summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2022 at 09: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced inspection. The purpose of the inspection is to conducted an annual required inspection. LPA Jauregui met with Program Director (PD) Tracey Renwick. The facility services children ages 12- 17 years old and non-minor dependents. There are currently three clients in care. The facility is located in residential neighborhood in a single-story house. LPA Jauregui inspected the interior and exterior of the facility with PD Renwick. The home is a five-bedroom, two-bathroom home with a kitchen, living room, dining area, storage closet, office, laundry room, locked storage closet for chemicals and cleansers, hallway with built-in storage and make up room, and an attached two-car garage. The home is set up as follows: Bedroom #1 contains two twin beds; all required linen, is present and mattresses are in good condition. Bedroom #2 contains two twin beds; all required linen is present and mattresses in good condition. Bedroom #3 contains two twin beds; all required linen is present, and mattresses are in good condition. Bedroom #4 contains two twin beds; all required linen is present, and mattresses are in good condition. Bedroom #5 contains one twin bed; all required linen is present, and mattress is in good condition. The bedrooms are arranged so that no more than two children share a bedroom. There is adequate closet and drawer space for children's belongings. All bedrooms have emergency access doors that open to the outside that are alarmed for resident's safety and security. The water temperature was measured to be 120 degrees Fahrenheit, which is in the required range of 105 degrees Fahrenheit and 120 degrees Fahrenheit. The two bathrooms were found to be free of dirt and grime and in good working order. In the hallway near the bedrooms, there is a linen closet where extra blankets, towels and pillows are kept. Continued... The facility has smoke alarms in all bedrooms, the hallway, and the make-up room. The smoke alarm was tested and found to be operable. There is a carbon monoxide detectors located in the kitchen, which were also tested and found operable. The last disaster drill was held on 11/21/22. The laundry room contains a washer and dryer and utility sink, as well as a locked cabinet that contains the First Aid Kit, which contained all required items, facility's Personal Protective Equipment (PPE) there is also a fire extinguisher. The make-up room contains a desks, a computer monitor, and mirrors. The dining room contains a table, with eight chairs. The living rooms contains three couches, a TV, games and toys. The kitchen had all required items, including utensils, plates glasses and cooking implements. Proper food storage was noted. LPA Jauregui observed that there is a two-day supply of perishable foods and seven-day supply non-perishable foods for the current census. The menu is posted on the refrigerator. The kitchen has an alcove area which contains a second refrigerator used for overflow foods. Just outside the office is a small hall with built in cabinet that contains extra water and snacks. The staff office contains office supplies, office furniture, filing cabinets, child and staff files, and sharp knives. The medication is located in a locked cabinet in the locked staff office, along a locked medication refrigerator. The locked garage is used for storage and contains decorations, extra bedding, overflow storage for residents' personal items, suitcases, old office files, art supplies and several locked cabinets that contain chemicals and cleansers. The outdoor space contains a grassy lawn both in the front and back yard. In the front yard there is a patio area that contains two outdoor chairs and a couch. There is also a canopy swing for residents' use. There are no guns or weapons as stated by the PD Renwick at this time. There is no body of water in the facility. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, and house rules. LPA Jauregui conducted two staff interviews and two client interviews. LPA Jauregui reviewed three client files and five staff files (see confidential name list, LIC811, dated 12/6/22). Based on observations made during the inspection, no deficiencies were observed. An exit interview was conducted; this report was reviewed, copy of this report and appeal rights was provided to PD Renwick.

met_with: Program Director (PD) Tracey Renwick


state: CA

facility_name: NEW ALTERNATIVES, INC. NO 1

summary: Facility Evaluation

raw_content:
Narrative:
On the date listed above at 2:15 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted an unannounced visit at the facility listed above. The purpose of the visit was to interview a client regarding an incident that is not related to this facility. No other information needed at this time. No deficiencies were cited. Due to printer malfunction, this report will be emailed to the Facility Administrator.

report_type: Facility Evaluation

met_with: Yessenia Arechiga


summary: Facility Evaluation

raw_content:
Narrative:
On December 20, 2023, at 10:00AM, Licensing Program Analyst (LPA) Carol Anderson conducted an unannounced inspection. The purpose of the inspection is to conduct an annual required inspection. LPA met with Program Director (PD) Tracey Renwick. LPA inspected the interior and exterior of the facility with PD Renwick. The home is a five bedroom, two bathroom home with a kitchen, living room, dining area, storage closet, office, laundry room, locked storage closet for chemicals and cleansers, hallway with built-in storage and make up room, and an attached two car garage. The home is set up as follows: Bedroom 1: designated for two clients, two twin beds, two dresser drawers, two night stands, closet space and one bathroom. Bedroom 2: designated for two clients, two twin beds, one dresser drawer, one night stand, closet space. Bedroom 3: designated for two clients, two twin bed, one dresser drawer, one night stand and closet. Bedroom 4: designated for two clients, two twin beds, two dresser drawers, two night stands, closet. Bedroom 5: designated for one client, one twin bed, one dresser drawer, one night stand, closet. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The bedrooms are arranged so that no more than two children share a bedroom. There is adequate closet and drawer space for children's belongings. All bedrooms have emergency access doors that open to the outside that are alarmed for resident's safety and security. The hot water temperature was measured in the kitchen sink and bathroom by the kitchen reading at 113 to 121 degrees Fahrenheit. PD Renwick turned the hot water temperature down. PD Renwick contacted maintenance to check the hot water pressure. The facility has smoke alarms in all bedrooms, the hallway, and the make-up room. The smoke alarm was tested and found to be operable. There is a carbon monoxide detector located in the kitchen, which were also tested and found operable. The laundry room contains a washer and dryer and utility sink, as well as a locked cabinet that contains the First Aid Kit, which contained all required items, facility's Personal Protective Equipment (PPE) there is also a fire extinguisher. The make-up room contains a desk, a computer monitor, and mirrors. The dining room contains a table, with eight chairs. The living rooms contains three couches, a TV, games, and toys. LPA observed that there is a two day supply of perishable foods and seven day supply non-perishable foods for the current census. The menu is posted on the refrigerator. The kitchen has an alcove area which contains a second refrigerator used for overflow foods. Just outside the office is a small hall with built in cabinet that contains extra water and snacks. The staff office contains office supplies, office furniture, filing cabinets, child and staff files, and sharp knives. The medication is in a locked cabinet in the locked staff office, along a locked medication refrigerator. The locked garage is used for storage and contains decorations, extra bedding, overflow storage for residents' personal items, suitcases, old office files, art supplies and several locked cabinets that contain chemicals and cleansers. The outdoor space contains a grassy lawn both in the front and back yard. In the front yard there is a patio area that contains two outdoor chairs and a couch. There are no guns or weapons as stated by the PD Renwick at this time. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, and house rules. LPA conducted two staff interviews and two clients refused to be interviewed. LPA reviewed three client files and five staff files, and all the necessary forms were in the files. Based on observations made during the inspection, no deficiencies were observed. An exit interview was conducted; this report was reviewed, copy of this report was provided to PD Renwick.

