summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
.... CONTINUED During the investigation, LPA Saeteurn interviewed clients (C1 -C9), staff (S2-S6), one witness (W1) and reviewed pertinent facility records. Confidential interviews revealed that staff at the facility are instructed to perform walk troughs of the homes to ensure everything is in operating condition. Confidential interviews indicated that on September 9, 2024, S3 was performing a walk through of the facility to ensure that everything was in proper working order and if any repairs or maintenance were needed. Confidential interviews revealed that S3 was checking on the condition of the restroom located next to C1's room when S3 observed a candle and burnt matches on the restroom sink area. Confidential interviews revealed that when S3 found the candle inside the restroom, S3 called S4 to inquire who the candles belonged to. Confidential interviews revealed that staff were unaware who the candle and matches in the restroom belonged to, but staff also found two candles in C1's bedroom. Confidential interviews revealed that the candles that belonged to C1 were located on a dresser/vanity that is placed next to the restroom door and were found in plain sight. A walk through inspection of the facility performed by LPA Saeteurn revealed that in order to access the restroom where the candle and matches were found by S3, the restroom would need to be accessed from entrances located inside client rooms. The restroom can be accessed through an entrance located in front of C1's bedroom area. A review of pertinent records show that students are notified through their student handbook that staff are to "visually inspect student rooms to ensure student safety and cleanliness." The handbook also details that "staff do not conduct invasive inspections of student's personal items without reasonable cause, but staff have the right to clean and organize a student's bedroom in order to meet state guidelines and regulations". Confidential Interviews confirmed that staff are instructed to check minor's rooms daily to ensure they are "clean" and free of debris or hazards. Confidential Interviews indicated that after the candles were found in C1's room, S3 had a conversation with S4 and requested that staff remind C1 and all other minors in care that burning candles in the facility is not allowed for safety reasons. Continued... Confidential interviews revealed the candles were left where they were found and S3 disposed of the matches. Confidential interviews revealed that C1 was informed that lighting candles in the facility is not allowed, but a conflicting confidential interview disclosed that only C1 was asked to stop lighting candles. A confidential interview revealed staff did not discuss the matter with other clients in the facility. Due to refusal of interviews from clients, LPA was unable to confirm if S4 discussed the information with any other minors other than C1. Based on LPA observation and confidential interviews conducted, the allegations that facility staff unreasonably searched a minor's personal belongings and staff were not treating the minor with dignity are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Richard Boyer, Program Director. A copy of this report and appeal rights were provided and reviewed with Richard Boyer, Program Director, whose signatures on this report confirm receipt of these documents.

Investigation Findings:
13On November 5, 2024 at 3: PM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to San Pasqual Academy and met with Richard Boyer, Program Director to deliver the findings for the above-stated allegations. On September 11, 2024, Community Care Licensing (CCL) received a complaint alleging staff (S3) unreasonably searched a minor's (C1) personal belongings and staff (S3) were not treating the minor (C1) with dignity. The complaint specified that on September 9, 2024, staff searched a minor's belongings and touched their things while the minor was not present. It was reported that the minor was not notified of this search and there was no reason for the search to have been performed. It was also reported that staff falsely accused the minor of having matches due to staff finding candles in the minor's possession which appeared to have been lit previously. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: San Pasqual Academyfacility Number: Visit Date: 11/05/ 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.... CONTINUED During the investigation, LPA Saeteurn interviewed clients (C1 -C9), staff (S2-S6), one witness (W1) and reviewed pertinent facility records. Confidential interviews revealed that staff at the facility are instructed to perform walk troughs of the homes to ensure everything is in operating condition. Confidential interviews indicated that on September 9, 2024, S3 was performing a walk through of the facility to ensure that everything was in proper working order and if any repairs or maintenance were needed. Confidential interviews revealed that S3 was checking on the condition of the restroom located next to C1's room when S3 observed a candle and burnt matches on the restroom sink area. Confidential interviews revealed that when S3 found the candle inside the restroom, S3 called S4 to inquire who the candles belonged to. Confidential interviews revealed that staff were unaware who the candle and matches in the restroom belonged to, but staff also found two candles in C1's bedroom. Confidential interviews revealed that the candles that belonged to C1 were located on a dresser/vanity that is placed next to the restroom door and were found in plain sight. A walk through inspection of the facility performed by LPA Saeteurn revealed that in order to access the restroom where the candle and matches were found by S3, the restroom would need to be accessed from entrances located inside client rooms. The restroom can be accessed through an entrance located in front of C1's bedroom area. A review of pertinent records show that students are notified through their student handbook that staff are to "visually inspect student rooms to ensure student safety and cleanliness." The handbook also details that "staff do not conduct invasive inspections of student's personal items without reasonable cause, but staff have the right to clean and organize a student's bedroom in order to meet state guidelines and regulations". Confidential Interviews confirmed that staff are instructed to check minor's rooms daily to ensure they are "clean" and free of debris or hazards. Confidential Interviews indicated that after the candles were found in C1's room, S3 had a conversation with S4 and requested that staff remind C1 and all other minors in care that burning candles in the facility is not allowed for safety reasons. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn 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: 3 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: San Pasqual Academyfacility Number: Visit Date: 11/05/ 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 32continued... Confidential interviews revealed the candles were left where they were found and S3 disposed of the matches. Confidential interviews revealed that C1 was informed that lighting candles in the facility is not allowed, but a conflicting confidential interview disclosed that only C1 was asked to stop lighting candles. A confidential interview revealed staff did not discuss the matter with other clients in the facility. Due to refusal of interviews from clients, LPA was unable to confirm if S4 discussed the information with any other minors other than C1. Based on LPA observation and confidential interviews conducted, the allegations that facility staff unreasonably searched a minor's personal belongings and staff were not treating the minor with dignity are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Richard Boyer, Program Director. A copy of this report and appeal rights were provided and reviewed with Richard Boyer, Program Director, whose signatures on this report confirm receipt of these documents. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn 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 3

