raw_content:
Narrative:
in the beginning and staff provided additional monitoring and intervention to prevent threats. Child 2 admitted there was time that Child 1 and self did not get along but that was some time ago and they are cool now. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegations occurred, therefore the allegations were found to be Unsubstantiated meaning that although the allegations may have happened or are valid there is not a preponderance of evidence to prove that the alleged incident occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to Amy Jaffe/ Administrator

Investigation Findings:
13On March 25, 2022 at 1: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Vista Del Mar Child And Family Services and met with Amy Jaffe/ Administrator. The purpose of the visit was to deliver findings for the above complaint allegation. During the course of investigating the allegation listed above. LPA Phillips conducted confidential interviews with related parties, reviewed facility records and Incident Reports. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and residents in care. Evidence obtained revealed that staff did intervene on behalf of Child 1 during verbal incidents with resdients. Staff 1, Staff 2 & Staff 3 revealed that Child 1, Child 2 & Child 3 did not get along UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VISTA DEL MAR CHILD AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 03/25/2022

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

met_with: Amy Jaffe/ Administrator


state: CA

facility_name: VISTA DEL MAR CHILD AND FAMILY SERVICES

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Evidence obtained revealed that staff was dealing with other pressing matters in neighboring unit and redirected Child #1 to wait to look for cell phone. Interviews and video footage reveal that Child #1 escalated and began trashing Handler Unit and attempted to hit Staff #4. Child #1 admitted throwing stuff from refrigerator, banging on television , throwing pots and pans due to not getting cell phone. Child #1 admits staff tried to calm Child #1 down but very upset and not calming down due to wanting phone. Child #1 was placed in Pro Act wall restraint followed by floor restraint until Child #1 was calm. Child #1 admits feeling sore after restraint but did not see nurse as no injuries. Child #1 admits staff helped find phone under sofa. Due to inconsistent statements LPA Phillips was not able to determine if the above said allegation occurred, therefore the allegations are found to be Unsubstantiated meaning that although the allegations may have happened or is valid there is not a preponderance of evidence to prove that the alleged allegation exist.. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of this report will be emailed to Amy Jaffe Administrator.

Investigation Findings:
13On June 15, 2022 at 10: AM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to Vista Del Mar Child And Family Services and met with Amy Jaffe/ Administrator. The purpose of the visit was to deliver findings for the above complaint allegations. During the course of investigating the allegations for : Staff caused injuries to a minor in care. Staff assaulted a minor while in care. Staff did not provide a minor access to personal belongings. LPA Phillips conducted interviews with related parties and reviewed the following documentation: LPA Phillips viewed Video Footage dated 02/15/2022; Special Incident Report #797658dated 02/16/2022; Staff #3 and Staff # ProAct Certifications. Based on the interviews conducted and statements obtained during the investigation the above allegations cannot be substantiated because LPA Phillips obtained inconsistent statements from staff and resident in care. Evidence obtained revealed that UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VISTA DEL MAR CHILD AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 06/15/2022

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

report_type: Complaint Investigation

met_with: Amy Jaffe/Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews were congruent that staff provides transportation to and from school; ensure that all children arrive to school on time, and children that refuse to attend are not transported. There is no evidence or witnesses to determine that the staff did not provide a minor with clothes while in care. Confidential interviews determine that all minors are provided with a clothing allowance on monthly bases and given the options accumulate clothing funds. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Facility Manager.

Investigation Findings:
13On July 6, 2023, at 10:00AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at VISTA DEL MAR CHILD AND FAMILY SERVICES-STRTP to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine that Personal Rights and Neglect/Lack of Supervision, occurred. There is no evidence or witnesses to determine that the staff did not follow a minor's dietary plan while in care and did not providing adequate food service. Records and confidential interviews were congruent that staff makes effort to meet the dietary needs of all children in placement that include specialized food services and that the facility provides ample food 3 meals a day including snacks. There is no evidence or witnesses to determine that minors are not attending school regularly. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: VISTA DEL MAR CHILD AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 07/06/2023

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

met_with: Facility Administrator


raw_content:
Narrative:
Documentary evidence obtained and reviewed from the Los Angeles Police Department (LAPD) report and client's file history revealed a lack of evidence to support alleged sexual abuse. Documented statements obtained from Y1 by LAPD indicates a lack of evidence (dates, times or details) to prove the alleged. Video camera footage observed of the alleged incident found no evidence of abuse. Due to hospitalization status, Y1 was not interviewed by CCLD Investigator during this investigation. Based on an analysis of available information, the allegation is determined Unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. There are no deficiencies per California Code of Regulations or Interim Licensing Standards (ILS) cited at this time. Exit interview completed. A copy of this report and LIC811 was provided to Facility Representative.

Investigation Findings:
On January 17, 2024, at 11: AM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegation. LPA Martin met with Jimmy Tyler, Facility Supervisor to discuss the investigative outcome. On November 28, 2023, Community Care Licensing Division (CCLD) received an allegation of sexual abuse towards Youth #1 (Y1) by an unidentified staff person as youth was reportedly raped by a male staff member at Vista Del Mar STRTP. The allegation was referred to CCLD Investigator Peter Zertuche for assignment. On December 8, 2023, LPA Martin met with Facility Supervisor, informed of investigation, and obtained related client file history and facility records. Records reviewed indicates Youth #1 was placed at Vista Del Mar Child & Family Services in August 2023. (Continued on page LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: VISTA DEL MAR CHILD AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 01/17/2024