visit_type: Annual

met_with: Tracey Renwick


summary: Facility Evaluation

raw_content:
Narrative:
On May 08, 2025 at 2: PM, Licensing Program Analyst (LPA) Abby Saeteurn accompanied by LPA Lisa Bernabe conducted an unannounced case management visit at the facility and met with Assistant Program Manager, Lakeita Harvey. The purpose of the case management visit is to obtain a signature and deliver an amended version of the LIC 9099 originally delivered on May 6, 2025. An exit interview was conducted with Assistant Program Manager, Lakeita Harvey. Copies of this report, the amended report, and appeal rights were provided to Lakeita Harvey at the end of the visit.

visit_type: Case Management

met_with: Lakeita Harvey, Assistant Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 11, 2025 at 8: AM, Licensing Program Analyst (LPA) Lucero Jauregui conducted an unannounced inspection. The purpose of the inspection is to conduct a required inspection. LPA Jauregui met with Marvasia Smith who provided LPA an indoor and outdoor tour of the facility. The facility services children ages 12- 17 years old and non-minor dependents. There are currently three clients in care. The facility is located in residential neighborhood in a single-story house. The home is a five-bedroom, two-bathroom home with a kitchen, living room, dining area, storage closet, office, laundry room, locked storage closet for chemicals and cleansers, hallway with built-in storage and make up room, and an attached two-car garage. The home is set up as follows: Bedroom #1 contains two twin beds; all required linen, is present and mattresses are in good condition. Bedroom #2 contains two twin beds; all required linen is present and mattresses in good condition. Bedroom #3 contains two twin beds; all required linen is present, and mattresses are in good condition. Bedroom #4 contains two twin beds; all required linen is present, and mattresses are in good condition. Bedroom #5 contains one twin bed; all required linen is present, and mattress is in good condition. The bedrooms are arranged so that no more than two children share a bedroom. There is adequate closet and drawer space for children's belongings. All bedrooms have emergency access doors that open to the outside that are alarmed for resident's safety and security. The water temperature was measured to be 112 degrees Fahrenheit, which is in the required range of 105 degrees Fahrenheit and 120 degrees Fahrenheit. There is a maintenance service request to repair a clogged sink in the client bathroom. During the visit, LPA observed plumber arrive and started service request. Continued..... The kitchen was observed to be clean and free from observable hazards. had all required items, including utensils, plates glasses and cooking implements. Proper food storage was noted. LPA Jauregui observed that there is a two-day supply of perishable foods and seven-day supply non-perishable foods for the current census. The menu is posted on the refrigerator. The kitchen has an alcove area which contains a second refrigerator used for overflow foods. Just outside the office is a small hall with built in cabinet that contains extra water and snacks. The staff office contains office supplies, office furniture, and filing cabinets. Client and staff files are maintained locked in the office. LPA observed sharps to be kept locked in a lock box. Additionally, medication is kept locked in file cabinet as well as refrigerator for medication. The laundry room has a washer, dryer, built in sink and cabinets for storage. Next to the laundry room is the garage. The garage is used for storage and contains decorations, extra bedding, overflow storage for residents' personal items, suitcases, old office files, art supplies and several locked cabinets that contain chemicals and cleansers. A physical plant inspection was conducted and included the following checks: There are smoke detectors and carbon monoxide detectors and were tested.. The facility's last inspection by the fire department was conducted on 1/24/2025 and their next visit scheduled for January 2026. The following required posted items were observed and accessible to children: Ombudsman and Foster Youth Bill of Rights, Grievance Procedures, Personal Rights, Visitation Policies, Neighbor complaint Policy, and house rules. LPA Jauregui reviewed three out of three client files and five out of five staff files, see confidential name list, LIC811, dated 12/11/2025). All files contained all required items. Based on observations made during the inspection, no deficiencies were observed. An exit interview was conducted, a copy of this report and appeal rights were provided to Marvasia Smith.

met_with: Tracey Renwick Program Director and Marvasia Smith


summary: Facility Evaluation

raw_content:
Narrative:
On May 06, 2025, at 10: AM, Licensing Program Analyst (LPA) Abby Saeteurn met with Tracey Renwick, Facility Administrator to deliver a case management deficiencies report. According to information obtained during the course of an investigation conducted by Community Care Licensing (CCL), the facility did not report multiple incidents to CCL. Based on confidential interviews and records reviewed, it was revealed that during December 2024 through January 2025, there were multiple Special Incident Report and Law Enforcement Contact Reports for client (C1) for unauthorized absences, truancy, refusal for medical services and other critical incidents that were maintained in the facility's files but were not submitted to CCL. Based on confidential interviews and records reviewed, the facility is being cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 1, 88361(b)(1)(E) Reporting Requirements.

met_with: Tracey Renqick, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 15, 2023, at 11: AM, Licensing Program Analyst (LPA) Lucero Jauregui arrived unannounced to New Alternatives, INC. NO 1 and met with Tracey Renwick, Program Director. The purpose of this visit was to address a deficiency that was noted. On March 6, 2023, LPA Jauregui conducted a complaint investigation where confidential interviews revealed S1 yanked the hoodie back off C1's head to reveal their face. Based on interviews, the Licensee did not ensure that C1 was accorded dignity within his personal relationships with staff, due to staff not approaching C1 in a safe manner. This posed an immediate Health, Safety, or Personal Rights risk to C1 in care, the facility is being cited for violating Interim Licensing Standards, STRTP, Article 06. Continuing Requirements, 87072(c)(10) Personal Rights. An exit interview was conducted and plans of correction were discussed. A copy of this report and appeal rights were provided to Tracey Renwick, Program Director & Marvasia Smith, Facility Representative.

met_with: Tracey Renwick, Program Director & Marvasia Smith, Faiclity Representative


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on June 13, 2023 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Program Director, Tracey Renwick and conducted an inspection of the facility. LPA reviewed one of child's records and three of staff personnel files on site at the facility. LPA reviewed one of child's psychotropic medications and medication records. LPA interviewed three staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child currently prescribed psychotropic medication. Client was present at the facility. During the inspection LPA observed a deficiency (see attached 809D), plan of correction was discussed and appeal rights were provided. LPA provided a copy of this licensing report to Program Director Tracey Renwick.

