (C1) medication, did not ensure that they were adequately fed, did not adequately supervise, as well as did not seek medical attention for C1, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Lerone Jenkins to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on April 02, 2021 at 12:05am and LPA Mena on October 22, 2021. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), as well as reviewed client and facility records. Community Care Licensing received information on March 29, 2021 alleging that facility staff did not give Child # 1 (C1) medication, did not ensure that they were adequately fed, did not adequately supervise, as well as did not seek medical attention for C1. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that staff did not adequately feed or supervise C1 during their stay at the facility. Confidential interviews also denied that C1's UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 01/27/2022

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

met_with: Lerone Jenkins


raw_content:
Narrative:
involving C2, in which S1 intervened in order to prevent C1 from assaulting staff, including S2. According to confidential interviews, in attempt to defuse the situation and remove C1 from of the cottage, C1 tripped and fell near doorway causing S1 to fall on top of C1. According to confidential interviews it was only C1 who was physically aggressive towards staff, including towards S1 and S2. Confidential information received during interviews also stated that C1 would often AWOL (Absence without official leave) and sometimes get into physical altercations with other clients outside of the facility, as well as inside the facility; resulting in bruising. While other confidential information received by Licensing Office stated that allegations had occurred, and that S1 and S2 had hit and pushed C1 during the altercation, resulting in bruising and scratches. Based on confidential interviews and information obtained, the allegation that facility staff caused injuries to minor, more specifically that Staff # 1 (S1) and Staff # 2 (S2) had hit Child # 1 (C1) during an incident, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Lerone Jenkins to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza and Mena conducted an inspection to the Children's Residential Center on May 06, 2021 at 9:30am and LPA Mena on December 16, 2021. No immediate hazards observed. LPAs interviewed seven staff (S1, S2, S3, S4, S5, S6 & S7), two foster children (C1 & C2), as well as reviewed client and facility records. Community Care Licensing received information on May 05, 2021 alleging that facility staff caused injuries to minor, more specifically that Staff # 1 (S1) and Staff # 2 (S2) had hit Child # 1 (C1) during an incident. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff had ever hit, pushed, scratched or handled C1 in a rough manner resulting in injuries. According to confidential interviews, C1 was involved in an altercation UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 01/27/2022

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


raw_content:
Narrative:
Based on interviews and record reviews the allegation that staff did not properly supervise minors while in care, resulting in a child watching C1 get undressed, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Steven Wells.

Investigation Findings:
13On February 11, 2022 at 10:01 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Chief of Agency Operations Steven Wells. LPA Gloria Meza-Gonzalez conducted a inspection of the facility, reviewed client files on June 2, 2021 at 12:30 pm and no immediate deficiencies were observed. Two of two children (C1, C2), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not properly supervise the minors in care. Confidential interviews reported that C1 was changing in the bedroom another minor (unknown name) was hiding and watching C1 get undressed. Confidential interviews reported that C1 did not report this alleged incident to any staff, therefore staff was not aware of this alleged incident. The interviews that were provided to the LPA were not consistent regarding the allegation that staff are not properly supervising minors and did not provide any further specific details regarding staff supervision. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 02/11/2022

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


raw_content:
Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegation that C1 was physically abused by several staff and did not provide any further specific details. Based on interviews and record reviews the allegation that C1 was physically abused by several staff (names unknown), may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Steven Wells.

Investigation Findings:
13On February 11, 2022 at 9:30 am , Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Cheif of Agency Operations Steven Wells. LPA Gloria Meza-Gonzalez conducted an inspection of the facility, reviewed client files on June 14, 2021 at 2:30 pm and no immediate deficiencies were observed. Five of six children (C1, C2, C3, C4, C5, C6), six staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was physically abused by several staff (names unknown). Confidential staff interviews reported that C1 hit punched and kicked by several staff (names unknown) in C1's bedroom. Confidential staff interviews reported that C1 was placed at the facility for 29 days and there were no special incidents reports regarding any restraints. Confidential interviews reported that there was one incident regarding staff #1 (S1) found an vape pen that was on C1's bedroom floor. Confidential interviews reported that S1 confiscated the vape pen with no further issues. However, there were no other witnesses to this alleged incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 02/11/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 10/21/2021 the Department received allegations that S2 kicked C1 in the head, S1 and S2 inappropriately restrained C1, C1 sustained injuries while in care, and staff did not intervene during an altercation. Confidential interviews revealed that C1 was not kicked in the head by staff and thereby C1 did not sustain head injuries while in care. Confidential interviews revealed conflicting statements that S1 kicked C1 in the stomach and S1 did not kick C1; however there was no witness to the incident. Confidential interviews revealed inconsistency to whether C1 sustain injuries while in care as C1 did not report any injuries of the day of the incident. Additional interviews indicated that S2 redirected C1 to go into C1's room and C1 had refused directives from staff. In addition, the interviews indicated that S1 and S2 did not enter C1's room and there were no witnesses that saw S1 and S2 entering C1's room where the inappropriately restraint of C1 was alleged. Furthermore, the confidential interviews could not determine if the alleged restraint took place on the floor or the bed in C1's room. Additional interviews revealed that S3 had intervened when C1 was trying to kick S2 when C1 refused to return to C1's room. . Based on confidential interviews the allegations S1 and S2 inappropriately handled a minor while in care, S1 and S2 engaged into physical altercations with the minors while in care may or may not have occurred, however the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. Exit interview was conducted and a copy of this report, and appeal rights were provided to PSPM Elizabeth Rosas.