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

met_with: Jimmy Tyler


facility_name: WAKE FOREST

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lidia Tinoco conducted an unannounced visit to the Foster Family Agency, Creative Alternatives, in order to deliver the findings of the above allegations for Wake Forest STRTP and met with Gaudencio Flores. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Gaudencio Flores along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 2

met_with: Gaudencio Flores


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lidia Tinoco conducted an unannounced visit to the Foster Family Agency, Creative Alternatives, in order to deliver the findings of the above allegations for Wake Forest STRTP and met with Gaudencio Flores. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided to Gaudencio Flores along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Lidia Tinoco conducted an unannounced visit to the Wake Forest STRTP, in order to deliver the findings of the above allegations and met with Assistant Supervisor, Walter Martin. The above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, interviews and a review of facility and foster children's records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are UNSUBSTANTIATED at this time. A copy of this report was discussed and provided along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco 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 3

met_with: Walter Martin


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Walter Martin. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging staff choked minor. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Reyna Martinez conducted a complaint inspection and met with Walter Martin. The purpose of the inspection was to deliver the findings for the above complaint allegation. The Department has investigated the complaint alleging minor was touched inappropriately by another minor. LPA conducted interviews and obtained documentation.There were inconsistencies in the confidential interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Juanita Arroyo LICENSING EVALUATOR NAME: Reyna Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA), Lidia Tinoco, conducted a complaint inspection and met with Administrator, Aaron Holloway. The purpose of the inspection was to deliver the findings for the above complaint allegations. The Department investigated the allegations. LPA conducted confidential interviews and reviewed documentation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Aaron Holloway


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Wake Forest STRTP in order to deliver the findings of the above allegations and met with Administrator, Aaron Holloway. On 9/19/24, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted the department found that there was not sufficient information regarding these issues. Although the allegations may have happened of are valid, there is not a preponderance of evidence to prove the allegations occurred. Therefore, the allegations are Unsubstantiated at this time. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1


raw_content:
Investigation Findings:
13On the above date, Licensing Program Analyst (LPA), Lidia Tinoco conducted an unannounced visit to the Wake Forest STRTP in order to deliver the findings of the above allegations and met with Facility Supervisor, Daniel Flores. On 08/04/25, the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Facility, confidential interviews, and review of records. Based on the investigation conducted the department found that there was not a preponderance of information to prove that Staff engaged in inappropriate behaviors towards youth, Staff did not prevent youths from engaging in inappropriate behaviors towards other youths and that staff did not follow reporting requirements.Therefore, the allegations are Unsubstantiated. A copy of this report was provided at the conclusion of the inspection along with appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Lidia Tinoco LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Daniel Flores


facility_name: WALT'S HOME FOR YOUNG MEN

raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff are not treating a resident with dignity and staff encouraging residents to fight. Interviews conducted with C2-C4 denied the allegations of ever being mistreated or staff encouraging residents fight. Interview conducted with C2 stated that they recalled an incident with C1 being rude to Administrator and that C1 would talk down to others but stated they did not recall staff retaliating negatively to C1. Interviews conducted with S1-S4 had similar statements that they all received training in LGBTQI and did not recall seeing or hearing of any staff members not treating children with dignity or enticing children to fight. LPAs were unable to interview C1 due to C1 being reunited with biological family. LPA Mahecha and LPA Smith spoke with county social worker (CSW) who made similar statements in that C1 likes to be in control of situations and had challenges being in the home. However, LPAs obtained no specific information from interviews conducted of dates, times or occurrences of alleged allegations. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form and Appeal Rights were provided to the facility representative via electronic mail. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 9/22/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Walt's Home for Young Men for the purpose of a concluding the above complaint investigation. LPA met with Administrator Carlene Logan and discussed the identified findings. Investigation consisted of the following: On 4/9/ LPA interviewed Senior House Manager (see LIC811, Confidential names, dated 4/9/2021) and requested the following documents: Current staff/client roster, recent discharged clients list, Needs and Service plans for children in placement, Special incident report (SIRs) pertaining to C1 and allegations made against staff, in-house investigations against staff and current staff training. Additionally, LPA requested copies of any complaints made to staff from clients or C1 from January 2021 to present date. On 8/20/ LPA Elnora Smith interviewed four (4) children and on 8/20/2021 and 8/23/ LPA Smith interviewed (4) staff. On 9/8/ LPA Mahecha reviewed documents received and interviews conducted. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 09/22/2021

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

met_with: Carlene Logan, Administrator


raw_content:
Narrative:
The Department received a complaint alleging a client (C1) sustained bruising on his back. The bruises were reportedly observed on 7/15/21 during a visit. Statements obtained from interviews conducted with staff revealed C1 has a one on one staff. The duties of the one on one staff include assisting C1 with hygiene and getting dressed. Staff interviewed denied observing a bruise on C1's lower back. Statements obtained from C1's CSW indicated a follow up visit was conducted the day after the reported incident, 7/16/21. During the visit, CSW reported no bruises were observed on C1. Statements obtained from confidential interviews conducted did not provide corroborating evidence to support the allegation. Based on information obtained through interviews conducted and records reviewed the allegation is found Unsubstantiated. Although the allegation may have happened or is valid the standard of the preponderance of evidence was not met. No deficiencies were cited. Exit interview conducted and a copy of this report was provided to the facility representative.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 11/12/21 at 11: AM. During the inspection LPA Larios met with Administrator Carlene Logan and delivered findings for the above mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with three clients on 9/8/21, two staff on 11/1/21, two staff on11/2/21, three County Social Worker (CSW) on 11/1/21 and one CSW on 11/2/21. LPA Larios conducted a records review on 9/8/21 and obtained copies of the client roster, staff roster and contact information, shift logs, special incident reports and needs and services plans. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 11/12/2021

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

met_with: Carlene Logan


raw_content:
Narrative:
One alleged victim/client insisted being hit but could not recall why and if client sustained any injuries. The same alleged victim/client denied all the other personal rights allegations. Another alleged victim/client was not interviewed due to leaving placement and confidential records show that this client is AWOL. There were no witnesses found who can corroborate the allegations. Staff denied the allegations. Staff reported clients are redirected and not verbally or physically abused. One staff in charge denied any complaints or grievances from the alleged victim/clients. Staff in charge explained that inappropriate behavior by staff toward clients are not tolerated. No food or water is withheld from any client. Based on the above information, the allegations are closed as unsubstantiated. Although the allegations may have happened or are valid, there was no preponderance of evidence found. An exit interview was conducted. A copy of this signed report, the Confidential Names Form and Appeal Rights forms were provided to the facility representative. There were no deficiencies cited during the inspection.