met_with: Tracey Renwick, Program Director


facility_name: NEW ALTERNATIVES, INC. #16

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
making false allegations against staff and denied having knowledge of any incident in which C1 or any other client in care was mistreated or manhandled by any staff for wanting to get a snack. Confidential interviews also denied that clients are ever denied ibuprofen for pain; unless it is prohibited by a nurse or because not enough time has elapsed since the previous dose. Regarding allegation that C1's belongings were removed from their bedroom as a form of punishment, confidential interviews stated that removal of items is done in order to prevent clients from throwing objects at staff and others during behavioral episodes, and not as a form of punishment. Confidential interviews also denied any knowledge of any staff having teased or made fun of C1's teeth. While other confidential information received by Licensing Office stated that these allegations had occurred. LPA Mena was unable to interview C1 regarding any of these allegations, due to their current whereabouts being unknown. Based on confidential interviews and information provided, the allegations that Facility Staff mishandled, did not provide medication, demonstrated an inappropriate form of discipline, as well as spoke inappropriately about minor in care, more specifically that Client # 1 (C1) was pushed, denied medication, had all belongings removed from bedroom as a form of punishment, as well as was made fun of by staff for having a gap in her teeth, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPAs Meza and Mena conducted an inspection to the Sort Term Residential Treatment Program (STRTP) on December 18, 2020 at 1:00pm and on June 18, 2021 at 11:12am. No immediate hazards observed. LPAs interviewed six staff members (S1, S2, S3, S4, S5, & S6), as well as reviewed client and facility records. Community Care Licensing received information on December 15, 2020 alleging that Facility Staff mishandled, did not provide medication, demonstrated an inappropriate form of discipline, as well as spoke inappropriately about minor in care, more specifically that Client # 1 (C1) was pushed, denied medication, had all belongings removed from bedroom as a form of punishment, as well as was made fun of by staff for having a gap in her teeth. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews stated that C1 had a history of UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 07/19/2021

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

report_type: Complaint Investigation

met_with: Shomari Bond

complaint_status: unsubstantiated


raw_content:
Narrative:
provided the passcode to unlock it, after it was suspected by staff that C1 had been using personal cellphone to bring drugs into the facility. According to confidential information, after a search of C1's cellphone was conducted it was confirmed that C1 had been using cellphone to purchase marijuana. Confidential interviews stated that C1's cellphone was confiscated in accordance with prudent parenting standards, and it was not to be returned until C1's discharge from the facility. LPA Mena spoke to C1's County Social Worker who stated that they were aware of the incident and in agreement with facility's plan of action regarding this matter. Confidential interviews also stated that C1 was always allowed to make confidential phone calls from the unit's phone like any other client. While other confidential information obtained by Licensing Office stated that cellphone was confiscated and searched without C1's consent, which prevented her from making and receiving confidential calls and messages. LPA Mena was unable to interview C1 regarding these allegations, due to C1 being unresponsive to LPA Mena's requests to speak with C1. Based on confidential interviews and information provided, the allegations that Facility staff made an unreasonable search of youth's personal belongings, as well as is not allowing youth to make confidential calls, more specifically that Client # 1 (C1) had her personal cellphone searched and confiscated without consent, and as a result is not allowed to make calls to County Social Worker and family, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza conducted an inspection to the Sort Term Residential Treatment Program (STRTP) on January 14, 2021 at 2:30pm. No immediate hazards observed. LPAs interviewed seven staff members (S1, S2, S4, S5, S6, S7 & S8), County Social Worker (CSW), as well as reviewed client and facility records. Community Care Licensing received information on January 08, 2021 alleging that Facility Staff made an unreasonable search of youth's personal belongings, as well as is not allowing youth to make confidential calls, more specifically that Client # 1 (C1) had her personal cellphone searched and confiscated without consent, and as a result is not allowed to make calls to County Social Worker and family. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that C1 had her cellphone searched without reason and without consent. According to confidential interviews, C1 voluntarily surrendered cellphone to staff and UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 07/19/2021

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


raw_content:
Narrative:
in at will. While other confidential information obtained by Licensing Office stated that the allegation had occurred, and that C1 was locked out on three occasions, two of which were in the rain. LPA Mena was unable to speak to C1 due to C1 being unresponsive to LPA Mena's attempt to speak with them about these allegations. Based on confidential interviews and information provided, the allegation that Facility Staff used an inappropriate for of punishment, more specifically that Child # 1 (C1) was locked out of the facility unit in the rain on two occasions, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza conducted an inspection to the Sort Term Residential Treatment Program (STRTP) on January 14, 2021 at 3:15pm and on February 22, 2021 at 9:30am. No immediate hazards observed. LPAs interviewed six staff members (S1, S2, S3, S4, S5 & S6), as well as reviewed client and facility records. Community Care Licensing received information on January 11, 2021 alleging that Facility Staff used an inappropriate form of punishment, more specifically that Child # 1 (C1) was locked out of the facility unit in the rain on two occasions. Information obtained did not corroborate the allegation with a preponderance of evidence. Confidential interviews denied that C1 or any of the client was aver locked out of the unit as a form of punishment. According to confidential information received during interviews, the facility unit doors that lead to the outdoor area always remain unlocked, allowing clients to come UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 07/19/2021

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


raw_content:
Narrative:
On February 17, Community Care Licensing received allegations that facility staff improperly restrained youth, staff speak inappropriately to youth in care and staff threaten youth in care. Specifically, it was reported C3 had scratches on their back from a restraint and staff threatened C3, saying "they would kick [C3] out". In Addition, C2 had marks left on their arm from a restraint, and that S1 has cussed C2 out in the past. Confidential interviews revealed that C2 is known to make marks on themself. Confidential interviews revealed that C2 did not seek medical attention after restraint. Confidential interviews revealed C3 did have scratches on their back which occurred during physical education in the morning and C3 did not request to see nurse for scratches. Confidential interviews noted that C3 never mentioned scratches on their back. In addition, there were no witnesses to any staff telling C3 "they will kick [C3] out". Confidential interviews could not confirm or dispute that facility staff improperly restrained youth or spoke inappropriately to youth in care and staff threatened youth in care. Based on confidential interviews and record review, although the allegations of Facility staff improperly restrained youth, Staff speak inappropriately to youth in care, and Staff threaten youth in care may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was provided along with appeal rights New Alternatives, Inc. # Facility Manager 1, Jared Farmer.

Investigation Findings:
13On October 1, 2021 at 10: AM, Licensing Program Analyst (LPA), Danielle Garcia, met with Facility Manager 1, Jared Farmer to deliver the finding for the above stated allegation. The investigation was conducted by Licensing Program Analyst (LPA) Danielle Garcia and LPA Gloria Meza Gonzalez. LPA Meza-Gonzalez initiated the investigation on February 22, 2021 and deficiencies were noted at time of inspection. During the investigation, LPA Garcia and LPA Meza-Gonzalez conducted interviews with Client 1(C1), Client 2 (C2), Client 3 (C3), Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5) and Assistant Director (D1). In addition, Special Incident Reports and facility records were reviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Danielle Garcia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 10/01/2021

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

met_with: Jared Farmer


raw_content:
Narrative:
stated that the daily safety checks are conducted to ensure that there is no broken equipment in the room and that required items are available. It was stated that clients belongings are not searched, but their room is cleaned and laundry is stored away. Information obtained stated that if contraband is observed in the clients' rooms, administration is notified and administrators make the decision to remove and store in clients' belongings. Information obtained from County Social Worker stated there were no concerns regarding Client #1's room being checked daily. County Social Worker stated the facility did advise the daily checks and it is for the safety of all clients. County Social Worker stated prior searches have resulted in finding contraband; therefore, the checks are necessary. County Social Worker stated there were no concerns. LPA was unable to obtain additional information regarding the allegation due to client refusing to interview. Based on interviews and information obtained, staff made an unreasonable search of Client #1's personal belongings, may or may not have occurred; therefore, the allegations is unsubstantiated at this time.

