raw_content:
Narrative:
Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegations. This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, restraint logs, and interviews with four staff members: S1 and S3 on November 26, 2024; S2 on January 29, 2025; and S4 on February 4, 2025. Additionally, two of the three clients, C2 and C3, were interviewed on January 23, 2025, along with two County Social Workers, CSW1 on January 22, 2025, and CSW2 on January 24, 2025. It is important to note that no statement was obtained from client C1 due to their absence without leave. (Refer to Confidential Names Form LIC 811, dated February 7, 2025.) The Following Allegation was reported: 1. A staff member hit a minor while in care. The Staff (S1, S2, S3, and S4) refuted the claims, asserting that all personnel are trained in trauma-informed care and recognize the significance of fostering a safe and healthy atmosphere within the facility. They noted that there have been no observations of staff mistreating clients, nor have any clients reported instances of misconduct by staff members. Additionally, S1 emphasized that all staff have received training in the Management of Assaultive Behavior (MAB), which is utilized only as a final measure to avert self-harm by clients or serious injury to others. 2. Staff shoved a minor into a closet. The staff members (S1, S2, S3, and S4) denied the allegation, asserting that they were unaware of any such incident occurring and that no client has ever reported such an event to them. S1 emphasized that her team maintains a strong rapport with clients and ensures a safe and healthy atmosphere. The staff noted that while they generally adopt a hands-off approach, they have previously intervened to physically separate clients and escort them to different areas of the facility. Clients C2 and C3 both stated that they had not observed or heard of any staff member mistreating any client. 3. Staff inappropriately restrained a minor. The staff members (S1, S2, S3, and S4) denied the allegations, asserting that all personnel have received training in the Management of Assaultive Behavior (MAB), which is employed solely as a last resort to avert self-injury or harm to others. They further explained that an incident involving C1 transpired after her return from AWOL while under the influence of an unidentified substance. During this incident, staff attempted to confiscate contraband, prompting C1 to bang her head against the door. In response, the staff positioned themselves in front of the door to prevent any potential head injury and subsequently arranged for C1 to receive a medical evaluation from Bakersfield Paramedics. S1 noted that the incident was reported to the relevant supporting agencies without delay. Furthermore, the accounts given by C2 and C3 corroborated the above information, indicating that they are receiving adequate support from the staff and feel safe residing in the facility. The statements obtained from CSW1 and CSW2 affirmed that they have no concerns regarding the care and supervision provided to their clients, and their clients have not reported any incidents of misconduct by the facility staff. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On February 6, 2025, Licensing Program Analyst (LPA) Joe Martinez conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Administrator Trina Smith. The inspection aimed to deliver the findings regarding the complaint allegation(s). On November 19, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): A Staff member hit a minor while in care; A staff member shoved a minor into a closet, and A staff member inappropriately restrained a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 02/06/2025

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

met_with: Trina Smith


state: CA

facility_name: SCOTT'S YOUTH FACILITY II

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Moroney conducted an investigation into the previously mentioned allegations. This investigation encompassed a thorough examination of various records, including the children's needs and services plans, medical documentation, incident reports, restraint logs, and interviews with four staff members: S1 and S3 on November 26, 2024; S2 on January 29, 2025; and S4 on February 4, 2025. Additionally, two of the three clients, C2 and C3, were interviewed on January 23, 2025, along with two County Social Workers, CSW1 on January 22, 2025, and CSW2 on January 24, 2025. It is important to note that no statement was obtained from client C1 due to their absence without leave. (Refer to Confidential Names Form LIC 811, dated February 7, 2025.) The Following Allegations were reported: 1. A staff member hit a minor while in care. The Staff (S1, S2, S3, and S4) refuted the claims, asserting that all personnel are trained in trauma-informed care and recognize the significance of fostering a safe and healthy atmosphere within the facility. They noted that there have been no observations of staff mistreating clients, nor have any clients reported instances of misconduct by staff members. Additionally, S1 emphasized that all staff have received training in the Management of Assaultive Behavior (MAB), which is utilized only as a final measure to avert self-harm by clients or serious injury to others. 2. Staff not adequately supervising minors resulting in minor engaging in physical altercation with another minor. The Staff (S1, S2, S3, and S4) refuted the claims made, asserting that there are consistently two or more staff members present to uphold the staff-to-client ratio of 1:4. By adhering to this standard, the staff is able to swiftly address any concerns that may emerge, thereby guaranteeing that all clients obtain the necessary assistance and support customized to their specific requirements. 3. Staff not adequately supervising resulting in minor AWOLing. The staff members, namely S1, S2, S3, and S4, denied the allegations, asserting that they do not operate as a locked facility and that clients are free to leave at their discretion. S1 elaborated that through interactions with clients, staff can deter AWOL behavior by providing verbal guidance and emphasizing the significance of fulfilling their personalized plans, as well as the potential risks associated with leaving the facility. Additionally, the staff offers a variety of activities and seeks to understand the underlying reasons driving a client's desire to be absent without leave (AWOL). All occurrences of AWOL are reported promptly to the relevant support agencies. Furthermore, the accounts given by C1 and C2 corroborated the above information, indicating that they are receiving adequate support from the staff and feel safe residing in the facility. The statements obtained from CSW1 and CSW2 affirmed that they have no concerns regarding the care and supervision provided to their clients, and their clients have not reported any incidents of misconduct by the facility staff. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore the allegation(s) are found to be unsubstantiated. Appeal Rights were provided and discussed with the STRTP Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On February 6, 2025, Licensing Program Analyst (LPA) Joe Martinez conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with Administrator Trina Smith. The inspection aimed to deliver the findings regarding the complaint allegation(s). On October 31, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): A staff member hit a minor while in care, Staff not adequately supervising minors resulting in minor engaging in physical altercation with another minor, and Staff not adequately supervising resulting in minor AWOLing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 02/06/2025

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
LPA Martinez completed interviews with S1 and S2 on 12/17/24. An interview with C2 was completed on 02/06/25. On 03/10/25, LPA Martinez interviewed S3 and S4. (Reference Confidential Names Form LIC 811, dated May 13, 2025). LPA Martinez reviewed youth files, incident and stakeholder reports as part of the investigation. All documents were assessed for relevant information pertaining to the complaint report. At the time of the initial inspection, three youth were placed in the facility. Two youth declined to be interviewed. The youth who was interviewed did not report or observe a vehicle being used to harm a youth in care. Staff interviewed denied the allegation that a facility vehicle harmed a youth. All staff reported that a facility vehicle is used to search for youth during unauthorized absences. Staff also stated that law enforcement is notified when unauthorized absences occur. Stakeholder reports were reviewed as part of the investigation. The reports did not express that a vehicle was used to harm a youth. Based on the confidential interviews and records reviewed, the complaint is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 05/13/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP).LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation. On 12/09/24, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff hit minor with an automobile LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 05/13/2025