Investigation Findings:
13On March 30, 2022 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by the undersigned LPA by conducting confidential interviews with current and former clients, staff and other related parties. LPA reviewed documents pertinent to the complaint investigation. The complaint alleged multiple personal rights violations. Three clients denied the allegations and explained that they did not experience or witness any physical altercation between the alleged victims/clients and any staff who work at the facility. Clients reported they are not talked to inappropriately by staff but are either counseled or redirected. Clients denied any staff withholding water from a client; clients can drink and eat when they want to, there is no permission needed from staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 03/30/2022

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


raw_content:
Narrative:
Staff denied the alleged allegations however further disclosed that in the past there have been some incidents where clients have been involved in physical altercations with one another, however, the staff is quick to get involved and separate clients. Staff indicated that they are always encouraging clients not to fight and advising them on other ways to communicate their feelings and or manage their stress by exercising, walking, or separating themselves from their direct environment. Staff providing mental health services met or exceeded the requirements required by the STRTP Interim Licensing Standards. Staff indicated that they work hand and hand with different agencies to provide the best treatment that benefits and helps their clients succeed. Information obtained from clients did not corroborate the above allegations and further disclosed that they felt safe and felt that they were receiving the care they needed furthermore clients stated that they had no concerns to their health and safety. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Administrator.

Investigation Findings:
13On May 18, 2022, at 3: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program Facility (STRTP) and met with the Facility Administrator Carlene Logan. The purpose of the inspection was to deliver findings for the above complaint allegations. On October 15, 2022, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minors engaging in physical altercations, Staff encouraging physical altercations between minors in care, Unqualified staff facilitating mental health services and Facility unable to provide the level of care required by minors. The investigation of the above allegations was conducted by this LPA and it consisted of but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with 3 staff members on 11/2/21, 3 of Clients (C1, C2, C3) on 11/2/21 (C4 declined to be interviewed), (Reference Confidential Names Form LIC 811, dated May 18, 2022). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 05/18/2022

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

met_with: Carlene Logan - Administrator


raw_content:
Narrative:
It was alleged that staff allow clients to smoke marijuana inside and outside of the facility. Three staff were interviewed, and all three staff denied the above allegation. There are six (6) clients placed at the facility, all six (6) clients denied the above allegation and stated that they have never witnessed staff allowing clients to smoke marijuana. It was also alleged that staff did not treat clients with dignity. It was alleged that staff threatens clients and uses profanity towards clients. Three staff denied the above allegation. All six (6) clients denied the above allegation and stated that they have never witnessed staff using profanity or threatening clients. It was alleged that staff illegally evicted client. It was alleged that staff denied clients re-entry into the facility due to Covid-19 after awoling. Three staff denied the above allegation. All three staff stated that clients are allowed back into after awoling and that clients are not denied entry the facility. All six (6) clients denied the above allegation and stated that staff allows them to enter the facility after awoling. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report as well as the LIC 811 was provided to the facility.

Investigation Findings:
13On June 15, 2022 at 11: AM Licensing Program Analyst (LPA) Timika Martin conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations listed above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 4/29/22 and obtained copies of client's needs and services plan (NSP's) and special incident reports (SIR's). LPA also requested copies of the LIC 500, staff contact information, staff trainings and protocols on clients returning to the facility after AWOL status. Confidential interviews were conducted by LPA Martin with Administrator and Staff 1 (S1) on 5/11/22; Staff 2 (S2), Client 1 (C1), Client 2 (C2), Client (3), Client 4 (C4), Client 5 (C5), and Client 6 (C6) on 5/12/22 via telephone (See Confidential Names List Form LIC 811 dated June 15, 2022). LPA Martin was unable to interview Client 7 (C7) due to the child no longer placed at the facility. LPA Martin made multiple attempts to contact C7. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 06/15/2022

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
The Department received a complaint alleging facility staff are smoking marijuana with clients. Staff denied the allegation. The investigation revealed a client was asked where he obtained marijuana and responded with a smirk. The client did not verbalize facility staff smoke with clients. Confidential interviews conducted did not provide evidence to support the allegation and maintained staff do not provide clients with, or smoke, marijuana. The complaint alleged the facility was not providing 2:1 staff to client ratio for a client in care. It was reported the facility was required to provide the 2:1 ratio while Client (C1) was at school. Records review and statements obtained from an interview conducted with C1's school administrator revealed a Child Family Team (CFT) meeting was held and the facility offered to provide two staff during school hours but, the school did not approve it. The complaint claimed the 2:1 ratio was not met due to C1 allegedly walking to school during the month of January 2022. Statements obtained from confidential interviews conducted revealed C1 was transported to school by the facility and did not walk. During an unannounced inspection to the facility on 5/12/ LPA Larios observed C1, two clients and three staff, meeting the required ratio. The complaint further alleged Client (C2) was run away from January 2, 2022 until January 5, 2022. Record review and statements obtained from an interview conducted with C2's CSW, and others, revealed the facility contacted Law Enforcement, CSW and the Department regarding the runaway as required by regulations. It was reported the facility declined to conduct a welfare check or send staff to retrieve C2. At the time of the runaway, per C2's CSW, C2's roommate tested positive for COVID-19 and C2 was unwilling to return to the facility to quarantine. CSW returned C2 to the facility. Based on information obtained through interviews conducted and records reviewed the allegations are unsubstantiated. Although the allegations may have happened or are valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report and Confidential Names Form LIC 811 dated 6/24/22 were given to the above-mentioned facility representative. No deficiencies were cited.

