raw_content:
Narrative:
Confidential witnesses stated that the air conditioning (AC) was not working since September 6, 2023, and the facility staff was not working to fix the issue. The confidential witnesses added that a company fixed the AC after September 6, 2023, but two days later the AC broke again, and the facility had not done anything to fix the issue. CSW3 stated that she had visited the facility recently and the facility temperature was comfortable. CSW4 stated that she visited the facility on September 19, 2023, and it was not uncomfortably hot. Other confidential witnesses stated that the facility was working to fix the AC and had several different companies attempt to fix the problem. Additionally, LPA was informed that portable AC units had been ordered for the clients' bedrooms. Regarding the allegation that the facility was purchasing spoiled fruit, confidential witnesses stated that the facility purchased fruit that was of low quality and would mold within a day of being purchased. Other confidential witnesses stated that the facility would purchase fruit that the clients did not eat and would eventually mold. Additionally, LPA was informed that all moldy and spoiled fruit was thrown out. LPA was unable to gather additional information. Based on confidential interviews and record review, the allegations that the facility was 86 degrees Fahrenheit due to the air conditioning unit not working and the facility purchased fruit that was spoiled may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Sherrae Smith.

Investigation Findings:
13On October 19, 2023, at 1: PM Licensing Program Analyst (LPA), Michael Almaraz, met with facility Administrator, Sherrae Smith, to issue the finding for the above allegations involving clients (C1, C2, C3, and C4) listed on the confidential names list (LIC 811) dated October 19, 2023. The complaint investigation was conducted by LPA M. Almaraz. On October 9, 2023, at 12: PM, LPA Almaraz inspected the facility. During LPA's inspection LPA conducted a safety inspection, reviewed four clients' records, and interviewed one staff. Additionally, LPA Almaraz conducted interviews with three additional facility staff, two county social workers, and four of four clients. On October 9, 2023, the Department received a complaint alleging staff do not maintain the facility at a comfortable temperature for the residents and staff do not serve the residents food of good quality. It was specifically alleged that the facility was 86 degrees Fahrenheit due to the air conditioning unit not working and the facility purchased fruit that was spoiled. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Michael Almaraz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN GROUP HOME IIFACILITY NUMBER: VISIT DATE: 10/19/2023

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

met_with: Sherrae Smith


state: CA

facility_name: SOJOURNERS HAVEN GROUP HOME II

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Regarding the allegation that facility did not provide a safe environment for the resident, a confidential interview did not elaborate an environment deemed unsafe for the clients. Confidential interview disclosed that C1 did not want to be in the room with a roommate due to C1 engaging in inappropriate conducts. A confidential witness revealed C1 had contraband in the room, therefore C1 was avoiding being in the room with the roommate. The confidential witness believed the facility was a safe place for C In regard to the allegation that staff engaged in verbal altercation with the resident, it was not specified what was verbal altercations. A confidential interview stated that C1 repeatedly cursed staff whenever C1 was reminded by staff to complete a task. The confidential witness revealed C1 was did not respect staff when C1 was told to complete chores, and they did not observe staff engaging in a verbal altercation with C1. Regarding the allegation that staff made inappropriate comments to C1, a confidential interview stated staff always made positive and encouraging comments to C1. Another confidential interview did not receive any reports in the past regarding staff making inappropriate comment to C1. A confidential witness did not hear staff make inappropriate comments to C1. A confidential interview maintained that staff made inappropriate comments toward C1. LPA didn't receive additional information. The allegation that staff did not keep C1's information confidential, it was not specific what information was revealed. A confidential interview was not sure what information was revealed but believed staff kept all C1's information confidential. Another confidential interview was not sure what information was revealed and was unable to provide additional information. LPA wasn't able to gather additional information. Regarding the allegation that staff withheld mail from C1, it was specifically stated that staff withheld C1's mail from C1. A confidential interview explained that C1's mail was not delivered at the time C1 was asking staff for the mail. Confidential interview further explained that when the mail was delivered, it was handed to C1. Additional confidential interview stated that all C1's' mails were always delivered to C1 as soon it was received, however, a confidential interview believed that C1's mail was not handled appropriately. In regard to the allegation that staff yelled at C1, a confidential interview stated that staff did not yell at C1. The confidential interview added that staff used a firm tone to communicate. Another confidential interview was not sure staff yelled during communication with C1. Other confidential witnesses didn't provide relevant information. Regarding the allegation that facility did not provide C1 with nutritious foods, it was specifically alleged that the food was mostly junk food. A confidential interview stated there were variety of food in the home. The confidential interview added that C1 was allowed to select from many choices of food available in the home. Another confidential interview stated there was always adequate food in the home. Regarding the allegation that staff did not ensure that C1 had appropriate sleeping arrangements, it was specifically stated that C1 was in the living room; C1 was currently sleeping on the couch. A confidential interview stated that C1 shared room with a roommate but C1 refused to sleep in the room. The confidential interview stated that C1 did not want to sleep in the room due to C1 not feeling safe. Another confidential interview believed C1 did not want to have a roommate. Confidential interview believed C1 was safe in the room but did not want to sleep there due to personal reasons. LPA received a conflicting information. In regard to the allegation that staff harassed C1 while in care, a confidential interview stated that staff did not harass C1. Confidential interview stated C1 did not like to be told what to do. Another confidential interview believed staff did not harass C1. The confidential interview revealed C1 misinterpreted information regarding being reminded to complete chores. Based on confidential interviews and observations, the allegations that facility did not provide a safe environment for C1, staff engaged in verbal altercations with C1, staff made inappropriate comments to C1, staff did not keep C1's' information confidential, staff withheld mail from C1, staff yelled at C1, facility did not provide C1 with nutritious foods, staff did not ensure that C1 had appropriate sleeping arrangements, staff harassed C1 while in care may have occurred, however, there were not a preponderance evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 was reviewed and provided to STRTP Sherrae Smith.

Investigation Findings:
13On November 4, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Sojourners Haven Group Home II, Short Term Therapeutic Residential Program (STRTP) and met with administrator, Sherrae Smith to deliver investigative finding involving the STRTP. On February 13, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging facility did not provide a safe environment for the residents, staff engaged in verbal altercations with the residents, staff made inappropriate comments to the residents, staff did not keep the residents' information confidential, staff withheld mail from the residents, staff yelled at the residents, facility did not provide the residents with nutritious foods, staff did not ensure that a resident had appropriate sleeping arrangements, staff harassed the residents while in care. On February 21, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted interviews with Facility Manager 1 and 2 (FM1 and FM2). Additionally, LPA interviewed Administrator 1 (A1) and Client 1 (C1). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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: SOJOURNERS HAVEN GROUP HOME IIFACILITY NUMBER: VISIT DATE: 11/04/2024

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
Regarding the allegation that staff did not allow C1 to participate in religious activities, it was specifically alleged that religious activities were not being followed and C1 requested to be in a new placement to practice Ramadan (fasting). A confidential interview stated that C1 was allowed to practice religious activities in the home. The confidential interview revealed C1 had the space in the home to practice religious activities. Another confidential interview did not feel comfortable practicing religious activities in the home. The confidential interview revealed that it was difficult to practice religious activities around those who were not from the same religion. A confidential witness believed C1 wanted to be in a home set up with same religious practices. Based on confidential interviews and observations, the allegations that staff did not allow C1 to participate in religious activities may have occurred, however, they were not a preponderance of evidence to support the alleged violation. Therefore, this allegation is unsubstantiated at this time. A copy of this report, LIC 811 was reviewed and provided to STRTP Administrator Sherrae.