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


raw_content:
Narrative:
Based on information obtained by LPA Palmer, there is not a preponderance of evidence to support the allegation therefore, the allegation is unsubstantiated. No deficiency cited. Copies of the following reports were provided at the conclusion of the inspection: LIC 9099 and LIC 9099-C.. page 2 of 2

Investigation Findings:
13On Tuesday, 5/13/25 at 10:50am, Licensing Program Analyst (LPA), Carrie Palmer conducted a follow-up complaint inspection with the above named facility and spoke with Cecilia Ramos, Unit Coordiantor. The purpose of the visit is to deliver the findings for the above complaint allegation. During the course of the investigation, LPA Palmer reviewed facility records and conducted investigative interviews with a total of 2 staff and 5 clients on 5/12/25. (See LIC 811, Confidential Names Statement.) During the confidential interviews it was reported by 4 of 5 clients (C1, C3, C4 and C6), that staff have not pulled their hair, have not sat on them inappropriately and staff have not hit clients. C2 reported staff hit C2, sat on C2 inappropriately by placing their knee and elbow into C2s body. C2s hair was never pulled. Staff denies all allegations and states that clients are restrained for their safety, but do not hit, pull hair or sit on clients during administation of restraints. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Carrie Palmer LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 05/13/2025

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

met_with: Cecilia Ramos, Unit Coordiantor.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
...page Complainant was unable to be interviewed. CSW and five (5) staff were interviewed. Three (3) out of five (5) youth were interviewed (See confidential names list LIC 811 dated June 18, 2025). The investigation revealed the following: It was alleged that staff did not prevent a minor from being physically assaulted by another minor and that staff threatened a minor. It was revealed that during a birthday party or celebration event at the facility home, a youth made comments to other youth that were celebrating. These comments were taken as negative by some of the youth in the home. There was a fight that ensued between three (3) youth. After the fight occurred, there was a staff of the facility that threatened to have their child come up to the facility or a youth's school to fight them. LPA reviewed documents including incident reports and notes that revealed the altercation between youth. All three (3) youth interviewed confirmed the fight. One (1) out of three (3) youth interviewed confirmed that a youth was threatened by staff. LPA interviewed five (5) staff, and all five (5) staff were aware of the altercation between youth. Staff interviewed did not hear the threat made from staff to youth. Staff were interviewed and said that the fight was broken up when first made aware. Further, staff said that the allegation of staff threatening a youth was not known until a week after the fight, during a CFT meeting. Staff admitted that the statement made by the youth was not reported to CCL, and only reported to the County. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated A copy of this report and Appeal Rights were provided to A.M. Unit Coordinator No deficiencies cited. Exit interview was conducted.

Investigation Findings:
13On June 18, 2025, at 3: P.M.. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to Scott's Youth Facility II for the purpose of concluding the above identified complaint investigation. LPA met with Cecilia Ramos-A.M. Unit Coordinator and discussed complaint findings. The investigation consisted of the following: On March 14, 2025, LPA met with Ebony Rosado- NOC Facility Manager. LPA requested the placed children's needs and services plan(s), incident reports for February-March, addresses of placed children's school(s), and facility notes from February-March. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: Scott's Youth Facility Iifacility Number: Visit Date: 06/18/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...page Complainant was unable to be interviewed. CSW and five (5) staff were interviewed. Three (3) out of five (5) youth were interviewed (See confidential names list LIC 811 dated June 18, 2025). The investigation revealed the following: It was alleged that staff did not prevent a minor from being physically assaulted by another minor and that staff threatened a minor. It was revealed that during a birthday party or celebration event at the facility home, a youth made comments to other youth that were celebrating. These comments were taken as negative by some of the youth in the home. There was a fight that ensued between three (3) youth. After the fight occurred, there was a staff of the facility that threatened to have their child come up to the facility or a youth's school to fight them. LPA reviewed documents including incident reports and notes that revealed the altercation between youth. All three (3) youth interviewed confirmed the fight. One (1) out of three (3) youth interviewed confirmed that a youth was threatened by staff. LPA interviewed five (5) staff, and all five (5) staff were aware of the altercation between youth. Staff interviewed did not hear the threat made from staff to youth. Staff were interviewed and said that the fight was broken up when first made aware. Further, staff said that the allegation of staff threatening a youth was not known until a week after the fight, during a CFT meeting. Staff admitted that the statement made by the youth was not reported to CCL, and only reported to the County. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated A copy of this report and Appeal Rights were provided to A.M. Unit Coordinator No deficiencies cited. Exit interview was conducted. SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

met_with: Cecilia Ramos-A.M. Unit Coordinator


raw_content:
Narrative:
Interviews completed on 02/06/25 with C1, R1,R2,R3. On 02/07/25 interviewed C3 and on 04/09/25 interviewed C2. (Reference Confidential Names Form LIC 811, dated August 26, 2025). The Department investigated allegations that staff at the Short-Term Residential Therapeutic Program (STRTP) failed to seek medical treatment for a minor, threatened to confiscate the minor's personal item, and did not administer prescribed medications. Three (3) staff members were interviewed for the investigation. 3 staff reported that the youth was offered over-the-counter medication and that an appointment for medical care was arranged the following day. Three (3) out of five (5) youth were interviewed. Interviews were consistent in reporting that staff intervene appropriately during peer altercations, provide over-the-counter medication when needed, and do not confiscate phones or threaten to remove them. Three youths described feeling safe in the home and being able to communicate their needs to staff. The principal youth of the investigation reported receiving over-the-counter medication and being transported to urgent care. Records review confirmed that no incident reports were generated by STRTP staff. Stakeholder reports revealed that the principal youth was being provided over-the-counter medication when she felt ill, and that staff transported her to urgent care. Based on the interviews and records reviewed, the allegations are unsubstantiated. The evidence demonstrates that staff responded to the youth's medical concerns by offering over-the-counter medication and arranging follow-up care through urgent care services. Neither interviews nor records supported claims that staff threatened to confiscate the youth's personal belongings or failed to administer prescribed medication. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 08/26/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The inspection aims to deliver the findings for the above allegation(s). On 02/03/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff did not seek treatment for minor in care Staff threatened to confiscate minor's personal item Staff did not administer minor's medications as prescribed LPA Martinez investigated the above allegation(s). The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 08/26/2025

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

met_with: Paola Arredondo


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Continued... On 8/21/2025, LPA obtained and reviewed the facility's LIC500 (Personnel Report), current client roster, initial Needs and Services Plans for client 1 (C1) and client 2 (C2), and any relevant Special Incident Reports (SIRS). On August 18, 2025, the Department received a complaint alleging that staff were negligent in clients engaging in inappropriate sexual activity with unknown men, clients using illegal substances, clients engaging in inappropriate sexual activity, and client making verbal threats to another client at the facility. During the interview process, LPA conducted interviews with Client 2 (C2), facility staff, and obtained a statement via phone call and via email from the Reporting Party (RP). LPA also attempted to interview Client 1 (C1); however, C1 refused to participate in an interview with LPA. No additional witnesses came forward and no corroborating documentation or physical evidence was provided to support the allegations. While conducting staff and client interviews, statements obtained were inconsistent with the reported allegations, and no interviewee was able to provide specific dates, times, or identifiable individuals related to the alleged incidents. There was no evidence presented that staff permitted or failed to intervene in clients (C1 and C2) engaging in sexual activity with unknown men, permitted illegal substance use, or allowed inappropriate sexual conduct between clients (C1 and C2). Additionally, while verbal conflicts were acknowledged, there was no information indicating that staff failed to intervene or that neglect occurred regarding alleged threats from C2 toward C1. Based on the information gathered by the LPA, there is insufficient evidence to determine whether the alleged violations occurred. While the allegations may have happened or may be true, there is not enough preponderance of evidence to prove that staff acted negligently or violated applicable regulations. Therefore, the complaint allegations are deemed Unsubstantiated. A signed copy of this report along with the Appeal rights were discussed and provided to the Facility Representative. Exit interview conducted. No deficiencies were cited at this time.