Investigation Findings:
An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 6/24/22 at 12: PM. During the inspection LPA Larios met with Administrator Carlene Logan. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. The complaint was investigated by Community Care Licensing Division (CCLD) Investigations Branch (IB) Investigator Maria Barragan and LPA Larios. During the course of the investigation Investigator Barragan conducted interviews with a school staff and a client on 1/19/22, a County Social Worker (CSW) on 1/31/22, a facility staff and two facility managers on 2/3/22, two clients, a facility administrator and two facility staff on 2/16/22, others on 1/19/22 and obtained Law Enforcement (LE) reports regarding the investigation on 1/31/22. Investigator attempted to interview a client on 2/2/22. LPA Larios conducted interviews with one CSW on 4/25/22, others on 5/9/22, one CSW and one Supervising CSW on 5/10/22, three clients and one school administrator on 5/12/22, one Facility Manager and one Adminstrator on 6/23/22 and others on 2/16/22. LPA Larios attempted to interview one client during May 2022. (CONTINUED) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 06/24/2022

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 30

met_with: Ms. Carlene Logan


raw_content:
Narrative:
It was alleged that the facility staff is allowing the minors in care to smoke marijuana in the facility, are over-medicating minors in care, and speaking inappropriately to the youths in care. Information obtained from (S1, S2, and S3) denied the alleged allegations indicating that they have worked at the facility for several years and have never observed or heard of any staff member allowing any client in care to smoke anything at the facility. Staff further disclosed that in the past they have had clients that would AWOL after school or from the facility and would return to the facility smelling like marijuana. Staff indicated that upon returning to the facility from AWOL, clients are instructed to conduct a self-search to prevent any contraband from entering the facility. Staff denied knowing or observing any client being over-medicated or using the medication as a chemical restraint. Staff indicated that type of behavior will not be tolerated and will be handled accordingly. Staff further indicated that all medications are in the form of pill packs that are properly labeled and stored individually with each client's medication logbook to prevent any confusion. As to the allegation of staff speaking inappropriately to minors in care, staff denied the allegation indicating that all staff members are trauma-informed and have a great relationship with the clients. Staff further disclosed that from time to time they (staff) have had to raise their voices with clients to redirect them or prevent physical altercations between clients. Information obtained from Clients (C1, C3, and C5) denied the alleged allegations further indicating that they have never seen or heard of any clients smoking anything at the facility, however, have observed clients returning to the facility after AWOLING smelling of marijuana. Clients denied knowing or hearing of anyone being over-medicated by staff. C1 indicated that their medication is given at certain times and gets logged by staff in the medication logbook. As to the allegation of staff speaking inappropriately to youth in care, clients denied the allegation further stating that the staff is very supportive and provide them with whatever is needed. Information obtained from County Social Workers (CSW's) (CSW1, CCSW2, and CSW4) indicated that they don't have any concerns about the care and supervision that the facility staff is providing their clients. CSWs further disclosed that staff maintains great communication with them and are quick to complete whatever is requested in a timely manner. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the above staff member.

Investigation Findings:
13On December 8, 2022, at 5: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection of the above Facility and met with the above staff member. The purpose of the inspection was to deliver the findings for the above complaint allegations. On August 30, 2022, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Minors are smoking marijuana in the facility; Staff is over-medicating a minor in care and Staff speak inappropriately to youth in care. The investigation of the above allegations was conducted by this LPA and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members (S1, S2) on 10/20/22, S3 on 10/26/22, 3 of 5 clients (C1) on 10/20/22, (C3, C5) on 10/26/22. (No statements were obtained from C2 or C4 due to their declining to be interviewed). Three County Social Workers (CSW1, CSW2, and CSW4) on 10/26/22. (Reference Confidential Names Form LIC 811, dated December 8, 2022). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 12/08/2022

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

met_with: Ryann Kidd - Lead Staff


raw_content:
Narrative:
It was alleged the facility has video cameras throughout the facility that records audio too, which could pose a violation of the client's personal rights. Information obtained from S1, and S2 indicated that the cameras were installed prior to them working with the facility and provide security to the clients and staff. S1 and S2 were unable to provide any incidents where the client's privacy has been violated nor have the clients reported any such violations to them. S1 further disclosed that all cameras are visible and are only placed in the facility's common areas and on the exterior of the facility. Information obtained from S3 indicated that the cameras were added to the facility due to a previous incident that had occurred involving a client attacking their Social Worker and cash missing from the staff office. Furthermore, an addendum to the facility Program Statement was made and approved by Community Care Licensing (CCL). S3 indicated that all video that is recorded is kept for forty-five days and discarded unless required during an investigation. As to the camera in the staff office if needed due to privacy concerns staff can disconnect the camera, however, the facility also provides a room where the Social Workers and clients can have a private conversation. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Facility Administrator. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Facility Administrator.