Investigation Findings:
13On November 4, 2024, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Sojourners Haven Group Home II, Short Term Residential Therapeutic Program (STRTP) and met with the facility administrator Sharrae Smith. to deliver investigative finding involving the STRTP. On May 29, 2024, a complaint report was referred to Community Care Licensing (CCL) alleging staff did not allow minor to participate in religious activities. On June 5, 2024, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted interviews with facility manager 1 and Client 1 (C1). Additionally, LPA interviewed Administrator 1 (A1). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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: SOJOURNERS HAVEN GROUP HOME IIFACILITY NUMBER: VISIT DATE: 11/04/2024


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
In regard to the allegation that facility staff do not provide minor with dignity and respect, it was specifically alleged that STRTP staff do not listen to client #1(C1) and laughs at C1. It was also reported that STRTP staff refer to C1 as a "spoiled brat" and C1 does not receive emotional support at the STRTP. A confidential interview stated that STRTP staff are not disrespectful to C1. The same interview reported that the staff that had called C1 a "spoiled brat" no longer works for the STRTP. One confidential interview reported hearing staff call C1 a "spoiled brat." Another confidential interview stated denied ever witnessing anyone talk to any client in that manner at the STRTP. Facility staff stated that there have not been any reports of staff being disrespectful to C1 or name calling. One last interview denied witnessing name calling in the STRTP. County social worker stated that C1 has not reported staff laughing at C1, but they know C1 has a history of hearing voices, having illusions, and seeing things. Based on confidential interviews, the allegation that facility staff do not provide client #1(C1) with dignity and respect may have occurred, however, there was not a preponderance of evidence to support or deny the alleged violation. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and Appeal Rights were provided to Sherrae Smith.

Investigation Findings:
13On June 25, 2025, at 12:00PM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Sojourners Haven II Short Term Residential Therapeutic Program (STRTP) Administrator Sherrae Smith to discuss the investigative finding for the above stated allegation involving client in care. Community Care Licensing received information on December 12, 2024, alleging that facility staff do not provide minor with dignity and respect. LPA Babatunde Aborchie began the investigation at the facility on December 19, 2024, at 10:54AM and no immediate hazards were observed. Additionally, LPA Caballero visited the facility to conduct interviews on June 2, 2025. LPA Caballero interviewed Clients #1-#3, two staff, and facility administrator. County Social Worker was interviewed. LPA reviewed pertinent documents from staff and client's files. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN GROUP HOME IIFACILITY NUMBER: VISIT DATE: 06/25/2025

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

met_with: Administrator-Sherrae Smith


raw_content:
Narrative:
Regarding the allegation that A1 yelled at C1 in care. A confidential interview stated C1 was not yelled at. The confidential interview stated A1 was on the phone with C1 communicating and encouraging C1 to stay calm. Another confidential interview stated C1 was having behaviors. The confidential interview stated C1's behavior of yelling woke other clients up. Additional confidential interview stated C1 was yelled at while being talked to. The additional confidential interview added A1's voice was perceived as yelling. In regard to the allegation that staff don't treat C1 equally, a confidential interview stated C1 was treated like everyone else. The confidential interview stated facility staff treated everyone equally. Another confidential interview stated C1 did not feel treated equally. The confidential interview stated staff gave more attention to other clients than C1. Additional confidential interview stated staff always respected and treated C1 well. The additional confidential interview added C1 was never treated differently than others. The allegation that staff did not safeguard C1's personal belongings, a confidential interview stated C1's personal belongings were well guarded. The confidential interview added that C1 was not telling the truth. Another confidential interview stated C1's personal belongings were missing. The confidential interview stated C1 could not find C1'shirt. Additional confidential interview stated staff was always available. The additional confidential interview added that staff provided 24 hours of supervision in the home. LPA received a conflicting information. Regarding A1 threatened C1 in care, a confidential interview stated C1 was not threatened. The confidential interview stated A1 was talking over phone with C1, but A1 did not threaten C1. Another confidential interview stated C1 was threatened. The confidential interview added that A1 mentioned calling the police. Additional confidential interview did not hear staff threatening C1. The additional confidential interview stated staff were trained well and would not threaten C1. In regard to the allegation that staff were not meeting C1's dietary needs, it was specifically stated that A1 does not purchase foods that C1 can eat for C1's diabetic diet. A confidential interview stated there was adequate amount of food in the home. The confidential interview added that C1 was not on any prescribed dietary specific food and there was variety of food to pick from. Another confidential interview stated C1 was not provided the type of food C1 can eat. The confidential interview added C1 was pre-diabetic and C1 should not eat the same as others. Regarding the allegation that staff were not meeting C1's medical needs, it was specifically stated that C1 needed to get back on C1's medication as C1 could not focus on anything, and the staff were not taking C1 to get C1's medication. A confidential interview stated an appointment was made for C1 to see the doctor. The confidential interview added that C1 was taken to the doctor on appointment day. Another confidential interview stated C1 was not taken to the doctor on a timely basis. The confidential interview stated C1 wanted to be taken to the doctor before the appointment date. LPA received a conflicting information. Concerning the allegation that staff made an inappropriate comment towards C1 in care, a confidential interview stated all staff were trained to treat clients with respect. The confidential interview added that staff were always respectful when dealing with C1. Another confidential interview did not state or define what inappropriate comment was. The confidential interview stated C1 did not get spoken to the same way as other clients. The confidential interview added that other clients got better treatment than C1. Additional confidential interview stated C1 was always treated equally. The additional interview stated that staff may be firm with C1 during behavior episodes, but staff remained professional when talking to C1. Based on confidential interviews and observations, the allegations that A1 yelled at C1while in care; staff don't treat C1 equally; staff did not safeguard C1's personal belongings; staff threatened C1 in care; staff are not meeting C1's dietary needs; staff are not meeting C1's medical needs; and staff made an inappropriate comment towards C1 in care may have occurred, however, there were not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. A copy of this report, LIC 811 along with appeal rights were reviewed and provided to STRTP Administrator Sherrae Smith.

Investigation Findings:
13On June 27, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Sojourners Haven Group Home II, Short Term Residential Therapeutic Program (STRTP) and met with the facility manager II Deborah Kennedy to deliver investigative finding involving the STRTP and clients as listed on the Confidential Name List (LIC 811). On May 23, 2025, a complaint report was referred to Community Care Licensing (CCL) alleging that staff yelled at a minor in care; staff don't treat minors equally; staff did not safeguard minor's personal belongings; staff threatened a minor in care; staff are not meeting minor's dietary needs; staff are not meeting minor's medical needs; and staff made an inappropriate comment towards a minor in care. On May 30, 2025, (LPA) Babatunde Aborchie arrived at the STRTP to initiate the investigation and conducted interviews with Client 1, 2, 3 (C1, C2, C3). Additionally, LPA interviewed Staff 1 (S1), Administrator 1 (A1). LPA was unable to interview County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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: SOJOURNERS HAVEN GROUP HOME IIFACILITY NUMBER: VISIT DATE: 06/27/2025

met_with: Facility Manager II


summary: Facility Evaluation

raw_content:
Narrative:
On July 14, 2021 at 2: PM, Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager (LPM) Abdoulaye Traore conducted an annual inspection. The facility converted from a Group Home to STRTP (Short Term Therapeutic Program) on 08/19/2021. LPA was met at the facility by Facility Manager II Debra Kennedy and later joined by Facility Manager III Sherrae Smith. 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/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in a locked closet in the staff office. Licensee did not have provisions for contraceptives to be held in individually locked containers by clients. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathroom was measured to be 113 degrees. Facility has cameras in common areas of the facility. The facility has an exception on file to use the cameras and are meeting the terms and conditions. Per facility staff, no firearms or weapons are allowed in the facility. Based on observations the facility is being issued a technical violation of Title 22, Chapter 7.5, version 3.1, Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) section 87075(b)(1)(A) Health Related Services. The licensee shall ensure that all prescribed medications, with the exception of contraceptives, are centrally stored, as provided in California Code of Regulations, Title 22, Section 80075. (1) Licensees shall continue to ensure the health and safety of all children in the facility. (A) The licensee shall provide the child with a locked container in which to store their contraceptives. The facility is also being issued a technical violation of , STRTP ILS section 87075(b)(1)(A)(1) Health Related Services (1) There shall be more than one key to the container. One key shall be given to the child and the others shall be kept by short-term residential therapeutic program staff. An exit interview was conducted and a copy of this report and appeal rights were provided to Facility Manager III Sherrae Smith.

