raw_content:
Narrative:
staff immediately re-directed minor and changed room assignments for client's safety. Other confidential interviews report as to not having any awareness of any problem regarding minor harassing or touching any clients in the facility and reports minor has no interactions with any clients and is usually alone. Based on confidential interviews and record review, the allegations that staff are not protecting minors from harassment by another minor may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated. . An exit interview was conducted, and a copy of this report and appeal rights were provided to facility representative. Based on the confidential interviews, the allegation that facility has bed bugs is substantiated and the facility is being cited for violation of Short Term Residential Therapeutic Program, Title 22, California Code of Regulations (CCR), Division 6, Section 80087 (a)(1) Buildings and Grounds. Confidential interviews disclosed facility had bed bugs for the second time. An exit interview was conducted, and a copy of this report and appeal rights were provided to facility representative.

Investigation Findings:
13On April 28, 2022 at 10: AM, Licensing Program Analyst (LPA), Lisi Leon, met with Plan-It Life, Inc., Youth Care Counselor, Helen Cotton, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA Fountain conducted interviews with Facility Manager (S2), one Staff (S1) and Foster Client 1 and 2 (C1, C2). LPA Leon conducted interviews with one staff (S3), Foster Child 2, 3, and 4 (FC2, FC3, FC4). LPA Leon obtained copies of the facility and client roster including schedules. Client record files were obtained for each foster client involved in these allegations. On June 28, 2021, Community Care Licensing (CCL) received an allegation alleging facility has bed bugs. It was specified in confidential interviews clients were asked to move their beds outside due to bed bugs and it was disclosed this was the second time the facility had bed bugs. Facility Administrator provided a copy of the receipt for the treatment of bed bugs and advised it was a one-time treatment. Confidential interviews revealed the facility does not currently have any issues with bed bugs. *****(Continued on 9099-C)***** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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

met_with: Youth Care Counselor, Helen Cotton


state: CA

facility_name: PLAN-IT LIFE, INC

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation FC1 was not picked up from the hospital is substantiated. Facility is cited for violation of Title California Code of Regulations (CCR) 80078 (b) Responsibility for Providing Care and Supervision. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On April 29, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Ronnesha Fountain inspected the STRTP on 07/07/2021 at 12: PM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1 (S1), Administrator 1 (A1), Administrator 2 (A2) and County Supervising Social Worker and obtained copies of SIRs, and the removal request of FC1. On 06/29/2021, Community Care Licensing (CCL) received a complaint that the facility did not pick up a client from the hospital. Specifically, it was alleged staff refused to pick up FC1 from the hospital. Confidential interviews corroborated that the facility did not pick up FC1. Some confidential interviews revealed due to FC1 being a danger to the rest of the clients in care an immediate removal request was submitted however, there is no confirmation that the authorized representative received the notice. (Continue on next page...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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

report_type: Complaint Investigation

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
while other confidential interviews revealed S1 did yell and speak inappropriately to children in care and staff do make fun of clients. Based on confidential interviews, the allegations S1 yelled and was speaking inappropriately to clients in care and staff made fun of clients wearing clothing of their choice may have occurred, however they are not supported, or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On April 29, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant findings to the allegations listed above. LPA Ronnesha Fountain inspected the STRTP on 07/07/2021 at 11: AM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1(S1), Foster Child 2 (FC2), Foster Child 3 (FC3). Foster Child 1 (FC1) was attempted to be interviewed, however bio-mother refused as FC1 has been reunified. LPA obtained copies of client roster and staff roster, and placement agreement's for FC2 and FC3. On 06/29/2021, Community Care Licensing (CCL) received a complaint that staff yelled at children in care, staff speak inappropriately to children in care and staff do not allow clients to wear clothing of their choice. Specifically, it was alleged that S1 yelled and was speaking inappropriately to clients in care and staff made fun of clients wearing clothing of their choice. Some confidential interviews revealed the allegations were false (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 04/29/2022

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

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews disclosed FC1 was dragged, hit, and pulled by a staff member of the facility, however it was not specified which staff. Additional confidential interviews were unable to provide the name of the staff or specific details related to the allegation. Other confidential interviews revealed no clients were observed being dragged, hit, or pulled by any staff at the facility. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegation FC1 was attacked while in care may have occurred, however is not supported, or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton.

Investigation Findings:
13On May 5, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Covarrubias inspected the STRTP on 03/16/2022 at 11: AM and no safety concerns were observed. During the course of the investigation, the LPA conducted confidential interviews with Staff 1(S1), Staff 2 (S2), Foster Child 1 (FC1), Foster Child 2 (FC2), Foster Child 3 (FC3), Foster Child (FC4), and Foster Child 5 (FC5). LPA attempted to interview Foster Child 6 (FC6), however; FC6 declined to be interviewed. LPA obtained copies of related Special Incident Reports (SIRs), the client roster and staff roster, and the placement agreement for FC1. On 03/14/2022, Community Care Licensing (CCL) received a complaint that a minor was attacked while in care. Specifically, it was alleged that FC1 was dragged, hit, and pulled by an unknown staff. (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 05/05/2022

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


raw_content:
Narrative:
office. Records revealed that S2 was terminated for allowing C1 to use S2's work phone on more than one occasion resulting in C1 engaging in an inappropriate relationship with an adult male. Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation staff did not provide adequate supervision is substantiated. Facility is cited for violation of Title California Code of Regulations (CCR) 80078 (a) Responsibility for Providing Care and Supervision. An exit interview was conducted and a copy of this report LIC 9099 along with the appeal rights were discussed and provided to Youth Care Counselor, Helen Cotton

Investigation Findings:
13On May 12, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Helen Cotton for the purpose of delivering the compliant finding to the allegation listed above. LPA Covarrubias inspected the STRTP on 03/16/2022 at 11: AM and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1 (S1), Staff (S2), Staff 3 (S3), Staff 4 (S4), Client 1 (C1), and Client 2 (C2). LPA obtained copies of SIRs, phone policy, termination letter for S2, logbook entries, agreement, personal rights and, needs and services plan for C1. On 03/08/2022, Community Care Licensing (CCL) received a complaint that staff did not provide adequate supervision. Specifically, it was alleged a staff's cellphone was provided to C1. and C1 communicated with an adult male inappropriately on the phone. Confidential interviews revealed S2 provided S2's personal work phone to C1. Several confidential interviews stated that C1 was using the phone for a few hours in her bedroom while one witness stated C1 was using the phone for less than an hour and sitting outside the staff (Continue on next page...) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: 336411179

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


raw_content:
Narrative:
Based on interviews and records review the allegations that S1 was emotionally abusing and yelling at C1, may have occurred, however they are not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sylvia Rodriguez Smith.