Investigation Findings:
13On December 20, 2021 at 1: PM, Licensing Program Analyst (LPA) Jazmond Harris met with Assistant Program Director, Shomari Bond to deliver the findings for the investigation pertaining to the listed allegation. LPA Gloria Meza initiated the investigation on June 17, 2021 and interviewed Assistant Director. During the investigation, LPA Harris conducted interviews with Facility Managers and County Social Worker. LPA Harris was unable to interview Staff Member #1 due to the employee resigning and contact information disabled. LPA Harris also was unable to obtain information from Client (See Confidential Names List (LIC 811) dated December 20, 2021) due to Client refusing. On June 10, 2021, Community Care Licensing (CCL) received information which stated facility staff made an unreasonable search of client's belongings. It was reported that Staff Member #1 searched and removed some items from Client #1's belongings. Information from Administration and Facility Managers explained the facility's procedures pertaining to searches. It was advised that the facility conducts daily safety checks of client's rooms. It was advised that all clients and representatives are aware of the protocol. It was further UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 12/20/2021

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

met_with: Assistant Program Director-Shomari Bond


raw_content:
Narrative:
restrained on 05/06/21 due to self-injurious behaviors and becoming physically assaultive towards staff, confidential interviews denied that C1 was ever pinched, pushed or touched near vaginal area during this restraint. Confidential interviews denied having knowledge or having seen bruises or injuries on C1 after restraint. Confidential interviews also denied that staff failed to intervene during incident in which C1 attempted to self-harm with objects inside their bedroom. While other confidential information received by licensing office stated that the allegations had occurred and that staff had pushed and pinched C1 on their legs near their private parts during restraint, resulting in bruising Based on confidential interviews and information obtained, the allegations that facility staff did not prevent Child # 1 (C1) from self-harming, as well as inappropriately touched and caused injuries to C1 during a restraint, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on May 18, 2021 at 3:30pm and LPA Mena on December 01, 2021 at 1:10pm. No immediate hazards observed. LPAs interviewed four staff (S1, S2, S3 & S4), one of one foster children (C1), as well as reviewed client and facility records. Community Care Licensing received information on May 10, 2021 alleging that facility staff did not prevent Child # 1 (C1) from self-harming, as well as inappropriately touched and caused injuries to C1 during a restraint. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff had ever pinched, pushed, inappropriately touched or handled C1 in a rough manner during restraint. According to confidential interviews, although C1 was UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 01/27/2022

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


raw_content:
Narrative:
inappropriately handled. While other confidential information received by Licensing Office stated that this allegation had occurred, and that S1 had improperly handled C1 during restraint and had pulled their hair and pushed them to the ground. LPA Mena was unable to interview Staff # 1 (S1) and Child # 1 (C1) regarding this allegation, due to S1 no longer working at facility and being unresponsive to LPA Mena's attempts to contact them, as well as C1's legal guardian not granting LPA permission to speak to C1 about this allegation. Based on confidential interviews and information obtained, the allegation facility staff member inappropriately handled group home child, more specifically that Staff # 1 (S1) had grabbed Child # 1 (C1) by the hair and pulled C1 down to the ground during a restraint, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on July 09, 2021 at 1:00pm and LPA Mena on February 02, 2022 at 10:31am. No immediate hazards observed. LPAs interviewed three staff (S2, S3, S4), one of two foster children (C2), as well as reviewed client and facility records. Community Care Licensing received information on June 30, 2021 alleging that facility staff member inappropriately handled group home child, more specifically that Staff # 1 (S1) had grabbed Child # 1 (C1) by the hair and pulled C1 down to the ground during a restraint. Information obtained did not corroborate the allegation with a preponderance of evidence. Confidential interviews denied allegations that any staff, including S1, had ever pulled, pushed, or inappropriately handled C1 during restraint. According to confidential interviews, S1 conducted restraint according to protocol and training and that C1 was not UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 04/11/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On August 24, 2021, the Department received allegations that staff mishandled a C1's personal belongings while in care, staff mistreated a C1 while in care, staff did not seek timely medical attention for a C1 while in care, C1 did not have access to a telephone while in care and staff mishandle minors while in care. Confidential interviews revealed that S1 and S2 conducted a room search for contraband in C1's room. Additional interviews revealed inconsistencies in how the room search was conducted that staff was throwing C1's belongings and slamming furniture. Confidential interviews revealed that allegedly S1 and S2 mocked and laughed at C1 regarding C1's gender identity during the room search, however, the interviews revealed that C1 was laughing during the room search therefore there are inconsistencies in the interviews. Confidential interviews revealed allegedly staff did not provide medical attention when C1 requested it however staff had to contact medical response team twice due to the team not responding in a timely manner at the first request. Confidential interviews revealed that C1 had access to make phone calls to people on C1's county approved list however C1 wanted to call a person, who is not on C1's approved list. Confidential interviews revealed that the staff is allegedly dragging youths by their arms and pushing them around however no staff has witnessed the alleged incident. There were no witnesses to the alleged incidents. Based on confidential interviews the allegations staff mishandled a C1's personal belongings while in care, staff mistreated a C1 while in care, staff did not seek timely medical attention for a C1 while in care, C1 did not have access to a telephone while in care and staff mishandle minors while in care may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were emailed to ADP Bond due to printer malfunction.

Investigation Findings:
13On May 6, 2022, at 2: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on August 31, 2021, and no issues were found. During the investigation, LPA Meza-Gonzalez interviewed three out of three staff (Staff #1 [S1], Staff #2 [S2], and Staff #3 [S3]), Assistant Program Director #2 (APD2), Senior Protective Service Worker (SPSW) and Biological Father (BD). Interview for Client #1 (C1) was denied. In addition, the following records were reviewed: Incident reports and county reports. See LIC C page 2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/05/2022


raw_content:
Narrative:
Confidential interviews revealed that C1 was given prescribed medication, however, conflicting interviews revealed that C1 was not always given their prescribed medication on every shift. Records reviewed indicated C1's medication was signed off on their Medication Administration Records. Based on confidential interviews and records reviewed that staff is not administering medication to C1 as prescribed, which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and appeal rights explained. Due to printer malfunction, a copy of this report, along with the LIC 811, and appeal rights will be emailed to the Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On September 14, 2022, at 5:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Anthony Lopez, Facility Manager, to open a complaint that was investigated, however, assigned to the incorrect facility number. LPA discussed the investigative finding for the allegation noted above. LPA conducted an inspection of the facility on 07/11/2022 at 11:15 am and no deficiencies were observed. LPA Linley interviewed one of one client (C1) and two out of two staff (S1, S2). LPA reviewed the following documents during the investigation: client roster, C1's Centrally Stored Medication, and Destruction Record, C1's June Medication Administration Records, and C1's JV-220. On July 9, 2022, Community Care Licensing (CCL) received an allegation that staff is not administering medication to minor as prescribed. It was reported that staff has not always given C1 their medication, however, it was not known which shift or medication was not given. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: NEW ALTERNATIVES, INC. #16FACILITY NUMBER: VISIT DATE: 09/13/2022