Investigation Findings:
13On October 30, 2025, at 10:28 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Scott's Youth Facility - Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegations. LPA met with Cecilia Ramos, Unit Coordinator (UC). LPA's investigation consisted of an attempted phone interview with the Reporting Party (RP) on 8/21/2025. But to no avail. No answer or response back from RP. LPA attempted to interview Client 1 (C1) (See LIC811 - Confidential Names list dated: 10/30/2025) on 8/21/2025 and 8/26/2025 at the STRTP. But to no avail. C1 refused to meet and interview with LPA. On 8/21/2025, LPA met with and interviewed the UC at the STRTP, as well as conducting and completing a collateral visit with C2 on 8/26/2025. On 10/21/2025, LPA continued the interview process by completing an interview via phone call with the Facility Manager (S1). On 8/21/2025, LPA conducted a review of the STRTP's complaint history, reviewed documentation obtained from other agencies and Guardian / LIS systems. Continued on LIC9099c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 10/30/2025

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

met_with: Cecilia Ramos, Unit Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On October 26, 2021, Licensing Program Anakysts (LPA) Zeyda Loera and Pamela Silva conducted an unannounced Post Licensing inspection at the facility. LPAs met with Kenneth Calvin, Administrator Assistant. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application and National Accreditation are pending approval. The facility provides services to six (6) female children (ages 11-17) and non-minor dependents. LPAs conducted a tour of the facility on October 20, 2021 at 09: AM. PHYSICAL PLANT Facility is a two story home that has three bedrooms double occupancy. Bedroom are accommodating of all required furnishings. Individual beds in good repair, equipped with good springs, clean mattresses and pillows observed. Adequate supply of additional beddings and lines observed. Facility has all required posters. Adequate food observed upon inspection. The hot water was measured at F, which was within required temperature range. All smoke detectors and carbon monoxide were tested and in proper working order. Sharps items are in a locked box inside the staff office. First aid was inspected and found to be complete. All hallways and backyard were free of obstructions. Generally, the facility is clean, safe, and sanitary. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility should update their Emergency Disaster Plan per Provider Information Notice PIN 21-03. Facility conducts disaster drill at least quarterly for each shift. Facility maintains register of clients in their emergency plan. Staffing Records LPAs reviewed six (6) staff records. All individuals subject to criminal records review have been fingerprinted and signed a Criminal Record Statement. All staff completed 40 hours of annual training. Education, experience, job description, First Aid/CPR verification are on file. Client Records LPAs reviewed six (6) client records. One (1) client has no Pre-placement Appraisal on file. LPAs reviewed medication log vs. medication count and found that on one (1) client's record, the date initialled by staff did not match the current date. LPAs interviewed two (2) staff members. Two (2) clients who were present at the facility during the inspection refused to be interviewed. There were one (1) Type B deficiency ,one (1) Technical Violation (LIC9102TV) and one (1) Technical Assistance (LIC9102TA) issued during today's inspection. At the conclusion of the inspection, LPAs discussed the findings with the facility administrator. LPAs agreed to work with facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title Regulations. The administrator was provided information on where to locate Provider Information Notices (PINs), guidance of the new CARES tools inspection process and Guardian. An exit interview was conducted, and a signed copy of this report, LIC 809-D, LIC9102TV, LIC9102TA, LIC 811 and appeal rights were provided to the facility representative.

report_type: Facility Evaluation

met_with: Kenneth Calvin


summary: Facility Evaluation

raw_content:
Narrative:
On April 27, 2022 at 9: AM Licensing Program Analysts (LPA's) Timika Martin and Jenny Mundo conducted an unannounced annual/required inspection at the Short Term Residential Therapeutic Program (STRTP) facility and met the Administrator Assistant, Kenneth Calvin. The STRTP's Mental Health Program Application is pending approval. The facility provides services to six (6) female children (ages 11-17) and non-minor dependents. There are currently 6 clients in placement. Physical Plant: At 9: AM, LPA's conducted a tour of the inside and outside of the facility with Administrator Assistant, Kenneth Calvin. The facility is a two-story home that has a total of (3) three bedrooms, (3) bathrooms, (1) staff office and a facility manager booth. There are three (3) bedrooms that have two (2) twin beds. There is adequate drawer, shelf and closet space for client's belongings. All beds are clean and in good repair. LPA's observed the following required posted items that are accessible to clients: Facility license, facility sketch, grievance procedures, Personal Rights, Ombudsman poster, Emergency Disaster Plan, daily schedule/activities, daily food menu and Covid-19 postings. The kitchen is sanitary and in good repair. LPA's observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Sharp knives and sharp utensils were locked inside of the staff office. The smoke/carbon monoxide detectors were tested and working. The first aid kit was checked and complete. All medications and medication logs are centrally stored and kept in a locked cabinet located upstairs in the facility manager booth located upstairs. Disinfectants, cleaning solutions and other hazardous items are kept inaccessible to the clients in a locked closet. The washer and dryer are located upstairs and accessible to the clients. The facility vehicles' current insurance, registration and vehicle log were checked. The hot water temperature in the bathrooms were checked using a digital thermometer and registered at 117 degrees Fahrenheit. Each client is supplied with personal hygiene products. There were extra towels and linens for clients use in cabinets. Client Files: At 10: AM LPA Mundo reviewed four (4) client files. Documentation for each client is complete, signed and current. All medications are recorded and logged. Psychotropic medications prescribed have current JV223 court order, medical consent authorization is available for review and current in client's file. Facility is providing adequate services with the client's needs & services plan; it is current and updated. Staff Files: LPA's started to review staff and client files. LPA's obtained Personnel Summary report (LIC 500) from the facility. LPA Jenny Mundo reviewed four (4) staff files. All staff files contained the required documentation per Title Regulations. Both staff who required caregiver background checks have received criminal record and child abuse index check clearances or exemptions and associations. Staff files contained the Mandated Reporter/acknowledgement form. At 11: AM LPA's conducted interviews. LPA Martin interviewed two (2) clients and two (2) staff. LPA Martin reviewed the current LIC 500, LIC 309 current Board Meeting minutes and an updated copy of the emergency disaster plan. Based on the facility inspection and file reviews on this date, there are no deficiencies found at this time. An exit interview was conducted with the Administrator. LPA provided a copy of the following reports: LIC 809 and LIC 811 were provided to Administrator Assistant, Kenneth Calvin.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On April 13, 2023, Licensing Program Analysts (LPAs) Dawn Mahecha and Juliet Robles conducted an unannounced Annual Inspection at the facility and met with Kenneth Calvin, Facility's Administrator. LPAs stated the purpose of the inspection to the STRTP representative. During the inspection a copy of the Register of Facility Clients and Personnel Report was provided upon request. The following topics were inspected: LPA obtained and reviewed the following updated documentation: · LIC Personnel and client roster · LIC C Emergency Disaster Plan · Council on Accreditation · Board of Directors report, Continuous Quality Improvement data report and program statement Annual compliance Review consisted of all domains: LPAs did a walk through of home and interviewed two (2) staff and one (1) child. All carbon monoxide/ smoke detectors were audible at the time of this inspection, water temperature was tested and water temperature was measured at 119.8 degrees Fahrenheit. At the time of this inspection home was in good repair. An exit interview was conducted and the STRTP Facility manager, Karissa Davis who agreed with the review finding and recommendation. LPA's provided a signed copy of this report LIC 809.