Investigation Findings:
13On September 13, 2023, at 10: AM, Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced inspection to the facility to deliver the findings of the above allegations. LPA met with clinician Sylvia Rodriguez Smith. LPA, Lisi Leon, conducted an inspection of the facility on September 29, 2022, at 4: PM and no immediate deficiencies were observed. Four of four clients (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff #1 (S1) was emotionally abusing and yelling at C1. Confidential staff interviews reported that S1 did not yell or emotionally abuse C1. Confidential interviews reported that S1 did re-direct C1 on numerous occasions but did not violate C1's personal rights. There were no other witnesses to this alleged incident. The interviews that were provided to the LPA were not consistent regarding the allegations that are listed above and did not provide any further specific details regarding C1's personal rights violation. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-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, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 09/13/2023

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

met_with: Sylvia Rodriguez Smith


raw_content:
Narrative:
On June 22, 2023, Community Care Licensing (CCL) received a complaint alleging that due to lack of supervision minors have access to vape pens on the premises, due to lack of supervision minors engaged in inappropriate interactions while in care, due to lack of supervision minors engaged in physical altercations while in care. Regarding the allegation that due to lack of supervision minors have access to vape pens on the premises, it was revealed that clients have been in possession of vape pens while in care. Confidential interviews stated that vape pens are brought into the facility when clients are out of care, however; staff will confiscate any vape pens found by staff. Other confidential interviews denied that lack of supervision was a result of clients having access to vape pens and further maintained that staff remove drug paraphernalia from clients and involve law enforcement as needed. LPA received inconsistent information regarding whether lack of supervision was the result of clients having access to vape pens on the premises. Regarding the allegation that due to lack of supervision C2 and C6 engaged in inappropriate interactions while in care, SI Vasquez received inconsistent information to support the allegation. Although it was reported that C2 and C6 engaged in inappropriate behaviors during placement, confidential interviews denied observing inappropriate interactions between C2 and C6 in care. Other confidential interviews stated that there were ongoing behaviors between C2 and C6 that involved both clients making allegations against each other resulting in the removal of C6 from care. Records review of confidential interviews conducted by a County Social Worker Investigator revealed that there were inappropriate behaviors between C2 and C6 in care but there were also inconsistencies with the statements provided. C6 was unable to be reached for comment regarding the allegation. There were no other known witnesses to the incident. Regarding the allegation that due to lack of supervision minors engaged in physical altercations while in care, confidential interviews reported that there were multiple altercations at the facility that involved C2 and C6. Confidential interviews further stated that facility staff were responding to continuous fights among clients in care during C2's and C6's placement due to ongoing behaviors. Other confidential interviews reported that during altercations between clients' staff attempted to separate clients and involved law enforcement when the situation became escalated. (**Continued on LIC C pg 3**) Confidential interviews denied that fights were a result of lack of care and supervision by staff rather they were due to ongoing behaviors between clients in care resulting in the removal and termination of some placements. LPA received inconsistent information and there were no other known witnesses that would support staff care and supervision resulting physical altercations between C2 and C6 in care. Based on confidential interviews, the allegation that due to lack of supervision minors have access to vape pens on the premises, due to lack of supervision minors engaged in inappropriate interactions while in care, due to lack of supervision minors engaged in physical altercations while in care, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights will be emailed to Clinician, Sylvia Rodriguez Smith due to technical difficulties.

Investigation Findings:
13**This is an amended LIC 9099 from the original to correct LPA's time of arrival** On November 14, 2023, at 11: AM, Licensing Program Analyst (LPA), Cynthia Urena met with Plan-it-Life Inc, Short Term Residential Therapeutic Program (STRTP) Clinician, Sylvia Rodriguez Smith to deliver the investigative finding for the above stated allegations. On June 28, 2023, at 8: AM, LPA Daniel Mena initiated the investigation at the STRTP and collected pertinent documents from the STRTP staff and client files. A health and safety inspection was conducted, and no deficiencies were observed. LPA Mena informed the facility that Special Investigator (SI) Wilfredo Vasquez would be leading the investigation. SI Vasquez interviewed one client (C1). Additional interviews were conducted with clients (C2, C3, C4, C5, C7), four staff members (S1, S2, S3, S4), and two County Social Workers. Multiple attempts were made to interview C6, but due to a runaway status, LPA was unable to complete an interview with C6. (**Continued on LIC C Pg 2**) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Cynthia Urena 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN-IT LIFE, INCFACILITY NUMBER: VISIT DATE: 11/14/2023

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

met_with: Clinician, Sylvia Rodriguez Smith


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jose Gonzalez on May 8, 2026 at approximately 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Gonzalez met Administrator Joe Jones and Facility Manager Monique Gray and conducted a tour of the facility. During the visit there were two staff present and two clients at the facility. LPA reviewed two client's record and two staff's personnel files on site at the facility. LPA reviewed two client's psychotropic medications and medication records. LPA interviewed two staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child on site that are currently prescribed psychotropic medication. During the inspection the LPA observed no deficiencies. LPA provided a copy of this licensing report to Administrator Joe Jones.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator Joe Jones


