summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
not allow smoking and will always confiscate marijuana if it is found in the home. While other confidential information received by Licensing Office stated that the allegations had occurred, and that staff encourage minors to fight as well as sell them marijuana and will threaten them if they tell anyone about this. Confidential information received also stated that some staff will allow clients to smoke marijuana in the backyard area. Based on confidential information obtained during the course of this investigation, there is insufficient evidence to prove that allegations that staff encourage minors to fight, sell them marijuana as well as threaten them with isolation or being "beaten up" if they report it, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facilty Director, Emanuel Wiley to discuss the investigative findings for the above stated allegation. Licensing Program Analyst (LPA), Cheraki Davis conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on November 22, 2021. Special Investigator (SI), Brittany Hudec interviewed three staff (S1, S2, S3), four foster children (C1, C2, C3 & C4), two County Social Workers (CSW1, CSW), County Investigator (CI) as well as reviewed police, client and facility records. Community Care Licensing received information on November 17, 2021 alleging that staff encourage minors to fight, sell them marijuana as well as threaten them with isolation or being "beaten up" if they report it. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied that any staff sell marijuana to minors in care or encourage them to fight. Confidential interviews also denied that any staff threaten minors with isolation or physical violence. According to confidential information, staff do UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 04/28/2022


state: CA

facility_name: ALPHA CONNECTION-SHOSHONEE PLACE, THE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews indicate the facility staff never heard or observed the clients encourage C1 to commit suicide or to harm themself. Additional confidential interviews revealed that C2 had kept C1 from running into the street. Confidential interviews indicate that C1 was encouraged by other clients to commit suicide or harm themselves in a jokingly manner. Additional interviews revealed that C1 was being bullied by C2 and C3. Confidential interviews revealed that C1 never informed the facility staff that C2 and C3 were bullying C1. Confidential interviews indicate that facility staff were aware that C1 was being bullied by C2 and C3. Additional interviews revealed that C1 did not feel safe at the STRTP home. Other confidential interviews reported that C1 was transferred to another STRTP home. Based on confidential interviews, the allegation that alleged facility staff are not protecting client #1 (C1) from other clients in the facility 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 Amy Osborn.

Investigation Findings:
13On May 27, 2022, at 10:55 am, Licensing Program Analysts (LPA's) Jose Gonzalez and Darlene Oseguera met with Program Director (PD), Amy Osborn to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 10:01 am on November 12, 2021, and no immediate health and safety hazards were observed. LPA also reviewed eight of eight clients' records. During the investigation, interviews were conducted with seven of seven clients (C1, C2, C3, C4, C5, C6, and C7), Facility Director (FD), Program Director (PD), Staff #1 (S1), and Staff #2 (S2). The Department received a complaint on November 3, 2021, that alleged facility staff are not protecting client #1 (C1) from other clients in the facility. Confidential interviews indicate that facility staff protects all clients. Additional confidential interviews revealed that the facility staff intervened immediately when the clients argued or fought. Confidential interviews indicate that facility staff separates the clients into different areas of the home. Additional confidential interviews revealed that the facility staff was trained in trauma informed care and de-escalation techniques.R- 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 05/27/2022

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

report_type: Complaint Investigation

met_with: Program Director (PD), Amy Osborn

complaint_status: unsubstantiated


raw_content:
Narrative:
The Department received a complaint on November 16, 2021, that alleged that the facility staff did not report client #1 (C1), client #7 (C7), and client #8 (C8) absences to the school; the facility staff is not ensuring that clients get to school on time, and the facility staff does not ensure clients are picked up from school on time. More specifically, students have excessive absences, unexcused absences, and consistent tardy arrivals to school and the tardiness is largely due to the facilities inability to get students to school on time. It was also reported that it is almost a daily occurrence that the students are picked up late, resulting in the need for teaching staff to call to remind the facility of student release times. Confidential interviews revealed that C1, C7, and C8 tardiness and absences were not reported to the school. Interview information revealed that C1, C7, and C8 miss educational instruction time when transported to school late by staff. Confidential interviews indicate that the facility staff was not instructed to report the client's tardiness or absence to the school. Additional confidential interviews revealed that facility staff is often transferred from one facility to another facility to assist with ratio, supervision, and school transportation. Confidential interviews reported that the facility staff call off and this creates an issue with transporting the clients to school on time. Additional confidential interviews revealed that facility staff is instructed to assist additional facilities with school transports, which also results in the clients arriving late to school. Confidential interviews indicate that the facility staff is often one to two hours late in picking up clients from school. Additional confidential interviews confirmed that facility staff is late picking up the clients from school. Confidential interviews indicate that the facility staff does not pick up the clients on time because they are instructed to assist another facility with school pick up for their clients. LPA received additional information that the facility staff could not drive the company vehicles because the facility auto insurance did not cover the staff members. Confidential interviews reported that the facility does not provide enough staff to transport the clients to and from school and that some clients refuse to attend school and are not given consequences. Based on confidential interviews and evidence gathered that the facility staff does not report client #1 (C1), client #7 (C7), and client #8 (C8) absences to the school, the facility staff are not ensuring that clients get to school on time, and the facility staff do not ensure clients are picked up from school on time are substantiated as the preponderance of evidence standard has been met for the allegations. This poses a potential Health, Safety, or Personal Rights risk to children in care. The facility is being cited under Short-Term Residential Therapeutic Program Interim Licensing Standards (ILS) Chapter 7. Version 4, 87078 (c) Responsibility for Providing Care. *******Continued 9099c****** An exit interview was conducted. A copy of this report and appeal rights were provided to Program Director (PD), Amy Osborn. The Department also received an allegation that the staff did not safeguard the client's personal items. Confidential interviews indicate that the facility staff does not safeguard clients' personal items. Additional confidential interviews revealed that the facility staff does not safeguard the client's personal items when a client's absent without approved leave. Confidential interviews indicate that the other clients remove the absent without approved leave client's personal items. Additional confidential interviews revealed that C7 personal items were missing. Confidential interviews indicate that the facility staff did not safeguard C7's personal belongings. Other confidential interviews revealed that the C1 was bullied for a brand-new pair of Nike shoes. CSW2 stated that when she retrieved C7's personal items, they were transferred to another home and placed in the bedroom. CSW2 stated that the facility staff informed CSW2 that some clients had gotten into C7s personal belongings. Confidential interviews denied the allegation. Based on confidential interviews that alleged that the facility staff is not providing supervision resulting in inappropriate interactions between clients in care, clients are not accorded privacy while in care, clients drink alcohol, and staff did not safeguard the client's personal items while in care may have occurred however, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were provided to Program Director (PD), Amy Osborn. On November 16, 2021, the Department received a complaint that alleged that the facility staff is not providing supervision resulting in inappropriate interactions between clients in care. Confidential interviews indicate that the other clients were bullying C1, C7, and C8. Additional confidential interviews revealed that the facility staff did not observe C1, C7, and C8 being bullied by the other clients in care. Confidential interviews indicate that the facility staff was not informed that the clients were bullying the C1, C7, and C8 at home. Additional confidential interviews revealed that the facility staff did observe C1, C7, and C8 being bullied by the other clients in care. Confidential interviews indicate that the facility staff was aware and informed that the other clients were bullying the C1, C7, and C8 at home. Additional confidential interviews denied the allegations. The Department also received allegations that the clients are not accorded privacy while in care and the clients drink alcohol while in care. Confidential interviews indicate that the clients are accorded privacy at home. Additional confidential interviews revealed that the facility staff was not discussing a client's confidential and personal information in front of the other clients. Confidential interviews denied the allegation. Additional confidential interviews revealed that the facility staff addressed a client's confidential and personal information in front of the other clients. Confidential interviews indicate that staff heard and observed discussing a client's confidential and personal information in front of the other clients. Additional confidential interviews denied the allegations. Confidential interviews indicate that the clients are allowed to drink alcohol at the home. Additional confidential interviews revealed that empty liquor bottles have been observed, confiscated, and thrown away during room searches. Confidential interviews indicate that the clients are absent without approved leave and steal alcohol from a store and return to the home under the influence. Additional confidential interviews revealed that the facility staff had not observed the client drinking alcohol at home. Confidential interviews indicate that the clients do not drink alcohol at the house. Additional confidential interviews denied the allegations. Confidential interviews indicate that the clients empty their pockets when they return from absent without approved leave. Other confidential interviews revealed that the facility staff conducted bedroom and perimeter searches, and no alcohol bottles were observed. ***********CONTINUED on LIC C************