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

met_with: Anthony Lopez, Facility Manager


raw_content:
Narrative:
On November 22, 2021, the Department received an allegation that staff handled C1 in a rough manner causing injury. Confidential interviews revealed that C1 was attempting to leave the facility without permission. Staff attempted re-direct C1 away from the front gate. C1 got into a physical altercation with S1 when C1 grabbed and pulled S1's hair. Confidential interviews revealed that C1 was physically assaulting staff prior to being in restraint. S2 and S3 restrained C1 and escorted C1 back to C1's unit when C1 drop C1's weight to the ground. There are no witnesses that C1 was dragged by S2 and S3. Based on confidential interviews the allegations that staff handled C1 in a rough manner causing injury may or may not have occurred, however, the allegation is not supported or proven by the evidence gathered. Therefore, the allegation is determined to be unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report and appeal rights were given to FM Williams.

Investigation Findings:
13On November 6, 2022, at 4: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the above facility. LPA Meza-Gonzalez met with Facility Manager (FM) Darrell Williams. The purpose of the inspection was to deliver the findings of the complaint investigation. LPA Meza-Gonzalez conducted a safety check on December 1, 2021, and no dificiencies were found. During the investigation, LPA Meza-Gonzalez interviewed Client #1(C1), APD, and eight staff (S1, S2, S3, S4, S5, S6, S7 and S8) (see confidential name list, LIC811, dated November 6, 2022). LPA Meza-Gonzalez C1's face sheet, needs and service plan, emergency intervention plan, staff schedules, staff contact information, and special incident reports (SIRs). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 11/06/2022

met_with: Darrell Williams


raw_content:
Narrative:
On February 4, 2022, the Department received a complaint report, that staff is not providing adequate supervision. Confidential interviews revealed that C1 was physically assaulted by C2 while playing volleyball with peers. Confidential information revealed there was at least three staff supervising during the incident. There were conflicting statements regarding the staff supervision of the clients. Based on record reviews and confidential interviews, the staff is not providing adequate supervision is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations that staff are not providing adequate supervision which resulted in C1's physical assault. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to APD Bond.

Investigation Findings:
13On February 16, 2023, at 4: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on February 14, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated February 16, 2023) face sheet, needs, and service plan, emergency intervention plan, client roster, and special incident report (SIR). LPA Meza-Gonzalez interviewed four clients (C1, C2, C3, C4) and five staff (S1, S2, S3, S4, S5). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 02/16/2023

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


raw_content:
Narrative:
On February 7, 2022, the Department received a complaint report, with the allegations that C1 smoked marijuana while in care and staff smoked marijuana on the facility grounds. Confidential interviews revealed conflicting information regarding C1 smoking marijuana on campus. C1 was caught with marijuana and a vape pen upon C1's return from being absent from care, however, C1 was not caught smoking marijuana on campus. The marijuana and the vape pen were confiscated. Confidential interviews revealed inconsistencies that staff was smoking marijuana with youths on facility grounds. Based on record reviews and confidential interviews, C1 smoked marijuana while in care and staff smoked marijuana on the facility grounds are unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to APD Bond.

Investigation Findings:
13On February 16, 2023, at 4: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on February 14, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated February 16, 2023) face sheet, needs, and service plan, emergency intervention plan, client roster, and special incident report (SIR). LPA Meza-Gonzalez interviewed two clients (C1, C2) and three staff (S1, S2, S3). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 02/16/2023

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


raw_content:
Narrative:
On July 28, 2022, the Department received a complaint report, with the allegations that S1 caused bruising to C1, S1 inappropriately restrained C1, S1 and S2 encouraged C1 to engage in a physical altercation with C2 and C3 and S1 and S2 spoke inappropriately to C1 while in care. Confidential interviews revealed inconsistencies in whether C1 was involved in an inappropriate restraint that resulted in bruising. Additional interviews revealed that C1 was restrained by S1 and S1 twisted C1's arm back. C1 has been in restraints however there was no notation that there were marks left after the restraint. Confidential interviews revealed inconsistencies in whether S1 and S2 instigated a physical altercation with C2 and C3. Additional interviews revealed that S1 and S2 told C1 to fight C2 because C2 was instigating C1. Additional interviews revealed that S1 and S2 told C1 to fight C3 because C3 was being disrespectful towards C1. Additional information revealed that no staff witnessed C1 fighting C2 or C3. Confidential information revealed inconsistencies in whether S1 and S2 made inappropriate comments to C1. Additional interviews revealed that S1 made comments about C1's statue and S2 made inappropriate comments about C1's mental health however there was not witnesses to the inappropriate comments towards C1. Based on record reviews and confidential interviews, S1 caused bruising to C1, S1 inappropriately restrained C1, S1 and S2 encouraged C1 to engage in a physical altercation with C2 and C3 and S2 spoke inappropriately to C1 while in care are unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to APD Bond.

Investigation Findings:
13On May 4, 2023, at 2: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Assistant Program Director (APD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on August 3, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1), Client #2 (C2), and Client #3 (C3)'s (see confidential name list, LIC 811, dated May 4, 2023) face sheet, needs, and service plan, special incident report, staff contact information, and county report. LPA Meza-Gonzalez interviewed three clients (C1, C2, C3), four staff ( S2, S3, S4, S5), and Assistant Program Administrator #2 (ADP2). S1 was not able to be interviewed after three attempts. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/04/2023

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


raw_content:
Narrative:
On September 21, 2022, the Department received a complaint report, with the allegation that C1 inappropriately touched C2 when staff was not watching. Confidential interviews revealed inconsistency in whether C2 touched C1 inappropriately or on purpose. Some confidential Interviews revealed that C2 brushed against C1 on accident however others revealed that it was on purpose. No staff witnessed the incident however the facility created a safety plan to keep C2 a distance from C1. Based on record reviews and confidential interviews C1 inappropriately touched C2 when staff was not watching is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights, and LIC811 to CPD Bond.