met_with: Kenneth Calvin, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin, Juliet Robles and Pamela Silva on April 19, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Martin, Robles and Silva met with Kenneth Calvin, Administrator and inspected the facility inside and out. LPAs reviewed two (2) of child's records and three (3) of staff personnel files on site at the facility. LPAs reviewed two (2) of child's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed one (1) child currently prescribed psychotropic medication. No deficiencies are being cited at this time. LPAs provided a copy of this licensing report and conducted exit interview with Kenneth Calvin, Administrator.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles and Pamela Silva on 07/17/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Administrator, Kenneth Calvin and inspected the facility inside and out. LPAs reviewed two (2) of child's records and three (3) of staff personnel files on site at the facility. LPAs reviewed two (2) of child's psychotropic medications and medication records. LPAs interviewed one (1) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed (0) of children currently prescribed psychotropic medications due to refusal. No deficiencies are being cited at this time. LPAs conducted exit interview and provided a copy of this report to the Administrator, .


summary: Facility Evaluation

raw_content:
Narrative:
On October 18, 2024, at 09:00 a.m., Licensing Program Analysts (LPAs) Christopher J. Williams and John Bonilla and Licensing Program Manager (LPM) Jean Herring arrived unannounced at Scott's Youth Facility II for the purpose of conducting an Annual/Required inspection. LPAs and LPM met with Cecilia Ramos, A.M. Unit Coordinator. A tour of the facility was conducted, and LPAs and LPM reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, Client Records, and Core/Therapeutic Services. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked in a closet and sharps are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked upstairs. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 72 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. ... Client Records: LPAs and LPM reviewed five (5) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records reviewed include, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Operations: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. The board of directors regularly conducts meetings to review and discuss the STRTP's operation. Cash resources are kept on the facility premises in a locked and secure location. Core/Therapeutic Services: Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. During today's inspection, one (1) Type B citation was issued, see LIC809D. LPAs and LPM also provided eight (8) Advisory Notes/Technical Violation (LIC9102TV). An exit interview was conducted, and a signed copy of this report, LIC809D, LIC9102TVs, LIC Confidential Names list and appeal rights were provided to the facility representative.

met_with: Cecilia Ramos, A.M. Unit Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2024, at 12:45 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up inspection at Scott's Youth Facility II for the purpose of completing an annual inspection. LPA met with Trina Smith, Administrator. LPA reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Emergency Intervention Plan and Staffing. LPA interviewed two staff, S1 and S2. Clients were not available for interviews due to being at school. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains all required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Staff Records: LPA reviewed five (5) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review are fingerprint cleared and associated to the facility at the time of the inspection. The STRTP was issued three (3) technical violations during this inspection. See LIC9102-TV pages. An exit interview was conducted. A signed copy of this report, LIC9102-TVs, LIC Confidential Names list and appeal rights were provided to Cecilia Ramos. No further action required.

met_with: Trina Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On Tuesday, September 30, 2025, at 10:30 a.m., Licensing Program Analysts (LPAs) Ashley Ruacho and John Bonilla conducted an unannounced Annual/Required inspection at Scott's Youth Facility II, a Short-Term Residential Therapeutic Program (STRTP). LPAs met with Trina Smith, Administrator. A tour of the facility was conducted, and LPAs reviewed the following domains in the Compliance And Regulation Enforcement (CARE) Tool: Physical Plant, Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Client Records, Staff Records, and Core/Therapeutic Services. Physical Plant: The license is posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions are locked in a closet and sharps are locked in the office. Facility has non-perishable foods for at least one week and perishable foods for at least two days. Facility provides at least three(3) meals per day. Medications are centrally stored and locked upstairs. All kitchen, food preparation, and storage areas are kept clean and free of rodents and other vermin. Facility has one or more carbon monoxide detectors in the facility. Facility provides basic laundry services. Room temperatures are maintained at 74 degrees F. The hot water temperature was within the required range. All toilets, hand washing and bathing facilities are maintained in safe and sanitary operating condition and meet the requirements. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs and a clean mattress; and supplied with pillows which are clean and in good repair. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe sanitary and in good repair. ... Operations: Facility maintains a current, written plan of operation that meets licensing standards. Facility maintains a register of clients and the register is available upon request. Facility maintains and implements written complaint procedures and the procedures are posted in a publicly accessible location in the facility. The board of directors regularly conducts meetings to review and discuss the STRTP's operation. Cash resources are kept on the facility premises in a locked and secure location. Disaster Preparedness Plan: Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least every month for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Emergency Intervention Plan: Facility maintains a monthly log of each use of manual restraints that contains most required information. The log is available for review by the Department upon request. LPA observed documentation of Emergency Intervention Training and on-going training. Client Records: LPAs reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records reviewed include, but not limited to, consent forms, court orders, appraisal/needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. Staff Records: LPAs reviewed five (5) staff records. Staff records contain documentation of the required education and experience requirements and training. All staff subject to criminal records review are fingerprint cleared and associated to the facility at the time of the inspection. Core/Therapeutic Services: Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. (Continued next page...) During today's inspection, one (1) Type B citation was issued, see LIC809D. LPAs also provided four (4) Advisory Notes/Technical Violation (LIC9102TV). An exit interview was conducted. A signed copy of this report, LIC809D, LIC9102TVs, LIC Confidential Names list were provided to Trina Smith. Appeal rights were provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On January 14, Licensing Program Analyst (LPA) Amber Hunter and Licensing Program Manager (LPM) Jean Herring conducted an unannounced physical plant inspection of the facility. During the inspection the following was observed by LPA Hunter and LPM Herring in the kitchen grim, dried food, and crumbs on the outside of cabinets and drawer doors as well as inside of the drawer. The oven contained burnt oil spillage, over the stove missing vent cover, the outside screen was falling down, and missing one dining chair. A work order is in place for the broken screen. The chair is in the process of being repaired. LPA is issuing an LIC Technical Violation Advisory note. A signed copy of this report was provided to the facility representative.