facility_name: PLAN IT LIFE

raw_content:
Narrative:
More specifically, FC1 was upset over not receiving "Tums" because it was not an authorized medication. Therefore, FC1 walked out of the room and unexpectantly took a decorative couch pillow to the stove and lit it on fire. FC1 stood and watched the pillow catch fire and stated, "I told you guys," insinuating that FC1 was going to set the home on fire. Confidential interviews revealed that the incident happened on April 5, 2021, and there was no supervision issue; the facility had six minors to two staff at that time. There was no 1:1 assigned to FC1; because FC1 was recently placed with no history. The assessment notes provided by the STRTP therapist did not reflect any violent history. A removal request was made by the STRTP the same day of the fire incident. Other confidential interviews revealed conflicting statements that FC1 had previously threatened to burn down the facility, and that no previous threats were made by FC1. Review of documents did not include a safety plan for FC1 after the alleged threats were noted. Confidential interviews reported, that no one was hurt by the hazardous fire fumes. There were only two clients in the facility at the time of the fire and the other client was in the shower at the time of the incident. Other confidential interviews revealed that FC1 was holding the pillow while it was burning emanating fumes. There were no witnesses to discern if FC1 inhaled any smoke. Based on confidential interviews and record reviews, the allegations stating that staff did not properly supervise FC1 while in care and FC1 had access to a hazardous item while in care may have occurred; however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Chiante Leonard.

Investigation Findings:
13Licensing Program Analyst (LPA) Ronnesha Fountain conducted an unannounced inspection of the facility on Tuesday, November 2, 2021, at 12:03 am and met with the Plan-It Life (PIL) Short Term Residential Treatment Program (STRTP) Facility Manager Chiante Leonard to issue the findings for the above-stated allegations. LPA Fountain inspected the facility at 10:02 am on Thursday, April 15, 2021, and reviewed the client files. Interviews were conducted with two of the three clients (FC2, FC3); FC1 was not available to interview due to current placement restrictions. In addition, case notes from the facility and county social worker were reviewed. The Department received a complaint on April 07, 2021, alleging that staff did not properly supervise minor(s) while in care, and the minor had access to a hazardous item while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Ronnesha Fountain 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 11/02/2021

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

met_with: Chiante Leonard


raw_content:
Narrative:
considered bullied or intimidated. Confidential interviews disclosed that C2 would call C1 inappropriate names and use inappropriate language. Confidential witnesses reported that staff would intervene when the clients (C1 & C2) would have a verbal altercation. Confidential witnesses revealed that staff used many different approaches to prevent bullying. Other confidential interviews reported that no physical threats were being made and observed both clients (C1 & C2) yelling at each other, but C2 never threatened C1. Confidential interviews reported that C1 would sometimes feel bullied since C2 is a bigger person than C1 and speaks roughly and loudly. Community Care Licensing also received an allegation that stated staff is not providing minors privacy while on the telephone. Confidential interviews revealed clients are being allowed privacy, while other confidential interviews revealed staff is listening to the phone calls. Additional confidential interviews revealed that C1 calls were monitored until the past two months when the court order changed to C1 calls no longer needed to be supervised. There is no sufficient evidence that C2 threatened or bullied C1, and clients are not allowed privacy during their telephone calls. Based on confidential interviews, the allegations that minors (C1) are being bullied by other minors (C2) while in care, a minor (C1) is being threatened while in care, and staff is not providing minors privacy while on the telephone may have occurred, however; this is not supported by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Youth Care Counselor, Judith Murphy.

Investigation Findings:
13On June 17, 2022, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Judith Murphy to deliver the compliant findings to the allegations listed above. LPA Ronnesha Fountain conducted a health and safety inspection on 11/09/2021 at 11: AM, and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1(S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), and Clients (C1 & C4). LPA obtained copies of related Special Incident Reports (SIRs), the client roster and staff roster, and the placement agreements for C1 and C2. LPA was unsuccessful in interviewing clients (C2 & C4) because both clients refused to be interviewed. On 11/08/2021, Community Care Licensing (CCL) received a complaint that a minor (C2) was bullying another minor (C1) and a minor (C1) was being threatened while in care. Confidential interviews reported that staff told the clients to return to their rooms to avoid confrontation. Confidential interviews revealed C1 was verbally bullied and threatened by C2, while other confidential interviews revealed C1 was not (Continue on next page....) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 06/17/2022

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

met_with: Youth Care Counselor, Judith Murphy


raw_content:
Narrative:
and check on them every 15 minutes. Other confidential interviews revealed that C1 and C4 would be friends at times and then not friends at different times. Confidential interviews disclosed that C1 accuses C4 of pinching C1 on C1's chest and C4 denies pinching C1. Confidential interviews reported that staff supervised the clients throughout the day. Confidential interviews reported that if staff observed any inappropriate behavior, staff would immediately intervene. Based on conflicting confidential interviews, the allegations that minor (C1) engaged in self-harm and minor (C1) engaged in inappropriate behavior with another minor (C4) while in care may have occurred, however, this is not supported by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Youth Care Counselor, Judith Murphy

Investigation Findings:
13On June 17, 2022, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Judith Murphy to deliver the compliant findings to the allegations listed above. LPA Ronnesha Fountain conducted a health and safety inspection on 11/23/2021 at 9: AM, and no safety concerns were observed. During the investigation, LPA Covarrubias conducted confidential interviews with Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), and Client 4 (C4). LPA obtained copies of Special Incident Reports (SIRs), the client roster and staff roster, and the placement agreements for Clients (C1, C2, & C3). LPA was unsuccessful in interviewing clients (C1, C2 & C3) because all three clients refused to be interviewed. On 11/19/2021, Community Care Licensing (CCL) received a complaint that a minor (C1) engaged in self-harm and inappropriate behavior with C4 while in care. Confidential interviews revealed not seeing C1 engage in self-harm or inappropriate behavior with C4 while in care. Confidential interviews reported that if staff observe clients showing signs of attempting to self-harm, they keep a close watch on those clients (Continue on next page....) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 06/17/2022

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


raw_content:
Narrative:
permission. Confidential interviews also revealed the facility provided Nair to the clients to shave and did not have any razors in the facility. It was also revealed the medications are always kept locked, and clients did not have access to them. Community Care Licensing also received an allegation that the facility failed to report an incident. Based on record review, the facility provided a copy of the Special Incident Report sent to CCL via email. The date of the initial incident report received is unknown. There is no sufficient evidence that minors (C1 and C2) had access to medication and razors in the facility due to a lack of supervision and the facility's failure to report an incident. Based on confidential interviews and record review, the allegations that lack of supervision resulting in minor overdosing medication, hazardous items are accessible to minors in care, and the facility did not report an incident may have occurred, however, this is not supported by evidence. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report LIC 9099 and the appeal rights were discussed and provided to Youth Care Counselor, Judith Murphy.