Investigation Findings:
13On June 3, 2022, at 10:56 am, Licensing Program Analysts (LPAs) Jose Gonzalez and Darlene Oseguera met with Alpha Connection Shoshonee Program Director (PD), Amy Osborn, to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility on November 22, 2021, at 11:15 am, and deficiencies were observed. During the tour of the facility, LPA observed the following drug paraphernalia items in the back yard: a green apple used as a marijuana pipe with marijuana residue, two red lighters, and two tip flitters white tips used from cigars. LPA also observed drug paraphernalia in bedroom #2, a green apple used as a marijuana pipe with marijuana residue, and a bag of tobacco in a dresser drawer. Please refer to report dated 06/10/2022. LPA also reviewed six of six clients' records. During the investigation, interviews were conducted with seven of seven clients (C1, C2, C3, C4, C5, C6, and C7), Facility Director (FD), Staff #1, (S1), and Staff #3 (S3), County Social Worker #1(CSW1), and County Social Worker #2 (CSW2). LPA attempted to interview C8 but was unsuccessful due to C8 being absent without approved leave (AWOL). ***CONTIUNED on LIC 9099C****** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 06/10/2022

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: Program Director (PD) Amy Osborn


raw_content:
Narrative:
allegations with a preponderance of evidence. Confidential interviews denied allegations that staff allowed client to AWOL. According to confidential interviews, staff always try and persuade children from AWOLing and will counsel them and give them options in order for them to change their minds. Confidential interviews also stated that once a client is in the process of going AWOL, staff will follow that client as far as possible and will file a missing persons report, as well as notify that child's County Social Worker or Probation Officer. Confidential interviews also denied that staff allow or encourage foster children to fight, or that they take them off grounds in order to fight. According to confidential interviews, staff will always intervene whenever there is a physical altercation, as well as try and de-escalate and separate children in order to prevent fights from occurring. While other confidential information received by Licensing Office stated that these allegations had occurred. Based on confidential information obtained during the course of this investigation, the allegations of a lack of supervision resulting in Child # (C1) AWOLing (Absence without official leave) from facility, as well as staff not preventing inappropriate behavior between minors, more specifically that staff allow children to fight each other, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Manny Wiley to discuss the investigative findings for the above stated allegations. Licensing Program Analysts (LPAs), Jose Gonzalez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on November 20, 2021 at 9:54am and on June 16, 2022 at 11:20am. No immediate hazards observed. LPAs Gonzalez and Mena interviewed five staff (S1, S2, S3, PD & FD), four of five foster children (C2, C3, C4 & C5), as well as reviewed client and facility records. LPAs were unable to interview Child # 1 (C1) due to their current whereabouts being unknown. Community Care Licensing received information on November 24, 2021 alleging a lack of supervision resulting in Child # (C1) AWOLing (Absence without official leave) from facility, as well as staff not preventing inappropriate behavior between minors, more specifically that staff allow children to fight each other and even take them to public parks in order to fight. Information obtained in confidential interviews did not corroborate the UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 06/23/2022

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

met_with: Manny Wiley


raw_content:
Narrative:
interviews reported that the smoking only happens off grounds, while conflicting statements reported some residents smoke at the facility in their rooms or back yard. Record review did provide evidence of marijuana contraband being found on the grounds of the facility and in the rooms of the residents, however where the contraband was utilized was not able to be determined based on record review. CCL received a second allegation alleging the facility smells of marijuana. Specifically it was reported that during a facility visit, a visitor entered a bedroom and observed the bedroom to have a strong odor of marijuana. Confidential interviews could not confirm or dispute the facility smelling of marijuana. Confidential interviews reported residents often return to the facility after smoking marijuana and therefore a resident may smell of marijuana while the resident is in the facility. Based on confidential interviews and record review the allegations of minors smoke marijuana at the facility and the facility smells of marijuana, may or may not have occurred, however it is not supported or proven by the evidence. Therefore, the allegation are unsubstantiated at this time. An exit interview was conducted, and a copy of the report was provided along with appeal rights to Alpha Connections - Shoshonee, Facility Director (FD), Manny Wiley.

Investigation Findings:
13On July 13, 2022 at 2:45 pm Licensing Program Analyst (LPA), Nicole Strickland, met Alpha Connections - Shoshonee, Facility Director (FD), Manny Wiley, to deliver the findings for the above stated allegations. The investigation was conducted by LPA Jose Gonzalez and LPA Strickland. LPA Gonzalez conducted an inspection of the facility on February 4, 2022 at approximately 8:49 am and no immediate deficiencies were observed. The investigation included interviews with Program Director (PD), Administrator (ADM), Staff #1 (S1), (FM), six foster children (Child #1 [C1], Child #3 [C3], Child #4 [C4], Child #8 [C8], Child # 9 [C9] and Child #10 [C10]) and one County Social Worker (CSW), In addition, county records and facility records were reviewed. On January 31, 2022, Community Care Licensing (CCL) received an allegation alleging Minors smoke marijuana at the facility. Confidential interviews confirmed some residents smoke marijuana however, conflicting reports of where the residents are when smoking the marijuana were reported. Some confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Nicole Strickland 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 07/13/2022

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

met_with: Manny Wiley,


raw_content:
Narrative:
Confidential interviews indicate that the minors do not feel safe at the home because other minors are threatening them when the facility staff are not monitoring their interactions. The Department also received allegations that facility staff #1 (S1) is sleeping during work shifts. Confidential interviews indicate the facility staff is not sleeping during work shifts. Additional confidential interviews revealed that S1 is sleeping during the nocturnal shift. Confidential interviews indicate that S1 and the facility staff conduct headcounts every 10 minutes. Confidential interviews revealed that they have not observed S1 sleeping at the STRTP home nor have they observed S1 working a nocturnal shift at the home. Confidential interviews disclosed that it was observed that S1 was sleeping during their shift. Based on confidential interviews, the allegation that facility staff are not providing supervision to the minors in care and that facility staff #1 (S1) is sleeping during work shifts 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 Program Director (PD), Amy Osborn.