met_with: Trina Smith- Administrator


summary: Facility Evaluation - 3 deficiencies

raw_content:
Narrative:
On June 18, 2025 at 3: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at Scott's Youth Facility II. LPA met with Cecilia Ramos A.M. Unit Coordinator. Purpose of the visit was to discuss deficiencies observed . During a tour of the facility, LPA observed deficiencies in the home. LPA discussed torn screens in two (2) of the upstairs bedrooms. LPA also discussed the chemicals located in one (1) of the youth bathroom cabinets, under the sink. Citation will be issued. LPA conducted an interview with staff and it was revealed that an incident occurred in the home. This incident was reported to staff by a youth. This incident was not reported to CCL. Citation will be issued. Based on observations and interviews, citations will be issued. The facility is cited for California Code of Regulations, Title 22, Division Section 80088(b) Furniture, Fixtures, Equipment, and Supplies, 80087(g) Buildings and Grounds and 80061(b)(1)(E) Reporting Requirements. See 809D An exit interview was conducted and a signed copy of this report along with 811 (Confidential Name List), and 809D was left with A.M. Unit Coordinator.

Deficiencies:
80088(b): (b) All window screens shall be in good repair....
80087(g): (g) Disinfectants, cleaning solutions, poisons...that could pose a danger if readily available to clients shall be stored where inaccessible to clients.
80061: (b)Upon the occurrence...of any of the events..(1)..a report shall be made to the licensing agency...(E) Any unusual incident....

title:
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780088 Furniture, Fixtures, Equipment, and Supplies

title:
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780087 Buildings and Grounds

title: Reporting Requirements


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Jenny Mundo and Gilbert Gutierrez on May 5, 2022 at 9: AM. During the inspection, LPAs met with Karissa Davis, AM Unit Coordinator. LPAs and the AM Unit Coordinator inspected the facility inside and out. LPAs reviewed three (3) children records on site at the facility at 9: AM. During the review of children's records, LPA Gutierrez observed 1 out of 3 children (C1) did not have a parent or guardian written authorization for each psychotropic medication. The facility representative was unable to locate a parent or guardian written authorization for each psychotropic medication. LPAs reviewed two (2) staff personnel files on site at the facility at 12: PM. LPAs reviewed three (3) children psychotropic medications and medication records at 11: AM. LPAs interviewed one (1) staff on site at 10: AM. LPAs were unable to interview children due to children not being at the facility. LPAs conducted exit interview with Karissa Davis, AM Unit Coordinator at 2: PM. LPAs provided the Summary Report to the AM Unit Coordinator upon completion. One deficiency was observed (refer to LIC 809D) and cited from the California Code of Regulations, Title 22, and Health & Safety Codes during the inspection. Two (2) Technical Assistance (LIC9102TA) were also issued.

met_with: Karissa Davis, AM Unit Coordinator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 1/3/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Scotts Youth facility II for the purpose of a Case management other inspection. LPA met with Human Resource director (HR) and discussed the below identified information. Facility still utilizing a level system with STRTP: HR stated the following: Facility uses level system in identifying that children are following there programs and following rules in the home and barriers behaviors. LPA told HR that according to STRTP ILS having all children be subject to a facility's uniform rewards/punishment system isn't trauma-informed because it's not individualized care (as required by 87072.2) and it erroneously assumes all children respond to the system the same way. The facility has to make an individual assessment and take into account the child's history/trauma responses/triggers, as well as their strengths and what sort of discipline works best for them. 87001(t)(3) "Trauma-informed" means prevention services, that proactively provide program models, interventions, practices, services, and supports that acknowledge, seek to understand, recognize, and respond to the varying impacts and effects of all types of trauma on children, nonminor dependents, their families, and those who have contact with the child welfare system. In accordance with recognized principles of a trauma-informed approach and trauma-specific interventions, trauma-informed programs recognize the impact of trauma on a child's or nonminor dependent's development and implements individualized interventions to address trauma's consequences and facilitate healing, as specified in Section 87078.2. 87078. TRAUMA-INFORMED INTERVENTIONS AND TREATMENT PRACTICES (a) A program that is trauma-informed shall include curricula, training, interventions, policies, practices and procedures which include the following:(2) Prevention services, interventions, practices, services and supports that demonstrate the following:(E) How individualized strategies for trauma-specific interventions address trauma's consequences and facilitate healing, and can be implemented in components including, but not limited to, the needs and services plan and treatment plan and how these strategies are implemented by direct care staff pursuant to provisions set forth in Section 87022.1(a)(2)(D); and (F) Minimization of any potential for re-traumatization. Based on the information provided by the HR Director the Case management is Substantiated and the following information identified previously was cited. A exit interview was conducted and HR Director was provided the following appeal rights, citation and report.

Deficiencies:
87078.2: (2) Prevention services, interventions, practices, services and supports that demonstrate the following:(E)  How individualized strategies for trauma-specific interventions address trauma's consequences and facilitate healing, and can be implemented in components including, but not limited to, the needs and services plan and  treatment plan and how these strategies are implemented by direct care staff
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7Facility will revise their plan of operation and program statement to reflect more trauma informed care and show the removal of level systems from their program and in their daily practices. Facility will provide proof of changes and modifications to LPA by POC due date.
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met_with: Mary Arriaga, Human resources

title:
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787078.2 TRAUMA-INFORMED INTERVENTIONS AND TREATMENT PRACTICES


raw_content:
Narrative:
It was alleged that the facility staff did not prevent youth from possibly engaging in CSEC activity. Investigation revealed that staff were aware that two clients (C1 and C2) engaged in risky behaviors, including using a social media app to contact unknown individuals and leaving the facility without permission, and took multiple preventative and responsive actions. Interventions included incentives to discourage runaway behavior, therapeutic activities, mental health support, restriction of cellphone access for C2, and increased services to address substance use. Incidents of potential abuse were appropriately reported to medical staff and law enforcement. Staff also followed established AWOL protocols, including attempting to prevent youth from leaving and notifying law enforcement when necessary. Overall, staff demonstrated appropriate awareness, intervention, and reporting to mitigate CSEC-related risks. Based on the information gathered during confidential interviews the allegation is unsubstantiated. Although the allegation may have happened or are valid, the standard of the preponderance of evidence was not met. An exit interview was conducted, and a signed copy of this report was provided to the facility licensee along with LIC9099C. Appeal rights explained.