Investigation Findings:
13On May 19, 2023, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection of the above Facility and met with Samantha Combs, Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegation. On December 13, 2022, the California Department of Social Services Community Care Licensing received a complaint with the following allegation: The facility has video cameras throughout the facility that records audio too. The investigation of the above allegation was conducted by this LPA, and it consisted of but was not limited to a review of records, including the facility Program Statement Addendums, and interviews with three staff members (S1, S2) on 12/21/22, and S3 on 1/25/23. (Reference Confidential Names Form LIC 811, dated May 19, 2023). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MENFACILITY NUMBER: VISIT DATE: 05/19/2023

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

met_with: Samantha Combs, Facility Manager


facility_name: WALT'S HOME FOR YOUNG MEN 2

raw_content:
Narrative:
The Ref. #3 provided inconsistent statements regarding their experience at the facility: there was a statement that the accused staff yelled at Ref. #3, but denied that staff put their hands on Ref. #3; Ref. #3 provided no witnesses that overheard the alleged incident. During the Annual Inspection June 21, 2022, Ref. #3 informed LPA Pamela Silva, "Staff treats client good and they interact well with him." LPA McGee toured the facility on July 14, 2022 and observed it to be safe, clean and in good repair. An interview with the Sr. Facility Manager, revealed that she washed the linen and cleaned the other clients' bed. The Sr. Facility Manager stated that information regarding a vap pen being found was disclosed, but the facility was unable to confirm it. The Ref. #3 denied having inappropriate sized clothing. The LPA observed clothing listed on Ref. #3's Personal Property and Valuables for the months of April and May 2022, and observed $100 clothing allowance that was distributed for each month, April, May and July 2022. The investigation did not reveal that Ref. #3 had a medical problem. The LPA observed Ref. #3's health screening. An interview with the County Social Worker revealed no concerns about the facility and that Ref. #3 has a history of not telling the truth in order to be placed closer to the biological family. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
13On September 23, 2022 at 5:30 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings a complaint investigation to the facility. The LPA met with Direct Care Staff, Sepie Flowers. On July 5, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: the Senior Facility Manager (see Confidential Names, LIC Ref. #1 dated September 23, 2022), and one staff, Ref. #2 and one client Ref. #3 on July 14, 2022 at the facility; one County Social Worker (CSW) via telephone on August 30, 2022. The LPA reviewed correspondence and a signed statement from Ref. #3, the Case Plan, CFT Meeting Plan and Notes, Safety Plan, Special Incident Reports, Behavior Report, Client Personal Property and Valuables, Monthly Clothing Allowance Log and Health Screening. The accused staff denied the allegations of personal rights violations. The LPA observed a statement signed by Ref. #3 that Ref. #3 fabricated the allegations. There was a statement that Ref. #3 was forced to sign the statement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/23/2022

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

visit_type: Annual

met_with: Sepie Flowers


raw_content:
Narrative:
Based on the information gathered, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On October 27, 2022 at 11: AM , Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the findings of an investigation concerning to the allegation above. LPA met with the representative named above and discussed the findings. During the investigation, LPA conducted interviews with three clients and staff on 8/24/22 and 9/22/22. LPA reviewed records on 9/8/22, 9/16/22, and 10/5/22. It was alleged that a client, Ref. #2 exposed themselves to Ref. #1 while they were in the living room watching television on 8/2/22 and that Ref. #1 reported the incident to a staff (Ref. #3) on 8/3/22. Ref. #3 denied having any knowledge of allegations. Three staff who were on duty did not witness Ref. #2 exposing themselves to Ref. #1. The alleged incident was not reported until 8/17/22. LPA attempted to interview clients, Ref. #1 and Ref. #2, however, they declined to be interviewed and stated they did not want to be interview. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 10/27/2022

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

met_with: Elaine Gomez-Burns, Facility Manager


raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff hit minor. Staff denied the allegation. Staff stated that when children get disciplined, they are sent to their rooms or they have privileges/ electronics removed. Staff stated that they did not recall any instance or time when it was observed that a staff hit a child. Additionally, staff stated that they did not recall receiving any complaints from children of staff hitting them. Children denied the allegation. Children had similar statements that they were unable to recall any incident occurring where a staff hit or punched a child. Children stated that when they get into trouble, they are sent to their rooms on time out or that they would have privileges and or electronics taken away. One child stated that a staff grabbed their neck, choked them and took them to the ground, however, child was unable to identify when incident occurred and by what staff. Child also identified that no one else was present during alleged incident occurring. Documents reviewed identified no issues or complaints of staff hitting or punching children. Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to Sepia Flowers-Facility Manager. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 4/13/ Licensing Program Analyst (LPA) Demetris Teal made an unannounced visit to the Walts Home for Young Men II facility on behalf of LPA Dawn Mahecha for the purpose of concluding the above identified complaint investigation. LPA met with Sepie Flowers-Facility Manager and discussed the above identified complaint findings. Investigation consisted of the following: On 10/12/ LPA met with and interviewed facility manager, Senior facility manager and one (1) child (see confidential names dated October 12, 2022). LPA requested and obtained copies of current staff/ client roster, staff schedule, criminal record clearances, recent completed training's, children's Needs and service plans, case notes and special incident reports. Between March 25th and March 27, LPA Elnora Smith interviewed three children, staff and additional witnesses. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 04/13/2023

met_with: Sepie Flowers-Facility Manager


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Information obtained through confidential interviews and S1 admitting to leaving C1 unattended and unsupervised at Mary K. Shell on 12/20/22 is a Lack of Supervision Violation of the Interim Licensing Standards regulation 87065.2 (b) (1) Personnel Duties Direct care staff shall perform the following duties: "Supervision, protection, and care of children at all times, individually and in groups." If not corrected, it will have a direct and immediate risk to the health and safety of the children in care. Therefore, the above allegation is substantiated. The agency was cited, and a plan of correction was initiated. Appeal rights were provided and discussed with the STRTP Administrator. A copy of the report and the Confidential Name List (LIC811) dated October 7, 2022, was provided to the FFA Administrator, and an exit interview was conducted.

