facility_name: A. MIRIAM JAMISON CHILDREN'S CENTER

raw_content:
Narrative:
During the evening shift, staff placed client in a locked bedroom for safety reasons, with one staff on duty outside, in case of emergency. However, staff were unable to remove the latch when another staff arrived to assess the client. The latch had to be cut off for staff to gain entry to the bedroom. Surveillance video show that no staff was placed on duty outside the client's bedroom and no staff conducted a safety check on the client from 11: PM on 12/28/20 until 6: AM the following morning. The second allegation was the facility did not have sufficient staff to meet the needs of clients in care. Confidential interviews confirmed that the facility did not have the number of staff needed to properly supervise and meet clients' needs when the allegation was reported. Clients who were usually placed in separate units due to age and behavior were placed and supervised together. Fast food was purchased to serve to clients during a meal period because there were no kitchen staff available to prepare meals. Surveillance video show that no staff was on duty outside the client's bedroom and no staff conducted a safety check on the client from 11: PM on 12/28/20 until 6: AM the following morning. The third allegation was staff were not properly trained to care for a client. Client's needs were described as beyond staff's ability to care for but was not denied placement because the facility was a licensed temporary shelter and client met the requirement for placement under Welfare and Institutions Code 300. Records show that client's needs as described, and noted in transfer of custody, met the placement criteria under the facility's plan of operation. Furthermore, confidential interviews, supporting documents and surveillance video show that the level of care provided to the client during placement was not consistent with the practice model of what the facility described in its plan of operation. Based on information obtained during investigations conducted by the Department, the preponderance of evidence standard was met, therefore, the above allegations are substantiated. This poses an immediate Health, Safety, and Personal Rights risk to clients in care. Deficiencies are being cited under Title 22, Chapter Group Home Regulations 84072(d)(14); TSCF Interim Licensing Standards (ILS) 84665.5(f) and TSCF ILS 84665.3(b). This report and a Plan of Correction was discussed with the facility representative and copies of the following reports: LIC 9099, LIC 9099C, LIC 9099-D and the LIC 811 (Confidential Names dated 7/27/21) and appeal rights were provided at the conclusion of the inspection. It was also alleged that the heat was not working in the unit/room client was placed in. LPA obtained varying accounts of what confidential interviewees could recall regarding the temperature in the unit where client was. There was no record of any work order request to address any issue with the temperature inside the facility during client's placement. Based on the above information, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there was no preponderance of evidence found to support it. A copy of this signed report, the LIC 811 (Confidential Names dated 7/27/21) and appeal rights were provided to the facility representative at the conclusion of the inspection.

Investigation Findings:
13On July 27, 2021, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above and discussed the finding. The allegations were investigated by Community Care Licensing (CCL), Investigations Branch (IB) Investigator Mariana Lomeli and the undersigned LPA. The Department received a complaint alleging multiple allegations on 12/31/2020. IB Investigator Lomeli and LPA Yamamoto investigated the allegations by reviewing records such as the facility license, floor plan, register of clients, personnel report, staff schedule, maintenance records, lead shift log, client transfer of custody, timeline/daily notes for client and incident/law enforcement contact report. Additional records were requested and reviewed such as, but not limited to, medical records, police report, photos, surveillance video and the facility plan of operation. Investigator Lomeli and LPA Yamamoto conducted independent interviews. It was alleged that staff locked client in a room. Confidential interviews reveal that a client was placed in a separate unit from other clients, inside a locked bedroom with a quick release latch. Staff determined during intake that client was a flight risk and exhibited unsafe behaviors while being supervised by two staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/27/2021

met_with: Darla Munoz, Administrator


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
During the investigation, it was reported the clients were waiting in the facility's lobby while they were processed to go back in the facility when the fight took place between Client #1 and Client #2. According to the information obtained during the investigation, the clients were not denied of anything they asked; therefore, the children's needs were met. No other agency investigated the allegations. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to support or deny the allegations. Therefore, the complaint allegations are found to be unsubstantiated. Exit interview was conducted and a copy of this report left at the facility along with appeal rights.