Investigation Findings:
13On 03/17/2022 at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Elizabeth Rosas. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on 10/28/2021 and no issues were found. The investigation was conducted by Special Investigator (SI) Lucius Charlemagne from Community Care Licensing (CCL) Investigative Branch. SI Charlemagne interviewed two County Social Workers (County Social Worker #1 [CSW1] and County Social Worker #2 [CSW2]) , three out of three staff (Staff #1 [S1], Staff #2 [S2], and Staff #3 [S3]) and three out of four clients (Client #1 [C1], Client #2 [C2], and Client #3 [C3]) (see confidential name list, LIC811, dated: 03/17/2022). Client #4 (C4) was unable to be interviewed. In addition, the following records were reviewed: Incident reports, medical report, police report and county report. Continue on page 2 - LIC 9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 03/17/2022


raw_content:
Narrative:
Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Alicia Rogers.

Investigation Findings:
13On March 30, 2022 at 8:30 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Alicia Rogers. LPA Marisol Lopez conducted an inspection of the facility on June 24, 2021 at 11:15 am and no immediate deficiencies were observed. Two of two children (C1, C2), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 was sexually assaulted and threatened while in care. Confidential interviews reported that C1 was being "bothered" by another minor (unknown name). Confidential interviews reported that C1 did not report this alleged incident to any staff, therefore staff was not aware of this alleged incident. Additional confidential interviews denied witnessing any sexual assault or threat to C1. The interviews that were provided to the LPA were not consistent regarding the allegation that staff are not properly supervising minors and did not provide any further specific details regarding staff supervision. Based on interviews and record reviews the allegations that C1 was sexually assaulted and threatened while in care, may have occurred, however is not supported or proven by evidence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 03/30/2022

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


raw_content:
Narrative:
Based on interviews and record reviews the allegation that C1 had a small scratch on the bridge of the nose, may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Alicia Rogers.

Investigation Findings:
13On March 30, 2022 at 9:16 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with Alicia Rogers. LPA Linda Hayes conducted an inspection at the facility on July 7, 2021 at 11:25 am and no immediate deficiencies were observed. Four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that C1 had a small scratch on the bridge of the nose. Confidential staff interviews reported that once staff became aware and saw the scratch on C1, staff followed all the correct protocols and notified all appropriate parties. Additional staff interviews report that C1 did not have the scratch prior to going to school. When C1 returned from school that is when staff noticed the scratch as C1 was coming off the bus. C1 is non-verbal and LPA was unable to interview C1. Information obtained from confidential interviews revealed was inconsistent as to whether the scratch occurred at the facility or at school. The interviews that were provided to the LPA were not consistent regarding the allegation that C1 sustained unexplained injuries, while in care due to care and supervision issues or staff violating client personal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 03/30/2022