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

met_with: Richard Boyer, Program Director


state: CA

facility_name: SAN PASQUAL ACADEMY

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
During the investigation, LPA Saeteurn interviewed clients (C1 - C4, C6-C10), staff (S1-S7), and one witness (W1). Pertinent facility records were also reviewed during the process of the investigation. Confidential interviews and record review indicated that the facility hosted various activities for clients to participate in early summer into late September. Some of the activities included the use of the pool for recreational activity. Confidential interviews revealed that during the summer, clients participated in a summer pool event in which both clients and staff were present. Confidential interviews confirmed S1 was present and supervising clients when S1 jumped into the pool while clients were swimming. Confidential interviews revealed that S1 took off their shirt and left their pants on to jump into the pool. Confidential interviews revealed that clients believed it was "weird" and it made them feel "uncomfortable". One confidential interview revealed that S1 was swimming near a client, and it made them feel "scared". Confidential interviews revealed that clients requested S1 get out of the pool, and some confidential interviews revealed that S1 remained in the pool despite clients requesting S1 to get out. A confidential interview with S1 confirmed their presence in the pool with clients. A confidential interview revealed that staff are allowed to swim with clients at the facility however, other confidential interviews reveal that there is no set policy. Confidential interviews revealed that the facility does not have a policy regarding staff entering the pool to swim with clients, but some confidential interviews reveal that staff do not believe it is allowed. During the process of the investigation confidential interviews also revealed that both S2 and S4 have supervised clients while at the pool, however contradicting confidential interviews revealed that there have been no situations in which clients reported feeling uncomfortable with other staff while at the pool. A confidential interview revealed that S2 once transported C1 and made an uncomfortable comment stating "I save the best for last" while transporting the client in care. A confidential interview revealed that there were times in which S2 was transporting clients alone, however, contradicting confidential interviews reveal there have not been any complaints or reports by clients regarding S2 while transporting clients. Continued... Based on LPA observation, record review and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegation that facility staff interact inappropriately with minors in care is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 5, Section 84072 (d)(1) is being cited (see attached LIC 9099D). An exit interview was conducted with Wayne Ferguson, Deputy Director. A copy of this report and appeal rights were provided and reviewed with Wayne Ferguson, Deputy Director, whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On November 27, 2024 at 09: AM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to San Pasqual Academy and met with Wayne Ferguson, Deputy Director to deliver the findings for the above-stated allegations. LPA Saeteurn initiated a complaint inspection at the facility on September 19, 2024, at 2: PM and no immediate deficiencies were observed. On September 17, 2024, Community Care Licensing (CCL) received a complaint alleging that facility staff interact inappropriately with minors in care. It was reported that S1 once jumped in the swimming pool while clients were in the pool and was swimming near clients. It was also reported that S2 and S4 look at clients in their bathing suits and give them the creeps. Additionally, it was reported that S2 flirts with clients and S4 offered to take a client if they "ever wanted to AWOL". Continued on Lic 9099c... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 11/27/2024

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

report_type: Complaint Investigation

met_with: Wayne Ferguson, Deputy Director

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Additionally, it was reported that C1 was placed on restriction for addressing staff in an assertive tone, and C1 is constantly mistreated by facility staff. During the investigation, LPA Saeteurn interviewed clients (C1-C5), Staff (S1-S9), Witness (W1) and reviewed pertinent facility records. In reference to the allegation that staff did not provide transportation to youth in a timely matter, confidential interviews revealed that S5 was assigned to pick up C1 from school on September 24, 2024, at 2: PM for early release and to transport C1 to a job interview. Confidential interviews revealed that when S5 arrived at the school it was not communicated to them that C1 needed to be signed out of school. Confidential interviews revealed that S5 was contacted by S1 who informed S5 of the need to sign C1 out of school, however, S5 encountered issues with the process, which resulted in time delays. Confidential interviews revealed S5 was going to transport C1 to the interview but C1 declined to go due to the time delays. Confidential interviews and a review of facility records revealed that facility residents are instructed to submit a form to request transportation. Confidential interviews indicate that the transportation form must be submitted on the Wednesday prior to the date of transportation to ensure arrangements are made and to prevent any issues. Confidential interviews revealed that C1 did not submit a request prior to the date transportation was needed, and only a verbal request was made that same morning. In reference to the allegation that facility staff spoke inappropriately to a youth in care, confidential interviews revealed that C1 was upset about the delays encountered and proceeded to enter the facility office when arriving to the facility. Confidential interviews reveal that C1 entered the office and requested to know where their air pod was. Confidential interviews revealed that C1 used profanity when addressing staff and C1 was instructed to leave the office and not address staff in an inappropriate manner. Confidential interviews revealed that staff was assertive in requesting C1 leave the office due to their behavior and did not scream or call C1 names. As a form of consequence, C1 was placed on restriction due to their behavior. Based on interviews conducted, and record review, the allegations that facility staff did not provide transportation for youth in a timely manner and facility staff spoke inappropriately to youth in care are unsubstantiated. Continued... Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted with Wayne Ferguson, Deputy Director. A copy of this report and appeal rights were provided and reviewed with Wayne Ferguson whose signature on this report confirms receipt of these documents.

Investigation Findings:
13On December 26, 2024 at 12: PM, Licensing Program Analyst (LPA) Abby Saeteurn made an unannounced visit to San Pasqual Academy and met with Wayne Ferguson, Deputy Director, to deliver findings for the above-stated allegations. LPA Saeteurn initiated a complaint inspection at the facility on October 2, 2024, at 2: PM and no immediate deficiencies were observed. On September 27, 2024, Community Care Licensing (CCL) received a complaint alleging that staff did not provide transportation for youth in a timely manner and staff spoke inappropriately to youth in care. It was reported that on September 24, 2024, facility staff agreed to pick up C1 early from school for a job interview, however, staff did not pick up C1 early enough leading C1 to miss their interview. It was also reported that C1 left their air pod in the facility office that morning and when asking staff where their air pod was, staff responded by screaming and calling C1 names. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Abby Saeteurn LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 12/26/2024

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

complaint_status: unsubstantiated


raw_content:
Narrative:
(Continued from LIC9099) Based on confidential interviews, the preponderance of the evidence standard has been met, and the allegation that staff's conduct poses a safety risk to minors in care is substantiated. The facility is being cited for violation of Section Personal Rights. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Chau Tonnu, Supervisor.

Investigation Findings:
13On February 6, 2025, at 10: AM, Licensing Program Analyst (LPA) Cynthia Velasquez conducted an unannounced visit to San Pasqual Academy to deliver findings for the allegation listed above. On 03/21/24, LPA Carol Anderson conducted an unannounced complaint investigation visit. LPA Anderson interviewed Client 1 (C1), Client 2 (C2) and Staff 1 (S1). On 03/18/24, Community Care Licensing received an allegation that staff's conduct poses a safety risk to minors in care. It was reported that S1 approached C1 and asked if a drink belonged to C1, C1 responded yes, and S1 proceeded to stab the drink with a knife. Confidential interview disclosed that C1 was sitting at a table, with another youth, C2, when S1 walked up, asked who the cup belonged to and proceeded to stab the cup with a knife. Confidential interviews reported there were witnesses to the occurrence who confirmed that the incident occurred while in the cafeteria. Other confidential interviews reported that S1 admitted to stabbing the cup. (Continued on LIC9099C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 02/06/2025

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

met_with: Chau Tonnu, Supervisor


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED Confidential interviews and records reviewed indicated that some of the facility's clients attend school off campus and are transported by staff, school bus, and transportation service. Confidential interviews indicated that clients are occasionally picked up late and that it does not exceed 15 minutes over the time clients get out of school. Conflicting confidential interviews indicated that staff often come much later, around 30 minutes to an hour late, to pick clients up from school. Confidential interviews and a review of text messages with staff indicated that the delays in picking up clients is due to staff forgetting to pick up clients. Conflicting interviews and observations indicated that student pickups are planned ahead of time with pre-assigned staff. Confidential interviews also indicated that clients are picked up late from school due to understaffing, as well as some staff not being willing to conduct transports. Confidential interviews indicated that late pick-ups from school have become less frequent than when the complaint was received in 2024, but late pick-ups are still occurring. Based on confidential interviews and records reviewed, the allegation that staff did not pick up minor from school in a timely manner is substantiated because the preponderance of the evidence standard has been met. This poses a potential Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating California Code of Regulations Title 22, Division 6, Chapter 6, Section 84074(c)(2). An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided and explained.