Investigation Findings:
13On 8/06/21, Licensing Program Analyst (LPA) Johanna Lofton conducted a follow up inspection at A. Miriam Jamison Center and met with Title, John De La Torre, Facility Youth Counselor Supervisor with the purpose of issuing the investigative findings report for the above stated allegations. LPA Lofton interviewed the reporting party on 2/10/21, Staff #1 was interviewed on 4/1421, Staff #2 was interviewed on 12/11/20. Staff #3 was interviewed on 3/05/21, Staff #4 and Staff #5 were interviewed on 4/14/21. LPA Lofton attempted to interview Client's # County Social Worker but was unsuccessful. Client#1 was interviewed on 3/05/21. LPA Lofton was unable to interview Clients #2 and #3. LPA Lofton interviewed County Social Worker for Client #2. See the Confidential Names List (LIC-811) dated 08/06/21. During the confidential interviews the allegations were denied. Interviews revealed that the facility did not deny entrance to the clients. It was reported Clients #1, #2 and #3 were returning from AWOL when the incident happened UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/06/2021

report_type: Complaint Investigation

met_with: John De La Torre- Facility Youth Counselor Supervisor

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was alleged that a child was raped by another minor at the facility. The child was interviewed by law enforcement and the placement agency, so Investigator Lomeli did not interview the child again, to avoid re-victimization. Confidential interviews reveal that the child was inappropriately touched in the top inner thigh area while the child and minor sat next to each other. Child pushed the minor's hand and walked away. The incident was reported to staff who asked the child to stay away from minor. During another incident, minor attempted to touch the child's buttocks, but child was able to push minor's hand away. The child was unable to provide the dates of the incidents, but they occurred during child's placement between 11/19/21 to 12/10/21. The child did not report the incidents to the placement agency worker. Child did not disclose feeling uncomfortable at placement and did not complain about anyone at the facility. One staff reported that the facility became aware of minor touching other children in care so minor was transferred to another unit with fewer children so minor can be closely supervised. A counselor closely supervised minor when minor is in proximity with other children in placement. Another staff attempted to talk to the child about the incidents, but the child was unwilling to provide any details. There was no statement obtained from the minor by the placement agency and the Department due to a pending case by another agency. Based on the above information, the allegation is closed as unsubstantiated due to the lack of preponderance of evidence. An exit interview was conducted. A copy of this signed report and the Confidential Names Form (LIC 811 dated 5/10/22) were provided to the facility representative. Appeal rights explained and forms provided.

Investigation Findings:
13On May 10, 2022 at 10:50AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The allegation was investigated by Investigations Branch (IB) State Investigator Mariana Lomeli and the undersigned LPA. Investigator Lomeli conducted confidential interviews with the resource mother, adoptive parent, placement agency worker and the Detective assigned to the case. Investigator Lomeli reviewed the placement agency and law enforcement reports. LPA interviewed one staff and reviewed pertinent documents such as, but not limited to, incident reports, complaint history of the facility, intake reports, assessment of needs, daily notes and discharge reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Tim Stevens, Assistant Program Director


raw_content:
Narrative:
Confidential statements obtained during the investigation were unable to corroborate the allegations as details obtained indicated inconsistencies which did not support the allegations such as statements denying the allegations and another statement supporting the allegations. One confidential statement obtained from a former facility client indicated that they felt they were picked on by staff when a staff called them fat, but the former client could not recall the name of the staff and stated that there were no witnesses to the incident. Facility staff denied witnessing or subjecting clients to any form of abuse or neglect. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On August 24, 2022 10: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA interviewed facility clients on 4/14/22, 5/12/22, 6/15/22, 6/24/22, and facility staff on 4/14/22, 6/15/22, 6/24/22 (see Confidential Names Form dated August 23, 2022). LPA also reviewed documents including the placing agency service logs and reports, incident reports, and facility personnel records. It was alleged that facility clients are being mistreated while in care, and that staff do not provide adequate supervision to the facility clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/24/2022