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


raw_content:
Narrative:
On July 21, 2021, the Department received allegations that the staff does not ensure the clients are properly fed while in care, the facility is operating out of ratio, staff did not safeguard a C1's personal belongings, and staff does not provide an appropriate sleeping arrangement for a minor while in care. Confidential interviews revealed that on a couple of occasions the food was undercooked however it was brought to the attention of the cafeteria staff, and the food was replaced. On August 3, 2021, LPA Meza-Gonzalez observed in the cafeteria seven days of non-perishable food and two days of perishable food. Confidential information revealed inconsistencies in the staff ratio to clients. It's alleged that there is insufficient staffing in the cottages when staff is assigned one-to-one supervision however the duty officer and supervisors are counted as part of the ratio to clients. Confidential interviews revealed that C1 did have a Nintendo Switch as part of C1's inventory however C1 chose not to keep it in the safe for safeguarding, and the Nintendo Switch was stolen. C1 signed an electronic device agreement in which it states that the clients are responsible for their devices if lost or stolen if they choose not to store them in the safe. Confidential interviews revealed that C1 was assigned to a cottage that was not the gender C1 identified. Additional interviews revealed that C1 identified with both genders. Additional interviews revealed inconsistencies to whether C1 asked to move to the gender cottage with which C1 identified. Based on confidential interviews the allegations staff does not ensure the clients are properly fed while in care, the facility is operating out of ratio, staff did not safeguard a C1's personal belongings, and staff does not provide an appropriate sleeping arrangement for a minor while in care may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were emailed to PSPM Rogers due to technical difficulties with the printer.

Investigation Findings:
13On May 25, 2022 at 12: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Alicia Rogers. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on July 29, 2021, and no issues were found. During the investigation, LPA Meza-Gonzalez interviewed three out of four clients (Client #1 [C1] [see confidentiial name list, LIC811, dated May 25,2022], Client #2 [C2], Client #3 [C3]) and four staff (Staff #1 [S1], Staff #2 [S2], Staff #3 [S3], Staff #4 [S4]). Client #4 (C4) was unable to be interviewed. LPA Meza-Gonzalez reviewed child history report, virtual assessment, personal inventory, personal property update form, special incident report (SIR), youth complaint form information, house rules, cell phone/electronic device agreement, medical notes, and training log. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 05/25/2022


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Narrative:
mouth and temple, causing S1 to bleed. Conflicting interviews reported S1 followed C1 to the bedroom and S1 grabbed C1 around the throat with one hand and pushed C1 up against the bedframe. C1 punched S1 in the face several times while they were pushed against the bedframe and exited the bedroom. S1 proceeded to leave the cottage after having two quarts of milk thrown on S1. During the investigation, conflicting information was provided regarding C1 hitting S1 and C1 hitting S1. C1 was taken to the Nursing clinic and C1 was noted to have marks and bruises on their neck. Confidential reports show C1 had a cut inside their lower lip, minimal swelling, and scratches on their neck. Other confidential interviews reported it was not known if C1 had these injuries before the incident. There were no witnesses to the alleged choking of C1. Based on confidential interviews, the allegation that S1 handled C1 in a rough manner while in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Lerone Jenkins, Program Manager.

Investigation Findings:
13On June 10, 2022, at 10:00 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Lerone Jenkins, Program Manager, to discuss the investigative findings for the allegation noted above. LPA conducted an inspection of the facility on May 28, 2022, at 10:30 am. No deficiencies were observed. During the investigation, LPA interviewed four out of five staff (S1, S2, S4, S5) (See Confidential Name List, LIC 811, date: 06/10/22) and was unable to interview C1 due to whereabouts are unknown. LPA reviewed S1's employee file, which included training records and employee evaluations. LPA also reviewed cottage rosters, staff schedules, County Child Protective Services Report, Nursing Progress notes, and Special Incident Report dated 11/16/21. On November 18, 2021, the Department received an allegation that Staff handled minor in a rough manner while in care. Confidential interviews reported that C1 was laying down on a couch and when staff redirected C1 to stop playing with the plastic wall guards, C1 jumped off the couch and hit S1 in the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/10/2022

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

met_with: Lerone Jenkins, Program Manager


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Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegations that staff (unknown name) hit C1 with an object, staff (unknown name) threw milk on C1 and staff engaged in a verbal altercation with C1. Based on interviews and record reviews the allegations that that staff (unknown name) hit C1 with an object, staff (unknown name) threw milk on C1 and staff engaged in a verbal altercation with C1, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Norma Rincon.

Investigation Findings:
13On July 14, 2022 at 8:35 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with Deputy Director Norma Rincon. LPA Jesus Cervantes conducted an inspection of the facility on July 21, 2021 at 11:05 am and no immediate deficiencies were observed. Two of two children (C1, C2), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff (unknown name) hit C1 with an object, staff (unknown name) threw milk on C1 and staff engaged in a verbal altercation with C1. Confidential interviews reported that C1 was placed at this facility from October 11, 2020 through November 29, 2020, and C1 was involved in numerous incidents reports involving verbal altercations with clients and staff and numerous absent without leaves (awol's). Confidential interviews reported that C1 did not report these alleged incidents to any staff, therefore staff was not aware of these alleged incidents. Additional confidential interviews denied witnessing any personal rights violations or threats to C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/14/2022