report_type: Facility Evaluation

visit_type: Annual

met_with: Sherrae Williams, Facility Manager III


summary: Facility Evaluation

raw_content:
Narrative:
On July 15, 2021, Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager (LPM) Abdoulaye Traore continued an annual inspection. The purpose of the continuance was to review the facility's staff and client files and conduct staff and client interviews. LPA and LPM was met at the facility by Administrator Gina Melendez. Administrator Gina Melendez is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs one therapist and 10 facility managers. Licensee has obtained a Mental Health contract with San Bernardino County. Licensee has obtained National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF). The Accreditation is valid through December 31, 2021. Licensing fee payments have been paid and there is currently a balance of $0.00. LPA discussed the following with the Administrator: Incident reporting, including incidents related to Assembly Bill 388 law enforcement contacts as well as incidents involving emergency interventions. LPA discussed procedures for Child and Family Team (CFT) meetings, including an overview of required Core Services and Supports. Based upon the inspection of facility records and interviews with staff and clients, the Licensee appears to be meeting CFT and Core Services/Supports requirements. Personnel files were reviewed to ensure they contained all required documentation per Title Regulations. Personnel Files are maintained on-site in a locked closet in the front living area. All appropriate personnel who require caregiver background checks have not received criminal record and child abuse index check clearances or exemptions. A review of client records was also completed on this date. Client and staff interviews were conducted and revealed no health and safety concerns. Based on records review the facility is being cited for violation of Title 22, Chapter 7.5, version 3.1, Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) section 87075 (c ) Health Related Services and section 87065 (f)(2) Personnel Requirements. The facility is also being cited for violation of Title 22, Chapter 6 section 80019(d) Criminal Record Clearance. Also , the facility was issued a technical violation of Title 22, Chapter 7.5, version 3.1, Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) section 87095.61(f) Documentation and Reporting requirements. An exit interview was conducted and a copy of this report and appeal rights was explained and provided to Administrator Gina Melendez.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On September 17, 2021 at 8: AM, Licensing Program Analyst (LPA) Cindy Hamilton met with Sojourners Haven Executive Director Latrese Armstrong. The purpose of this office visit was to have Executive DIrector Armstrong sign the Non-Compliance Conference Summary that occorred on August 30, 2021. A copy of this report was provided to Executive DIrector.

met_with: Latrese Armstrong, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On June 30, 2022 at 9:19AM, Licensing Program Analysts (LPAs) Adaleyci Caballero and Rafael Enriquez conducted an unannounced required two year inspection and met with Administrator Elizabeth Meyer. LPA disclosed the purpose of the visit and was granted entry into the facility. Two clients and two staff were present in the facility during the inspection. The facility is a three-bedroom, three-bathroom house composed of an office, den, and living room area. One bathroom is for staff use. Administrator Elizabeth Meyer accompanied LPAs inside and out of the facility inspection. A physical plant inspection was completed and included the following areas: Facility grounds are clean and free of debris and observable hazards. There is adequate indoor and outdoor activity space. Sports equipment/toys/books/games were observed for children's recreation time. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. Licensee maintains an adequate supply of perishable and non-perishable foods and appears to be following the posted menu. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights form, and Foster Care Ombudsman poster. Medications are locked and centrally stored in a locked closet in the staff office. First aid kit had all supplies. Licensee had contraceptives individually locked in containers by clients. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The hot water in the client's bathroom was measured to be 115 degrees Fahrenheit. Facility has cameras in common areas of the facility. The facility has a waiver on file to use the cameras and are meeting the terms and conditions. LPAs will continue the required two year inspection in another day due to time restraint.

met_with: Administrator- Elizabeth Meyer


summary: Facility Evaluation

raw_content:
Narrative:
On August 29, 2024, at 2: PM, Licensing Program Analyst (LPA) Cynthia Velasquez conducted an unannounced Annual Inspection of facility. The walkway was easily accessible and there was a concrete sidewalk leading up to the front door. The home has a wooden fence around perimeter and is located on a corner lot. LPA was greeted by Sherrae Smith, Administrator, and shared information regarding annual inspection to be conducted. LPA was welcomed into the facility; LPA was led into an office for conducting review of staff and client files. Partial Staff and client files were reviewed. Additional time to review staff and client files is needed and will be performed on another day, as well as physical inspection of premises, operations, disaster preparedness, emergency intervention, and client and staff interviews. Due to time constraints, this annual inspection will be continued on a different day. A copy of LIC809, and LIC811 was given to Sherrae Smith, Administrator.

met_with: Sherrae Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2024, Licensing Program Analyst (LPA) Cynthia Velasquez continued with Annual Inspection of facility. Remaining staff and client files were reviewed. Staff files contained all trainings, CPR, emergency intervention and background clearances. Client files were reviewed and had Needs and Services Plans, medical and dental screenings, and emergency contact information. A physical inspection of premises, operations, disaster preparedness, and emergency intervention plan was performed. There were no deficiencies at facility at this time. The facility maintains over the required amount of food in refrigerators, freezers, and cabinets. Emergency food was also available. There are separate cabinets for dry goods and various snack items for clients. All client bedrooms had clean linens, chest of drawers for each child, and closet space. Clothing was hung up in the closets and rooms were tidy. Bath water was measured at 115 degrees F, and kitchen sink water temperature was measured to be 105 degrees F. Sharp items were locked in a cabinet and not in reach of clients. The laundry room contained locked cabinets for soap and cleaning products. There are no weapons at this facility. A copy of this report was given to Sherrae Smith, Administrator upon completion.


summary: Facility Evaluation

raw_content:
Narrative:
On August 12, 2021, at 12: PM, Licensing Program Analysts (LPA) Cindy Hamilton returned to the facility to follow-up on a Plan of correction (POC) that has not been received by Community Care Licensing (CCL). LPA Hamilton met with Sojourners Haven Group Home II Administrator Gina Melendez. The Short Term Residential Therapeutic Program (STRTP) was cited on July 15, 2021 at 9:24 am for Personnel Requirements (f) The licensee shall designate at least one facility manager to be present at the facility at all times when one or more children are present: (1) The facility manager shall meet one of the following requirements prior to employment: Prior to assuming the duties and responsibilities of the facility manager, the individual shall complete a minimum of one hour of training as specified in Section 87065.1(a), in addition to training required in Sections 87065.1(c) and (d). When the citation was issued at Sojourners Haven Group Home II, LPA Cindy Hamilton and Licensing Program Manager (LPM) Abdoulaye Traore met with Facility Manager III Sherrae Williams and Administrator Gina Melendez in person and discussed that the POC was to provide staff #3 and all facility managers with the necessary training for the facility manager position. The proof of training and training content was to be provided to CCL by August 2, 2021. CCL did not receive the POC. Based on the failure to correct the deficiency issued on July 15, 2021, a civil penalty of $100 per day beginning on August 3, 2021, and will continue to accrue at $100.00 per day, until deficiency is corrected. A copy of this report along with LIC Civil Penalty Assessment were provided to Administrator Gina Melendez.