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

met_with: Everett Sutton, Group Counselor Supervisor


raw_content:
Narrative:
The investigation revealed that on December 14, 2022, Ref. #1 engaged in at least two incidents, one with another client at the facility around 2:10 p.m. and one with a Staff Ref. #2 at about 4:40 p.m. The investigation revealed that the second incident involving Ref. #1 and Staff Ref. #2 occurred outside the facility near the basketball court and there were no other persons present. It revealed that Staff Ref. #3 came to assist Ref. #2 with Ref. #1 after Ref. #2 initially restrained Ref. #1. The investigation revealed that Staff Ref. #2 did not call for assistance with Ref. #1, nor write a report after the incident. It revealed that Staff Ref. #2 left the facility without notifying their supervisor and went on leave of absence. Ref. #2 resigned from the facility. The investigation revealed that the facility generated Special Incident Reports, photographs of scratches and marks after both incidents and maintained surveillance video. Ref. #1 was taken to the hospital. The LPA's interview with Ref. #1 revealed that the allegation that Ref. #1 was choked was maintained and there was no mention of Ref. #1 being thrown to the ground. The LPA ended the interview with Ref. #1, because Ref. #1 did not want to cooperate with the interview. The Kern County Sheriff's Office Crime Report indicates that Ref. #1 and Staff Ref. #2 were outside the facility on the basketball court by themselves. It indicated that Ref. #1 has a history of fighting staff, other clients and required daily restraint. The report indicated that the Deputy Sheriff observed the surveillance video that was blurry. The report indicated Staff Ref. #2 appeared to restrain Ref. #1. It revealed that Staff Ref. #2 allowed Ref. #1 to get up after about four minutes and Ref. #1 walked in one direction, while Staff Ref. #2 walked in another direction. The report indicates that the Deputy Sheriff mentioned to Ref. #1 that Staff Ref. #2 did not appear to choke Ref. #2. The report indicates that the Deputy Sheriff interviewed Staff Ref. #2 and Ref. #2 denied choking Ref. #1. The report indicates that the Deputy Sheriff determined there was no violation of the Penal Code. It is determined that there is not sufficient evidence to Substantiate the allegations. There are no witnesses to incident, it is possible that the scratches and marks photographed on Ref. #1 after the second incident could be a result of the first incident with the other client, the surveillance video is blurry, Ref. #1 has a history of engaging in physical altercations with other clients and staff. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this complaint. This report was emailed to the facility representative.

Investigation Findings:
13On March 23, 2023 at 4:15 p.m., Licensing Program Analyst (LPA), Karen McGee, arrived at the facility for the purpose of delivering Investigative Findings for the complaint involving Client (see Confidential Names, LIC Ref. #1 dated December 15, 2022. The LPA met with Director, Tim Stevens. On December 15, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: the Director via telephone on March 15, 2023; client Ref. #1 at school March 9, 2023; and the County Social Worker (CSW) via telephone on March 22, 2022. The LPA was unable to interview Staff Ref. #2, because they no longer work at the facility, nor Staff Ref. #3, who was off work when the LPA attempted to contact them. The LPA reviewed Special Incident Reports, Needs and Services Plans and observed photographs. The LPA reviewed Kern County Sheriff's Crime Report. The investigation revealed that the facility deems Ref. #1 special needs and a danger to himself, so Ref. #1 is not allowed to run away from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 03/23/2023

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

met_with: Tim Stevens


raw_content:
Narrative:
(Continued...) Program Director stated he was unaware of any major issues reported to him by any staff concerning C1 and C2 and was unaware of any serious issues between C1 and C2. Program Director said that the children at the facility do play with each other and a staff is always present. LPA spoke with C1 on May 31, 2023 but C1 said they were tired and declined to speak. Multiple phone attempts on June 1, 2023 and June 6, 2023 were unsuccessful, as LPA could not get in contact with C1 again. LPA was unable to ascertain which staff were present during the alleged incident, or other pertinent information to investigate. It is determined that there is not sufficient evidence to prove or disprove the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this complaint. The report was given to Timothy Stevens-Human Services Program Director . Exit interview conducted.