Investigation Findings:
13On May 24, 2023, at 12: PM, Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Walts Home for Young Men II on behalf of LPA Winston Moroney. LPA Mahecha conducted a follow-up complaint inspection to the above facility and met with Samantha Combs - Facility Manager. The purpose of the inspection was to deliver a finding for the above complaint allegation. It was alleged that staff member (S1) did not provide adequate supervision to a minor in care (C1), by failing to abide by their personnel duties providing Supervision, protection, and care of children at all times, individually and in groups. The investigation of the above allegation was conducted by LPA Moroney, which consisted of, but was not limited to, a review of records including the client's needs and services plans, interviews with five Staff members (S1) on 4/25/23, S2 on 1/20/23, S3, S4, S5 on 3/7/23, Client (C1) on 1/20/23, and 1 (OG) Mary K. Shell staff member on 1/19/23. (Reference Confidential Names Form LIC 811, dated April 28, 2023). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 05/24/2023

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

met_with: Samantha Combs, Facility manager

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
C1 admitted that he and C2 did not get along and admitted to punching C2 due to C2 not returning money that C1 had given to him. C1 indicated that two staff stopped the fight between him and C2. C1 denied bullying C2. The investigation did not reveal evidence of C1 bullying C2. The investigation revealed that C2 did not want to cooperate with the investigation and refused the interview. The LPA reviewed incident reports and observed and conducted interviews with staff, but no information about a client almost pushing C2 down the stairs was submitted. Interviews with the staff revealed that there were two similar incidents involving C1 and C2 with money and vape pens. The staff indicated that C1 supplied C2 money or things to sell, but C2 would not do what was agreed upon with the money. A follow-up interview was conducted with another client, C3, who confirmed that C1 slapped C2. The investigation revealed that C1 hit C3 when C3 tried to stop C1 from hitting C2. C3 failed to inform the LPA that he tried to intervene and was hit. C3 indicated that he did not know the reason C1 slapped C2. The investigation revealed no other clients were involved in the two incidents. Based upon the investigation, the staff submitted Law Enforcement Contact Reports (LE) regarding the incidents to Community Care Licensing on March 18, 2025 and March 26, 2025. The LEs indicated that staff verbally re-directed C1 and asked C1 not to hit C2. The investigation revealed that a staff stepped in between the clients to break up the fight and asked both clients to go to their respective bedrooms. The LEs indicated that staff called law enforcement on both occasions. There is no evidence submitted that staff did not follow proper procedures. It is determined that there is not sufficient evidence to corroborate the allegation that staff does not provide a safe environment. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On September 26, 2025 at 3:30 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation. The LPA met with Facililty Manager, Cherrelle Wilson. On March 20, 2025, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: two clients, C1, at the facility on April 15, 2025, and C2 via telephone on July 14, 2025; one Senior Facility Manager at the facility on July 18, 2025 and one Facility Manager via telephone on July 22, 2025; one witness via telephone on June 11, 2025. The LPA reviewed C2's Needs and Services Plan and incident reports. The LPA interviewed a third client, C3, on September 23, 2025 at school. There were statements made that C2 was being bullied and assaulted at the facility. The investigation revealed that there were incidents involving C1 and C2 at the facility. The interview with C1 revealed that he is younger in age, shorter in height and smaller in weight than C2. The LPA was able to confirm that C2 is older, taller and weighed more than C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 07/25/2025

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

met_with: Cherrelle Wilson


raw_content:
Narrative:
The Following Allegation(s) were reported: The staff members (S1, S2, and S3) denied the allegations, emphasizing that such behavior from staff is intolerable and will be addressed accordingly. They stated that all staff have undergone comprehensive training in Trauma-Informed Care and recognize the significance of fostering a healthy environment. They noted that staff sometimes need to raise their voices to direct clients and avert verbal disputes. The staff dismissed any claims that clients or other staff members have reported inappropriate language being directed at them or in their presence. Additionally, the staff revealed that clients frequently resort to using profanity towards one another or staff when they are frustrated and do not achieve their desired results. The Staff refuted the claim of restricting clients' access to food and water, asserting that all clients have ample access to food and snacks. However, the staff also noted that after 10: PM, clients are prohibited from using the stove to prepare meals and are instead offered a variety of easy-to-prepare options, including sandwiches and microwavable meals. Information gathered from C1 and C2 corroborated the previously mentioned details and indicated that they feel secure living at the facility, believing that the staff is aiding them in achieving their individualized plans. C1 and C2 revealed that it is the clients who speak disrespectfully to the staff when their desires are not met, and that the staff have raised their voices to discourage or redirect the clients. Furthermore, C1 and C2 stated that they have never encountered any staff member refusing clients access to water or food. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Facility Manager.

Investigation Findings:
13On September 4, 2025, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Manager, Ms. Wright. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On April 30, 2025, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff conduct poses a risk to children in care, the staff speaks inappropriately to children in care, and the staff does not give children access to water. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, SIR's and interviews with the three staff members (S1, S2) on 5/15/25, (S3) on 5/23/25, 2 of 3 clients (C1, C2) on 5/6/25. No statement was obtained from C3 as they chose not to provide one. Reference Confidential Names Form LIC 811, dated September 4, 2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/04/2025