Investigation Findings:
13On July 28, 2022, at 10:55 am, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Program Director (PD), Amy Osborn to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 2:05 pm on March 18, 2022, and no immediate health and safety hazards were observed. LPA also reviewed six of six clients' records. During the investigation, interviews were conducted with six of six clients (C1, C2, C3, C4, C5, and C6), Facility Manager (FM), and Staff #1 (S1). The Department received a complaint on March 18, 2022, that alleged facility staff are not providing supervision to the minors in care. Confidential interviews indicate that facility staff are providing supervision for the minors in care. Additional confidential interviews revealed that the facility staff intervened immediately when the residents argued or fought. Confidential interviews indicate that the facility staff are checking on the minors. Additional confidential interviews revealed that minors are picking on other minors when the facility staff are not supervising the minors. R- 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 08/05/2022

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


raw_content:
Narrative:
Confidential interviews stated that although bottles of chemicals were found underneath kitchen sink unsecured, they were said to have been empty bottles that are sometimes used to mix other cleaning solutions. According to confidential interviews, chemicals are always secured, and this incident was said to have been an exception. While other confidential information received by Licensing Office stated that the allegation had occurred and that several bottles of chemicals were observed unsecured underneath kitchen sink, with at least partial chemicals inside of them. There were no other known witnesses to this incident. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Facility Staff did not secure toxic chemicals at the facility, more specifically that several bottles of chemicals were found in an unlocked cabinet during an unannounced inspection, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Director, Manny Wiley to discuss the investigative findings for the above stated allegation. Licensing Program Analysts (LPAs), Jose Gonzalez and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on July 08, 2022 at 1:24pm and on September 08, 2022 at 12:33pm. No immediate hazards observed. LPAs Gonzalez and Mena interviewed two staff (S1 & S2), County Social Worker (CSW), four foster children (C1, C2, C3 & C4), as well as reviewed facility records. Community Care Licensing received information on July 06, 2022 alleging that Facility Staff did not secure toxic chemicals at the facility, more specifically that several bottles of chemicals were found in an unlocked cabinet during an unannounced inspection. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPAs obtained conflicting information during interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 09/14/2022

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


raw_content:
Narrative:
Confidential interviews denied allegations that staff failed prevent altercation between Child # 1 (C1) and Child # 2(C2) due to a lack of care and supervision. According to confidential interviews, Staff # 1 (S1) and Staff # 2 (S2) were present during the altercation and immediately intervened once they became aware to separate and de-escalate the clients involved. Confidential interviews also denied that C1 is being bullied by other clients in care and stated that bullying is not allowed, and that staff will immediately intervene if a client is bullied or teased by other clients. According to confidential interviews, C1 also has an adequate amount of clean clothing at the GH. Confidential interviews stated that C1 does not always shower nor change clothing on a daily basis, despite encouragement and insistence by staff and other clients. Confidential interviews also stated that C1 often mingles their clean clothing along with their dirty laundry. While other confidential Information received by Licensing Office stated that these allegations had occurred, that staff did not immediately intervene during altercation, and that C1 often goes to school with stained clothing and is verbally bullied by C2 and Child # 3 (C3). Based on interviews and confidential information obtained during the course of this investigation, the allegations that Staff did not prevent altercation between youths, does not ensure that Foster Child # 1 (C1) is accorded clean clothing, and is not accorded safe, healthful accommodations while in care, more specifically that C1 is being bullied by other clients in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Gabriel Bracamontes to discuss the investigative findings for the above stated allegations. Licensing Program Analyst (LPA), Daniel Mena conducted an inspection to the Group Home (GH) on March 08, 2023, at 12:51pm. No immediate hazards observed. LPA Mena interviewed Program Director (PD), three staff (S1, S2 & S3), six of six foster children in the home (C1, C2, C3, C4, C5 & C6), as well as reviewed client and facility records. Community Care Licensing received information on March 03, 2023, alleging that Staff did not prevent altercation between youths, does not ensure that Foster Child # 1 (C1) is accorded clean clothing, and is not accorded safe, healthful accommodations while in care, more specifically that C1 is being bullied by other clients in the home. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPA obtained conflicting information during interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 03/23/2023

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

met_with: Gabriel Bracamontes


raw_content:
Narrative:
redirecting clients and by contacting local law enforcement for assistance. There were no other known witnesses to this allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Child # 1 (C1) was injured by Child # (C2) due to a lack of supervision from Staff # 1 (S1), may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Program Director, Amy Osborn to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on June 30, 2023, at 10: AM. No immediate hazards observed. LPA Mena interviewed two of two foster children (C1 & C2), two staff members (S1 & S2), as well as reviewed facility and client information. Community Care Licensing received information on June 23, 2023, alleging that Child # 1 (C1) was injured by Child # (C2) due to a lack of supervision from Staff # 1 (S1). Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. Confidential interviews denied allegations of a lack of supervision by S1. According to confidential interviews, S1 had taken C1 and C2 on an outing to a local park, and that as soon as they arrived, C1 appeared agitated and ran out of the car and away from S1. According to confidential interviews, C2 who is C1's roommate ran after C1, in an attempt to bring C1 back to the vehicle. According to interviews, when C2 caught up with C1, C1 punched C2 and C2 retaliated by hitting C1 in return on numerous occasions. Altercation was said to have lasted a couple of minutes and resulted in both C1 and C2 receiving scrapes, bruising and other injuries. Both C1 and C2 were said to have been seen by paramedics and were taken to be treated for their injuries to a clinic. According to confidential information, S1 tried to intervene by UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 08/01/2023

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

met_with: Amy Osborn


raw_content:
Narrative:
out of the facility vehicle and punched S1 on several occasions. According to confidential interviews, S1 did not retaliate by punching C1 in return and only deflected C1's punches and temporarily restrained C1 until other staff were able to intervene. Confidential information stated that neither C1 nor S1 received any bruising, as a result of this incident. While other confidential information received by Licensing Office stated that these allegations had occurred and that S1 and C1 did engage in a physical altercation resulting in both C1 and S1 receiving bruising to their face. There were no other known witnesses to this allegation. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Staff # 1 (S1) had engaged in a physical altercation with Client # 1 (C1), may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Facility Manager, Nicole Tracy to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on August 28, 2023, at 11: AM and on September 11, 2023, at 9: AM. No immediate hazards observed. LPA Mena interviewed six of six foster children (C1, C2, C3, C4, C5 & C6), six staff members (S1, S2, S3, S4, S5 & S6), Administrator (AD), Program Director (PD), as well as reviewed facility and client information. Community Care Licensing received information on August 25, 2023, alleging that Staff # 1 (S1) had engaged in a physical altercation with Client # 1 (C1). Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. LPA Mena obtained conflicting information during confidential interviews. Confidential interviews denied allegation that Staff # 1 (S1) had engaged in a physical altercation with client # 1 (C1). According to confidential interviews, it was C1 who physically assaulted S1 on two occasions, once inside the facility and the other in the front yard area of the home. According to confidential information, C1 followed S1 to the front yard area after S1 attempted to leave the facility in order to deescalate the situation. According to interviews, C1 proceeded to pull S UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 09/20/2023