Investigation Findings:
13On June 17, 2022, Licensing Program Analyst (LPA) Leslie Covarrubias met with Youth Care Counselor, Judith Murphy to deliver the compliant findings to the allegations listed above. LPA Latricia Rogers conducted a health and safety inspection on 2/28/2022 at 11: AM, and no safety concerns were observed. During the course of the investigation, LPA Covarrubias conducted confidential interviews with Staff 1(S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), and Clients (C1 & C4). LPA obtained copies of Special Incident Reports (SIRs), the client roster and staff roster, the Medication Administration Record for C2, and the placement agreements for C2 and C3. LPA was unsuccessful in interviewing clients (C1, C2 & C4) because C1 and C4 refused to be interviewed, and C2 whereabouts are unknown. On 2/18/2022, Community Care Licensing (CCL) received a complaint that a lack of supervision resulted in minors (C1 and C2) overdosing on medication and hazardous items accessible to children in care. Confidential interviews revealed that C1 and C2 would steal razor items when they left the facility without (Continue on next page...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Leslie Y Covarrubias 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 06/17/2022

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


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inappropriate interactions while in foster care. Furthermore, confidential interviews report once facility was made aware of the allegations, the facility moved C2 immediately to de-escalate the situation further. Follow up confidential interviews stated C1 admitted to fabricating the allegation and reported making up lies to have clients removed from the facility. Based on confidential interviews and record review, the allegation that minors engaged in inappropriate interactions while in care may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report and appeal rights were provided to Facility Manager.

Investigation Findings:
13On August 09, 2022 at 12: PM, Licensing Program Analyst (LPA), Lisi Leon, met with Plan-It Life, Inc., Facility Manager, Chiante Leonard, to deliver the finding for the above stated allegation regarding the Short Term Residential Therapeutic Program (STRTP). LPA Fountain conducted safety and health inspection on November 16, 2021 and no immediate health or safety concerns were observed. LPA Leon conducted interviews with one Facility Manager (FM), attempted interviews with two clients, Client #1 and #2 (C1, C2) and one County Social Worker (CSW 1). LPA Leon obtained copies of the facility roster including schedules and reviewed client records. On November 15, 2021, Community Care Licensing (CCL) received an allegation that minors are engaged in inappropriate interactions while in care. Confidential interviews revealed minors never shared a room and were not alone. Confidential interviews reveal once C2 stopped allowing the use of C2's phone to C1, C1 started making accusations against C2. Other confidential interviews revealed C2 has never had a history of ***(Continued on 9099-C)*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Lisi Leon 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 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 08/09/2022

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

met_with: Facility Manager, Chiante Leonard


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appointment for a prior injury to their thumb; C1 injured their right thumb in December and requested an appointment from December until June. Confidential records reviewed indicated that C1 had an X-ray referral for 04/14/2022 for their right thumb. Confidential interviews indicated that C1 refused the appointment. LPA requested documentation that the appointment was scheduled however, LPA did not receive the documentation. Based on confidential interviews and record review the allegation that Staff has not made a necessary follow-up medical appointment for C1 is substantiated. The preponderance of evidence standard has been met. The facility is cited for violation of the California Code of Regulations, Title Division Six, regulation Health Related Services. An exit interview and appeal rights were reviewed with Colette Miller. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Facility Administrator. A signed copy of this report will be placed in the facility file. whether C1 was told she would be picked up. C1 was picked up an hour later after a Community Care Licensing intervention. Regarding the allegation that staff talk about the client; It was reported that the Facility Manager said C1 and their boyfriend "do stuff in the park (public) bathroom" and this comment was made in front of other clients. Confidential interviews denied making comments about C1 and their boyfriend except for C1 to be careful and make good decisions. Conflicting interviews denied hearing S1 make any comments about C1 and their boyfriend. While other interviews reported S1 made comments about C1 and their boyfriend to shame them in front of other clients. Based on confidential interviews and records reviewed that the facility manager refused to pick up C1 and provide transportation back to the facility and the facility manager is talking about C1/telling lies about C1 in front of other clients, which 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, appeal rights explained, and a copy of this report was reviewed with Colette Miller. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights will be emailed to the Facility Administrator. A copy of this report will be placed in the facility file.

Investigation Findings:
13On 05/22/2023, at 12:35 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and waited for a staff to arrive at 1:05 pm and met with Colette Miller, Assistant Facility Manager, of Plan It Life to discuss the investigative finding for the allegation noted above. LPA Lisi Leon conducted an inspection of the facility on 06/08/2022 at 10:00 am. No deficiencies were observed. LPA Leon interviewed one Staff (S1), LPA C. Linley interviewed two Clients (C1-2), one County Social Worker (CSW), and two Staff (S2, S3), and was unable to interview one Staff (S4), despite multiple attempts to contact them. LPA reviewed the following documents: Medical appointment forms and X-ray referral form. On 06/03/2022, Community Care Licensing (CCL) received an allegation that Staff has not made necessary follow-up medical appointment for C1. It was reported that C1 was not taken to the doctor for an X-ray that is needed for their finger, due to an earlier injury. Confidential interviews revealed C1 requested an SubstantiatedEstimated 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 05/22/2023