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

met_with: Norma Rincon


raw_content:
Narrative:
prevent minors from engaging in physical altercations, staff did not protect a minor from harm while in care, and staff did not prevent minors from engaging in inappropriate sexual interactions while in care. It was reported that staff let kids fight at the facility and do intervene. It was reported that a client was jumped at the facility and staff did not stop or protect them. It was also reported that clients have sex in the tubes at the playground at the facility and staff do not check the tubes. Confidential interviews revealed some staff have intervened and redirected clients when engaged in physical altercations. Other confidential interviews reported staff has not always intervened when clients are engaged in physical altercations. As far as the allegation of clients being jumped at the facility, confidential interviews reveal clients were jumped at the facility while other conflicting interviews indicated that they do not recall incidents of clients being jumped. As far as the allegation of clients having sex in the tubes, there is conflicting information. Confidential interviews report that clients AWOL in the night and use the tubes for sexual activities because staff do not look inside the tubes. Conflicting interviews report that staff look inside the tubes when the clients are missing. Based on confidential interviews and records reviewed the staff did not prevent minors from engaging in physical altercations, staff did not protect minors from harm while in care, and staff did not prevent minors from engaging in inappropriate sexual interactions while in care, which may or may not 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, appeal rights explained, and a copy of this report was provided to Elizabeth Rosas, Protective Service Program Manager (PSPM). Due to printer malfunction, a copy of the report will be emailed to the Facility Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On August 11, 2022, at 1:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Elizabeth Rosas, Protective Service Program Manager (PSPM) to discuss the investigative findings for the allegations listed above. LPA Gloria Meza-Gonzalez conducted an inspection of the facility on 09/02/2021 at 9:00 am. No deficiencies were observed. LPA Linley conducted an inspection of the facility on 07/29/2022 at 6:30 pm. No deficiencies were observed. During the investigation, LPA Meza-Gonzalez interviewed two clients (C8, C9). LPA Linley interviewed four out of eleven clients (C1, C6, C8, C10). C2-5, C7, C11 were unable to be interviewed. Four staff were interviewed (S1, S4, S5, S12) S2, S3, S6-11, and S13-17 were unable to be interviewed (SEE LIC 811 for confidential names). LPA Linley also reviewed the following documents: child history reports for C1 and C2, special incident reports, and C9's multidisciplinary progress notes. On August 30, 2021, Community Care Licensing (CCL) received allegations that staff did not prevent UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/10/2022

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


raw_content:
Narrative:
while in care. It was reported that staff used excessive force on C1 during a restraint, resulting in an abrasion on their face, and C1 was punched by another client while in care. Confidential interviews reveal that staff did not use excessive force while C1 was restrained and C1 was punching, kicking, and biting staff. Confidential interviews revealed that C1 and C2 engaged in physical altercations while at the facility. Conflicting interviews revealed that C1 and C2 were placed in separate cottages, both clients were assigned an individual staff, and clients were redirected when they were in the common areas. Records reviewed indicated C1 had abrasions and scratches near their right ear, left cheekbone, and right neck area before the restraint. Based on confidential interviews, the allegation that staff used excessive force on C1 during a restraint, staff did not protect C1 from another minor, and C1 sustained injuries while in care may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, along with the appeal rights were explained and provided to Elizabeth Rosas, Protective Service Program Manager (PSPM). Due to printer malfunction, a copy of this report will be emailed to the Facility Administrator. A copy of the report will be placed in the facility file.

Investigation Findings:
13On August, 11, 2022, at 1:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced to the facility and met with Elizabeth Rosas, Protective Service Program Manager (PSPM), to discuss the investigative findings for the allegations noted above. LPA Gloria Meza-Gonzalez visited the facility on 09/16/2021 at 10:45 am and no deficiencies were observed. LPA Meza-Gonzalez obtained C1's child history report for C1, special incident reports, and medical notes during the visit. LPA Linley visited the facility on 07/30/2022 at 1:30 pm and no deficiencies were observed. LPA interviewed one out of two clients (C1). C2 was unable to be interviewed. LPA interviewed three out of eight staff (S1-3). S4-8 were unable to be interviewed. LPA reviewed copies of the child history report for C1, special incident reports, and nursing progress notes. On September 7, 2021, Community Care Licensing (CCL) received allegations that staff used excessive force on minor during restraint, staff did not protect minor from restraint, and minor sustained injuries UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/11/2022

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


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Narrative:
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 with Elizabeth Rosas, Protective Service Program Manager (PSPM). Due to printer malfunction, a copy of the report and appeal rights will be emailed to the Facility Administrator.