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

met_with: Nicole Tracy


raw_content:
Narrative:
current or previous staff consumed drugs while at work, or that any staff had ever transported clients while intoxicated. While other confidential Information Received by Licensing Office stated that these allegations had occurred, and that vehicle accident had occurred after S1 had allowed either C3 or C4 to drive facility vehicle. There were no other known witnesses to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegations that Facility Staff consume drugs while working, provide transportation to minors while intoxicated, and that client was in a car accident due to staff # 1's (S1) negligence, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Facility Manager, Genesis Duran to discuss the investigative findings for the above stated allegations. Licensing Program Analyst (LPA), Daniel Mena conducted an inspection to the Group Home (GH) on January 04, 2023, at 1:38pm. No immediate hazards observed. LPA Mena interviewed four staff (S2, S3, S4, & S5), GH Administrator (AD), GH Program Director (PD), two of four foster children (C1 & C2), as well as reviewed client and facility records. LPA Mena was unable to interview Staff # 1 (S1), Child # 3 (C3) and Child # 4 (C4), due to their current whereabouts being unknown, or not responding to LPA Mena's attempts to interview them regarding allegations. Community Care Licensing received information on December 29, 2022, alleging that Facility Staff consume drugs while working, provide transportation to minors while intoxicated, and that client was in a car accident due to staff # 1's (S1) negligence. Information obtained in confidential interviews did not corroborate the allegations with a preponderance of evidence. LPA obtained conflicting information during interviews. Confidential interviews denied allegation that Child # 1 (C1) was ever involved in any car accidents due to Staff's negligence, and stated that vehicle accident that had occurred, was before C1 was placed at the facility and had only involved S1, C3 & C4. Confidential interviews also denied that any UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 11/03/2023

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

met_with: Genesis Duran


raw_content:
Narrative:
the Title Regulations Division 6, Chapter 1, Article 6, Section 80075 (a) Health Related Services. This posed an immediate health, safety or personal rights risk to the child placed in care. See attached LIC 9099D for cited deficiency. An exit interview was conducted, and a copy of the report and appeal rights were provided. medication at an earlier medical appointment date than was stated by the facility. There were no other known witnesses to these allegations. Based on interviews and confidential information obtained during the course of this investigation, the allegation that Staff are providing minor unprescribed medications, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Program Director, Amy Osborn to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on November 17, 2023, at 1: PM. No immediate hazards observed. LPA Mena interviewed one of one foster children involved (C1), three staff members (S1, S2 & S3), Program Director (PD), County Social Worker (CSW), Medical Professional (DR), as well as reviewed facility and client information. Community Care Licensing received information on November 14, 2023, alleging that staff did not ensure minor's medical needs are being met, more specifically that staff failed to take Child # 1 (C1) to get blood work done as instructed by C1's medical doctor. Confidential interviews corroborated allegation with a preponderance of evidence. Confidential information obtained confirmed allegation that staff was first instructed to take C1 to get blood work done in June of 2023. According to confidential information it was not until November of 2023 that C1 was finally taken to get blood work done by staff. Based on interviews and information gathered during the investigation, the preponderance of evidence standard has been met and the Department has determined the allegation that Staff did not ensure minor's medical needs are being met, more specifically that staff failed to take Child # 1 (C1) to get blood work done as instructed by C1's medical doctor is substantiated. The facility is being cited for violation of SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 12/22/2023

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:


raw_content:
Narrative:
in C1 consuming drugs while in care. According to confidential interviews, facility staff conduct checks in client's pockets, clothing, and bags whenever clients return from AWOL (absence without official leave) or home passes, as well as conduct perimeter checks on the property and confiscate any contraband found. While other confidential Information received by Licensing Office stated that these allegations had occurred, and that some of the staff do not do enough to prevent clients from bringing in drugs and other contraband into the facility. Based on interviews and confidential information obtained during the course of this investigation, the allegation that a lack of care and supervision resulted in minor(s) use of drugs while in care, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.

Investigation Findings:
13Licensing Program Analyst (LPA), Daniel Mena met with Group Home (GH) Administrator, Evonnda Hull to discuss the investigative findings for the above stated allegation. LPA Mena conducted an inspection to the GH on July 02, 2024, and on July 11, 2024. No immediate hazards were observed. LPA Mena interviewed four of four foster children [Child # 1 (C1), Child # 2 (C2), Child # 3 (C3) & Child # 4 (C4)], four staff members [Staff # 1 (S1), Staff # 2 (S2), Staff # 3 (S3) & Staff # 4 (S4)], Program Director (PD), County Social Worker (CSW), as well as reviewed facility and client information. Community Care Licensing received information on June 25, 2024, alleging that a lack of care and supervision resulted in minor(s) use of drugs while in care. Information obtained in confidential interviews did not corroborate the allegation with a preponderance of evidence. LPA Mena obtained conflicting information during interviews. Confidential interviews denied allegation of a lack of supervision resulting UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Nicole Strickland LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: ALPHA CONNECTION-SHOSHONEE PLACE, THEFACILITY NUMBER: VISIT DATE: 09/17/2024

met_with: Evonnda Hull


summary: Facility Evaluation

raw_content:
Narrative:
On June 28, 2021 at 9:45am, an unannounced Post-Licensing Inspection was conducted by Licensing Program Analysts (LPA) Kendal Zirbes and Jose Gonzalez. During the inspection, LPA's met with facility manager, Alex Martinez who provided access to the facility. LPA's and Program Director, inspected the facility inside and out. The facility was licensed as a Short Term Residential Therapeutic Program (STRTP) on October 2, 2020. The facility in the process of receiving a Mental Health Certification with San Bernardino County. The facility is a one-story house with three bedrooms, two bathrooms, a living room, visitation room, kitchen , dining room, and staff office. A physical plant inspection was completed and included the following checks: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/books/games were observed for youth's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order. The facility maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. The facility had all required documents posted throughout the facility. Medications are locked and centrally stored in a locked filing cabinet within the locked staff office. Six individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. At 12:45pm, the hot water was measured by Program Director Amy Osborn. At the time of this inspection the hot water temperature was 119. The facility has a fully equipped first aid kit and first aid manual. The facility is not equipped with cameras. At the time of this inspection, there were no bodies of water on the facility ground. Per facility staff, no firearms or weapons are allowed in the facility and smoking is prohibited. The facility vehicle was observed to be in safe operating condition and the registration was up to date. Youth files were maintained in a locked filing cabinet within the staff office. Staff/client ratios were verified during this inspection and they were in accordance with the regulations. Five youth files were reviewed on this date as well as a sample of six personnel files. Files were reviewed to ensure they contained all required documentation. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Report continued on page Licensee has obtained National Accreditation through CARF. The Accreditation is valid through August 31, 2021. Licensing fee payments have been paid. A copy of this report was reviewed with the Program Manager. A copy of this report was emailed to the facility.

report_type: Facility Evaluation

met_with: Program Director, Amy Osborn


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Manager, Angela King, Licensing Program Analyst, Margaret Lentner, and Licensing Program Analyst, Sethany Yem conducted a case management inspection on July 27, 2021, at 8:54am, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 6 out of Direct Care Staff and 6 out of 6 youth files as identified on the LIC 811 confidential names dated July 27, 2021, were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Amy Osborn, Program Director STRTP.