Investigation Findings:
13On March 7, 2025, at 2: PM Licensing Program Analyst (LPA) Jacob Salem met with Dana Centanni, Administrator of San Pasqual Academy (SPA) to deliver the finding for the above-stated allegation. LPA Carol Anderson initiated a complaint inspection at the facility on 5/20/2024 at 10: AM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Staff (S1-S5), Clients (C1-C7), two County Social Workers, and School Administrator. Pertinent records were obtained and reviewed. On May 13, 2024, Community Care Licensing (CCL) received an allegation that staff did not pick up minor (C1) from school in a timely manner. It was reported that staff forgot to pick C1 up from school timely more than 20 times, including times when C1 waited between 2 and 4 hours, and that when C1 called the facility, staff said they forgot. It was later reported that staff have continued to be over an hour late during the 2025 semester to pick up C1 from school despite grievances having been filed with the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: San Pasqual Academyfacility Number: Visit Date: 03/07/ 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...CONTINUED Confidential interviews and records reviewed indicated that some of the facility's clients attend school off campus and are transported by staff, school bus, and transportation service. Confidential interviews indicated that clients are occasionally picked up late and that it does not exceed 15 minutes over the time clients get out of school. Conflicting confidential interviews indicated that staff often come much later, around 30 minutes to an hour late, to pick clients up from school. Confidential interviews and a review of text messages with staff indicated that the delays in picking up clients is due to staff forgetting to pick up clients. Conflicting interviews and observations indicated that student pickups are planned ahead of time with pre-assigned staff. Confidential interviews also indicated that clients are picked up late from school due to understaffing, as well as some staff not being willing to conduct transports. Confidential interviews indicated that late pick-ups from school have become less frequent than when the complaint was received in 2024, but late pick-ups are still occurring. Based on confidential interviews and records reviewed, the allegation that staff did not pick up minor from school in a timely manner is substantiated because the preponderance of the evidence standard has been met. This poses a potential Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating California Code of Regulations Title 22, Division 6, Chapter 6, Section 84074(c)(2). An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided and explained. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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: 3 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: 374690051

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Dana Centanni, Administrator


raw_content:
Narrative:
...CONTINUED Confidential interviews indicated that S1 interacted appropriately with clients in care while working at the facility. Conflicting confidential interviews indicated that S1 was "overly friendly," made inappropriate comments to clients, such as "I love you," and would hug clients. A records review indicated that S1 may have sent money electronically to C1 while working at the facility; however, the precise dates money was transferred were unclear. Accordingly, it could not be determined if S1 sent money to C1 while S1 was a staff member of the facility. Based on confidential interviews and records reviewed, the allegation that facility staff had inappropriate interaction(s) with children in care may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore, the allegation is unsubstantiated at this time. An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided.

Investigation Findings:
13On March 25, 2025, at 2: PM, Licensing Program Analysts (LPA) Jacob Salem Lisa Bernabe met with Dana Centanni, Administrator of San Pasqual Academy (SPA) to deliver the finding for the above-stated allegation. The investigation was conducted by Special Investigator (SI) John Rante, who interviewed Clients (C3 and C4), Staff (S3 and S4), a county social worker, and San Diego Sheriff's Detective (SDSD). Pertinent records were obtained and reviewed. On October 23, 2024, Community Care Licensing (CCL) received an allegation that facility staff (S1) had inappropriate interaction(s) with children (C1 and C2) in care. It was reported that S1 requested nude photographs from C1 via text message or social media, sent other inappropriate messages to C1, and sent C1 money multiple times. It was also reported that S1 was sending similar messages to C2. Confidential interviews and records reviewed indicated that the inappropriate or illegal messages that were alleged to have been sent between S1 and clients in care occurred after S1 was no longer employed by SPA. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: San Pasqual Academyfacility Number: Visit Date: 03/25/ 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...CONTINUED Confidential interviews indicated that S1 interacted appropriately with clients in care while working at the facility. Conflicting confidential interviews indicated that S1 was "overly friendly," made inappropriate comments to clients, such as "I love you," and would hug clients. A records review indicated that S1 may have sent money electronically to C1 while working at the facility; however, the precise dates money was transferred were unclear. Accordingly, it could not be determined if S1 sent money to C1 while S1 was a staff member of the facility. Based on confidential interviews and records reviewed, the allegation that facility staff had inappropriate interaction(s) with children in care may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore, the allegation is unsubstantiated at this time. An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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

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


raw_content:
Narrative:
(Continued from LIC9099) Confidential interview reported that staff has worked at the academy for well over twenty years and has never disrespected any student. Other confidential interviews revealed that staff treat minors pretty well; they could be more attentive to needs of students, however. Additional confidential interviews reported that some staff can be disrespectful and belittling to youth. On at least one occasion, staff were mocking students about their interest in non-enrolled youth sneaking onto campus. Staff was reported as saying "they are getting excited over nothing." Other confidential interview revealed that staff want to have power over the youth. Students do not appreciate this and are becoming tired. Confidential interviews were conflicting and did not provide consistent information to conclude that staff do not treat minors with dignity or respect. Regarding the allegation that staff do not provide adequate food service to minors, specifically, it was reported that the food is bland, and staff only serve processed food. Confidential interviews reported that the students are provided with a café while on campus, and when in their dorms, they have a kitchenette, refrigerator, cabinets of food, and access to a stove. Confidential interviews reported that the café offers options such as fruits, vegetables, and salads if the main entrée is not wanted. Other confidential interviews reported that on Mondays through Fridays the café serves adequate food. On the weekends, food is available in the dorms, but staff may or may not cook. If there is a lack of food available, the students can go to another dorm and eat there. Additional confidential interviews revealed that breakfast can range from bacon and eggs to French toast, sausage, cereal, or fruit. The homes also have snacks like chicken nuggets, sandwich fixings, and a kitchen for cooking. Additional confidential interview revealed that the café has salt, pepper, and condiments for meals if students want to add it. Based on confidential interviews, the allegations that staff do not treat minors with dignity or respect and staff do not provide adequate food service to minors are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to provide the alleged violations occurred. A copy of this report and appeal rights were discussed and provided to San Pasqual Academy's Supervisor, Chau Tonnu.