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

met_with: Colette Miller


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facility. Other conflicting interviews reported that the facility first indicated that they would pick up C1 from the Hospital. While other confidential interviews reported, the CSW was notified the facility would not pick up C1 and the facility would be submitting a discharge notice to CSW, however, it is unknown when the facility submitted the discharge notification to the CSW. Based on confidential interviews and records reviewed that C1 was not allowed to return to the facility after hospitalization which may or may not have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Colette Miller. Due to printer malfunction, a copy of this report, 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 05/22/2023, at 1:45 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Colette Miller, Assistant Facility Manager, of Plan It Life to discuss the investigative finding for the allegation noted above. LPA Lisi Leon conducted an inspection of the facility on 05/11/2022 and no deficiencies were observed. Lpa L. Leon interviewed two staff (S1, S2), LPA C. Linley interviewed one client (C1), and two staff (S3-4), and was unable to interview one staff (S4), and one County Social Worker (CSW), despite multiple attempts to contact them. LPA reviewed the following documents during the investigation: Special Incident Reports, Safety Plan, Discharge Notice, Discharge Summary, and Child-Family-Team Meeting notes. On 05/05/2022, Community Care Licensing (CCL) received an allegation that C1 was not allowed to return to the facility after hospitalization. Confidential Interviews and documents reviewed indicated that the staff refused to pick up C1 due to C1's propensity to cause harm to the staff and clients if C1 returned to the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 05/22/2023

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


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Narrative:
The interviews that were provided to the LPA were not consistent regarding the allegation that staff are not properly supervising minors and did not provide any further specific details regarding staff supervision. Based on interviews and record reviews the allegation that staff did not properly supervise minors resulting in C1 being threatened by C2, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to LaSonjia Walton.

Investigation Findings:
13On November 1, 2023, at 09:30am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an unannounced inspection to the facility to deliver the findings of the above allegation. LPA met with LaSonjia Walton. LPA Lisi Leon conducted an inspection of the facility on January 04, 2022, at 1:45 pm and no immediate deficiencies were observed. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. It was reported to Community Care Licensing (CCL) that staff did not properly supervise minors resulting in C1 being threatened by C2. Confidential staff interviews reported that C1 threatened C2. Confidential interviews reported that C2 borrowed C1's clothing, without permission on several occasions. Confidential staff interviews reported that when staff became aware of the aggression between C1 and C2, staff immediately intervened and ensured that C1 and C2 were separated from each other while at the facility. Some confidential interviews disclosed that this incident did not occur and C1 was the one who threatened C2. Other confidential interviews stated that the allegation was true. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Darlene Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-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, MAIN ST., SUITE FACILITY NAME: PLAN IT LIFEFACILITY NUMBER: VISIT DATE: 11/01/2023

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

met_with: LaSonjia Walton


facility_name: PROGRESS RANCH TREATMENT SERVICES

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special treatment twice. The facility did not provide documentation that C1 received any special dental treatments. On 7/12/ LPA obtained from Helen E. Cowell Children's Center the Progress Ranch Medical Tracking Forms for C1 dental appointments dated 7/16/19-3/17/21. LPA reviewed Incident Reports (IRs) for C1 dated 10/5/18-5/13/21. LPA reviewed IRs submitted since the facility was licensed as an STRTP from 8/24/20 -7/19/21. As an STRTP both locations submitted 220 restraint IRs to the Department but only received 68 included the 24Hr and Full report. LPA conducted interviews on 7/1/21 with staff S1 and PD; on 7/8/21 with the Reporting Party; on 7/12/21 with client C1 and on 7/20/21 with C1's County Social Worker (CSW). CSW stated they requested C IRs documentation several times via email since February 2021 and it took a long time for CSW to receive the documentation. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. The facility is cited on the attached LIC 9099D under the California Code of Regulations, (Title 22, Division Chapter One) regulation 80070(d) Client Records. All client records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. The facility was unable to provide all client records for C1. The facility is cited on the attached LIC 9099D under the California Code of Regulations, (Title 22, Division Chapter One) regulation 80075(a) Health Related Services. The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. The facility did not ensure client C1 received necessary dental services. The facility is cited on the attached LIC 9099D under the California Department of Social Services Short-Term Residential Therapeutic Program Interim Licensing Standards regulation 87095.61(a) Documentation and Reporting Requirements. Each use of manual restraints must be reported to the Department and the child's authorized representative by telephone no later than the next working day following the incident. A written incident report must be submitted to the Department within seven (7) days, as required by California Code of Regulations, Title 22, Section 80061. The facility failed to report manual restraints to the Department or the child's authorized representative by the next working day following the incident and/or a written incident report to the Department within seven (7) days. Exit interview conducted and a copy of this report and a copy of the appeal rights were left at the facility with Gonzalo Arriaga, House Supervisor.

Investigation Findings:
13On 7/27/ Licensing Program Analyst (LPA) Jean Stidman conducted an unannounced inspection to the facility on 7/27/21 at 12:45pm to deliver complaint allegation findings. LPA met with Gonzalo Arriaga, House Supervisor and discussed the above allegations. During the investigation of Staff do not properly report incidents involving minors and Staff did not address a minor's dental needs while in care, LPA Jean Stidman toured the facility with Ian Longue, Program Director (PD). On this inspection, LPA inspected the physical plant inside and out, three clients and two staff were present. On 7/20/ LPA reviewed documentation for the complaint investigation. On 7/1/ PD stated the only documentation they have for C1 is from his first placement and some dental forms from 2021. PD was unable to provide LPA with any documentation from his most recent placement with the facility from 6/19/19 - 6/22/21. LPA obtained Progress Ranch Medical Tracking Forms for C1 dental appointments dated 11/8/18-4/27/21. In C1 had five dental appointments for teeth cleaning, fillings, a root canal and x-rays. In July C1 had two dental appointments for his 6-month checkup and C1 was referred for teeth restoration and to an orthodontist. In C1 had three dental appointments for teeth cleaning, a filling, an exam, x-rays and was referred out for SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Jean Stidman 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 07/27/2021

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

met_with: Gonzalo Arriaga, House Supervisor


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However, this allegation will not be cited as it has been previously cited by the SB LPA Hall and Whitlow on December 2021. Needs and Service Plan was completed on 2/23/22. Executive Director also stated that all Needs and Service Plans have been updated. The Department has concluded, based on the preponderance of the evidence obtained during this investigation, that the allegation child was not provided a needs and services plan within the required time frame is substantiated. Exit interview was conducted with Alyssum Maguire, Executive Director. A copy of this report and appeal rights were emailed to Administrator and Executive Director. All interviews with clients stated that they feel like their mental health needs are being met and they agreed that the staff is aware of their whereabouts. Clients also stated that based on their knowledge facility staff are in communication with their responsible parties. LPA Diaz did find that there was miscommunication between staff about the whereabouts of one the clients. When speaking to staff they stated that they are aware of the clients whereabouts. Administrative staff stated that there is new calendar for all clients and that in that calendar all appointments are to be scheduled. Lastly, LPA Diaz reviewed supporting documents of communication between one of the witnesses and staff. From what LPA found it seems like one of the witnesses rescheduled a lot of therapy appointments in the month of March. Although, the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above allegations occurred; therefore, the above allegations are unsubstantiated. An exit interview was conducted with Alyssum Maguire, Executive Director No deficiencies were cited. A copy of the report and Appeal Rights has been emailed.