visit_type: Case Management

met_with: Amy Osborn - Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On September 16, 2021, Licensing Program Manager (LPM) Christina Barnes, and Licensing Program Analysts (LPAs) Jose Gonzalez and Jazmond Harris arrived at Alpha Connection- Shoshonee Place Short Term Residential Therapeutic Residential Program (STRTP). LPM and LPA's, were met and granted access by and Facility Manager Emanuel Wiley. The purpose of the visit is to conduct an annual inspection of the facility. At 9: AM, Program Director Amy Osborn, led the physical inspection of the facility with LPM Barnes and LPAs Gonzalez and Harris. A physical plant inspection was completed and included the facility's, activity center, gaming room, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and garage. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathrooms was measured to be between 102 and 125 degrees. Facility Manager stated that water was adjusted at time of visit Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a dining area, kitchen area, living room, open common area/formal living room, a clinician's office for therapeutic services, an entertainment room, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. **CONTINUED on 809C** Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPM and LPAs reviewed the facility's disaster and mass casualty plan. The facility currently has two children sharing each bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. The facility is also required to ensure all client medications refusal are documented and signed by staff in the MARs medication log. The facility needs to maintain an accurate count of all medications. LPM and LPAs observed medication refusals were not documented, and medications were missing from Client #2 bubble pack. This is a violation of licensing standards, which will also be cited. The facility did not have monthly restraint log for review. LPA advised Administrator that a monthly log regarding manual restraints is required. LPA requests that Administrator provides LPA Gonzalez with the document by the requested date. LPA also informed Administrator that all staff members need to complete the required 40 hour training as noted in ILS standards by October 2021. An exit interview was conducted and a copy of this report, LIC 9099-D, LIC 9102, and appeal rights were provided to Administrator.

visit_type: Annual

met_with: Program Director Amy Osborn


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2022 at 11:31am, Licensing Program Analyst's (LPA's), Darlene Almaraz-Oseguera and Jose Gonzalez, conducted a collateral visit to the facility for the purpose of interviewing client #1 and client #2, (see Confidential Names form (LIC 811), dated June 10, 2022), regarding a prior placement. The interview is not related to this facility. Exit interview conducted and a copy of this report was provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 9/15/2022 at 12: PM, Licensing Program Analysts (LPAs) Joon Choi and Nicole Strickland made an unannounced visit to the facility. LPAs met Facility Director (FD) Emanuel Wiley and explained the purpose of the visit which was to interview clients. LPA Choi interviewed 3 clients. An exit interview was conducted and a copy of this report was provided to FD.