Investigation Findings:
13On March 26, 2025, at 12: PM, Licensing Program Manager (LPM) Dawn Segura, and Licensing Program Analyst (LPA) Cynthia Velasquez met with San Pasqual Academy, Chau Tonnu, Supervisor, to deliver the findings for the above complaint allegations. On 05/09/2024, LPA Carol Anderson inspected the facility; no immediate health and safety hazards were observed. The investigation included interviews with Staff (S1-S3), and Foster Children (C1-C4). Pertinent documents and rosters were gathered. On April 30, 2024, the Department received allegations that staff do not treat minors with dignity or respect and staff do not provide adequate food service to minors. In reference to the allegation that staff do not treat minors with dignity or respect, it was reported that the facility manager is insensitive to students, especially when they have been through trauma. It was also reported that all staff are disrespectful and rude to minors in care and don't care about them. (Continued on LIC9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 03/26/2025

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

met_with: Chau Tonny, Supervisor


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was an incident in which C1 was upset with DIR and C1 asked DIR if C1 could speak with DIR's supervisor. It was further reported that DIR denied C1's request and kicked C1 out of their office. It was further reported that DIR "bullies both staff and clients at this facility" and is condescending and rude to "anyone under them." Confidential interviews reported that DIR denied C1's request in a rude and disrespectful manner. Confidential interviews reported that DIR provided the information that C1 was requesting willingly. Other confidential interviews reported that DIR wasn't rude or disrespectful to C1. LPAs Anderson and Choi received inconsistent information regarding this allegation. In regard to the allegation that minors are unattended during the night; it was reported that there were past instances of living units having no adult supervision during the overnight shift (10pm-8am). Confidential interviews reported that on past occasions, when the facility wasn't able to cover a living unit with an overnight staff because someone didn't show up; then the facility management would ask an overnight staff to "cover two units at the same time during their shift." Confidential interviews reported some overnight workers were forced to "run back and forth between two different living units for the entire shift." Other confidential interviews reported that every living unit was assigned an overnight staff. Other confidential interviews reported that if the facility wasn't able to fill an overnight shift with on-call staff, then the facility would ask a management staff to assume the shift. Confidential interviews reported that some clients did not directly observe if their living unit wasn't supervised during an overnight shift. LPA received inconsistent information for this allegation. In regard to the allegation that staff (S6) did not follow minor's (C4) case plan for one-on-one care; it was reported that several months ago, C4 was supposed to be supervised by S6 for a one-to-one assignment. Confidential interviews reported that S7 was assigned to supervise a separate living unit and observed S6 was absent for their one-to-one assignment with C4. Confidential interviews reported that S7 did not know where S6 was and that S7 had to supervise their unit and C4 at the same time. Other confidential interviews reported that S6 was watching C4, and S6 was separated from C4 briefly as C4 wandered away from S6 without S6's permission. Confidential interviews reported that S6 supervised C4 successfully for their one-to-one assignment. Based on confidential interviews, the allegations that staff do not treat minors with respect, minors are unattended during the night and staff did not follow minors case plan for one-on-one care may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 05/09/2025, at 9: AM, Licensing Program Analyst (LPAs) Joon Choi and Claudia Aguilera conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegations listed above. On 08/30/2024, Community Care Licensing received allegations that staff do not treat minors with respect, minors are unattended during the night and staff did not follow minors case plan for one-on-one care. On 09/04/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation and interviewed the program director (DIR). On 05/01/2025, LPA Joon Choi conducted a follow-up visit to the facility and interviewed a facility supervisor (SUP) and client 2 (C2). LPA Choi also interviewed client 1 (C1) and attempted to interview client 3 (C3) but they declined LPA's request for an interview. In regard to the allegation that staff (DIR) do not treat minors (C1) with respect; it was reported that there CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/09/2025

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


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Narrative:
In regard to the allegation that staff (names not provided) are not providing activities for clients (C1, C2, C3); it was reported that clients at the facility "have not been provided any activities for the last three months. It was further reported that facility staff "refuse to take the clients anywhere and deny them the use of the pool on campus." Confidential interviews reported that facility staff (names not provided) do not provide clients with activities. Other confidential interviews reported that C1 initially reported that staff do not provide activities but then recanted their testimony during a follow-up interview and stated they have been to the beach, trampoline park and the movies. Other confidential interviews reported that the facility pool is open during the warm months of the year, and it is properly supervised. Confidential interviews reported that the facility's recreational calendar was obtained that that the clients and staff stated that the calendar is followed for the most part. In regard to the allegation that staff (names not provided) did not intervene when clients (names not provided) had altercations with each other; it was reported that there was an altercation between two clients (names not provided) and that (C1) had to break up because the staff wouldn't intervene. Confidential interviews reported that there was an incident in which two clients fought each other and C1 helped break up the fight because C1 felt that staff weren't intervening quick enough. Other confidential interviews reported that staff are trained to use verbal de-escalation techniques prior to using physical restraints and the facility staff were properly using their training. Other confidential interviews reported that the facility staff would have eventually used physical restraints if the situation called for it and without the need of any client assistance. Confidential interviews reported that the Special Incident Report (SIR) associated to the incident was obtained, and that the proper protocol was followed. Based on confidential interviews, the allegations that staff are not providing activities for clients and staff did not intervene when clients had altercations with each other may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 05/09/2025, at 10: AM/PM, Licensing Program Analyst (LPAs) Joon Choi and Claudia Aguilera conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegations listed above. On 08/21/2024, Community Care Licensing received allegations that staff are not providing activities for clients and staff did not intervene when clients had altercations with each other. On 08/28/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation and interviewed client 1 (C1). LPA Abby Saeturn conducted a follow-up visit to the facility and interviewed staff 1 and 2 (S1, S2). Additionally, LPA Joon Choi conducted a follow-up visit to the facility and interviewed staff 3 (S3) and client 2 (C2). Client 3 (C3) declined LPA Choi's request for an interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/09/2025

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


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Narrative:
In regard to the allegation that facility does not have sufficient staffing to provide adequate care and supervision to minors in care; it was reported that the facility "has horrific staffing on the weekends" and "hardly any activities are provided to the clients." Confidential interviews reported that due to poor staffing ratios, there are areas of the facility that can't be open to clients because there are not enough staff. Confidential interviews reported that clients sometimes are unsupervised and "roam the facility freely. "Other confidential interviews reported that there are at least two to three staff for every building and a full calendar of facility activities are always carried out. Other confidential interviews reported that if staff "call out sick" then the facility will call other on call staff to fill in. Other confidential interviews reported that all of the facilities clients are supervised at all times. In regard to the allegation that staff falsify incident reports involving minors in care; it was reported that the facility's management team "changes Special Incident Reports (SIRs) to fit their narrative and to avoid being called out." Confidential interviews reported that the management at the facility leaves out important details when it comes to processing SIRs. Other confidential interviews reported that facility's staff and management ensure all SIRs are written accurately and are thoroughly reviewed by management. LPA was unable to verify the information and receive an inconsistent statement. Based on confidential interviews, the allegations that facility does not have sufficient staffing to provide adequate care and supervision to minors in care and staff falsify incident reports involving minors in care may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 05/09/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegations listed above. On 08/14/2024, Community Care Licensing received allegations that facility does not have sufficient staffing to provide adequate care and supervision to minors in care and staff falsify incident reports involving minors in care. On 08/16/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation and interviewed program director (DIR). LPA Cynthia Robinson interviewed staff 1 and 2 (S1, S2) and attempted to interview clients 1, 2, 3 and 4 but they were unable to be reached and/or did not respond to LPA's request. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/09/2025