Investigation Findings:
13On May 12, 2023, at 11: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Co-Program Director (CPD) Shomari Bond. The purpose of the inspection was to deliver the finding for the above complaint allegation. LPA Carol Anderson conducted an inspection of the facility on September 22, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1) and Client #2 (C2) (see confidential name list, LIC 811, dated May 12, 2023) face sheet, needs, and service plan and special incident report. LPA Meza-Gonzalez interviewed four clients (C1, C2, C3, C4), and five staff ( S1, S2, S3, S4, S5). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/12/2023

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


raw_content:
Narrative:
On October 05, 2022, the Department received a complaint report, with the allegation Staff did not provide adequate supervision to prevent inappropriate sexual interaction between C1 and C2 while in care. Confidential information revealed inconsistency in whether C2 touched C1 on C1's genitalia while sitting on the couch. C1 and C2 were being supervised by S2 while S1 was hanging Halloween décor. C1 and C2 were sitting on the same couch with a couch arm dividing them facing forward, and there was a shared blanket across C1 and C2's laps. S2 was sitting across from C1 and C2 supervising them. Based on confidential interviews and record review, the allegation that Staff did not provide adequate supervision to prevent inappropriate sexual interaction between C1 and C2 may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to CPD Bond.

Investigation Findings:
13On May 18, 2023, at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at New Alternatives Inc #16. LPA Meza-Gonzalez met with Co- Program Director (CPD) Shomari Bond. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Meza-Gonzalez conducted an inspection of the facility on October 13, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1) and Client #2 (C2) (see confidential name list, LIC 811, dated May 18, 2023) face sheet, needs, and service plan, and special incident report. LPA Meza-Gonzalez interviewed two clients (C1, C2) and two staff ( S1, S2). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/18/2023

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
...CONTINUED LPA was unable to interview said witness and did not receive any corroborating information of verbal abuse during the investigation. Confidential interviews reported that staff may be withholding food due to C1's food allergies and restrictions. Record review reveals C1's food restrictions were documented by facility staff, and LPA observed the facility's procedure for ensuring clients' needs with food restrictions are met. Confidential interviews and record review reveal that, while C1 did struggle to find food she could eat at the facility, she was offered alternatives to her restrictions and did not go without food. However, other conflicting interviews indicated that the facility did not provide alternatives to C1 and would not cook food separately so that C1 would be able to eat part of the meal. Based on record review and confidential interviews the allegation alleging Staff verbally abuse C1 and Staff withhold food from C1 may have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Michelle Jenks.

Investigation Findings:
13On January 5, 2024, at 10: AM, Licensing Program Analyst (LPA), Jacob Salem met with Michelle Jenks, Program Diector of New Alternatives #16, to deliver the finding for the above stated allegations. LPAs Jacob Salem and Carol Anderson conducted an inspection of the Serentiy Cove unit and kitchen area on 8/9/23 and no deficiencies were observed. LPA Salem conducted interviews with Staff (S1-7), LPA was unable to interview S8 due to no longer working at the facility and disconnected phone. LPA interviewed Client (C1), Witnesses (W1). In addition, LPA reviewed C1's Appraisal/Needs and Services Plan, C1's Medical Statement to Request Special Meals And/or Accommodations, Special incident Reports, and Institutions Evaluations Unit investigative report dated 9/6/2023. On July 31, 2023, Community Care Licensing (CCL) received allegations alleging Staff verbally abuse youth in care and Staff withhold food from youth in care. Confidential interviews provided conflicting statements; S8 did not make any inappropriate comments and S8 called C1 a "bitch." Continued... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 01/05/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED LPA was unable to interview said witness and did not receive any corroborating information of verbal abuse during the investigation. Confidential interviews reported that staff may be withholding food due to C1's food allergies and restrictions. Record review reveals C1's food restrictions were documented by facility staff, and LPA observed the facility's procedure for ensuring clients' needs with food restrictions are met. Confidential interviews and record review reveal that, while C1 did struggle to find food she could eat at the facility, she was offered alternatives to her restrictions and did not go without food. However, other conflicting interviews indicated that the facility did not provide alternatives to C1 and would not cook food separately so that C1 would be able to eat part of the meal. Based on record review and confidential interviews the allegation alleging Staff verbally abuse C1 and Staff withhold food from C1 may have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Michelle Jenks. SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Michele Jenks, Program Director


raw_content:
Narrative:
Continued... SI Rante and LPA Salem confidential interviews revealed inconsistent statements and a date or time of the alleged occurrence was not able to be provided. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on record review and confidential interviews the allegation alleging Staff member inappropriately touched youth while in care and Staff did not protect youth from self-harming may have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Michelle Jenks, Program Director.

Investigation Findings:
13On December 5, 2024, at 10: AM, Licensing Program Analyst (LPA), Jacob Salem met with Michelle Jenks, Program Director of New Alternatives #16 to deliver the finding for the above stated allegations. The investigation was conducted by Special Investigator (SI) John Rante and included interviews with Staff (S1), Clients (C1), Child Welfare Services Social Worker (CWS), and Protective Services Worker (PSW). In addition, SI Rante reviewed C1's Statement of Dangerous Propensities, C1's Child and Family Team Meeting and Action Plan, and C1's Appraisal/Needs and Services Plan. LPA Salem interviewed Client (C1), Staff (S2-S5), and Witness (W1). In addition, LPA Salem reviewed C1's Needs and Services Plan, the Program Statement, and Special Incident Report. On August 1, 2023, Community Care Licensing (CCL) received an allegation alleging S6 inappropriately touched C1 while in care and Staff did not protect youth from self-harming. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 01/05/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32continued... SI Rante and LPA Salem confidential interviews revealed inconsistent statements and a date or time of the alleged occurrence was not able to be provided. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on record review and confidential interviews the allegation alleging Staff member inappropriately touched youth while in care and Staff did not protect youth from self-harming may have occurred, however it is not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Michelle Jenks, Program Director. SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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

met_with: Michelle Jenks, Program Director


raw_content:
Narrative:
Based on confidential interviews and information gathered during the investigation, the allegation that staff members provided marijuana and vape pen to clients while in care, may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was given to Residential Manager David Smith.

Investigation Findings:
13On February 2, 2023, at 12:00PM, Licensing Program Analyst (LPA), Carol Anderson met with David Smith, Residential Manager to deliver findings of the above allegation. The investigation was conducted by Senior Special Investigator Hector Quintanar of the Community Care Licensing (CCL) Investigations Branch. Special Investigator Hector Quintanar interviewed eight staff (S1 - S8), three clients (C1, C2, C3) and two witnesses. The investigation included a review of San Diego County of Health and Human Services investigative reports, C1's Appraisal/Needs and Services Plans, C1's Child and Family Team Meeting (CFT) as well as reviewed the Special Incident Report. The Department received a complaint on August 10, 2023, alleging that staff are providing drugs to minors while in care. Confidential interviews denied that staff were providing marijuana and vape pens to clients in care. However, there was no witness to the said incident. Confidential interviews did not collaborate the allegation with the preponderance of evidence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 02/02/2024

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

met_with: David Smith, Residential Manager


raw_content:
Narrative:
Some of the confidential interviews indicated that staff observed the incident and immediately separated C1 and C2. Other confidential interviews revealed that staff were in the staff's office and heard commotion coming from the hallway, and the staff immediately intervened. However, a witness videotaped the incident between C1 and C2, and law enforcement obtained the digital evidence. LPA was unable to review the digital evidence to determine if a lack of supervision occurred. Based on confidential interviews and documents reviewed during the investigation, the allegation that staff did not ensure a safe and healthful environment for C1 and C2 may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Administrator Program Director (APA) Michelle Jenks.