met_with: Gina Melendez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA), Michael Almaraz, conducted an unannounced case management inspection on November 17, 2023, at 12: PM. During the inspection, LPA met with facility manager II Kieera Anderson. The purpose of the inspection was to address information obtained during a review of an incident that occurred on or around October 9, 2023. LPA reviewed facility and staff files on October 10, 2023, at 12: PM. During LPA's record review of staff files, it was noted that the facility never obtained a criminal record clearance for staff #1 (S1) (Refer to LIC Confidential Name List dated 11/17/23). Facility will be cited for violation of Title Regulations 80019(e)(2) Criminal Record Clearance. Based on LPA's record review the preponderance of evidence standard has been met that S1 did not obtain a criminal record clearance. An exit interview was conducted, a copy of this report along with LIC 809D, LIC 421B, LIC 811, and appeal rights were provided to Kieera Anderson.

met_with: Kieera Anderson


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2026, at 11: AM, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced annual random inspection. At Sojourners Haven II Group Home (GH). LPA met with Clinician Melissa Sandoval and completed a physical plant inspection at 11:30 am. During the physical plant inspection, LPA observed a two-story house with a formal entry with a staff office to the right and a locked closet where staff files are stored. The living room consisted of one sofa and two chairs; the dining room consisted of a formal table with six chairs. There are postings of Grievance Procedures, Visitation Policies, Youth Bill of Rights in English and Spanish, and CARF International Certification posted on the wall. The kitchen includes a refrigerator/freezer. There is an adequate supply of perishable and non-perishable foods, including available fruit, and the food menu is posted. All sharps are kept in a lock box located in the staff office in a locked closet. There is one staff restroom downstairs and an entrance into the garage for extra storage space and a refrigerator and separate freezer with extra food. The kitchen sink has reading of 118 degrees Fahrenheit LPA observed stairs that lead to the second floor of the facility. There are three client bedrooms, one bedroom is being occupied by one client. Bedroom two is occupied by one non minor dependent and bedroom three is occupied by two minors. All beds have the appropriate linens, pillows, comforters, and mattresses in good repair. There are two dressers and closet space for each client's clothing. There is a restroom in bedroom one and a main restroom at the top of the stairs on the second floor that is shared by clients. Both restroom sinks have a reading of 118 degrees Fahrenheit. Continued on LIC 9099C The staff office consists of one desk with and lap top computer and one printer, and security monitors that display video of the common areas within the facility. There is a locked closet used to keep client medicine that is locked in a medicine cabinet. LPA observed the emergency evacuation facility sketch posting at the entrance of the door. There is one first aid kit upstairs in the hall closet to the right of the stairs, one first aid kit in the staff office and facilities vehicles also contain first aid kits. The First Aid Kit consists of bandages, tweezers and scissors. The facility has two vehicles to transport clients to appointments and recreational activities. The vehicle is maintained in safe operating condition. LPA reviewed four client records, and four staff records. Based on the annual random inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Sherrae Smith. Exit interview conducted. A copy of this report and LIC811 was provided to the Administrator, Sherrae Smith.

met_with: Sharrae Smith, Administrator


summary: Facility Evaluation

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On March 23, 2026, at 10: AM, Licensing Program Analyst (LPA) Julian Lucas arrived unannounced at Sojourners Haven Group Home II the purpose of the visit was to conducted client and staff interviews. LPA completed a walk through of the facility and there were no immediate health and safety concerns. LPA conducted three staff interviews and one client interview. An exit interview was conducted, and a copy of this report was provided to, Sharrae Smith, Administrator


facility_name: SOJOURNERS HAVEN III

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Confidential interviews resulted in conflicting information being provided to LPA. A confidential interview disclosed that S1 would sleep on the night shift almost every time S1 worked the night shift; whereas other confidential interviews disclosed S1 had not been seen sleeping during S1's shift. ADM stated ADM reviewed camera footage from August 26, 2021 to two weeks after from inside the STRTP and S1 was not observed sleeping. Confidential interviews also disclosed that S1 did not advise clients that they could do whatever they want as long as they do not disturb S1; whereas a confidential interview disclosed that S1 told this to C2. Confidential interviews also disclosed to LPA that no one had witnessed C1 and C2 engaging in inappropriate sexual interactions. Confidential interviews and document review disclosed that on June 6, 2021 staff did entered the room of C1 and C2 and C1 was in C1's underwear. When staff opened the door, C1 grabbed a towel to cover C1's upper body and C2 was in the room and staff asked C2 to exit the room. Per document review and confidential interviews, on June 10, 2021, C2 was assigned to another room and C1 and C2 were no longer roommates. ADM and Executive Director advised STRTP was concerned with C1 and C2 having inappropriate boundaries but none of the staff had advised of witnessing any inappropriate sexual interactions between any of the clients. Confidential interviews disclosed that there are usually two to three staff per day shift and one to two staff on the night shift. A confidential interview disclosed that an unknown staff left clients alone in the STRTP approximately five to seven times; whereas other confidential interviews disclosed the clients have never been left alone in the facility. Confidential interviews also disclosed that staff conducts room checks every 15 to 20 minutes and these checks are documented in the communication log. CSW had no issues or concerns with the care and supervision provided by STRTP. Based on confidential interviews and document review, the allegation lack of supervision resulting C1 and C2 engaging in inappropriate sexual interactions while in care, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were provided to Executive Director.

Investigation Findings:
13On December 9, 2021 at 10:17 a.m., Licensing Program Analyst (LPA), Cindy Hamilton met with Sojourners Haven Group Home III (STRTP) Executive Director, Latrese Armstrong at Sojourners Haven II, Avenida Baja, Riverside, CA 92509 to deliver the findings for the above stated allegations regarding Sojourners Haven III. During the investigation, LPA Hamilton conducted interviews with five of five clients, two staff, county social worker, Executive Director and Administrator (ADM). LPA Hamilton conducted a health and safety inspection of the STRTP on September 13, 2021 and no safety concerns were noted. LPA obtained and reviewed the facility's 15-minute log, placement agreements, needs and services plans, special incident reports, daily reporting log, client roster and staff schedules. On September 3, 2021, Community Care Licensing (CCL) received information stating lack of supervision resulting Client #1 (C1) and Client #2 (C2) engaging in inappropriate sexual interactions while in care. It was alleged that C1 and C2 were caught nude in their bedroom, Staff #1 (S1) sleeps on the night shift and S1 advised the clients that they could do whatever they want as long as they do not disturb S1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cindy Hamilton 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 12/09/2021

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


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possession while placed at the facility. It was reported that Client #1 had a history of going on AWOL status. Information obtained from county social worker and investigator stated that there were no concerns that Client #1 was using drugs while placed at the facility. It was stated that there were no concerns regarding supervision of the clients as staff members were engaged and constantly conducting safety checks. It was also advised that the photos that were posted on Client #1's social media were taken previous to Client #1 being in placement. Due to LPA Harris unable to locate clients to obtain additional information from, LPA Harris is unable to determine if the allegation is valid. Based on interviews and information obtained, the allegation that Client #1 engaged in illegal behavior while in care, may or may have not occurred; therefore, the allegation is unsubstantiated at this time. A copy of this report and appeal rights were provided to the facility representative.