Investigation Findings:
13On May 4, 2022, at 9:33am Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation and met with Alyssum Maguire, Executive Director.The purpose of the inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file. LPA conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 9 confidential interviews between 2/3/2022-05/2/2022. LPA obtained and reviewed the following documents: needs and service plan, case notes, schedule of therapies and other appointments, email documentation, identification information, consent for emergency medical treatment, progress notes from hospital, and mental health STRTP plan. LPA Diaz did find that Needs and Service Plan was not conducted within the 30-day time frame. Report continues on LIC9099-C. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 05/04/2022

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

met_with: Alyssum Maguire, Exectutive Director


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Narrative:
Executive Director, and Administrator. LPA Diaz also reviewed staff file, and association page. Based on the interviews conducted and documentation reviewed, the allegation "Staff member does not have fingerprint clearance." is substantiated. LPA Diaz found that the staff member has not been cleared and background check was not filed in their file. LPA Diaz notified Administrator and Executive Director that this staff member may not be on the floor until background check has been cleared. Executive Director immediately removed staff from schedule. Based on LPA's observation and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the allegation(s) " Staff member does not have fingerprint clearance." is found to be Substantiated. California Code of Regulations (CCR); Title 22; Division Chapter 1 80019 (e) (1) are being cited on the LIC9099D. .An immediate civil penalty was assessed in the amount of $500 for up to 5 days max for one staff not being finger print cleared. (S1). Exit interview was conducted with Ian Longue, Administrator and Alyssum Maguire, Executive Director. A copy of this report and Appeal Rights were emailed to Administrator and Executive Director.

Investigation Findings:
13On June 30, 2022, at 1: PM Licensing Program Analyst, Yuvi Diaz (LPA) conducted a 10-day complaint inspection to the above STRTP regarding the above allegations. LPA met with Ian Longue, Facility Administrator who assisted LPA with the inspection. LPA toured the facility. Facility is a single home has three bedrooms, 2 bathrooms, kitchen, dining room, laundry room, linen closet, toiletry closet, game room, staff office, staff bathroom, and outside yard. Kitchen was clean, sanitary and good repair. Refrigerator, freezer, and pantry were stocked. Living room furniture was in good repair as well the dining room. The bedrooms had two beds in each room, closet, and lighting. The bathrooms were clean and in good repair. Medications were locked and first aid was stalked. The front and back yard were free of any hazards. During the course of this investigation, LPA conducted interviews with six clients, two staff, House Supervisor, Report continues on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 06/30/2022

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


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Narrative:
Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards Article 6 are being cited on the attached LIC 9099D. An exit interview was conducted with Executive Director Alyssum Maguire and Program Director Ian Longue at 3: PM. A copy of this report along with appeal rights were emailed with a read receipt.

Investigation Findings:
13On 08/02/2022, at 2: PM, Licensing Program Analyst (LPA) Connie Goldie conducted an unannounced visit to the listed facility. The purpose of this visit is to deliver the findings on the above allegation. LPA Goldie met with Executive Director Alyssum Maguire and Program Manager Ian Longue. During the course of the investigation, LPA Goldie conducted a file review of program statement, staff schedule, and LIS. LPA Goldie interviewed 2 youth in care, 4 staff members, 2 house supervisors, the Program Administrator and the Executive director. Based on confidential interviews there was consistency regarding whether staff ratios are being met. Four staff members stated that they have been left out of ratio at least one time while one stated on occasion 1-2 times a month." Continued on LIC9099C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Connie Goldie 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 08/02/2022

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

met_with: Executive Director Alyssum Maguire


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Narrative:
Some clients believe that staff can be rough with them and while others do not believe that staff is rough with them. Although, the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. An exit interview was conducted with Ian Longue, Administrator. No deficiencies were cited. A copy of the report and Appeal Rights has been emailed.

Investigation Findings:
13On September 29, 2022, at 10:00AM Licensing Program Analyst (LPA), Yuvi Diaz and Shalisa Stiger conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file, conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 12 confidential interviews and obtained and reviewed the following documents: needs and service plan, and case notes. Based on the interviews conducted, the allegation cannot be substantiated due to all clients stating that they feel safe in the facility, and the client in question recanted the allegations. When interviewing staff, including Administrator and HS they all denied the allegations. However, when LPA Diaz asked about staff handling clients in a rough manner, there were contradicting statements. Report continues on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 09/29/2022

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

met_with: Ian Longue, Administrator


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Narrative:
When interviewing staff, they all denied the allegation and they stated they have not witnessed any staff curse at the clients. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violation did or did not occur, therefore, the above allegation is unsubstantiated. An exit interview was conducted with Ian Longue, Administrator. No deficiencies were cited. A copy of the report and Appeal Rights has been emailed.