Investigation Findings:
13On February 28, 2024, at 10:045AM, Licensing Program Analyst (LPA) Carol Anderson met with Administrator Program Director (APA) Michelle Jenks to deliver finding of the above allegation. During the investigation, LPA reviewed Client 1 (C1) and Client 2 (C2) files. LPA interviewed three of four staff, and one of two clients. C2 was unavailable to be interviewed. LPA left messages for staff; LPA did not receive return calls. LPA reviewed C1 and C2's Appraisal Needs and Services Plans, San Diego County Health, and Human Services Quarterly Reports, Child, and Family Team Meetings (CTF), Chula Vista Police Department investigative report as well as Special Incident Report. The Department received a complaint on August 7, 2023, alleging staff did not ensure a safe and healthful environment for minors in care. Confidential interviews revealed that while C1 was in the bathroom, C2 walked into the bathroom and punched and grabbed C1's legs and dragged C1 out of the bathroom at the facility. Confidential interviews revealed conflicting information. Continue next page...... UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 02/28/2024

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

met_with: Michelle Jenks


raw_content:
Narrative:
...CONTINUED Confidential interviews indicated that prior to the punch, staff attempted to intervene in the verbal mistreatment from C2 towards C1 while C2 was preparing for a physical altercation by removing their rings. The Department also received an allegation that staff did not seek timely medical attention for a minor (C1). Specifically, it was reported that C1 did not receive medical care or have someone examine C1's eye after being punched. Confidential interviews indicate that staff (S2) examined C1's eye, offered C1 an icepack, and suggested taking C1 to the nearby hospital. Confidential interviews indicate that C1 declined medical attention and was not injured from the punch. Confidential interviews indicate that staff provided enhanced supervision of C1 for the remainder of the evening as a precaution. The Department also received an allegation that staff did not properly report an incident involving a minor (C1). Specifically, it was reported that staff did not report the altercation between C1 and C2 after the incident occurred. A record review of SIRs and emails received from the facility revealed that a full report was sent to CCL and the County Social Worker. Based on confidential interviews and records reviewed, the allegations that staff did not prevent a minor (C2) from attacking another minor while in care (C1), staff did not seek timely medical attention for a minor (C1), and staff did not properly report an incident involving a minor (C1) are unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Michelle Jenks, Program Director, and a copy of this report and appeal rights were provided.

Investigation Findings:
13On March 5 2024, at 1: PM, Licensing Program Analyst (LPA) Jacob Salem met with Michelle Jenks, Program Director of New Alternatives #16 (NA16), to deliver the findings for the above-stated allegations. During the investigation, LPA Salem interviewed Clients (C2 and C3) and Staff (S1-S5). Client (C1) declined to be interviewed. LPA Salem reviewed the Needs and Services Plans of C1 and C2, Special Incident Reports (SIRs), and other pertinent documents. On November 17, 2023, Community Care Licensing (CCL) received an allegation that staff did not prevent a minor (C2) from attacking another minor (C1) while in care. Specifically, it was reported that staff allowed C2 to punch C1 in the face while wearing rings. Confidential interviews indicated that staff (S3) positioned themselves between C1 and C2 with raised arms to block any strikes. Confidential interviews indicate that C2 managed to land a single punch to C1's face before staff successfully redirected C2 away from C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 03/05/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews indicated that prior to the punch, staff attempted to intervene in the verbal mistreatment from C2 towards C1 while C2 was preparing for a physical altercation by removing their rings. The Department also received an allegation that staff did not seek timely medical attention for a minor (C1). Specifically, it was reported that C1 did not receive medical care or have someone examine C1's eye after being punched. Confidential interviews indicate that staff (S2) examined C1's eye, offered C1 an icepack, and suggested taking C1 to the nearby hospital. Confidential interviews indicate that C1 declined medical attention and was not injured from the punch. Confidential interviews indicate that staff provided enhanced supervision of C1 for the remainder of the evening as a precaution. The Department also received an allegation that staff did not properly report an incident involving a minor (C1). Specifically, it was reported that staff did not report the altercation between C1 and C2 after the incident occurred. A record review of SIRs and emails received from the facility revealed that a full report was sent to CCL and the County Social Worker. Based on confidential interviews and records reviewed, the allegations that staff did not prevent a minor (C2) from attacking another minor while in care (C1), staff did not seek timely medical attention for a minor (C1), and staff did not properly report an incident involving a minor (C1) are unsubstantiated. The allegation may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Michelle Jenks, Program Director, and a copy of this report and appeal rights were provided. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
...CONTINUED Confidential interviews indicate that C1 was told by staff they could not have make-up out of their purse from the staff office, even though another client was doing their make-up. Conflicting confidential interviews indicate that C1 wanted the bank checks from their purse and was told no. A record review of a SIR indicates that C1 requested their entire purse and became threatening toward staff and destroying the property after being told they could not have their purse. Confidential interviews stated that staff found a vape cartridge in the client's purse. The Department also received an allegation that facility staff (unknown) engaged in physical altercations with youths (unknown). Confidential interviews indicated that on 11/18/2023, two physical conflicts occurred between staff and clients, caused by clients attempting to enter the staff office and then trying to run away from the unit. Confidential interviews indicate that a client (C2) attacked a member of staff (S2) while trying to run away and that S2 "punched back" at C2 and ripped off C2's necklace. Conflicting confidential interviews indicate that S2 was utilizing proper defensive techniques per ProAct and accidentally ripped off C2's necklace while attempting to deflect C2's strikes using ProAct training. Confidential interviews indicate that after witnessing the necklace break, another client (C1) attacked S2 out of defensiveness for C2, which involved C1 holding S2's arms behind their back. Confidential interviews indicate that this resulted in a larger struggle involving additional clients (C3, C4, and C5) who began to state that they witnessed S2 trying to hit C2. Confidential interviews stated that S5 and S8 witnessed C2 punching S2 and S2 not punching back and only blocking. Other confidential interviews stated that a few staff were not looking because they were focused on the other clients involved. In addition, confidential interviews stated that S5 observed S2 using appropriate emergency interventions. Based on conflicting confidential interviews, the allegations that facility staff (unknown) engaged in a verbal altercation with youth (C1) and facility staff (unknown) engaged in physical altercations with youths (unknown) are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a signed copy of this report and appeal rights were provided to Michelle Jenks, Program Director.