Investigation Findings:
13On December 28, 20121, Licensing Program Analyst (LPA) Jazmond Harris met with Facility Manager, Breanna Silvera to deliver the findings for the investigation pertaining to the listed allegations. LPA Cindy Hamilton initiated the investigation on May 4, 2021 and interviewed Administrator, County Social Worker, and Out of Home Investigator. LPA Harris conducted interviews with Facility Managers and Out of Home Investigator. Neither LPA was able to interview Client #1 due to Client #1 being listed on AWOL (absent without leave) status. County representatives have been unsuccessful at locating Client #1. Additional clients refused to be interviewed or current whereabouts are unknown at this time. On April 21, 2021, Community Care Licensing (CCL) received information which stated minor engages in illegal behavior while in care. It was reported that Client #1 posted on their social media page that they were under the influence of a substance. It was also stated that Client #1 posted that they like to "overdose on pill." Information obtained from facility representatives stated that there were no concerns regarding Client #1 using drugs while in care. It was also reported that no illegal drugs or substances were found in Client #1's UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Jazmond D Harris LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 12/28/2021

met_with: Facility Manager-Breanna Silvera


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For the allegations regarding a minor sustained injuries while in care and staff do not prevent altercations between youth, it was alleged that client #1 (C1) was jumped by another client at the facility. Specifically, it was alleged that Client #3 (C3) walked into C1's room and started to hit (C1) in (C1)'s arms, grabbed (C1) by the hair, and was beating (C1) in (C1)'s back. Additionally, (C1) reports having bruises on (C1)'s body. Furthermore, it was indicated that another client in care put client's arms around (C1)'s neck with no further details. A confidential interview reported that (C1) was warned not to touch (C3)'s belongings and (C1) did so, (C3) hit (C1). Confidential interviews stated staff do not let the clients in care fight. Other confidential interviews stated (C1) was bullying (C2) and wanted to fight (C2). Other confidential interviews stated not witnessing (C1) get jumped. Administrator stated Law Enforcement came out to the STRTP during an altercation between clients and did not observe bruising or marks on (C1). Administrator stated staff prevent fights between clients and one staff was injured by preventing a fight between two clients. County Social Worker stated (C1) did not disclose getting "jumped" at the group home but did indicate (C1) was jumped at school or after school. LPA received inconsistent information regarding these allegations. Regarding the allegation that staff locked minor out of the STRTP, it was specified that (C1) was locked out of the STRTP because staff did not feel safe. Confidential interviews reported that (C1) was AWOL and staff took the rest of the clients to the movie theater when (C1) arrived. Other confidential interviews stated not witnessing (C1) being locked out of the STRTP. Administrator stated (C1) broke into the STRTP through a window because facility staff took clients to an outing during the time (C1) was AWOL. County social worker stated that (C1) mentioned during a Child and Family Team (CFT) meeting that she was locked out of the STRTP. County social worker added that according to what he understood staff indicated not feeling safe because (C1) wanted to fight another client in care and there was only one staff there. LPA was unable to interview C1 due to C1 currently AWOL. LPA received inconsistent information regarding this allegation. Based on confidential interviews, the allegations that Client #1 (C1) sustained injuries while in care, staff do not prevent altercations between clients and staff locked client out of the STRTP may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Administrator Sherrae Smith.

Investigation Findings:
13On July 8, 2022 at 9:59AM, Licensing Program Analysts (LPAs) Adaleyci Caballero and Cynthia Urena met with Sojourners Haven III Administrator Sherrae Smith to discuss the investigative findings for the above stated allegations involving a client in the facility. On March 29, 2022, Community Care Licensing received information alleging that a minor sustained injuries while in care, staff do not prevent altercations between youth, and staff locked minor out of the Short-Term Residential Therapeutic Program (STRTP). On April 7, 2022 at 12:15PM, LPA Caballero initiated the investigation at the facility and a safety inspection was conducted. There were no immediate hazards observed. During the visit, LPA interviewed one staff and one client. On June 8, 2022, LPA Caballero visited the facility for additional interviews; LPA interviewed two staff and two clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Adaleyci Caballero 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 07/08/2022

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

met_with: Sherrae Smith-Administrator


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On June 16, 2022, Community Care Licensing received a complaint alleging procedures for filing a complaint with licensing are not posted in an accessible location at facility Regarding the allegation that procedures for filing a complaint with licensing are not posted in an accessible location at the facility, a confidential interview stated that C1 was unable to locate the number for licensing while placed at the facility. Confidential interview continued stating that when C1 asked S1 for licensing's information S1 did not provide C1 with the information. Another confidential interview stated that when C1 asked for the number to file a complaint a staff member at the facility provided C1 with that information and further assisted C1 with locating the posting for future reference. Another confidential interview stated that the facility has multiple postings available, and the information is located in an accessible area for clients. Other confidential interviews stated being aware on how to file a complaint and further reported that there are postings found throughout the facility. Based on confidential interviews, observations, and file reviews, the preponderance of evidence standard has been met, therefore, the allegation that procedures for filing a complaint with licensing was not posted in an accessible location at the facility is substantiated. The facility is being cited for violation of Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards Section 87022.2(a)(3) COMPLAINT PROCEDURES Exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and provided to Case Manager, Erica Brown. **Continued from LIC A page 2** Confidential interviews stated that fans were being used to keep clients cool during the maintenance process. Confidential interviews reported no concerns about the facility's AC. Based on confidential interviews, the allegations C1 sustained injuries while in care, staff did not prevent the altercation between C1 and C2 while in care, C1 was not accorded dignity in personal relationships with staff and other persons, and facility air conditioning in disrepair, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations were unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Sojourner's Heaven III Short Term Residential Therapeutic Program (STRTP) Case Manager, Erica Brown. **Continued from LIC A page 1** and on January 20, 2023, LPA Urena interviewed a County Social Worker (CSW). On June 16, 2022, Community Care Licensing received a complaint alleging that C1 sustained injuries while in care, staff did not prevent the altercation between minors while in care,a minor was not accorded dignity in personal relationships with staff and other persons, and facility air conditioning in disrepair. In regard to the allegations that minor sustained injuries while in care, and staff did not prevent the altercation between minors while in care, a confidential interview stated that C1 had visible scratches after a physical altercation with C2. Other confidential interviews stated not observing injuries on C1. Another confidential interview stated CSW was aware of the altercation between C1 and C2, however, CSW was not aware that C1 sustained injuries. Other confidential interviews stated S1 and S3 attempted to intervene and stop the altercation from occurring. Confidential interviews continued stating that S1 and S3 separated C1 and C2. Other confidential interviews stated that S1 instigated the fight between C1 and C2 by the comments S1 made against C1. Confidential interviews specified that S1 lied about an incident involving an extension cord which led to the altercation between C1 and C2. Regarding the allegation that C1 was not accorded dignity in personal relationships with staff and other persons, a confidential interview stated after the incident involving the extension cord S1 was ignoring C1 resulting in C1 feeling left out and isolated. Confidential interview continued stating C1 was bonding with staff and S1 changed staff duties to prevent C1 from further forming bonds with staff. Other confidential interviews stated that S1 favors C2 and does more for C2 than other clients. Confidential interview stated that C2 does not receive consequences for behaviors like other clients. Other confidential interviews stated that favoritism is not allowed by staff and client treatment varies from client to client due to client needs and client history. Another confidential interview denied that S1 favors C2 more than other clients. Regarding the allegation facility air conditioning in disrepair, all confidential interviews stated the air conditioner (AC) was not operating and it was fixed weeks later. A confidential interview stated that there was a leak in the ceiling that was linked to the AC not working.