met_with: Emanuel Wiley, Facility Director


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena and Licensing Program Manager, Natasha Dunlap conducted a teleconference meeting with Alpha Connection, Program Director, Amy Osborn, Clinician, Lindsay Baston and Consultant, Dan Thorne to discuss and review the probationary conditions that go into effect once Alpha Connections STRTP reverts back to a Group Home on January 01, 2023. On December 31, 2022, the STRTP applications for Alpha Connection Group Home For Children, License No. 366412000, Pine Ridge, Apple Valley, CA 92307; ACYFSAnoka Ranch, License No. 366401649, Anoka Road, Apple Valley, CA 92308; ACYFS-Shoshonee Place, License No. 366402331, Shoshonee Road, Apple Valley, CA 92307; and ACYFS Nisqually Nest, License No. 366403207, Chief Joseph Road, Apple Valley, CA 92308 (collectively the "facilities") are terminated and Alpha will transition/convert back to its group home licenses subject to a three (3) year probationary term with the following conditions: 1. Alpha shall operate each facility in substantial compliance with the regulations and statutes governing the operation of a group home. 2. During the period of Probation, the Department in its sole discretion may conduct unannounced site visits for the purpose of determining whether there is substantial compliance with the regulations and statutes governing the operation of the group home. 3. Alpha will submit an updated group home plan of operation and program statement for each group home to the Department within 30 days of the effective date of this Settlement Agreement and Mutual General Release including but not limited to: administrator pursuant to California Code of Regulations, Title 22, Regulation 84064. 2. No exceptions shall be made to these requirements during probation. 7. Alpha shall ensure that a qualified and certified administrator is present and available on premises of each facility, a minimum of 20 hours a week. In the administrator's absence, a designated substitute as defined in the California Code of Regulations, Title 22, Regulation 84064(d) shall be present and available on the premises of the facility. Alpha shall timely notify the Department of any change in administrator and the name, address, date of hire, background, qualifications, and certification of the new administrator. 8. Alpha shall develop a comprehensive training curriculum for all new and current staff who provide direct care services to children in care. The content of the training shall include, but not be limited to, the following: supervision of youth, reporting requirements to the Department and reporting requirements as a mandated child abuse reporter, personal rights, crisis prevention, and emergency intervention, including Alpha's runaway plan, and all applicable licensing laws and regulations. Training shall be mandatory for all employees. A detailed description of the in-service training and a record of all staff who attended the trainings shall be maintained and made available to the department upon request. a. Training to include (ii) Trauma Informed Interventions and Treatment Practices. Two (2) hours of instruction in the physical and psychosocial needs of the children, including behavior management, de-escalation techniques, and trauma-informed crisis management planning, including the use of emergency interventions. The training plan shall be designed to ensure the provision of trauma-informed services and be appropriate for the population and shall consider the training needs and skill level of staff b. All outstanding training, including but not limited to the training listed above, shall be completed by staff within 45 days of the group home transition. a. A description of trauma-informed and evidence-based intervention and de-escalation techniques that will be used to promote the safety of all individuals in the facility, including but not limited to children or nonminor dependents who have a propensity for behaviors that result in harm to self or others. b. A runaway plan that includes a continuum of non-physical interventions and strategies to de-escalate a situation where a child has indicated his /her intent to run away, that will be utilized by staff to prevent and Alpha to runaway behaviors. 4. Alpha shall ensure that all children are supervised 24 hours per day, 7 days per week, in accordance with its Program Statement and Plan of Operation and licensing regulations. 5. There shall be coverage by direct care staff as follows: a. During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum b. During the hours of 10pm to 7am, there shall be one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum. c. In addition to staff required in paragraph 1 or 2, when one or more children are present at the facility, at least one direct care staff shall be on call and capable of arriving at the facility within 30 minutes. d. If a child requires special care and supervision because of age, behavior or other factors, the number of awake and on-duty care staff shall be increased. 6. Any administrator employed by Alpha to operate the facility shall have, at minimum, the education and experience specified in California Code of Regulations, Title 22, Regulation 84064 and shall be certified as a group home c. Additional staff hired after the transition to the group home must complete the trauma informed training within 45 days of hire and any additional training must be completed within the time frames outlined in the California Code of Regulations, Title 22, Regulation 84065. In the Matter of Alpha Connections Youth & Family Services, Inc. v. CDSS Case No. CVR Settlement Agreement and Mutual General Release 9. Alpha shall adhere to the reporting requirements as defined in California Code of Regulations, Title 22, Regulations 80061, 84061, in the regulations and statutes governing the operation of a group home. Alpha shall report to the Licensing office the following: any unusual incident, including, but not limited to, client death or injury which requires medical treatment, any suspected physical plant changes, and all unexplained absences. These incidents must be reported by the next working day, and a written report of the incident must be submitted within seven days following the occurrence of the incident. All unusual incident reports shall be complete, including addendums and follow-up information. 10. Alpha shall ensure compliance with California Code of Regulations, Title 22, Regulations 84068.1, 84068.2, 84068.3 and 84068.4 regarding Intake Procedure, Needs and Services Plans and Modifications, and Removal and/or Discharge Procedures. Prior to and during placement Alpha shall determine whether it can provide the services necessary to meet the child's needs and to effect discharge if it is determined that Alpha cannot provide the services necessary to meet the child's needs. Further, Alpha shall ensure that an appropriate assessment of a child's compatibility with other children in care is conducted during the intake process and is re-evaluated on a continuance basis when individual needs dictate. Alpha agrees that it shall not accept or retain, and will promptly discharge with written notice to the authorized representative, any child for whom it cannot adequately and safely provide care, any child who requires a higher level of care, and any child who would cause the Alpha to violate laws and regulations, or the conditions of Settlement Agreement and Mutual General Release. 11. Alpha shall ensure the personal rights of all children in its care including the right to be provided safe, healthful, and comfortable accommodations to meet their needs, and shall be free from corporal or unusual punishment, pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other action of a punitive nature. 12. Alpha shall ensure that each child in care receives first aid and medical services, including arrangements and transportation. Further Alpha shall ensure that medications and any other toxic products are properly stored and kept in a safe and locked place that is not accessible to children in care or other persons other than employees responsible for the supervision of the centrally stored medication pursuant to California Code of Regulations, Title 22, Regulation sections 80075 and 84075. Employees of Alpha shall immediately document on the medication log any refusals of medication by a child in care and shall follow-up with proper notification to the child's physician. 13. Alpha's Board of Directors shall be active in ensuring accountability and ensuring that Alpha complies with all applicable regulations, by reviewing, on a quarterly basis Alpha's operation and documents as specified in Health and Safety code section 1520. 1(f), including a review of special incident reports and all licensing reports issued by the Department. 14. For the duration of the probationary period, Alpha shall provide all current and prospective parents or responsible parties of children in the facility with a copy of the settlement terms, as outlined in the Settlement Agreement and Mutual General Release. Proof of Acknowledgement shall be kept in the respective child's record and available for inspection by the Department. 15. Alpha will work collaboratively with the Department to comply and fully implement all Plan of Corrections and agreements. This Settlement Agreement and Mutual General Release supersedes any Compliance Plan or Corrective Action Plan that has previously been submitted by the Alpha to the Department. A copy of this report was provided and emailed for signatures.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena and Licensing Program Manager, Natasha Dunlap conducted a technical assistance meeting virtually via Teams with Alpha Connection Chief Executive Officer, Barron Wilson, Program Director, Amy Osborn, and Consultant, Dan Thorne to discuss and review the following pending Program Statement revisions: 3. PURPOSE, METHODS, AND GOALS Pg. Is highlighted placement agency wording correct because is s now a Group Home? Elaborate on the type of placements facility will take if regional, and plans to become vendorized. Pg. Are there case workers in private placements. Is working correct? Pg. Is there an assigned social worker in private placements? 5. SPECIAL SERVICES/PROGRAMS OFFERED Pg. How many hours per day is the training? Specify Pg. How many hours per class/training? 6. MEDICAL/DENTAL Pg. Medical Liaison (Who is this specifically) • LPA Mena did not see the procedures for handling and assisting children with self-administered medications. • LPA Mena did not see the procedure and staff positions(s) identified who are responsible for dispensing and destroying medications. 8. ADMISSION/INTAKE Pg. Does highlighted portion need to be updated or corrected. Is this still accurate as a Group Home? 9. NEEDS AND SERVICES PLAN/ASSESSMENT Pg. Should highlighted portion read... and or parent/legal guardian since it is a GH? Pg. Is highlighted Social Worker statement accurate since it is now a GH? 11. VISITATION RULES & POLICY Pg. Where exactly do they take place in the home, supervision, ratios etc. How do you ensure that no contraband is provided by the visitor? Pg. How is transportation provided, are they searched for contraband upon return, who and when do they do it? · What types of visits are NOT permitted 12. HOUSE RULES AND POLICIES Pg. Entertainment Equipment - What are the times when they can be used? What about usage of facility's common use equipment? 13. DISCIPLINE POLICIES Pg. Make clear that withholding of allowances specifically, is not permitted as a form of discipline. 14. EMERGENCY INTERVENTION PLAN Pg. Typo Pg. Under Justification of restraints. Who would typically be the designee? • Attachment # Guy Williams. What is her title or position? • Attachment # Evonda Hull. What is her title or position? 23. JOB DESCRIPTIONS Pg. 142 -Strtp? No longer a Short Term Residential Therapeutic Program Pg.142- GAAP What is this acronym? Pg.159- State's Interim Licensing Standards (Group Home Regulations?) Pg. CCL (define acronym for the reader) 24. INSERVICE TRAINING FOR STAFF Pg.164- "ACYFS complies with the staffing ratios required by the Interim Licensing Standards (ILS)" (Is this wording correct since it's now a GH?) Pg.165- ILS (is this correct since it is now a GH?) 28. FACILITY SKETCH • Did not see indication of number of children in each bedroom on facility sketch. Program Director, Osborn stated that corrections would be provided to Licensing Office by December 16, 2022. 15. RUNAWAY PLAN Pg. Initially Define Acronym (AWOL) Pg. Define Acronyms (PO, CSW) · Did not observe mention of staff training Plan. · Did not specify actual time frames when determining when a child is absence without permission, depending on age ro developmental level etc. 16. CHILDREN'S COMPLAINT/GRIEVANCE PROCEDURES Pg. Under Filing Complaints- Where is that exactly is a copy of the complain-grievance policy posted/located? Living room? Kitchen area Pg. Under Procedure for External Complaint- Where is the information/procedure on how to file a complaint with licensing located and available to the client? • Child/authorized representative needs to understand the difference between a grievance & filing a formal complaint with Licensing against facility. 19. NUTRITION/SAMPLE MENU Pg.118 (CNIPS) define acronym. • Include procedure for which all staff (including new & substituting) are aware of dietary restrictions or allergies for all clients. 20. Clothing and Incidentals Pg.137/138 - What is the procedure that ensures that toiletries & personal hygiene products are always available and in stock. How often is shopping done? Who does the shopping? Etc. 22. STAFF QUALIFICATIONS • Attachment # Nicole Amy Squillace/Osborn. What is her title or position? • Attachment # Genesis Duran. What is her title or position?

met_with: Barron Wilson


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2021, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by and Facility Manager, Gabriel Bracamontes. The purpose of the visit is to conduct an annual inspection of the facility. Program Director, Amy Osborn, led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, common area, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and garage. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Facility Manager stated that water was adjusted at time of visit Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a dining area, kitchen area, living room, open common area/formal living room, an office, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. CONTINUES on LIC 809C Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children sharing each bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. LPA Reviewed client's medication and medication logs. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.