Investigation Findings:
13On February 25, 2026, Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced follow up inspection visit at Scott's Youth Facility II Short Term Residential Therapeutic Program (STRTP) and met with Krisstasia Hasting, Facility Manager for the purpose delivering findings for the above allegation. Durning the course of the investigation, LPA Hunter conducted confidential interviews with two staff members on 1/14/26, a third on 1/21/26 and a forth on 2/4/26. LPA conducted a confidential interview with the County Social Workers on 1/21/26, the Reporting Party on 1/22/26, and conducted interviews with clients on 2/2/26, 2/4/26, and 2/11/26. LPA Hunter reviewed documents including but not limited to staff training and certificates, special incident reports (SIR's), Needs and Services Plans (NSP's), and rosters. (Reference Confidential Names List LIC811) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Amber Hunter LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 02/25/2026

met_with: Krisstasia Hasting


raw_content:
Narrative:
It was alleged that youth at the facility become intoxicated and unsupervised, roam the surrounding neighborhood causing disturbances, and that some youths were observed climbing onto the roof of the facility while staff failed to intervene. Confidential staff and client interviews confirmed that the facility maintains a 3-to-1 staff-to-client ratio, with staff consistently present wherever clients are located. Additionally, interviews indicated that staff follow established protocols to ensure client safety, including offering incentives to encourage clients to come down from the roof, contacting the Mental Health (MH) or Mental Evaluation Team (MET) as needed, and managing intoxicated clients by redirecting them or notifying law enforcement if necessary. When clients leave the facility without permission, staff attempt to redirect them and contact law enforcement if they do not return within three hours. Based on the information gathered during confidential interviews the allegation is unsubstantiated. Although the allegation may have happened or are valid, the standard of the preponderance of evidence was not met. An exit interview was conducted, and a signed copy of this report was provided to the facility licensee. Appeal rights explained.

Investigation Findings:
13On February 25, 2026, Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced follow up inspection visit at Scott's Youth Facility II Short Term Residential Therapeutic Program (STRTP) and met with Krisstasia Hasting, Facility Manage for the purpose delivering findings for the above allegation. Durning the course of the investigation, LPA Hunter conducted confidential interviews with two staff members on 1/14/26, a third on 1/21/26 and a forth on 2/4/26. LPA conducted a confidential interview with the County Social Worker on 1/21/26, the Reporting Party on 1/22/26, and conducted interviews with clients on 2/2/26, 2/4/26, and 2/11/26. LPA Hunter reviewed documents including but not limited to staff training and certificates, special incident reports (SIR's), Needs and Services Plans (NSP's), and rosters. (Reference Confidential Names List LIC811) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Amber Hunter LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITY IIFACILITY NUMBER: VISIT DATE: 02/25/2026


facility_name: SCOTT'S YOUTH FACILITY III

raw_content:
Investigation Findings:
13On September 23, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato conducted a complaint inspection at Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Nikkia Moten, Staff


raw_content:
Investigation Findings:
13On September 23, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato conducted a complaint inspection at Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review, reviewed supporting documents provided by the facility and toured the facility. Based on observation, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On October 28, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a complaint inspection at Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


investigation_findings: 13On October 28, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a complaint inspection at Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On November 16, 2023, Licensing Program Analyst (LPA) Cynthia Galindo and Licensing Program Manager (LPM) Juanita Arroyo met with Robert Carter, Tiffany Carter, Karissa Davis, Mary Arragia, for Component two of the application process. This meeting was to discuss the application, resolve any questions and determine whether the agency has the knowledge, ability, and resources to operate in compliance with licensing laws and regulations. The following items were discussed: responsibilities of the Board of Directors, keeping up with the Title 22 regulations and Interim licensing standards, level system, staff responsibilities/duties, incident reporting procedures, including law enforcement contact, staff training requirements, admission determination, needs services plans, emergency intervention plan, guardian background checks, and community resources. Types of Licensing Visits: ~Pre Licensing ~Post Licensing ~Annual unannounced ~Complaint unannounced ~Plan of Correction unannounced ~Case Management unannounced It was determined that at this time CCL and SOC will review the fourth (3rd) revision of the Plan of Operation and Program Statement. An exit interview was conducted and a signed copy of this report was given to Robert Carter.

met_with: Robert Carter, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On November 6, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja travelled to Scott's Youth Facility III located at Arciero Drive Tulare CA 93274, to conduct a Pre-licensing inspection. LPA's were met at the facility by Licensee Robert Carter and Tiffany Carter. 1. Facility Grounds were clear from debris 2. Outdoor space observed. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications will be locked in the Mental Health room. 5. First aid kit will need to be purchased. 6. Adequate storage space observed. 7. The house has 5 bedrooms, three client rooms double occupancy, staff office and a mental health room, all located on one single level. Bedrooms currently do not have furnishing but the beds, dressers etc are currently in storage. 8. Adequate food storage space observed. 9. Weekly mock menu observed. 10. Dining room observed, common area. 11. Facility has three full restrooms, all are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. It is currently reading 114.8F. 12. Licensee has a vehicle for use at the facility. Including insurance and registration. 13. Licensee already has a guardian account and two staff are currently associated one is pending. Fire clearance was completed on December 28, 2022.

visit_type: Prelicensing

met_with: Robert Carter


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja travelled to Scott's Youth Facility III located at Arciero Drive Tulare CA 93274, to conduct a 2nd Pre-licensing inspection. LPA's were met at the facility by Licensee Robert Carter and Tiffany Carter. 1. Facility Grounds were clear from debris 2. Outdoor space observed. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications will be locked in the Mental Health room. 5. Two First aid kits were purchased. 6. Adequate storage space observed. 7. The house has 5 bedrooms, three client rooms double occupancy, staff office and a mental health room, all located on one single level. Bedrooms are furnished with appropriate bedding and dresser storage space. 8. Adequate food was present. 9. Weekly mock menu observed. 10. Dining room observed. Table and chairs for the facility were observed during inspection. 11. Facility has three full restrooms, all are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. 12. Licensee has a vehicle for use at the facility. Including insurance and registration. 13. Licensee already has a guardian account. Fire clearance was completed on December 28, 2022.


summary: Facility Evaluation

raw_content:
Narrative:
On July 18, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato conducted a post-licensing inspection at Scott's Youth Facility III and met with Breanna Salinas. A inspection of the facility was conducted. The STRTP currently has 4 clients in care. The STRTP currently employs Administrator, Unit Coordinators and Facility Managers. LPAs reviewed 4 client files. Centrally stored medications are maintained in a locked cabinet. Sharps and Toxic chemicals are kept locked. All facility smoke detectors appear to be in appropriate working order. Individual beds were observed with appropriate clean linens and are in good repair. Appropriate staff/client ratios were verified during this inspection. There is at least one-week supply of nonperishable and a two-day supply of perishable foods. No firearms or weapons are allowed in the facility. The facility has no body of water. Due to time constraints, post licensing was not able to be completed on this date and will be completed at a later date. A copy of this report and appeal rights will was left at the facility at the conclusion of this inspection.

met_with: Breanna Salinas, Program Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On July 22, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato arrived at Scott's Youth Facility III to continue the post-licensing inspection and met with Nikkia Moten. LPAs reviewed 5 staff files, LPAs discussed with Administrator the importance of having complete and up to date employee files for review. CARF accreditation expires 1-31-28. Emergency Disaster drill log was observed. The facility was inspected indoors and outdoors. LPAs discussed with the Administrator that the wall outside of the office has a hole, the master bathroom window has a crack and the front bedroom window and master bedroom are missing a window screen. The hot water temperature measured at 118 degrees. Facility has AC units, the front AC is at 68 degrees, the back AC is at 73 degrees. LPAs conducted 2 staff interviews and 2 client interviews. There is 8 deficiencies being cited on attached LIC809-D page during this inspection. An exit interview was conducted with Administrator. A copy of this report and appeal rights were reviewed with Administrator and left at the facility at the conclusion of the inspection.