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

met_with: Supervisor Chau Tonnu


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Narrative:
joined C1 shortly afterwards and the "two clients had sex." It was further reported that it was unknown if the sexual encounter was consensual but C1 did report that they were not afraid of C2. Confidential interviews reported that C1 and C2 had sex in the facility. Confidential interviews also reported that S1 was in charge of supervising C1 on a 1:1 assignment on the night of the incident. Confidential interviews reported that on the night of the incident, S1 lost sight of C1 during their shift. Confidential interviews reported that S1 did not purposely allow the interaction between C1 and C2. In regard to the allegation that staff (S1) did not prevent minors (C1, C2) from having access to alcohol in the facility; it was reported that C1 brought alcohol into the facility and shared with C2. Confidential interviews reported that C1 admitted to sneaking in alcohol into the facility and that C1 admitted to getting intoxicated on the night of this incident described in the complaint report. Confidential interviews reported that S1 was in charge of watching C1 on the night of this incident. Confidential interviews reported that S1 did not know C1 had alcohol and that C1 shared with other clients including C2. Confidential interviews reported that S1 was terminated from employment from facility on 6/19/2024 due to possible supervision deficiencies. Based on confidential interviews, the allegations that staff did not prevent youth from being sexually abused by other non-youth client in the facility and staff did not prevent minors from having access to alcohol in the facility may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 05/09/2025, at 10: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with ASupervisor Chau Tonnu, to deliver the investigative finding for the allegations listed above. On 06/17/2024, Community Care Licensing received allegations that staff did not prevent youth from being sexually abused by other non-youth client in the facility and staff did not prevent minors from having access to alcohol in the facility. On 06/19/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation and LPA Lucero Jauregi interviewed client 1 (C1) and LPA Joon Choi interviewed client 2 (C2). In regard to the allegation that staff (S1) did not prevent youth (C1) from being sexually abused by other non-youth client (C2) in the facility; it was reported C1 was resting in an indoor recreation area when C CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/09/2025

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

met_with: Supervisor, Chau Tonnu


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In regard to the allegations that staff (S1-S4) did not seek timely medical care for minor (C1); it was reported that C1 was suspected of having a seizure. It was also reported that a staff member (S4) overheard another staff member asking C1, "you do not really need to go the hospital, do you?" Confidential interviews reported that staff thought C1 got into a fight and didn't have a seizure. Confidential interviews reported that staff members (S1-S4) didn't take C1 to the hospital in a timely manner. Other confidential interviews reported that staff members (S1-S4) recognized immediately that C1 had a seizure and took C1 to Urgent Care for treatment. LPAs received inconsistent information. Based on confidential interviews, the allegation that staff did not seek timely medical care for minor may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 05/09/2025, at 11: AM, Licensing Program Analysts (LPAs) Joon Choi and Claudia Aguilera conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegation listed above. On 06/05/2024, Community Care Licensing received an allegation that staff did not seek timely medical care for minor. On 06/13/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. On 03/26/2025 and 04/17/2025, LPA Cynthia Velasquez conducted follow-up visits to the facility for additional interviews and document collection. During the investigation, LPAs Anderson and Velasquez obtained documents pertinent to the investigation and interviewed client 1 (C1) and staff 1, 2, and 3 (S1-S3). LPA Choi interviewed staff 4 (S4). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/09/2025

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


raw_content:
Narrative:
Continued from LIC Confidential interview reported that C2 was blamed for all that had occurred. Confidential interview indicated C1 was upset and threw C2 on their bed. Confidential interview indicated that C2 was assaulted until staff separated them. Conflicting confidential interview indicated there was no fist fighting, as staff separated both clients prior to any physical assault. Confidential interview revealed that C2 was unaware of money being taken. LPA was informed that staff who were on site at the time of the alleged incident are no longer employed by the facility, and no contact information was available. Based on confidential interviews, the allegation that minor was physically assaulted by roommate may have occurred or is true, however there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation that minor was physically assaulted by roommate is unsubstantiated. A copy of this report and appeal rights were discussed and provided to San Pasqual Academy Supervisor, Antoinette Villarreal.

Investigation Findings:
13On May 12, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Velasquez met with San Pasqual Academy Supervisor, Antoinette Villarreal, to deliver the findings for the above complaint allegation. On 05/29/24, LPA Carol Anderson inspected the facility. The investigation included interviews with Staff (S1, S2), and Clients (C1, C2). Pertinent documents were gathered. On May 22, 2024, the Department received an allegation that minor was physically assaulted by roommate. It was reported that C2 was assaulted by C1 by being pushed onto their bed, punched in the abdomen, and slapped in the face. Confidential interview indicated that staff allowed two females into C1 and C2's shared room. Conflicting confidential interview indicated that one of the clients invited two females into the room. Confidential interview indicated that while in the room, the females broke a TV and stole a charger. Confidential interview also reported that money was stolen from a drawer of C1's. (Continued ) ======> UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Cynthia Ann Velasquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/12/2025

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

met_with: Anoinette Villarreal, Supervisor


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Narrative:
appointment; it was reported that in October 2023, C1 needed "lab work done." It was further reported that in October of 2024, this "lab work" was not completed. Confidential interviews reported that the facility staff never accommodated C1's lab work appointment. Other confidential interviews reported that the facility staff tried to accommodate C1 for their medical needs but these appointments either got rescheduled by CSW and/or C1 refused to attend the appointment. Other confidential interviews reported that C1 eventually received their lab work. Other confidential interviews reported that the facility accommodated medical appointments for other clients in a timely manner. LPAs received a conflicting information. In regard to the allegation that staff (S1, S2, S3) did not seek medical attention for a minor (C1) in a timely manner; it was reported that C1 reported having pain, acne break outs and weight loss, and the facility staff refused to take C1 for a medical checkup. Confidential interviews reported that C1 had "jaw pain", acne and weight loss and that the facility staff refused to take C1 for medical treatment to address these concerns. Other confidential interviews reported that the facility staff accommodated C1 for multiple medical appointments. Other confidential interviews reported that one or more of these appointments were re-scheduled by CSW and/or C1 refused to attend. Confidential interviews reported that medical documents were obtained that showed C1 was seen by the doctor on various occasions. Based on confidential interviews, the allegations that staff did not follow-up with a minor's medical appointment and staff did not seek medical attention for a minor in a timely manner, may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 5/23/25, at 10:15AM, Licensing Program Analysts (LPAs) Joon Choi and Cynthia Ramos conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegations listed above. On 12/12/2024, Community Care Licensing received allegations that staff did not follow-up with a minor's medical appointment and staff did not seek medical attention for a minor in a timely manner. On 12/20/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation. In addition, LPA Jacob Salem conducted a follow-up visit to the facility on 01/17/2025 and interviewed clients 1 and 2 (C1, C2), staff 1 and 2 (S1, S2) and county social worker (CSW). Furthermore, LPA Joon Choi conducted a follow-up visit to the facility on 05/09/2025 and interviewed staff 3 (S3). In regard to the allegation that staff (S1, S2, S3) did not follow-up with a minor's (C1) medical UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/23/2025