Investigation Findings:
13On September 29, 2022, at 10:00AM Licensing Program Analyst (LPA), Yuvi Diaz and Shalisa Stiger conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file and staff file. LPA Diaz conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 11 confidential interviews. LPA Diaz obtained and reviewed the following documents: needs and service plan, case notes, Internal Investigation Summary, Facility Personnel Report, Staff Schedule, Personnel Record, Live Scan Form, DMV Form, Criminal Record Statement, and training. Based on the interviews conducted, the allegation cannot be substantiated due to clients having contradicting statements and clients all stated that they feel safe in the facility. Report continues on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 09/29/2022

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


raw_content:
Narrative:
and now feels like they are working on being better with the way they behave. That client also stated that the reason the staff was restraining them was because they would hit their head. Client stated that they are working on that and as of now they have not had that behavior. Lastly. LPA Diaz interviewed facility staff. Staff and A1 denied the allegation. Based on the documentation provided staff that was interviewed are up to date with restraint training. They understand that a restraint is the last step of the emergency intervention plan. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is unsubstantiated. An exit interview was conducted with Alyssum Maguire, Executive Director.. No deficiencies were cited. A copy of the report and Appeal Rights has been provided

Investigation Findings:
13On December 29, 2022, at 10:05AM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and spoke with Alyssum Maguire, Executive Director. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file, conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 7 confidential interviews and obtained and reviewed the following documents: needs and service plan, and case notes. During the interview process LPA Diaz found that some clients believe that staff can be rough with them and while others do not believe that staff is rough with them. All clients did state that they understand why at times they are restrained. The client in question stated that there were some hiccups in the beginning Report continues on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 12/29/2022

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

met_with: Alyssum Maguire, Executive Director.


raw_content:
Narrative:
clients did state that they understand why at times they are restrained. Furthermore, most of the clients did state that they feel safe at the facility, and they have a good relationship with the staff. Lastly. LPA Diaz interviewed facility staff, S2 and S3 denied the allegation. The staff that was in questioned has been terminated on May 3, 2023. The staff members stated that they did not witness S1 inappropriately restrain or to cause injury to C1. Based on the documentation provided staff are up to date with restraint training and they understand that a restraint is the last step of the emergency intervention plan. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is unsubstantiated. An exit interview was conducted with Gonzalo Arriaga, House Supervisor. No deficiencies were cited. A copy of the report and Appeal Rights has been provided

Investigation Findings:
13On July 13, 2023, at Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and spoke with Gonzalo Arriaga, House Supervisor The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file, conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 7 confidential interviews and obtained and reviewed the following documents: needs and service plan, treatment plan, and termination letter. During the interview process LPA Diaz found that all clients with the exception of one, had similar statements. The clients stated that they feel like the staff does a good job when it comes to restraints. All Report continues on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH TREATMENT SERVICESFACILITY NUMBER: VISIT DATE: 07/13/2023

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

met_with: Gonzalo Arriaga. House Supervisor


facility_name: PROGRESS RANCH: CHESTNUT HOME

raw_content:
Narrative:
Diaz found inconsistency with the facility's Dinner Night Out contract and some of the staff was unaware who was in charge of updating the contract. Lastly when interviewing staff, LPA found that all staff denied withholding food from clients. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above allegation occurred; therefore, the above allegation is unsubstantiated. An exit interview was conducted with Ian Longue, Administrator. No deficiencies were cited. A copy of the report and Appeal Rights has been emailed.

Investigation Findings:
13On June 2, 2022, at 1:45PM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file. LPA Diaz conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 11 confidential interviews between 3/07/2022-04/20/2022. LPA Diaz obtained and reviewed the following documents: needs and service plan, case notes, Chestnut House dinner night out contract, staff schedule, and weekly menus. Based on interviews conducted, the allegation cannot be substantiated due to most witnesses stating that staff has never withheld food from clients, nor have they witnessed staff withholding food from clients. LPA also found some inconsistencies in some of the witness's interviews. When reviewing documentation LPA Report continues on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 06/02/2022

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


raw_content:
Narrative:
Whether it would be a small bruise or scratches. Client stated that most marks are not visible. However, clients agreed that staff does not intentionally hurt them, and they understood that at times a restraint is not perfect because they are trying to get out of it. Some clients stated they have tried to fight their way out of a restraint. All clients did state they feel safe in the home. Although, staff has denied the allegation, LPA Diaz did physically see scratches on one of the client's arms. LPA Diaz took pictures of their arms on the state issued Iphone. Furthermore, LPA Diaz read through facility's program statement regarding their Emergency Intervention Plan. On page 346 it states, "The restraints must not cause injury to the child." LPA Diaz was able to identify five nail marks on client's right forearm. Nail marks had been scabbed over by the time LPA Diaz saw them, but where still visible. Based on LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence has been met, therefore the above allegation is found to be SUBSTANCIATED. California Code of Regulations, Title Regulations, Division 6, Article 10.1 are being cited on the attached LIC9099D. An exit interview was conducted with Ian Longue, Administrator. A copy of this report and appeal rights will be emailed.

Investigation Findings:
13On November 8, 2022, at 1:05PM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file. LPA Diaz conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 11 confidential interviews. LPA Diaz obtained and reviewed the following documents needs and service plan, treatment plan, staff training, incident reports, and Emergency Intervention Plan. During the interview process LPA Diaz found that some clients have been hurt during a restraint in some way. LIC report continues on LIC9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 11/08/2022

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on interviews conducted during the investigation process, the allegations regarding staff conducting inappropriate restraints, facility was meeting therapy needs of the youth and staff meeting the hygiene needs of the youth cannot be substantiated because inconsistent statements were obtained during the interviews. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. Exit interview was conducted with the House Manager. A copy of the report and Appeal Rights were provided during today's visit.