Deficiencies:
87095.61(g): Documentation and Reporting Requirements

(g) The licensee must maintain a monthly log of each use of manual restraints. The log must include

met_with: Nikkia Moten, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 13, 2025, an informal conference was held at the Fresno Regional Children's Residential Program Office located in Fresno, CA. The purpose of the conference is to discuss deficiencies cited at the facility. Present from Community Care Licensing is: Regional Manager (RM) Nelson Martinez, Licensing Program Manager (LPM) Tamara Melikian, Licensing Program Manager (LPM) Lourey Bartolome , and Licensing Program Analyst (LPA) Angelica Borja. Present from Scott's Youth Facility III STRTP is: CEO Robert Carter, Human Resource Director, Tiffany Carter and Human Resource Manager, Mary Arriaga. RM and LPMs discussed the citations that were issued during the post-licensing inspection and case management inspections. A copy of this report was given to Robert Carter, CEO.

met_with: Robert Carter, CEO and Tiffany Carter, Human Resources and Mary Arriaga., Human Resource Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 21, 2025, Licensing Program Analyst's (LPAs) Angelica Borja and Reyna Martinez conducted a Case Management inspection at Scott's Youth Facility III STRTP and met with Nikkia Moten, Staff. The purpose of this inspection was to amend a citation issued to the facility on 07/30/2025. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On November 12, 2025, Licensing Program Analysts (LPAs) Danny Macias and Angelica Borja traveled to Scott's Youth Facility III Short Term Residential Treatment Program (STRTP) to conduct a case management inspection related to an incident report dated 10-23-25. LPAs met with Staff (S1) Nikia Moten. Please see 812. LPAs conducted interviews on this date. There are no deficiencies noted on this visit. An exit interview was conducted and a copy of this report was left with Nikia Moten at the conclusion.

met_with: Nikkia Moten


summary: Facility Evaluation

raw_content:
Narrative:
On December 1, 2025, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III Short Term Residential Treatment Program (STRTP) to conduct confidential interviews and deliver findings for a complaint. While LPA Borja approached the facility, an ambulance was observed to be parked in front of the residence and an empty gurney was in the front yard. LPA knocked on the door and was greeted by Staff Four (S4), who then explained to LPA Borja that an incident had occurred in school with Client Six (C6) and they were trying to provide C6 with medical attention. (Please see 812s) LPA conducted interviews on this date. There are no deficiencies noted on this visit. An exit interview was conducted and a copy of this report was left with Nikkia Moten at the conclusion.


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Investigation Findings:
13On December 1, 2025, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver the findings for the above complaint allegations. LPA interviewed one staff and one client. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 09/04/2025 and conducted by Evaluator Angelica Borja COMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:SCOTT'S YOUTH FACILITY IIIFACILITY NUMBER: ADMINISTRATOR:ROBERT CARTERFACILITY TYPE: ADDRESS: ARCIERO DRIVETELEPHONE: (661) 900- CITY:TULARESTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 12/01/ UNANNOUNCEDTIME BEGAN: 02: PM MET WITH:Nikkia Moten, StaffTIME COMPLETED:04: PM 9Staff is not adhering to activity/outing calendar INVESTIGATION FINDINGS: 13On December 1, 2025, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver the findings for the above complaint allegation. LPA interviewed one staff and one client. Based on interviews it was determined that Staff is not adhering to activity/outing calendar. Based on confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. A deficiency is being cited for the Interim Licensing Standards (ILS) Article 06. Continuing Requirements, Section 87079(a) Planned Activities. An exit interview was conducted, and a copy of this report and appeals rights was left at the facility at the conclusion of the inspection. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: SCOTT'S YOUTH FACILITY IIIFACILITY NUMBER: 547207231

Deficiencies:
87079: Planned Activities
(a) The licensee shall develop, maintain, and implement a written plan to ensure that indoor and outdoor activities which include but are not limited to the following are provided for all children


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, 2025, Licensing Program Analysts (LPAs) Danny Macias and Angelica Borja traveled to Scott's Youth Facility III Short Term Residential Treatment Program (STRTP) to conduct a case management inspection related to an incident report dated 10-23-25. LPAs met with Staff (S1) Nikkia Moten. Please see 812. LPAs conducted interviews on this date. An exit interview was conducted and a copy of this report was left with Nikkia Moten at the conclusion.


raw_content:
Investigation Findings:
13Licensing Program Analysts (LPAs) Danny Macias and Angelica Borja traveled to Scott's Youth Facility III Short Term Residential Therpaeutic Program (STRTP) and met with Staff (S1) Nikkia Moten to deliver findings of the investigation. Complaint Specialist (CS) CK Kinney and Investigator Mariana Lomeli conducted investigation that included review of documentation and confidential interviews. Based on inconsistencies in the information obtained, a preponderance of the evidence could not be obtained. Although the allegations may or may not have occurred or may or may not be valid, without a preponderance of the evidence the allegations are deemed Unsubstantiated. A copy of this report and LIC Appeal Rights were left at the agency at the conclusion of inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Danny Macias LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On December 9, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to deliver the findings for the above complaint allegation. LPAs conducted an indoor and outdoor inspection of the facility. Based on confidential interviews and records review, it was determined that Facility is not meeting reporting requirements. Based on confidential interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. This facility is being cited for violation of Code of Regulations (CCR), Title 22, Division 6, Chapter 1, Article 06, 80061(b) Reporting Requirements on the attached LIC809-D. An exit interview was conducted and a copy of this report, deficiency citation and appeal rights was left with Nikkia Moten at the conclusion. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: SCOTT'S YOUTH FACILITY IIIFACILITY NUMBER: 547207231

met_with: Staff, Nikkia Moten

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On December 17, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias continued a required annual inspection at Scott's Youth Facility III STRTP located in Tulare CA and met with Nikkia Moten. LPAs reviewed 3 client files and started to review 3 staff files. Due to facility staff conducting trainings/meetings. LPAs will continue annual at a later date. A copy of the reports was left with Nikkia Moten at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On December 23, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Briana Placencia conducted an unannounced required annual continuation inspection at Scott's Youth Facility III, Short-Term Residential Therapeutic Program (STRTP) located in Tulare, CA. This is a continuation from 12/09/25 and 12/17/25. LPAs met with staff Nikkia Moten. LPAs reviewed 2 staff files. LPAs interviewed 2 staff and 2 clients refused being interviewed. Medications are locked and centrally stored, LPAs reviewed and discussed the medication log. Fire extinguisher is properly charged and serviced on December 12, 2025. Deficiencies are being cited on today's visit, include one Type A violation and one Technical violation. A copy of this report was left at the facility at the conclusion of today's inspection.