Investigation Findings:
13On January 25, 2023, at 8: AM, Licensing Program Analysts (LPAs) Cynthia Urena, and Karen Beal met with Sojourner's Heaven III Short Term Residential Therapeutic Program (STRTP) Case Manager, Erica Brown to deliver the investigative findings for the above stated allegation. On June 23, 2022, at 9:55 theAM, Licensing Program Analyst (LPA) Adaleyci Caballero initiated an investigation at the STRTP. LPA Caballero conducted a health and safety inspection and observed that the procedures for filing a complaint was not posted accessible to clients in care. Additionally, LPA Caballero interviewed two clients (C2, C3). On December 28, 2022, LPA Urena interviewed client 4 (C4) on January 9, 2023, LPA Urena interviewed client 1 (C1), on January 10, 2023, LPA Urena interviewed three staff (S1, S2, S3), on January 18, 2023, LPA Urena conducted an interview with C2, and on January 20, 2023, LPA Urena interviewed a County Social Worker (CSW). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Cynthia Urena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 01/25/2023

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

met_with: Case Manager, Erica Brown


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Narrative:
facility staff did not give minor medication as prescribed, facility staff did not monitor minor's online activities, facility staff did not ensure that minor attended therapy sessions, and facility staff did not ensure that minor attended school on a regular basis. In regard to the allegations that facility staff bullied and intimidated C4 while in care, and facility staff made other minors verbally attack C4 while in care, a confidential interview stated that S1 instigated a fight between C4 and C3 that involved an extension cord. Confidential interview further stated that S1 was calling C4 "sticky fingers" which resulted in other clients accusing C4 of stealing. Confidential interview further reported that S1 gave C3 permission to fight C4. Another confidential interview stated that bullying does occur among clients and witnessed C4 being bullied by other clients while in care due to "the extension cord incident". Another confidential interview denied bullying C4 and stated that C4 was taking C3's things without permission. Other confidential interviews stated that staff do not bully or intimidate clients and denied that S1 was bullying or intimidating C4 while in care. Regarding the allegation that facility staff did not ensure that minors were adequately fed while in care, during inspection LPA observed an ample amount of food in the pantry, in the fridge, and also witnessed staff putting away groceries that were recently purchased. A confidential interview stated that when S1 took C4 and other clients to their appointments S1 stopped to purchase food and a drink while clients observed S1 eating and drinking. Confidential interview further stated that C4 and other clients were hungry and thirsty and were not offered any food or drinks. Another confidential interview stated that staff are given permission to purchase fast food for clients during transportation to visits. Confidential interview further stated that clients eat fast food in front of staff and reported no issues with food at the facility. Another confidential interview denied that S1 was eating food and drinking in front of clients. Regarding the allegation facility was not maintained at a comfortable temperature, all confidential interview stated the air conditioner (AC) was not operating and it was fixed later on. A confidential interview stated that there was a leak in the ceiling that was linked to the AC not working. Confidential interviews stated that fans were being used to keep clients cool during the maintenance process. Regarding the allegation that facility staff refused to provide C4 with the number to licensing, a confidential interview stated that C4 was unable to locate the number for licensing while placed at the facility. Confidential interview continued stating that when C4 asked S1 for licensing's information S1 did not provide C4 with the information Based on confidential interviews, the allegations that facility staff bullied and intimidated C4 while in care, facility staff made other minors verbally attack C4 while in care, facility staff did not ensure that minors were adequately fed while in care, facility was not maintained at a comfortable temperature, facility staff refused to provide C4 with number to licensing, facility staff did not give C1 medication as prescribed, facility staff did not monitor C1's online activities, facility staff did not ensure that C1 attended therapy sessions, and facility staff did not ensure that C1 attended school on a regular basis, may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report along with the appeal rights was provided to Sojourner's Heaven III Short Term Residential Therapeutic Program (STRTP) Administrator. Another confidential interview stated that when C4 asked for the number to file a complaint a staff member at the facility provided C4 with that information and helped C4 with locating the posting. Another confidential interview stated that the facility has multiple postings available, and the information is located in an accessible area for clients. Other confidential interviews stated being aware on how to file a complaint and further reported that there are postings found throughout the facility. LPA was unable to verify if the posting was available when the complaint was initiated. Regarding the allegation that facility staff did not give minor medication as prescribed, confidential interviews stated that C1 is provided with medications as prescribed. Confidential interviews further stated that staff log all medication administered to C1 and log all of C1's refusals as well. A confidential interview stated that C1 is complaint with taking medication and reported no issues. A confidential interview denied providing information. Regarding facility staff did not monitor C1's online activities, confidential interviews stated that there was an incident when C1 was observed using inappropriate contents on C4's computer. Confidential interviews stated that since the incident C1 was not allowed to use a computer without staff supervision. Confidential interviews further stated that there have been no issues reported and C1's online usage was being monitored by staff. Other confidential interviews reported not knowing if staff were monitoring C1's online activities. Regarding the allegation that facility staff did not ensure that C1 attended therapy sessions, a confidential interview stated that C1 attends all therapy sessions. It is documented that C1 participates weekly in individual therapy. Other confidential interviews reported not knowing if C1 is attending therapy sessions. Other confidential interviews stated that clients decide whether to participate in therapy or not. Regarding the allegation facility staff did not ensure that C1 attended school on a regular basis, a confidential interview stated that C1 was refusing to go to school. Other confidential interviews stated that staff were not sure why C1 was refusing to go to school. Confidential interviews further stated that staff held a meeting with C1's County Social Worker to discuss C1's school refusals. Another confidential interview stated that C1 was transferred to another school and C1 has been attending school daily. Other confidential interviews stated that staff ensure that clients are taken to school each day. Confidential interviews continued stating not having concerns about attending school daily.

Investigation Findings:
13On February 8, 2023 at 1: PM, Licensing Program Analyst (LPA) Babatunde Aborchie met with Sojourner's Heaven III Short Term Residential Therapeutic Program (STRTP) Administrator Tabitha Murray to deliver the investigative findings for the above stated allegations. On December 28, 2022, at 12: PM, Licensing Program Analyst (LPA) Cynthia Urena initiated an investigation at the STRTP. LPA Urena conducted a Health and Safety inspection, and no immediate deficiencies were observed. Additionally, LPA Urena interviewed client #2 (C2), client #1 (C1) refused to be interviewed. On January 9, 2023, LPA Urena interviewed client #4 (C4), on January 10, 2023, LPA Urena interviewed three staff (S1, S2, S3), on January 18, 2023, LPA Urena conducted an interview with client #3 (C3) , and on January 20, 2023, LPA Urena interviewed a County Social Worker (CSW). On December 22, 2022, Community Care Licensing received a complaint alleging that facility staff bullied and intimidated a minor while in care, facility staff made other minors verbally attack minor while in care, facility staff did not ensure that minors were adequately fed while in care, facility was not maintained at a comfortable temperature, facility staff refused to provide minor with the number to licensing, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 02/08/2023

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

met_with: Administrator


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Narrative:
never a shortage of food and beverages at the facility. Additionally, LPA was informed that some clients hoard the beverages which led to other clients not getting any. CSW4 stated that she was never informed of a shortage of food and beverages at the facility. CSW5 stated that there was always food and beverages during her visits. Other confidential witnesses stated that in December 2023, the kitchen refrigerator's ice and water dispenser was out of order and all the clients had to drink was faucet water. Furthermore, when staff were informed of that, they told the clients they needed to wait for staff to go grocery shopping. Based on inconsistent confidential interviews and record reviews, the allegation there was nothing to drink at the facility and when clients informed staff the clients were told they needed to wait until staff went shopping may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Precious Spence.