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

met_with: Craignlisha Wright - Facility Manager


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Continue... On 5/22/2025, LPA conducted a review of the STRTP's complaint history, reviewed documentation obtained from other agencies and Guardian. On 5/23/2025, LPA obtained and reviewed the facility's LIC500 (Personal Report), current client roster, initial/current Needs and Services Plans for client 1 (C1), Medication Administration Record (MAR), any relevant Special Incident Reports (SIRs) and the Facility Home Sketch. On 8/28/2025, LPA obtained and reviewed a JV-223 court order authorizing C1's continued use of M1, M2, and M3. On 9/19/2025, LPA obtained and reviewed the initial psychotropic prescription for C1 written by the assigned Nurse Practitioner. On May 19, 2025, the Department received a complaint alleging that staff dispensed medication that was not prescribed by physician, but instead by a Nurse Practitioner (NP). The investigation revealed that C1 was admitted to the facility on 2/07/2025. On 3/13/2025, a Nurse Practitioner prescribed medications M1, M2, and M3 for C1. The Medication Administration Record (MAR) shows that staff has been administering these psychotropic medications to C1 since 3/13/2025 without a valid prescription from a physician or psychologist. This practice is in violation of Title 22, Interim Licensing Standards (ILS) section number 87075 (c)(1) of the California Code of Regulations - which mandates that Psychotropic medications shall be used only in accordance with the written directions of the prescribing physician. On 7/23/25, a JV-223 court order was obtained to authorize C1's continued use of M1, M2, and M3. The delay in obtaining the court order was due to the transition of Medi-Cal services from another county. Based on the information gathered, the preponderance of evidence standard has been met, therefore, the above allegation is determined to be Substantiated. California Code of Regulations (Title 22, Interim Licensing Standards (ILS) section 87075 (c)(1)) is being cited on the attached LIC9099D: dated 9/25/2025. An exit interview was conducted and a signed copy of this report along with appeal rights were discussed and provided to the Facility Representative.

Investigation Findings:
13On September 25, 2025, at 10:32 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Walt's Home for Young Men #2 - Short-Term Residential Therapeutic Program (STRTP) for the purpose of delivering updated / amended findings on the above allegations. LPA met with Craignlisha Wright, STRTP Facility Manager. LPA's investigation consisted of a phone interview with the County Social Worker (CSW) on 5/20/2025, and a collateral visit with C1 (See LIC811 - Confidential Names on list dated 9/25/2025) on 5/23/2025 at Stockdale Highschool in Bakersfield CA. On 5/23/2025, LPA completed staff interviews with S1 and S2 at the STRTP and obtained a written statement via email concerning the allegations from staff (S3), due to S3 not being available/present during the initial 10-day visit. Continued on LIC9099c. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WALT'S HOME FOR YOUNG MEN 2FACILITY NUMBER: VISIT DATE: 09/25/2025

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90

met_with: Craignlisha Wright, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 03/22/22 at 8: AM, Licensing Program Analyst (LPA) Pamela Silva conducted an unannounced Post Licensing Inspection at the facility. LPA met with Carlene Logan, Administrator. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application is pending approval. This STRTP is licensed to serve up to six (6) ambulatory male children ages 10-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are three (3) ambulatory minors currently in placement. The LPAs requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files. This facility is a two-story home with three (3) bedrooms, three (3) bathrooms, a staff office, kitchen, dining, a living room, and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 9: AM, LPA conducted a walkthrough of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 115 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The board of directors regularly conduct meetings to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures. Core/Therapeutic Services Facility provides core services and supports to children and non-minor dependents as appropriate or necessary that are trauma informed, culturally relevant, age and developmentally appropriate and include the following: Medi-Cal specialty mental health services; transition support services; educational and physical, behavioral, and mental health supports; activities to support children and non-minor dependents and services to achieve permanency. Disaster Preparedness Plan Facility maintains a current, written disaster and mass casualty plan of action. Facility conducts disaster drill at least quarterly for each shift. The drills are documented, and the documentation is maintained in the facility for at least a year. Facility maintains an emergency and disaster plan, register of clients, Needs and Services Plan for each client, medication records, and contact information for each client's responsible party and physician. Client Records LPA reviewed three (3) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. LPA observed that all three (3) clients' file do not contain signed removal/discipline/complaints form. Staff Records LPA reviewed three (3) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. Facility Managers meet requirements. Documentation of staff training on file. LPA interviewed three (3) staff members. No client was interviewed due to two (2) clients being in school and one (1) client on AWOL at the time of inspection. At the conclusion of the inspection, LPA discussed the findings with the facility administrator. LPA issued one (1) Type B deficiency citation. LPA agreed to work with the facility administrator to collaborate with guidance to get the facility in compliance with ILS and Title 22 regulations. An exit interview was conducted, and a signed copy of this report, LIC811, LIC809D and appeal rights were provided to the facility administrator.

report_type: Facility Evaluation


facility_name: WENDELL HOUSE

raw_content:
Narrative:
It was alleged that staff handled youth in a rough manner. Based on confidential interviews, staff handled C1 in a rough manner by grabbing C1 which resulted in both staff and client falling onto the floor. Based on records reviewed, this was an improper restraint. LPA conducted interviews with two clients. Two clients stated that the alleged allegation occurred. It was also alleged that staff speak inappropriately to youth. Based on a confidential interview, staff admitted to using profanity when clients are involved in altercations. Based on the observations, interviews and records review which were conducted, the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. Deficiencies are being cited in accordance with the STRTP Interim Licensing Standards Chapter 7. Version 3.1 section 87072(d)(11) Personal Rights (see LIC 9099-D). An exit interview was conducted and Plans of Correction were reviewed and developed with the licensee. A copy of this report and appeal rights were discussed and left with the administrator of the facility whose signature on this form confirm receipt of these documents.

Investigation Findings:
13On October 7, 2021 at 9: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 9/15/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and daily shift notes. LPA also requested copies of the LIC 500, staff contact information, staff daily shift schedule, staff trainings and restraint policy. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Staff 1 (S1) and Staff 2 (S2) on 7/29/21. Confidential interviews were also conducted with Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), on 10/4/21 (See Confidential Names List Form LIC 811 dated October 7, 2021). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/07/2021

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

met_with: Executive Director, Jaye Williams


raw_content:
Narrative:
It was alleged that staff encouraged youth to lie to law enforcement. It was also alleged that staff did not prevent youths from engaging in altercations. All five staff interviewed denied the above allegations. LPA conducted interviews with two clients. One client stated that the above allegations occurred, one client denied the above allegations and did not witness them. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the facility representative.