Investigation Findings:
13On March 28, 2024 at 3: PM, Licensing Program Analyst (LPA) Jacob Salem met with New Alternatives #16 (NA) Michelle Jenks, Program Director to deliver the findings for the above-stated allegations. During the investigation, LPA Salem interviewed Staff (S1-10), the Clients (C1-2, C4-7), a county social worker, and a parole officer. LPA Carol Anderson attempted to interview C3 but could not do so due to C3 declining to be interviewed. LPA Salem obtained and reviewed Needs and Services Plans, Statement of Dangerous Propensities, and special incident reports (SIRs) received from NA. On December 27, 2023, Community Care Licensing (CCL) received the allegation that facility staff (unknown) engaged in a verbal altercation with youth (C1). Confidential interviews and a record review of SIRs indicate that C1 was threatening and hostile toward staff upon arriving at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16facility Number: Visit Date: 03/28/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...CONTINUED Confidential interviews indicate that C1 was told by staff they could not have make-up out of their purse from the staff office, even though another client was doing their make-up. Conflicting confidential interviews indicate that C1 wanted the bank checks from their purse and was told no. A record review of a SIR indicates that C1 requested their entire purse and became threatening toward staff and destroying the property after being told they could not have their purse. Confidential interviews stated that staff found a vape cartridge in the client's purse. The Department also received an allegation that facility staff (unknown) engaged in physical altercations with youths (unknown). Confidential interviews indicated that on 11/18/2023, two physical conflicts occurred between staff and clients, caused by clients attempting to enter the staff office and then trying to run away from the unit. Confidential interviews indicate that a client (C2) attacked a member of staff (S2) while trying to run away and that S2 "punched back" at C2 and ripped off C2's necklace. Conflicting confidential interviews indicate that S2 was utilizing proper defensive techniques per ProAct and accidentally ripped off C2's necklace while attempting to deflect C2's strikes using ProAct training. Confidential interviews indicate that after witnessing the necklace break, another client (C1) attacked S2 out of defensiveness for C2, which involved C1 holding S2's arms behind their back. Confidential interviews indicate that this resulted in a larger struggle involving additional clients (C3, C4, and C5) who began to state that they witnessed S2 trying to hit C2. Confidential interviews stated that S5 and S8 witnessed C2 punching S2 and S2 not punching back and only blocking. Other confidential interviews stated that a few staff were not looking because they were focused on the other clients involved. In addition, confidential interviews stated that S5 observed S2 using appropriate emergency interventions. Based on conflicting confidential interviews, the allegations that facility staff (unknown) engaged in a verbal altercation with youth (C1) and facility staff (unknown) engaged in physical altercations with youths (unknown) are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a signed copy of this report and appeal rights were provided to Michelle Jenks, Program Director. SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jacob Salem LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
Confidential interviews revealed conflicting statements. Confidential interviews revealed that C1 attempted to restrain C2 by the front gate at the facility to prevent C2 from Awoling from the facility resulted in C1 sustaining a bruise on C1's arm and marks on C1's knuckles. Other confidential interviews indicated that C1 engaged in self-inflicted behavior resulting in C1 causing injury to C1's knuckles. There were no additional witnesses to the incident. Based on confidential interviews and documents reviewed during the investigation, the allegation that staff did not adequately supervise C1 resulting in C1 sustaining an injury, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Administrator Program Director (APA) Michelle Jenks.

Investigation Findings:
13On March 28, 2024, at 1:30PM, Licensing Program Analyst (LPA) Carol Anderson met with Administrator Program Director (APA) Michelle Jenks to deliver finding of the above allegation. During the investigation, LPA reviewed Client 1 (C1)'s file. LPA interviewed two of four staff, and three of five clients. LPA left messages for staff; LPA did not receive return calls. LPA was unable to interview C2. LPA reviewed C1's Appraisal Needs and Services Plans, San Diego County Health, and Human Services Quarterly Reports, Child, and Family Team Meetings (CTF) report as well as Special Incident Report. The Department received a complaint on August 10, 2023, alleging staff did not adequately supervise youths resulting in a youth sustaining injury. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 03/28/2024

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


raw_content:
Narrative:
Based on confidential interviews and documents reviewed during the investigation, the allegation that staff administered unauthorized medication to C1 while in care, may have occurred, however, there is not a preponderance of evidence to support the alleged violation, therefore, the allegation is unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Program Manager David Smith.

Investigation Findings:
13On April 18, 2024, at 10:00AM, Licensing Program Analyst (LPA) Carol Anderson met with Program Manager to deliver finding of the above allegation. During the investigation, LPA reviewed Client 1 (C1)'s file. LPA interviewed two of three staff. LPA left messages for an additional staff; LPA did not receive return calls. LPA was unable to interview C1. LPA reviewed C1's Appraisal Needs and Services Plans, Child, and Family Team Meetings (CTF) report as well as Special Incident Report. The Department received a complaint on August 29, 2023, alleging staff administered unauthorized medications to a minor while in care. Confidential interviews revealed conflicting statements. Confidential interviews revealed that staff gave C1 a psychotropic medication that was not prescribed to C1. Confidential interviews indicated that C1 was never given unauthorized medication. Other confidential interviews reported that C1 was offered medications and C1 refused to take the medication. There were no additional witnesses to the incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 04/18/2024

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


raw_content:
Narrative:
Regarding the allegation that facility plumbing is in disrepair, confidential interviews revealed that C1's bedroom bathroom water leak caused the carpet to be wet and smell bad. Confidential interviews revealed that it took several weeks and months for the facility to repair the damage. Confidential interviews revealed that a staff discovered that no clients should be sleeping in the area where the carpet is wet and there is water leaking that could affect the health and safety of clients in care. Additionally, confidential interviews revealed that no clients slept in the bedrooms where the disrepair occurred. Based on confidential interviews and information gathered during the investigation, the facility is in disrepair and facility plumbing is in disrepair may or may have repaired in a timely manner, however, there was not a preponderance of evidence to support the alleged violation. Therefore, the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Facility Manager Christian Loera

Investigation Findings:
13On May 2, 2024, at 10:30AM, Licensing Program Analyst (LPA) Carol Anderson met with Facility Manager Christian Loera to deliver finding of the above allegations. During the investigation, LPA interviewed three of five staff. LPA left messages for additional staff; LPA did not receive return calls. LPA interviewed three of six clients. The Department received a complaint on September 6, 2023, alleging the facility is in disrepair and facility plumbing is in disrepair. Regarding the allegation that the facility in disrepair, confidential interviews revealed that every time C1 took a shower in C1's bedroom bathroom, the water leaked onto the bedroom flooring. Confidential interviews revealed C1 slept in the bedroom several weeks before the water leak was repaired. However, confidential interviews revealed that once the water leak occurred, maintenance was contacted immediately to repair the water leak. LPA was unable to confirm when the leak was fixed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Carol Anderson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # San Diego, CA Facility Name: New Alternatives, INC. #16FACILITY NUMBER: VISIT DATE: 05/02/2024

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

met_with: Christian Loera