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


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Narrative:
for minors (names not provided) in care; it was reported that a client "had to go to court to request medical services." Confidential interviews reported that a client disclosed that they had to go to court to request medical services. Confidential interviews reported that the name of the client in question was not obtained by the reporting party. Confidential interviews reported that they could not identify any facility client that was documented as having filed a court request for medical services. In regard to the allegation that staff (S2) say racial slurs to minors (names not provided) in care; it was reported that S2 "is a racist and uses the n-word." Confidential interviews reported that S2 used the n-word at or around clients. Other confidential interviews reported that S2 stated they did not like it when clients played music around S2, where the n-word was used in the lyrics. Confidential interviews reported that when clients asked S2 what S2 didn't like about their music, S2 replied enunciated the entire n-word. In addition, S2 stated they didn't like this word. Confidential interviews reported that S2 did not direct the n-word as a slur towards a client. Confidential interviews reported that S2 regretted saying the n-word in its entirety and admitted they were culturally insensitive after saying that word. In regard to the allegation that staff's (S1, S3. S4) behavior poses a risk to minors in care; it was reported that S1 talks about "Satan around clients" and "stares at clients in a creepy manner" (names of clients were not provided). It was also reported that S3 stares at female clients' body parts in an inappropriate manner. It was also reported that S4 jumped into the facility swimming pool and made an inappropriate comment to a female client (name unknown). Confidential interviews reported S1 talks about Satan and stares at client for a long period of time. Other confidential interviews reported that S1 does not talk about Satan or any other religion while near clients. Confidential interviews reported that S3 looked at a female client's rear end. Other confidential interviews reported that S3 did not look at a female client in an inappropriate manner. Confidential interviews reported that S4 jumped into the facility swimming pool and made an inappropriate comment to a female client. Other confidential interviews reported that S4 jumped into the pool, and that female clients were present, but that S4 did not make any inappropriate comments to female clients. LPA received inconsistent information. In regard to the allegation that staff (names not provided) did not ensure hygiene products were readably available at the facility for minors (names not provided) in care; it was reported that staff are not obtaining hygiene products for clients. Confidential interviews reported that clients expressed challenges in getting hygiene products from staff. Other confidential interviews reported that the facility provides hygiene items when the clients express a need for them and that the facility has a plentiful back-up supply on the living units. LPA received inconsistent information. Based on confidential interviews, the allegations that staff did not ensure medical services were obtained for minors in care, staff say racial slurs to minors in care, staff's behavior poses a risk to minors in care, staff did not ensure hygiene products were readably available at the facility for minors in care may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Supervisor Chau Tonnu.

Investigation Findings:
13On 5/23/25, at 10:45AM, Licensing Program Analysts (LPAs) Joon Choi and Cynthia Ramos conducted an unannounced visit to San Pasqual Academy Group Home (GH) and met with Supervisor Chau Tonnu to deliver the investigative finding for the allegations listed above. On 10/28/2024, Community Care Licensing received allegations that staff did not ensure medical services were obtained for minors in care, staff say racial slurs to minors in care, staff's behavior poses a risk to minors in care, staff did not ensure hygiene products were readably available at the facility for minors in care. On 10/30/2024, LPA Carol Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. During the investigation, LPA Anderson obtained documents pertinent to the investigation and interviewed client 1 (C1). In addition, LPA Joon Choi interviewed client 2 (C2) and staff 1, 2, 3 and 4 (S1-S4) In regard to the allegation that staff (names not provided) did not ensure medical services were obtained UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 05/23/2025

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


raw_content:
Narrative:
...CONTINUED Confidential interviews and records reviewed indicated that on two occasions, C1 slept for multiple days on the couch in another unit following altercations with peers in their own cottage, with the most recent instance lasting for approximately one week, until a bedroom in the temporary unit became available. Confidential interviews indicated C1 was instructed by management to sleep on the couch due to ongoing conflict with their roommate and was not offered alternative sleeping arrangements. Conflicting confidential interviews and records reviewed indicated that C1 was initially relocated to the couch for safety reasons and was subsequently offered several alternatives which C1 declined, including a bedroom in another living unit, mediation with their roommate, and changing room assignments in their original living unit. Confidential interviews indicated that accommodations were not made for C1 while they were staying on the couch, such as being able to shower. Conflicting confidential interviews and records reviewed indicated that accommodations were made for C1 from the time C1 moved out of their room, including allowing C1 to shower in a separate unit kept for program alumni after C1 refused other shower accommodations for multiple days. LPA observations indicated that the shower in the alumni unit was clean and working properly, and that the couch C1 slept on was in good condition. Based on confidential interviews and records reviewed, the allegation that staff did not prevent a minor from sleeping in a common area is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided.

Investigation Findings:
13On July 10, 2025, at 11:30AM, Licensing Program Analyst (LPA) Jacob Salem met with Dana Centanni, Dana Centanni, Administrator of San Pasqual Academy (SPA) to deliver the finding for the above-stated allegation. LPA Salem initiated a complaint inspection at the facility on 11/18/2024 at 1: PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C3) and Staff (S1-S4). Pertinent records were obtained and reviewed. On November 14, 2024, Community Care Licensing (CCL) received the allegation that staff (unnamed) did not prevent a minor (C1) from sleeping in a common area. It was reported that C1 slept on a couch in the common area of another living unit due to conflicts with peers in their assigned unit, and that staff did not adequately address the situation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: San Pasqual Academyfacility Number: Visit Date: 07/10/ 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...CONTINUED Confidential interviews and records reviewed indicated that on two occasions, C1 slept for multiple days on the couch in another unit following altercations with peers in their own cottage, with the most recent instance lasting for approximately one week, until a bedroom in the temporary unit became available. Confidential interviews indicated C1 was instructed by management to sleep on the couch due to ongoing conflict with their roommate and was not offered alternative sleeping arrangements. Conflicting confidential interviews and records reviewed indicated that C1 was initially relocated to the couch for safety reasons and was subsequently offered several alternatives which C1 declined, including a bedroom in another living unit, mediation with their roommate, and changing room assignments in their original living unit. Confidential interviews indicated that accommodations were not made for C1 while they were staying on the couch, such as being able to shower. Conflicting confidential interviews and records reviewed indicated that accommodations were made for C1 from the time C1 moved out of their room, including allowing C1 to shower in a separate unit kept for program alumni after C1 refused other shower accommodations for multiple days. LPA observations indicated that the shower in the alumni unit was clean and working properly, and that the couch C1 slept on was in good condition. Based on confidential interviews and records reviewed, the allegation that staff did not prevent a minor from sleeping in a common area is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Dana Centanni, Administrator and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Dawn Segura LICENSING EVALUATOR NAME: Jacob Salem 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