Investigation Findings:
13On 12/13/23 at 3: PM, Licensing Program Analyst, (LPA) Uchenna Ajaero conducted an unannounced complaint investigation visit to deliver finding. LPA Ajaero met with Danaye Hall, House Manager and informed her of the purpose of the visit. On 10.16.2023, LPA Monica Roberts visited Progress Ranch Chestnut House and met with Allyson Stogner, Mental Health Worker. LPA Roberts requested a copy of all allowance records from 7.2023-9.2023, Therapy notes from all youth from August and September 2023, receipts for incontinence supplies for the past 3 months, staff time punches from September 2023 to October 10, 2023, and procedure for reporting concerns/chain of command. None of these documents were available on-site during the visit. Confidential interviews were conducted between 10.16.23 and 11.30.23 and attempts to contact the Social Worker were not successful. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Uchenna Ajaero 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 12/13/2023

met_with: Danaye Hall, House Manager


raw_content:
Narrative:
Based on interviews conducted during the investigation process the above allegation is being substantiated because 8 out of 13 confidential interviews corroborated staff did not ensure minors have adequate clothing. On 11/17/ LPA Carmona observed there was no adequate amount of clothing in the client's bedroom. In addition, LPA Carmona was not able to obtain completed quarterly clothing assessments for all clients in care based on the approved Program Statement Section 21 by the Department. Based on interviews conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards (ILS) are being cited on the attached LIC9099D. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to House Supervisor. Based on interviews conducted during the investigation process the allegations above cannot be substantiated because there were inconsistent statements given during the confidential interviews. 12 confidential interviews conducted corroborated that there was an adequate supply of perishable foods in the facility. During a visit to the facility on 11/17/ LPA Carmona observed more than 2 days of perishable food. In addition, an image provided to the department of the perishable food in a refrigerator was only one of the 2 refrigerators located in the facility. 12 confidential interviews also corroborated the facility staff are meeting minor's incontinence needs. In addition, LPA Carmona observed incontinence needs supplies in the facility during the inspection visit on 11/17/23. 8 confidential interviews corroborated the facility is free of odors. Lastly, LPA Carmona did not witness any odor during the inspection visit on 11/17/23. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to the House Supervisor.

Investigation Findings:
13On 1/18/24 at approximately 12:30 p.m. Licensing Program Analyst (LPA) Jacqueline Carmona conducted an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP) to deliver findings for the allegations noted above. LPA Carmona met with Radiance Clinton, House Supervisor. During the investigation, LPA Carmona reviewed the agency's file at the licensing office, including the complaint history and criminal background check for staff. LPA Carmona also reviewed the client's needs and service plans, LIC9020, LIC500, emails dated 10/02/23-10/12/23, staff schedule, clothing assessment, program statement sec 21, and grocery list receipt record for October 2023. LPA Carmona conducted 13 confidential interviews and LPA Cabigon conducted 3 confidential interviews between 11/01/23-12/14/23. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Jacqueline Carmona 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 01/18/2024

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

met_with: Radiance Clinton, House Supervisor


raw_content:
Narrative:
Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted. A copy of this report was provided to Regional Manager, Kourtney Hamilton.

Investigation Findings:
13On January 22, 2024 at approximately 01: PM Licensing Program Analysts (LPA) Farhaan Sarangi and Sara Luman-Gonzalez conducted a complaint investigation inspection at Progress Ranch: Chestnut and met with Regional Manager, Kourtney Hamilton for the purpose of delivering findings. During the investigation, LPA Sarangi reviewed the complaint history, criminal background check, incident reports and facility personnel report summary. LPA also reviewed client files. LPA Sarangi conducted interviews with staff and children in placement. Based on interviews conducted during the investigation process, LPA received inconsistent statements and could not corroborate the allegation. Furthermore, LPA interviewed the child in question and learned that during the incident, the child went to smell the food and accidentally sustained a small burn to the lip. LPA interviewed the staff member that was on duty that day and learned that the statements made by the child were consistent with the statement made by the staff member. (Report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 01/22/2024

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

met_with: Regional Manager, Kourtney Hamilton


raw_content:
Narrative:
Though there have been corroborating reports of pests (cockroaches, in particular) found on the facility premises, Progress Ranch has provided documentation that shows that a pest control service has been maintained to continually try to address the issue. None interviewed described the matter as an "infestation." Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 03/07/ Licensing Program Analyst (LPA) Chad Cabigon and LPA Tatyana Shulz conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with House Manager Radiance Clinton to whom the following report was delivered: On 11/01/ LPA opened the complaint investigation in person and was given a tour of the interior and exterior areas of the facility's physical plant as part of the onsite inspection. Interviews were conducted with Progress Ranch clients and staff; maintenance records were also reviewed as part of this inquiry. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 03/07/2024

met_with: Radiance Clinton, House Manager


raw_content:
Narrative:
Based on information obtained from interviews conducted, there were inconsistent statements made during the investigation process. During an interview with the client in question, they could not articulate or provide details on when, where and how the burn was sustained. Collateral interview(s) revealed that the client has self injurious behaviors and has a history of making allegations against facility staff members from current and prior placement's. Witness interviews could not corroborate the allegation, and staff members denied physically harming the client. Furthermore, medical staff reported that client repeatedly turned the heat up during a 5-day 5150 hold at the Hospital and screamed for help and yelled "you guys are burning me". In addition, no additional follow up will be conducted by Davis PD on this allegation. Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove the alleged violation did, nor did not occur, therefore, the allegation is unsubstantiated. Exit interview conducted, a copy of this report and the Appeal Rights were provided to the House Manager.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: House Manager, Radiance Clinton


raw_content:
Narrative:
No definitive evidence was found to prove that confidential information was shared by the facility with unauthorized individuals. The party to whom the information was purportedly given denied receiving any such privileged information. Relatedly, though there was contact between a child and the referenced party that was supposedly prohibited, obtained statements were inconsistent on what the understanding was: no documented correspondence was produced to show a clear directive from the child's authorized representative about prohibited vs. allowed contacts. As for the allegation that staff are not following (the) treatment plan for (a) child, according to corroborating statements, the specialized therapist who was supposed to come to the facility had stopped rendering services to the child and attempts by the facility and the County to have the services resume were unsuccessful as the aforementioned provider did not maintain communication. Regarding possible staffing inadequacies, obtained information showed that it was not the case that a child was put up at a hotel because the facility was not able to meet staffing requirements-the children were put up overnight at a hotel due to some issue with the facility grounds that was being addressed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 04/02/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Radiance Clinton, Administrator, and the following report was discussed. The investigation was opened on 11/30/2023 at the facility, during which time a tour of the interior and exterior areas of the program's physical plant was given and interviews were conducted with staff and clients; additional interviews were conducted throughout the course of the investigation. Records reviewed as part of this investigation were a child's Needs & Services Plans and facility correspondences. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 04/02/2024

met_with: Radiance Clinton, Administrator