met_with: Amy Osborne


summary: Facility Evaluation

raw_content:
Narrative:
LPA Mena conducted an unannounced Case Management visit on this date. LPA Mena met with Program Director, Amy Osborn. While at the facility, LPA Mena discussed and reviewed Client Records (C1, C2, C3, C4 & C5) and will obtain copies of pertinent documentation to ensure the facility is meeting the needs of clients in care. In addition, LPA Mena conducted interviews with staff (S1, S2 & PD) and two Clients (C1 & C2) who were present on facility grounds during visit. An exit interview was conducted and a copy of this report was provide.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Sarah Lo on 03/07/2024 at 09: AM. The case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPA met with Amy Osborn, Program Director, and inspected the facility inside and out. LPA reviewed one children's records on site at the facility. LPA reviewed five staff personnel files on site at the facility. LPA reviewed one child's psychotropic medications and medication records. LPA interviewed one children that are currently prescribed psychotropic medication at their assigned school after the facility visit. No deficiencies are being cited at this time. LPA provided a copy of this licensing reporting and conducted an exit interview with Amy Osborn, Program Director.

met_with: Amy Osborne, Program Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 22, 2024, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by and Facility Manager, Genesis Duran. The purpose of the visit is to conduct an annual required inspection of the facility. Program Director, Amy Osborn, led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, common area, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and garage. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Facility Manager stated that water was adjusted at time of visit Per the Administrator, no firearms or weapons are allowed in the facility. The facility has a dining area, kitchen area, living room, open common area/formal living room, an office, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. CONTINUES on LIC 809C Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children sharing each bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. LPA Reviewed client's medication and medication logs. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024, Licensing Program Analyst (LPA) Daniel Mena arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by and Facility Staff Ayana Pettis . The purpose of the visit is to conduct an annual required inspection of the facility. Program Director, Amy Osborn, led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, common area, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and garage. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Facility Manager stated that water was adjusted at time of visit Per the Administrator, no firearms or weapons are allowed in the facility. CONTINUES on LIC 809C The facility has a dining area, kitchen area, living room, open common area/formal living room, an office, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. During visit LPA Mena observed employee repairing a damaged window screen. Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has two children sharing each bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. LPA Reviewed client's medication and medication logs. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 21, 2025, Licensing Program Analysts (LPAs) Daniel Mena and Raina Perez-Diaz arrived at Alpha Connection- Group Home (GH). LPA Mena was granted access by and Facility Staff, Hadley Flanders. The purpose of the visit is to conduct an annual required inspection of the facility. Program Director, Amy Osborn, led the physical inspection of the facility with LPA Mena. A physical plant inspection was completed and included the facility's visitor's room, common area, kitchen area, refrigerator/freezers, food storage areas, client bedrooms, bathroom/showers and garage. Facility grounds are clean and free of debris and observable hazards. Sports equipment/toys/books/games/computers were observed for children's recreation time. There is adequate indoor and outdoor activity space. Facility smoke detectors and carbon monoxide detectors are in working order; fire extinguisher is properly charged and serviced. Licensee maintain an adequate supply of perishable and non-perishable foods and the menus were posted. All other required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsperson poster. Medications are locked and centrally stored inside staff's office. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. Hot water temperature was measured. Facility Manager stated that water was adjusted at time of visit Per the Administrator, no firearms or weapons are allowed in the facility. CONTINUES on LIC 809C The facility has a dining area, kitchen area, living room, open common area/formal living room, an office, and a room where the washer and dryer are located. All bedrooms have individual beds and drawer space for each client. The facility ensures that there is one client per bed with appropriate linens, pillows, comforters, and mattresses in good repair. During visit LPA Mena observed employee repairing a damaged window screen. Chemicals and/or poisons, sharp objects/knives are locked in a file cabinet in the staff office. First Aid Kits are stored in a locked cabinet in the staff office. LPA reviewed the facility's disaster plan. The facility currently has three children placed each in their own bedroom. The facility must ensure that each client is aware of the bedroom sharing policy and document the advisement in the clients' files. Based on record review, the facility did provide a signed bedroom sharing document in their files. LPA Reviewed client's medication and medication logs. There were no deficiencies/corrections observed on this date. An exit interview was conducted and a copy of this report were provided to Program Director.


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025, at 1:58PM, Licensing Program Analyst (LPA) Daniel Mena met with Alpha Connections Group Home for Children (GH) Facility Manager, Ayana Pettis and Program Director, Amy Osborn regarding a case management inspection. The purpose of the inspection is to review facility compliance with the probationary conditions set forth by the Settlement Agreement and Mutual General Release that went into effect on January 1, 2023. While at the facility LPA conducted a records review and conducted staff and client interviews. An annual/required facility inspection was conducted by LPA Mena on March 21, 2025, during which the facility was found to be in compliance with California Code of Regulations, Title 22, Division 6, Chapter 5. A copy of this report was provided to Program Director, Amy Osborn.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On June 10, 2022, at 10:37 am, Licensing Program Analysts (LPAs) Jose Gonzalez and Darlene Oseguera met with Alpha Connection - Shoshonee Program Director (PD) Amy Osborn to deliver a case management deficiencies report. Lpa J. Gonzalez was at the facility on 11/22/2021, conducting a safety inspection. At 11: AM, LPA and Facility Director (FD) Manny Wiley conducted a walk-through safety inspection of the facility. During the safety inspection, LPA and FD observed the following drug paraphernalia items in the backyard area: a green apple used as a marijuana pipe with marijuana residue, two red lighters, and two tip flitters white tips from cigars. LPA and FD conducted a safety inspection inside the home. LPA and FD observed the following drug paraphernalia items in bedroom #2: a green apple used as a pipe for marijuana, a pipe with marijuana residue, and a bag of tobacco inside client #3 (C3) dresser drawer. C3 admitted that the green apple used as a marijuana pipe with marijuana residue and a bag of tobacco was C3s contraband. FD proceeded to dispose of the contraband, reentered the room, and confiscated a bag of tobacco. A Short-term residential therapeutic program is a residential facility operated by a public agency or private organization and licensed by the department pursuant to Section 1562.01 that provides an integrated program of specialized and intensive care and supervision, services and supports, treatment, and short-term 24-hour care and supervision to children and/or nonminor dependents. The licensee shall employ direct care staff to meet the needs of children as specified in 87065.2 and provide adequate care and supervision to children. Facility staff were unaware of the drug paraphernalia items until the FD conducted a walk-through safety inspection of the facility with LPA. The facility is being cited for violation of Interim Licensing Standards (ILS) standard 87065.2 (b)(1) Personnel Duties (b) Direct care staff shall perform the following duties: (1) supervision, protection, and care of children at all times, individually and in groups.