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


raw_content:
Narrative:
In regard to the allegation that staff did not seek medical attention for a minor in care in a timely manner; it was specifically reported that four-six weeks ago, C1 punched a door twice at the facility resulting in pain and when C1 asked the facility staff for medical attention the facility's staff declined C1's request. During investigations, confidential interviews disclosed that staff did not take C1 to the hospital for medical attention after C1 punched the door and injured C1's hand. Another confidential interview reported that the reason for not transporting C1 to the hospital was that staff didn't want to wait at the hospital. A confidential interview disclosed that it took the facility approximately one hour to locate a staff member available to transport C1. By the time transportation was arranged, C1 reportedly no longer wanted to go. Confidential interviews further disclosed that C1 declined medical attention multiple times following the incident but provided ice and over-the-counter pain medication. Additionally, one confidential interview indicated that C1 didn't report wanting to see a doctor to their social worker. LPA received conflicting information. Based on interviews, the allegation staff did not seek medical attention to C1 while in care in a timely manner may have occurred, however, there was not a preponderance of evidence to support the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Deputy Director, Wayne Ferguson.

Investigation Findings:
13On 08/21/2025, at 11:50AM, Licensing Program Analyst (LPA) Maya Chavez met with Deputy Director, Wayne Ferguson of San Pasqual Academy (SPA) to deliver the investigative findings for the allegations listed above involving staff and Clients (C1 and C2) as listed on the Confidential Names List (LIC812). On 02/10/2025, Community Care Licensing (CCL) received a complaint that staff did not seek medical attention for minor in care in a timely manner. On 02/18/2025, LPA J. Salem initiated a complaint inspection at the facility on no immediate deficiencies were observed. During the investigation, LPAs interviewed clients (C1 and C2), staff (S1, S2, S3 and S4), and County Social Worker (CSW). C3 and C4 refused to be interviewed. Pertinent records were obtained and reviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 08/21/2025

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

met_with: Deputy Director, Wayne Ferguson


raw_content:
Narrative:
Regarding the allegation that due to lack of care and supervision, a minor physically engaged inappropriately with another minor while in care. It was specifically reported that C2 assaulted C1 at the facility. The assault involved strangling, punching, choking, and biting, which resulted in C1 losing consciousness and sustaining multiple bruises to various parts of the body.During investigation, multiple confidential interviews disclosed that staff did not intervene until the altercation was already in progress. Confidential interviews further revealed that S3 was the only staff member in the facility at the time of the altercation, however, staff was not present when the events leading up to the altercation occurred. As a result, staff were unable to prevent or de-escalate the situation before it escalated to violence. Additionally, multiple interviews confirmed that there was only one staff member present for six to seven clients. S3 reported calling for backup during the incident; however, they were unable to intervene effectively and manage the safety of the other clients while the fights continued. Based on interview and record review, the preponderance of evidence standard has been met, and the Department has determined that due to lack of care and supervision C2 physically engaged inappropriately with C1 while in care. Therefore, the allegation is substantiated. Facility is cited for violation of the California Code of Regulations, Title Division Six, regulation Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Regional Director, Dana Centanni.

Investigation Findings:
13On 08/21/2025, at 11:50AM, Licensing Program Analyst (LPA) Maya Chavez met with Regional Director, Dana Centanni of San Pasqual Academy (SPA) to deliver the investigative findings for the allegation listed above involving staff and clients (C1 and C2) as listed on the Confidential Names List (LIC811). On 02/27/2025, Community Care Licensing (CCL) received a complaint that due to lack of care and supervision minor physically engaged inappropriately with another minor while in care. On 03/07/ LPA Jacob Salem initiated a complaint inspection at the facility on no immediate deficiencies were observed. During the investigation, LPAs interviewed clients (C1-C3), staff (S1-S3), and C2's County Social Worker (CSW), and were unable to interview C1's CSW. Pertinent records were obtained and reviewed. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 08/21/2025

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

met_with: Regional Director, Dana Centanni


raw_content:
Narrative:
In regard to the allegation that staff did not adequately supervise a minor in care, it was specifically reported that C1 was released from school to the facility due to C1 expressing suicidal ideation and upon arrival to the facility's front, front office allowed C1 to go home. C1 then left the house to return to the front office. It was reported that when C1 arrived at the office, PSW did not see C1. Therefore, C1 was out of staff sight for more than 30 minutes and was unaccounted for over an hour after expressing suicidal thoughts. During investigation, the information gathered showed inconsistencies regarding C1's whereabouts and level of supervision. While other confidential interviews reported that C1 was unsupervised and unaccounted for after expressing suicidal ideation, other confidential interviews stated that the issue was primarily due to miscommunication and that C1 was not considered missing. LPA received conflicting information. It was alleged that staff failed to report an incident involving C1 while in care. Specifically, it was reported that C1 was encountered for over an hour after expressing suicidal ideations, but no incident report was completed. Confidential interviews indicated that C1 was not missing which is why C1 was not formally encountered for. However, it was confirmed that C1 did express suicidal ideations. Another confidential interview disclosed that C1 was not missing for a significant amount of time, however, conflicting information was provided regarding whether an incident report should have been generated, given C1's disclosure of suicidal thought despite not being missing. LPA received conflicting information. Based on interviews, the allegations that staff did not adequately supervise C1 in care and staff did not report an incident involving C1 in care as necessary may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Deputy Director, Wayne Ferguson.