raw_content:
Investigation Findings:
13On December 18, 2025, Licensing Program Analyst (LPA) Angelica Borja traveled to Scott's Youth Facility III located in Tulare, Ca and met with Nikkia Moten to continue the investigation and deliver the findings for the above complaint allegation. LPA interviewed one staff and one client. During the investigation, LPA conducted confidential interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility at the conclusion of the inspection. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Angelica Borja LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


summary: Facility Evaluation

raw_content:
Narrative:
On December 9, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias conducted an unannounced required annual inspection at Scott's Youth Facility III, Short-Term Residential Therapeutic Program (STRTP) located in Tulare, CA. LPAs met with staff Nikkia Moten. A physical plant inspection was completed and included the following checks. Adequate indoor and outdoor activity space and materials observed. The facility is maintained at 69°F. All facility smoke detectors are in appropriate working order. All required forms are posted. Individual beds were observed to be in good repair. The facility is accredited through CARF with accreditation through January 31, 2028. Facility has MHPA approval from December 5, 2025 through December 5, 2026 through Department of Health Care Services (DHCS). No firearms or weapons are in the facility. A review of the Licensing Information System on this date indicates that all facility staff are associated to the STRTP and had DOJ, FBI, and child abuse index check clearances. Provisional license will expire on December 9, 2025. Due to recent compliance issues and open complaints, the provisional license will be extended six more months with a new expiration of May 9, 2026. Due to time constraints, the LPAs will complete the inspection at a later date. There is one Type A violation cited on today's visit. (Refer to attached 809-D pages for further information.) A copy of the reports was left with Nikkia Moten at the conclusion of today's inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a Case Management inspection at Scott's Youth Facility III STRTP and met with Nikkia Molten. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 07/28/2025, the incident in question happened on 07/22/2025. LPA conducted an interview with Administrator (AD) and collected documentation. (See 811 and 812). The Department determined this to be a risk to the health and safety of the children in care at this time, therefore California Code of Regulations and Interim Licensing Standards are being cited on the attached LIC809D. A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2025, Licensing Program Analyst (LPA) Angelica Borja conducted a Case Management inspection at Scott's Youth Facility III STRTP and met with Nikkia Molten. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 07/28/2025, the incident in question happened on 07/26/2025. LPA conducted an interview with Administrator (AD) and collected documentation. (See 811 and 812). The Department determined this to be a risk to the health and safety of the children in care at this time, therefore a Technical Assistance has been administered and Interim Licensing Standards are being cited on the attached LIC809D. A copy of this report was left at the facility.

met_with: Nikkia Molten, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 3, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato conducted a Case Management inspection at Scott's Youth Facility III STRTP, located in Tulare, Ca and met with Nikkia Moten. The purpose of this inspection was to discuss concerns with an incident report that was received by the Department on 08/21/2025, the incident in question happened on 08/17/2025 and an incident report that was received by the Department on 9/3/25, the incident in question happened on 8/31/2025. LPAs conducted an interview with Staff One (S1) and discussed the reason it took staff 3 hours to contact law enforcement after Client One (C1) and Client Two (C2) had went AWOL. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore the facility was cited for ILS, Version 5, 87022(f) Plan of Operations as well as issued a civil penalty for a repeat violation on 87022(f) Plan of Operations. (See attached LIC809-D) A copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On October 9, 2025, Licensing Program Analysts (LPA) Angelica Borja arrived at Scott's Youth Facility III and met with Nikkia Moten. The purpose of the visit was to continue staff interviews for open complaints. The facility was inspected indoors and outdoors. While conducting the outdoor inspection, LPA observed that the outdoor shed that contained chemicals was unlocked. The Department determined this to be a risk to the health and safety of the children in care at this time, therefore the facility was cited for CCR, 80087(g) Buildings and Grounds, a civil penalty was assessed for a repeat violation on 80087(g) Buildings and Grounds. (See attached LIC809-D) An exit interview was conducted with Nikkia Moten. A copy of this report and appeal rights were reviewed and left at the facility at the conclusion of the inspection.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 12, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias arrived at Scott's Youth Facility III and met with Nikkia Moten. The facility was inspected indoors and outdoors. A review of the Licensing Information System on this date indicates that one staff did not have DOJ, FBI, and child abuse index check clearances. The Department determined this to be an immediate risk to the health, safety or well being of the children in care at this time, therefore the facility was cited a Type A violation for CCR, 80019(e)(2) Criminal Record Clearance. A civil penalty was assessed for a Caregiver Background Check (see attached LIC809-D). An exit interview was conducted with Nikkia Moten. A copy of this report and appeal rights were reviewed and left at the facility at the conclusion of the inspection.

Deficiencies:
80019: (2) Obtain a California clearance or a criminal record exemption as required by the Department

title:
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On November 25, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Melissa Renovato arrived at Scott's Youth Facility III and met with Nikkia Moten. The facility was inspected indoors and outdoors. A review of the Licensing Information System on this date indicates that all staff is cleared. While LPAs were initiating a complaint inspection, it was determined that the facility did not have updated Needs and Services Plans for any of the youth in care. The Department determined this to be a potential health, safety or personal rights risk to persons in care, therefore the facility was cited a Type B violation for ILS, 87068. Modifications to The Needs and Services Plan (see attached LIC809-D). An exit interview was conducted with Nikkia Moten. A copy of this report, appeal rights and LIC811 were reviewed and left at the facility at the conclusion of the inspection.

Deficiencies:
87068.3(a): 1
2
3
4
5
6
787068.3 Modifications to The Needs and Services Plan
(a) The needs and services plan, as described in Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 17, 2025, Licensing Program Analysts (LPAs) Angelica Borja and Danny Macias conducted a case management visit at Scott's Youth Facility III STRTP located in Tulare, Ca and met with Nikkia Moten. The purpose of the inspection was to issue a civil penalty. On 11/25/2025, LPAs issued a citation for the following: 87068. Modifications to The Needs and Services Plan, in that 4 out of 4 clients' Needs and Services Plans have not been updated every 30 days. Licensee stated the following for their Plan of Correction (POC): Licensee will update the Needs and Services Plan for all the youth every 30 days and submit verification to LPA Borja via email by 12/09/2025. Licensee did not submit their proof by the deadline. Based on this information, the facility is being issued a civil penalty for failure to correct for Plan of Correction (POC). A $100 per day civil penalty has been assessed from 12/01/2025-12/17/2025 for a total of $800.00. In addition, a civil penalty of $100 per day will continue to be assessed until correction is made. A copy of this report and appeals rights was left at the facility at the conclusion of the inspection.

Deficiencies:
87068.3(a): 1
2
3
4
5
6
787068.3 Modifications to The Needs and Services Plan
(a) The needs and services plan, as described in Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following