Deficiencies:
87065.2: (1) supervision, protection, and care of children at all times, individually and in groups.


summary: Facility Evaluation

raw_content:
Narrative:
On July 16, 2022, at 9: AM, Licensing Program Analyst (LPA) Leslie Covarrubias and Licensing Program Manager (LPM) Abdoulaye Traore made an unannounced case management visit to Alpha Connection Shoshonee Place (STRTP) regarding the STRTP staff/client ratio. LPA and LPM met with Facility Manager (S2) Vanessa Ramirez who granted access into the home. LPA and LPM conducted a health and safety inspection with S2. During the health and safety inspection. LPA observed one staff and two clients (C1 and C2) present during the visit. Per Facility Manager (S2), one staff (Program Director, S1) transported four clients (C3, C4, C5 and C6) to their basketball games located in Long Beach. LPM and LPA observed that facility log indicated that staff, Program Director took three clients approximately at 7:55am. The facility is out compliance for staff to client ratios as Staff 1 took four clients to a basketball game. The facility is being cited for Interim Licensing Standards (ILS) 87065. Direct Care Staff/Child Ratios. S2 called Program Director Amy Osborn to formulate the plan of correction and also to receive verbal authorization to sign Licensing Reports. A copy of the report was discussed and provided to Alpha Connection- Shoshonee, Facility Manager, Vanessa Ramirez.

met_with: Facility Manager, Vanessa Ramirez


summary: Facility Evaluation

raw_content:
Narrative:
On August 17, 2022, at 1:16 pm, Licensing Program Analyst (LPA) Jose Gonzalez and San Bernardino County Children Family Services (CFS) Amy Guisa made an unannounced case management visit to Alpha Connections Shoshonee (STRTP) regarding the STRTP staff/ client ratio. LPA and CFS conducted a health and safety inspection. During the health and safety inspection, LPA and CFS observed the following a black and mild wrapper in the backyard. LPA, CFS, Program Director (PD), Amy Osborn observed the following deficiencies the facility staff did not maintain accurate medical records for minor(s) in care for client #1 (C1s) medication sheet was missing a staff signature for August 6, 2022. Based on LPA and CFS observations, the facility staff did not maintain accurate medical records for minor(s) in care, is substantiated as the preponderance of evidence standard has been met for the allegations. The facility will be cited for a violation of the Interim Licensing Standards (ILS) 87070(b)(13)(H) Children's Records. A copy of the report was discussed and provided to Alpha Connection Program Director (PD) Amy Osborn.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Rachel Vanegas and Emina Preciado on March 3, 2026 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Vanegas and Preciado met with Facility Director Sparkle Roberson and Administrator Evonnda Hull and inspected the facility inside and out. LPAs reviewed 0 of 4 child's records and 5 of 5 staff personnel files on site at the facility. LPAs reviewed 0 of 0 child's psychotropic medications and medication records. LPAs interviewed 2 of 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 0 of 0 children currently prescribed psychotropic medication. LPAs provided a copy of this licensing report to Evonnda Hull, Administrator. No deficiencies are being cited at this time. LPAs conducted an exit interview with Evonnda Hull, Administrator.

met_with: Facility Director - Sparkles Roberson Administrator - Evonnda Hull


summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2026, at 1:35PM, Licensing Program Analyst (LPA) Daniel Mena met with Alpha Connections Group Home for Children (GH) Facility Manager, Ayana Pettis and Program Administrator, Evonnda Hull regarding a case management inspection. The purpose of the inspection is to follow-up on an incident which was reported and said to have occurred on April 09, 2026. While at the facility LPA conducted staff and client interviews. A copy of this report was provided to Administrator.

met_with: Ayana Pettis


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Daniel Mena conducted a follow-up visit and met with Program Director, Amy Osborn regarding an unusual incident which was initially reported and said to have occurred on April 09, 2026. See Confidential Names Form (LIC 811), dated April 22, 2026. During confidential interviews conducted regarding this incident, LPA Mena was made aware that Staff # 1 (S1), engaged in an inappropriate one person restraint of Child # 1 (C1) during the unusual incident. This posed an immediate safety or personal rights risk to the child placed in care. The Group Home is being cited for violation of Title 22, Division 6, Chapter 5, Subchapter Emergency Intervention in Group Homes regulation 84300.1(b). See attached LIC 809D for cited deficiency. A copy of the report was discussed and provided along with, appeal rights, and LIC 811 to Alpha Connections - Shoshonee Program Director, Amy Osborn.


raw_content:
Narrative:
Confidential interviews disclosed that facility staff has observed the residents smoking in the backyard behind the shed. Additional confidential interviews revealed that the residents are instructed to smoke outside the home. Confidential interviews stated that residents use their community passes to smoke cigarettes or marijuana. During the safety inspection, the LPA observed in bedroom #3 bathroom the following drug paraphernalia items: a green apple used as a pipe with residue, a pen used as a pipe with aluminum foil and residue, and a plastic bottle used as a pipe with aluminum foil and residue and the bedroom had a marijuana smoke odor. Based on LPA confidential interviews and observations that alleged the residents are smoking marijuana at the facility is substantiated as the preponderance of evidence standard has been met for the allegation. This poses an immediate health, safety, or personal rights risk to clients in care. The facility is being cited under Short-Term Residential Therapeutic Program Interim Licensing Standards (ILS) Version 4. Section 87087(c) Buildings and Grounds. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Evonnda Hull. Additional confidential interviews revealed that the facility staff was trained in ProACT. Confidential interviews indicate the facility staff never observed R1 being assaulted or bullied by R2 or R3. Additional confidential interviews revealed that R2 and R3 were bullying R1. Confidential interviews indicate that R2 and R3 would take R1 personal items and not return them to R1. Confidential interviews revealed that R1 never informed the facility staff that R2 and R3 were bullying R1. Additional interviews revealed that R1 was being intimidated by two other residents. Confidential interviews disclosed that R1 was missing some his personal items. Other confidential interviews reported that R1 was transferred to another home. Based on confidential interviews, the allegation that alleged facility staff is not protecting resident #1 (R1) from resident #2 (R2) and resident #3 (R3) in the facility 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 Evonnda Hull.

Investigation Findings:
13On May 12, 2022 at 10:55 am, Licensing Program Analysts (LPA's) Jose Gonzalez and Joon Choi met with Facility Administrator (FA), Evonnda Hull to deliver the findings for the above-stated allegations. LPA conducted a safety inspection at the facility at 9:29 am on October 22, 2021. LPA observed in bedroom #3 the following drug paraphernalia items: a green apple used as a pipe with residue, a pen used as a pipe with aluminum foil and residue, and a plastic bottle used as a pipe with aluminum foil and residue and the bedroom had a marijuana smoke odor. LPA also reviewed eight of eight clients' records. During the investigation, interviews were conducted with eight of eight clients (C1, C2, C3, C4, C5, C6, C7, and C8), Facility Director (FD), Program Director (PD), Staff #1 (S1), Probation Officer (PO), and County Social Workers (CSW and CSW2). On October 18, 2022, the Department received a complaint that alleged residents were smoking marijuana at the facility. Confidential interviews revealed that the facility staff allows the residents to smoke marijuana at home. Additional confidential interviews revealed that the facility staff instructed the residents to smoke cigarettes or marijuana in the backyard or on their community day pass. ***CONTINUED LIC C*** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: ALPHA CONNECTION GROUP HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 05/12/2022

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:


raw_content:
Narrative:
medication to C1 and staff is not providing C1 with therapeutic services. Furthermore, the interviews did not provide any further specific details. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Guy Williams.

Investigation Findings:
13On June 29, 2022, at 10: AM Licensing Program Analyst (LPA) Michael Almaraz conducted an unannounced inspection at the facility to deliver the findings of the above allegations. LPA met with administrator Guy Williams. LPA Jose Gonzalez conducted an inspection at the facility on December 7, 2021 at 08: AM and no immediate deficiencies were observed. LPA Darlene Oseguera completed the investigation. Four of four children (C1, C2, C3, C4), four staff and facility administrator were interviewed. 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: ALPHA CONNECTION GROUP HOME FOR CHILDRENFACILITY NUMBER: VISIT DATE: 06/29/2022

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

met_with: Guy Williams