Investigation Findings:
13On 08/21/2025, at 11:50AM, Licensing Program Analyst (LPA) Maya Chavez met with Deputy Director, Wayne Ferguson of San Pasqual Academy (SPA) to deliver the investigative findings for the allegations listed above involving staff and client 1 (C1) as listed on the Confidential Names List (LIC811). On 03/26/2025, Community Care Licensing (CCL) received a complaint that staff did not seek medical attention for a minor in care in a timely manner and staff did not report an incident involving a minor in care as necessary. On 04/03/ LPA J. Salem initiated a complaint inspection at the facility on no immediate deficiencies were observed. During the investigation, LPAs interviewed clients (C1, C2 and C3), Staff (S2, S3, S4 and S5). LPAs were unable to interview facility Social Worker (PSW) and Staff (S1). Pertinent records were obtained and reviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 08/21/2025

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


summary: Complaint Investigation - Substantiated - 2 allegations

raw_content:
Narrative:
In regard to the above allegation, it was specifically reported that while staff restrained C1, S3 placed their hands on C1's neck resulting in red irritation and the facility suspended S6 due to the alleged restraint. During investigation, a confidential interview disclosed that during the restraint, it was overheard that a client was telling S3 "you can't put your hands on C1's neck." and when confidential witness looked up at S3, S3 was releasing their hands out of C1's neck. The confidential witness continued stating that staff observed bruising on C1's neck an hour after the restraint. In addition, multiple confidential interviews disclosed that S3 put their hands around C1's neck during C1's restraint. Another confidential interview disclosed that after the restraint C1 had marks on the neck. Based on interview and record review, the preponderance of evidence standard has been met, and the Department has determined that staff (S3) inappropriately restrained minor. Therefore, the allegation is substantiated. The facility is being cited for the violation of Title 22, Division 6, Chapter Article 06, Continuing Requirements, Personal Rights 84072(d)(19). (See LIC 9099D) An exit interview was conducted. A copy of this report and appeal rights were explained and given to Deputy Director, Wayne Ferguson.

Investigation Findings:
13On 08/21/2025, at 11:50AM, Licensing Program Analyst (LPA) Maya Chavez met with Deputy Director, Wayne Ferguson of San Pasqual Academy (SPA) to deliver the investigative findings for the allegation listed above. This complaint concerns staff at the facility and Client (C1) as listed on the Confidential Names List (LIC811). On 04/15/2025, Community Care Licensing (CCL) received a complaint that staff inappropriately restrained minor. On 05/01/ LPA Jacob Salem initiated a complaint inspection at the facility on no immediate deficiencies were observed. During the investigation, LPAs interviewed clients (C1, C3, and C4), staff (S1-S4), C1's County Social Worker (CSW), and staff 6 (S6) was unable to be interviewed. Pertinent records were obtained and reviewed. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: SAN PASQUAL ACADEMYFACILITY NUMBER: VISIT DATE: 08/21/2025

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: Based on confidential interviews, photographs, and the review of pertinent documents, staff inappropriately restrained C1.
- This posed an immediate risk to Health, Safety and Personal Rights to children in care.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/23/2023 at 9:30 am, Licensing Program Manager (LPM) Ann Valenzuela and Licensing Program Analyst (LPA) Charmaine Linley arrived at the facility for an announced pre-licensing visit. The facility was inspected inside and out with Lawrence Howell, Executive Director (ED), Dana Centanni, Program Director, Sheila Lyn Worthington, Count of San Diego Principal Analyst, Tia Thomas, Facility Administrator. The facility is located on a campus with Multi-buildings for use. The campus site includes a High School administered by the San Diego County Office of Education, administrative offices, wellness center, gym, and cafe. Each dorm is an autonomous, independent living environment with a living/dining room, kitchen, four bedrooms, two bathrooms, and attached private living areas for houseparents' and/or staff. Each of these dorms has a separate entrance and does not connect internally with any other residence. The facility will be temporarily operating with the capacity of 60 and once renovations are completed and inspected by CCL, they will have a capacity of 80. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris. Each dorm includes the living room, recreational area, and kitchen. There is adequate indoor and outdoor activity space. Medication and the first aid kit will be kept locked in the locked office. Medication room has a locking door and a locking medication cabinet. The facility also has a refrigerator that locks to store medications that require refrigeration. The facility's smoke detectors and carbon monoxide detectors are on a signal system. Fire extinguishers are properly charged and serviced. The facility has a fully equipped first aid kit and first aid manual. There are no guns or weapons in the facility as stated by Program Director. Disinfectants and cleaning solutions will be stored and locked in a closet next to the laundry rooms. Sharp knives will be made inaccessible and stored in a locked cabinet in the kitchen. The staff and client files will be maintained in the Administrative Building in locked file cabinets. The following required posted items were observed accessible to clients: Facility License, Grievance Procedures, Personal Rights, Emergency Disaster Plan and current menu, per ED the updated facility documents will be replaced but remain in the same areas. *** Areas of the facility were evaluated: Residential dorms consist of eight female and eight male houses in the lower level. Two male houses and two female houses were furnished. Each home has four bedrooms with two twin beds in each bedroom, all required linens will be provided, and mattresses were in good condition. Each bedroom is equipped with dresser drawers and adequate closet space. Total capacity is eight. There are two bathrooms that include two sinks, one toilet, and one bath/shower stall. Each home is attached to a house parent's living area. The other homes in the dorms are not furnished as they are going to be renovated prior to placing additional children. On the upper campus area there are three attached houses that house females and additional three attached houses that house males. The second floor of each of the homes have an apartment for house parents. Each home has four bedrooms with two twin beds in each bedroom, all required linens will be provided, and mattresses were in good condition. Each bedroom is equipped with dresser drawers and adequate closet space. Total capacity is eight. There are two bathrooms that include two sinks, one toilet, and one bath/shower stall. All bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. The hot water was measured at 125 degrees, which is within regulatory requirements. Each dorm has a living/dining rooms that is equipped with a TV, radio, CD player, cards, games, books, and art supplies. Each dorm has a kitchen that includes a refrigerator, stove/oven, microwave, dishwasher, dining room table and chairs. The water temperature measured 125 degrees in the kitchen. Student Residence Hall: There are two and they are located between each set of the dorm buildings. Each is equipped with a TV/Media center, ping pong/pool tables, games, art supplies, and inside recreational items. Wellness Center: There are two examination rooms, a medication room, one small meeting room , and one office for a medical practitioner. *** Pool: The facility has a pool that has a fence measured at six feet with a locked gate. The pool has a cover. Designated staff will receive Water Safety training. Campus Cyber Café: The Cyber Café includes an industrial sized kitchen, which includes one industrial sized refrigerator and one industrial sized freezer. There is a storage room for dry goods and additional food. There is an industrial sized dishwasher and sink system. Gym: There is a Full sized basketball court, bleachers, weight room, two locker rooms, and bathrooms. Based on the facility pre-licensing inspection review, no deficiencies were noted at the time of inspection. Upon Licensing Program Manager's final review, the license will be provided. Tech Center: There are nine classrooms and various offices. Areas approved for licensure are Lower Female Dorms (601A), Lower Male Dorms (602A), Administrative Building (100) , Upper Female Dorms (600A), Upper Male Dorms (600B), Tech Center (700), Gymnasium (800), Pool, Café (550), Wellness Center (400), and outside activity areas. An exit interview was conducted with Lawrence Howell. Due to printer malfunction, a copy of this report will be emailed to Lawrence Howell.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Lawrence Howell