Investigation Findings:
13On March 27, 2024, at 9: AM, Licensing Program Analysts (LPA) Michael Almaraz and Rachel Vanegas arrived at the facility and met with facility manager III, Precious Spence, to issue the finding for the above stated allegation. On December 21, 2023, at 8: AM, LPA Almaraz conducted a health and safety inspection, and no immediate health and safety hazards were observed. During the inspection, LPA reviewed five clients' (C1-C5) records (see confidential names list LIC 811 dated March 27, 2024) and conducted interviews with two staff (S1, and S2). Additionally, LPA interviewed four clients (C1, C2, C3, C4) and two County Social Workers (CSW4, CSW5). One of five clients (C5) was unavailable for LPA interview due to the client's whereabouts being unknown. On December 12, 2023, the Department received a complaint alleging staff are not providing adequate food service to minors. More specifically, that there was nothing to drink at the facility and when clients informed staff the clients were told they needed to wait until staff went shopping. Confidential witnesses stated that staff would go grocery shopping every other week and there was...(continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 03/27/2024

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

met_with: Precious Spence


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Confidential witnesses informed LPA that on May 16, 2024, at around 10: PM C1 and C2 were involved in a physical altercation at the facility. LPA was informed that staff S1 was working when C2 calmly walked into C1's bedroom and began fighting with C1. It was disclosed to LPA that S1 followed C2 into C1's bedroom and immediately began to verbally redirect C1 and C2 to stop fighting. Furthermore, it was revealed to LPA that S1 intervened in the altercation. CSW2 informed LPA that CSW2's client had been involved in physical altercations at the facility and CSW2 was never informed that facility staff failed to intervene. CSW2 did not have suspicions of abuse or neglect. Another confidential witness informed LPA that S1 did not immediately intervene to stop the altercation leading to C1 suffering a bloody nose. LPA received inconsistent information regarding the allegation. Based on inconsistent confidential interviews and record reviews, the allegation that S1 did not intervene in an altercation between C1 and C2 resulting in C1 sustaining a bloody nose may have occurred, however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Breanna Silveira.

Investigation Findings:
13On August 15, 2024, at 9: AM, Licensing Program Analyst (LPA) Michael Almaraz arrived at the facility and met with Sojourners Haven III Facility Manager 2, Breanna Silveira, to issue the finding for the above stated allegation. On May 23, 2024, at 10: AM, LPA Almaraz conducted a health and safety inspection, and no immediate health and safety hazards were observed. During the inspection, LPA reviewed four clients' (C1, C2, C3, and C4) records (see confidential names list LIC 811 dated August 15, 2024), conducted interviews with two clients (C2 and C3) and one staff (S2). Additionally, LPA interviewed one county social worker (CSW2), one additional staff (S1), and one additional client (C1). One of four clients (C4) declined to participate in LPA interview. On May 20, 2024, the Department received a complaint alleging staff did not intervene in an altercation between minors resulting in a minor sustaining a bloody nose. More specifically, that S1 did not intervene in an altercation between C1 and C2 resulting in C1 sustaining a bloody nose. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith 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 RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 08/15/2024

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

met_with: Breanna Silveira


raw_content:
Narrative:
Confidential interviews provided conflicting information regarding the upstairs bathroom containing mold and or being dirty and not containing mold. Confidential interviews further provided information regarding regular bathroom cleanings and on-going observation of any mold growing in the upstairs bathroom shower. Based on record review and confidential interviews, the allegation that staff did not ensure facility is free of mold, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Facility Manager III, Precious Spence..

Investigation Findings:
13This is an amended report from the document created on 01/22/2025 at 11:55AM. On Janurary 22, 2025 and 11:56AM Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced at Sojourners Haven III Short-Term Residential Therapeutic Program (STRTP) and met with Facility Manager III, Precious Spence to deliver the concluding findings for the above allegation(s) involving clients listed on the confidential names list (LIC 811) dated 01/22/25. On August 5, 2024, LPA Vanegas inspected the STRTP, and no deficiencies were observed. During LPA Vanegas' investigation LPA Vanegas reviewed three Client (C) files (C1, C2, and C3). Additionally, LPA Vanegas conducted interviews with C1 and C3, Staff (S) 1, S2, and S3. LPA was unable to conduct an interview with the county social worker after multiple attempts to make contact. LPA was unable to conduct an interview with C2 due to C2 being on AWOL status. On July 31, 2024, the Department received a complaint alleging that staff did not ensure the facility is free of mold. It was specifically reported that the upstairs bathroom shower has mold growing. Record review revealed that that maintenance requests were submitted for the upstairs bathroom shower and repairs were completed, not specific to mold. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Rachel Vanegas 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 01/22/2025

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

met_with: Precious Spence - Facility Manager III


summary: Complaint Investigation - Unsubstantiated - 1 deficiency - 1 allegation

raw_content:
Narrative:
Confidential interviews and record review revealed that while grocery and household shopping was completed every other Wednesday, there were various instances that perishable food items (including bread and cheese) were not available or accessible for consumption in the STRTP for the clients in care to make alternate meals. Confidential interviews further revealed that staff have since conducted a meeting to address the concern in the STRTP and now purchase necessities throughout the week on a more regular basis for items including milk, eggs, bread, cheese, etc. Based on record review and confidential interviews the allegation staff are not providing adequate food services to minors is substantiated. The complaint allegation is valid because the preponderance of evidence standard has been met. The STRTP is cited for violation of STRTP Interim Licensing Standards (ILS) Section 87076 (c) Food Service "Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises." An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were reviewed and provided to Facility Manager III - Precious Spence. Confidential interviews and records review revealed that medical follow-up appointments, etc. is not the responsibility of one single staff and can be overlooked and not completed timely. Confidential interviews provided consistent statements that staff are not privy of medical appointment follow-up processes and appointments can be missed due to client refusals. C1 had a growth on C1's hand and was instructed by the physician to complete further testing. Confidential interviews revealed that additional follow-up appointments were not attended. Another confidential interview stated that C1 had refused treatment for the growth. Other information stated the allegation occurred. Additionally, confidential interviews and records review revealed that the STRTP has an oversupply of hygiene products under lock and key in a storage closet and available to clients upon request. A confidential interview stated that only one staff has keys to the supply closet and if that staff is not on facility grounds, the client must wait until that staff is on grounds to have access to the supplies requested. Another confidential interview stated hygiene supplies are available upon request. Based on confidential interviews and record review, the allegations that staff did not ensure C1 was seen by a physician and staff are not ensuring minors have hygiene products, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were reviewed and provided to Facility Manager III - Precious Spence.

Investigation Findings:
13On January 29, 2025 at 12:22PM, Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced at Sojourners Haven III Short-Term Residential Therapeutic Program (STRTP) and met with Facility Manager III - Precious Spence, to deliver the concluding finding for the above stated allegation. On 07/30/2024, Community Care Licensing received a complaint alleging that staff are not providing adequate food service to minors. Specifically, it was reported that there may be cheese but no bread or lunch meat to make a sandwich. LPA obtained pertinent documents from the clients' files such as placement agreements, needs and services plans, incident reports, etc. LPA conducted confidential interviews with Client 1 (C1) and Client 2 (C2), LPA was unable to conduct an interview with Client 3 (C3) due to whereabouts for C3 being unknown. LPA conducted staff interviews with Staff 1 (S1), Staff 2 (S2), and Staff 3 (S3). LPA was unable to conduct an interview with the county social worker after multiple attempts to make contact. **Continued on LIC 9099-C** SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Rachel Vanegas 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 01/29/2025

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:

Deficiencies:
87076: Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises.

met_with: Facility Manager III - Precious Spence

title: (c)1 Food Services


raw_content:
Narrative:
On August 22, 2024, the Department received a complaint alleging that staff did not ensure that a minor is provided laundry service and staff do not ensure that a minor is provided personal care items. It was specifically reported that C3 attended school dressed in pajamas and C3 did not have clean clothes. Confidential interviews provided information regarding set laundry days being assigned to clients in care and access to utilizing the washer/dryer as requested. It was further reported that C3 had not been provided hygiene or feminine care products. Confidential interviews provided conflicting information regarding the accessibility to laundry detergent for clients in care to wash laundry regularly. Confidential interviews further provided conflicting information stating that clients had limited access to extra personal care item supplies stored in the facility supply closet only when the Facility Manager III was on grounds. Based on record review and confidential interviews, the allegation that staff did not ensure that a minor is provided laundry service and staff do not ensure that a minor is provided personal care items, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Facility Manager II - Breanna Silveira.