Investigation Findings:
13On August 12, 2022, at 4:00 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted a complaint inspection at A.B. JESSIE POLINSKY CHILDREN'S CENTER and met with Elizabeth Rosas, Protective Service Program Manager (PSPM). The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Gloria Meza-Gonzalez conducted an inspection of the facility on September 11, 2021, and no deficiencies were noted. LPA interviewed two clients (C1, C2) and was unable to interview three clients (C3-5), two staff (S1, S2) and was unable to interview three staff (S3-S5). The Department has investigated the complaint alleging "staff did not prevent minor from engaging in inappropriate behaviors." LPA Barragan spoke with staff, clients and reviewed other predominant documents. Based on documents reviewed, an inspection, and confidential interviews with staff and clients, all the information that was gathered lead to a UNSUBSTANTIATED finding. "Although the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/12/2022

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


raw_content:
Narrative:
On September 17, 2021, the Department received allegations that C1's care needs are not being met and sustained unexplained injuries while in care. Confidential interviews revealed that C1 showers twice a day. Additional interviews revealed that staff assist C1 in dressing himself and combing C1's hair and nursing is responsible for cutting C1's nails. Additional interviews revealed a request is made to cut C1's hair due to C1's behavior needs. Confidential interviews revealed that possibly C1 climbs on a tree and fell during visitation. Additional interviews revealed staff calls nursing when there is bruising. C1 is also checked before going to school and after school. No staff witnessed the incident. Based on confidential interviews the allegations that C1's care needs are not being met and sustained unexplained injuries while in care may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were given to PSPM Rosas.

Investigation Findings:
13On August 18, 2022, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Elizabeth Rosas. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on September 22, 2021, and no issues were found. During the investigation, LPA Meza-Gonzalez interviewed PSPM2, Protect Service Supervisor, and two Staff (S1 and S2). Client #1 (C1) (See confidential name list, LIC811, dated August 18, 2022) was unable to be interviewed. LPA Meza-Gonzalez reviewed child history report, special incident reports, and multi-disciplinary notes. Continue on page 2 - LIC9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/18/2022


raw_content:
Narrative:
On December 1, 2021, the Department received allegations that staff did not supervise C1 and C2 in care leading to minors engaging in inappropriate sexual behavior while in care. Confidential interviews revealed that S1 was notified that C2 was in C1's room when C3 went to give C1's snack. Additional interviews revealed that S1 and C3 witnessed C1 and C2 were under the covers. Confidential interviews revealed inconsistency in whether C1 and C2 were engaged in sexualized behavior under the covers. Based on confidential interviews the allegations that staff did not supervise C1 and C2 in care leading to minors engaging in inappropriate sexual behavior while in care may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were given to PSPM Rosas.

Investigation Findings:
13On August 18, 2022, at 11: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Elizabeth Rosas. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on December 07, 2021 , and no issues were found. During the investigation, LPA Meza-Gonzalez interviewed three clients (C1, C2 and C3) and two staff (S1 and S2) (See confidential name list, LIC811, dated August 18, 2022) was unable to be interviewed. LPA Meza-Gonzalez reviewed child history report, special incident reports, and multi-disciplinary notes. See page 2 - LIC9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/18/2022


raw_content:
Narrative:
On May 20, 2022, the Department received allegations that C1 sustained unexplained injuries while in care. Confidential interviews revealed that C1 has had an outburst in school in which C1 may have sustain injuries from a restraint that was conducted at school. Additional interviews revealed that C1 is on one-to-one supervision. Confidential interviews revealed that C1 has daily body checks for injuries before school and after school and documents for any changes for the nurses to assess. Based on confidential interviews the allegations that C1 sustained unexplained injuries while in care may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were given to PSPM Rosas.

Investigation Findings:
13On August 18, 2022, at 12: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Elizabeth Rosas. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on May 25, 2022, and no issues were found. Investigator Ernestina Bellucco from the Community Care Licensing Investigative Branch conducted the investigation. During the investigation, Investigator Bellucco interviewed PSPM2, one staff (S1), a Registered Nurse (RN), County Social Worker, and three school personnel (SP1, SP2, and SP3). Client #1 (C1) (see confidential name list, LIC811, dated August 18, 2022) was observed by Investigator Bellucco and not interviewed. Investigator Bellucco reviewed child history reports, special incident reports, staff roster, C1's assessment, photos, and Nurse notes. See page 2 - LIC9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/18/2022