Investigation Findings:
13On October 7, 2021 at 9: AM, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 9/15/21 and obtained copies of client's needs and services plan (NSP), special incident reports (SIRs) and daily shift notes. LPA also requested copies of the LIC 500, staff contact information, staff daily shift schedule, staff trainings and restraint policy. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Staff 1 (S1) and Staff 2 (S2) on 7/29/21. Confidential interviews were also conducted with Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), on 10/4/21 (See Confidential Names List Form LIC 811 dated October 7, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/07/2021

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


raw_content:
Narrative:
During this investigation, LPA Gilmer learned that the minor placed with Wendell has a history of swallowing foreign objects. The minor is required and was provided one on one supervision because of his history of swallowing objects. In confidential interviews it was reported that (S7) was with the minor at the cash register when the minor purchased two lighters. The minor took the lighters back to the facility went into the restroom and swallowed one of the lighters. The minor's one-on-one initially stated the minor jumped out of the car while he stopped to let pedestrians pass and by the time, he got inside the store the minor had already purchased his items. During a follow-up interview,with (S7) stated he was with the minor at the cash registerer, but he wasn't all up in his face watching what he purchased. Other interviews disputes (S7 's) claim that the minor jumped out of the car. And reported that (S7 's) account isn't correct. Based on interviews that were conducted, LPA Gilmer finds the preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated and the STRTP will be cited. Per the Title Section 80078(a) Responsibility for Providing Care and Supervision. It was the responsibility of (S7) to ensure the minor was safe and as a result of the lack of supervision the minor purchased the lighter while (S7) was present and later swallowed it. An exit interview was held during the exit interview the appeal rights.

Investigation Findings:
13On 10/26/21, at 2:35 pm Licensing Program Analyst (LPA) Humberto Flores conducted a follow-up complaint inspection to deliver the findings to the above allegation. LPA Flores met with the Jay Williams, Executive Director to discuss the complaint finding investigated by LPA Belinda Gilmer. During the investigation, LPA Gilmer reviewed and obtain copies of the following: Client's needs and services plan (NSP), facility communication log, register of facility client/residents' forms, personnel form, and special incident reports (SIRs). On 09/10/21, LPA Gilmer spoke with the complainant, on 09/13/21, LPA Gilmer spoke with the Administrator and facility staff, on 09/27/21, LPA Gilmer spoke with two other facility staff, on 09/30/21, LPA Gilmer spoke with the facility staff, on 10/01/21, LPA Gilmer spoke with the foster child's County Social Worker, and on 10/13/21, LPA Gilmer spoke with the victim and the victim's one on one (S7). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Humberto Flores LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 10/26/2021

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

met_with: Jay Williams, Executive Director


raw_content:
Narrative:
The following allegations were made against the facility: Staff engaged in sexual behaviors in the presence of minors; staff intimidates minors; staff spoke inappropriately to minor; staff made minors feel uncomfortable, and staff did not report an incident to licensing. Confidential statements obtained during the investigation were unable to corroborate the allegations as there were no statements obtained to support the allegations. Facility staff denied witnessing or subjecting facility clients to any abuse. Facility staff also indicated that none of the clients has ever disclosed any abuse to them, and none of the clients has ever expressed that they were mistreated or bullied by any staff. Facility staff also denied that staff are engaging in sexual activities in the facility by either witnessing the activity or participating in the activity. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On January 13, 2022 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met with the facility representative named above and discussed the findings. During the course of the investigation, LPA interviewed the former and current facility clients on 7/13/21, 9/14/21, and 1/13/22, facility administrator and facility staff on 1/13/22 (see Confidential Names Form dated January 13, 2022). LPA also reviewed documents on 6/17/21 and 1/12/22 including placing agency referrals, facility incident reports and placing agency service logs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 01/13/2022

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

met_with: Melissa Williams, Administrator


raw_content:
Narrative:
It was alleged that a staff member at the facility made inappropriate comments towards a client in care, telling them to act upon their suicidal ideations. In an interview conducted, one child stated that sometime between August 2021 and November 2021, a staff member stated that they should act upon their suicidal ideations in response to the child voicing their mental health struggles. The child stated that they understood the staff member may not have been seriously trying to get them to act upon their suicidal ideations, but that the comments were unprofessional and hurtful. In interviews conducted with two other children, both stated that they had not seen or heard of any staff members making those types of comments. One of the children elaborated and stated that the alleged victim did not get along with staff members, but that staff would never make comments like the ones alleged. In an interview conducted, the staff member that the allegations are centered upon denied making the comments. Two other staff members that were interviewed also stated that they had not seen or heard of any staff members making inappropriate comments like that towards clients in care. Staff members caught doing so would be immediately terminated from employment. Additionally, all staff members reportedly undergo personal rights training regularly. In an interview conducted, the child's mental health therapist stated that the alleged incident had not been reported to him by the client and that they had not seen or heard of any staff members making any types of comments like that towards clients in care. A review of records indicated that around the time that this incident allegedly occurred, there were at least two instances in which there were concerns regarding the client's mental health and possible self-injurious behaviors. In both instances, staff reportedly followed all proper procedures and obtained the assistance necessary to help the client through the situations. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to prove that the above allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a signed copy of this report, along with the Licensee's Appeal Rights (LIC 9058 01/16) was provided to the Licensee.

Investigation Findings:
13On February 04, 2022 at approximately 11: AM, Licensing Program Analyst (LPA) Raymond Wu conducted a follow-up complaint inspection with the facility to deliver the findings of a complaint investigation concerning the allegation above. LPA discussed the finding with the facility representative named above. During the course of the investigation, LPA interviewed clients on 11/23/21, staff members on 11/23/21, 12/31/21, and 02/04/22. LPA also reviewed documents on 02/03/22 including but not limited to client admissions agreements, their Needs and Services Plans, and Special Incident Reports. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: WENDELL HOUSEFACILITY NUMBER: VISIT DATE: 02/04/2022

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

met_with: Executive Director Jaye Williams