Investigation Findings:
13On March 03,2025 at 11:45AM Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced at Sojourners Haven III Short-Term Residential Therapeutic Program (STRTP) and met with Facility Manager II - Breanna Silveira, to deliver the concluding findings for the above allegation(s) involving clients listed on the confidential names list (LIC 811) dated 03/03/25. On August 26, 2024, LPA Vanegas inspected the STRTP, and no deficiencies were observed. During LPA Vanegas' investigation LPA Vanegas reviewed four Client (C) files (C1, C2, C3, and C4). Additionally, LPA Vanegas conducted interviews with C1, C2, C4, Staff (S) 1, S2, and S3. LPA was unable to conduct an interview with the county social worker after multiple attempts to make contact. LPA was unable to conduct an interview with C3 due to C3's whereabouts being unknown. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Rachel Vanegas 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 03/03/2025

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

met_with: Facility Manager II - Breanna Silveira


raw_content:
Narrative:
Confidential interviews and file review provided information regarding R5 being on facility grounds during initial intake at the STRTP on 07/04/24 and then leaving the facility on unauthorized leave on 07/04/24. Confidential interviews provided consistent statements regarding residents and staff not meeting R5 during the time that R5 was on facility grounds. Based on record review and confidential interviews, the allegation that facility staff did not prevent inappropriate behavior between youths in the home, may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to Precious Spence - Facility Manager III.

Investigation Findings:
13On March 21, 2025 at 10:25am Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced at Sojourners Haven III Short-Term Residential Therapeutic Program (STRTP) and met with Precious Spence - Facility Manager III to deliver the concluding findings for the above allegation(s) involving client listed on the confidential names list (LIC 811) dated 03/21/25. On November 07, 2024, LPA Vanegas inspected the STRTP, and no deficiencies were observed. During LPA Vanegas' investigation LPA Vanegas reviewed five Resident (R) files (R1, R2, R3, R4, and R5). Additionally, LPA Vanegas conducted interviews with R1, R2, and R3, Staff (S) 1, S2, and S3. LPA was unable to conduct an interview with the county social worker after multiple attempts to make contact. LPA was unable to conduct an interview with R4 due to R4's refusal and with R5 due to R5's whereabouts being unknown. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Rachel Vanegas 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 03/21/2025

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


raw_content:
Narrative:
interviews indicated that C1's insurance was not active, and staff was unable to pick up the medication without C1's insurance being active. Other interviews indicated that the facility did not want to pay for the medication outside of insurance and did not pick up the medication until the insurance was cleared on January 15, 2025. Records reviewed indicated that C1 went to the Emergency Room on December 14, 2024 and was prescribed three types of medication and the medication was not given to C1 until January 17, 2025. Confidential interviews revealed conflicting statements. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff do not ensure C1 receives their medication as necessary, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Breanna Silveira. A copy of this report will be placed in the facility file.

Investigation Findings:
13On June 25, 2025, at 2:00 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Breanna Silveira, Manager II, to discuss the investigative finding for the allegation noted above. LPA Rachel Vanegas conducted an inspection of the facility on January 22, 2025, at 9:50 am, and no deficiencies were observed. LPA Vanegas interviewed two Staff (S1, S2) and one County Social Worker (CSW), and LPA Linley interviewed one of three Clients (C1), and four Staff (S3, S4, S5, S6) LPA reviewed the facility documents during the investigation. On January 16, 2025, Community Care Licensing (CCL) received an allegation that staff do not ensure the minor receives their medication as necessary. It was reported that C1 was taken to the Emergency Room for breathing issues on four separate visits within their first month at the facility. It was reported that the Physician prescribed specific medications to treat and provide preventive care for C1's breathing. Some UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 06/25/2025

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


raw_content:
Narrative:
Specifically, it was reported that the facility was having a hard time putting food on the table, and that the shower water was always cold. Also, it was reported that a staff member would get drunk and high with the residents in the home and a staff member videotaped a resident while the resident was using the toilet. During the investigation, there was no corroborating evidence to support the above allegations. Although the Department received detailed information, the confidential interviews provided inconsistent statements that would validate the allegations. LPA was unable to located other residents in the home for an interview. Based on confidential interviews, the allegations that staff did not provide adequate food service for the minors, staff do not ensure the facility has hot water, staff would be under the influence of drugs and alcohol with minors and staff videotaped the minors in the restroom while in care, may have occurred, however, is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was provided to Sojourners Haven III Short Term Residential Therapeutic Program (STRTP), Breanna Silveira, Manager II.

Investigation Findings:
13On July 10, 2025 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo met with Breanna Silveira, Manager II, to deliver the finding for the above complaint allegations at Sojourners Haven III Short Term Residential Therapeutic Program (STRTP). On 01/22/25, LPA Rachel Vanegas inspected the facility's physical plant, and no immediate health and safety hazards were observed. The investigation included interviews with two staff members (S1, S2), one resident (R2) and two County Social Worker (CSW2, CSW4). LPA was unable to locate R1, R3, R4 for an interview. In addition, the Residents' Needs and Services Plans were reviewed. On January 17, 2025, Community Care Licensing received a complaint alleging that staff did not provide adequate food service for the minors, staff do not ensure the facility has hot water, staff would be under the influence of drugs and alcohol with minors and staff videotaped the minors in the restroom while in care. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 07/10/2025

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

met_with: Breanna Silveira, Manager II


raw_content:
Narrative:
***********This is an amended report from the document created on 10/27/2025 at 11: AM.********** On May 9, 2025, the Department received a complaint alleging facility staff are not allowing minor access to the facility, facility staff did not protect minor's personal property, and facility staff are not providing adequate clothing to minors. It was specifically alleged that on May 6, 2025, C5 returned from being away from the facility without permission and the facility staff did not allow C5 to enter the facility. It was alleged the placement home gave away C5's belongings, leaving them with only the clothes they were wearing. Lastly, it was unknown if the children in the home receive adequate clothing in the facility. Confidential witnesses informed LPA Aviles that C5's bed was closed by county social worker, however, LPA was unable to obtain evidence to support this information. Confidential witnesses informed LPA Aviles when a client AWOLs from the facility, staff immediately bag personal belongings and lock in a secure location, however there were confidential witnesses that disclosed conflicting information on safeguarding client's personal belongings. Confidential witnesses informed LPA Aviles that client's receive a monthly clothing allowance, however, other confidential witnesses disclosed otherwise. LPA Aviles received conflicting information regarding the three allegations. Based on confidential interviews the allegations facility staff are not allowing minor access to the facility, facility staff did not protect minor's personal property, and facility staff are not providing adequate clothing to minors, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Facility Manager III Precious Spence.

Investigation Findings:
13************This is an amended report from the document created on 10/27/2025 at 11: AM.************ On November 06, 2025, at 10: AM Licensing Program Analyst (LPA) Carissa Aviles met with Sojourner's Haven III Facility Manager III, Precious Spence, to issue the findings for the above allegations involving the Short Term Residential Therapeutic Program (STRTP) and client 5 (C5) listed on the confidential names list (LIC 811) dated October 27, 2025. On May 16, 2025, at 12: PM LPA Rachel Vanegas conducted a health and safety inspection of the facility, and no immediate deficiencies were observed. During the investigation LPA Vanegas and LPA Aviles reviewed five client's (C1, C2, C3, C4, and C5) records and conducted interviews with six staff (S1, S2, S3, S4, S5, S6), two clients (C2 and C5), and placing workers. ***Continue to the next page*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carissa Aviles 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: SOJOURNERS HAVEN IIIFACILITY NUMBER: VISIT DATE: 10/27/2025

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