Investigation Findings:
13On June 16, 2023 at (&&&&&) Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to deliver investigative findings for a complaint involving C1 (see confidential names list, LIC 811). LPA met with Timothy Stevens-Human Services Program Director. On March 6, 2023, the Monterey Park Children's Residential Program received a complaint with the above mentioned allegation. Confidential interviews were attempted with Program DIrector (HSPD) on March 9, 2023, attempted interview with C1 on May 31, 2023, June 1, 2023 and June 7 2023, and interview with reporting party on March 9, 2023. Interview with Program Director on March 9, 2023 yielded information that C1 was no longer at the facility and was unsure where C1 was currently living. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/16/2023


raw_content:
Narrative:
It was alleged that facility staff did not provide adequate supervision, resulting in minors engaging in inappropriate behaviors. Staff (S1, S2) denied the alleged allegation, indicating that clients are supervised adequately by staff by maintaining and adhering to the Interim Licensing Standard of staff to clients ratio of 1:4, or more depending on the needs of the facility. Staff indicated that due to the layout of the facility, anytime a client is in their room, a staff member will be posted in the hallway to ensure clients are safe and remain in their assigned rooms. Staff further stated that the alleged incident was never reported to staff nor did the client (C1) stay long enough to make it past intake, due to C AWOling while going through the intake process. Staff indicated that all incidents are reported promptly to the appropriate agencies. Information obtained from CSW, and SSW indicated that C1 never remained at the facility long enough to be processed and would AWOL shortly after being dropped off at the facility. Furthermore, information obtained by SSW from C1 was vague and didn't coincide with what was originally reported by C1 providing several different versions of the incident. CSW and SSW disclosed that C1 has a history of fabricating stories to manipulate circumstances to benefit her or the situation they are in. CSW indicated that they have no concerns to the care and supervision the facility staff is providing, and that staff keeps exceptional communication with them. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with Mr. Sutton.

Investigation Findings:
13On December 19, 2023, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection to the above Facility and met with the Facility Counselor Everett Sutton to deliver the finding for the above complaint allegation. On August 3, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Minors in care engaged in an inappropriate interaction. The investigation of the above allegation(s) was conducted by LPA Moroney, and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with one staff members S1 on 9/26/23, CSW on 10/10/23, the SSW on 10/27/23. No statement was obtained from client C1 due to being AOL at the time of the attempted interview. (Reference Confidential Names Form LIC 811, dated December 20, 2023). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 12/20/2023

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

met_with: Everett Sutton - Councilor


summary: Facility Evaluation

raw_content:
Narrative:
On 7/1/21 at 3: PM, an unannounced Case Management inspection was conducted by Licensing Program Analyst (LPA) Jean Herring at the above named Temporary Shelter Care Facility (TSCF). LPA met with Darla Munoz, Program Director. The purpose of this inspection was to follow up on the following Plans of Action discussed during the Informal Meeting conducted on 5/3/21: 1. MAB (Managing Aggressive Behavior) training (initial and refresher course) - To date, 29 staffs have received MAB training. Facility will ensure personnel records contain proof of MAB training completed by staff. 2. Staffing changes - Currently, the facility utilizes Human Service Aids (HSA) to assist with supervision and provide transportation to children. Per Program Director, HSAs are left alone with the children during transportation. None of the HSAs have received MAB training. The Program Director will discuss staffing requirements with Kern County Department of Human Services (DHS) management and will update the licensing agency of their staffing plan by 7/9/21. 3. Emergency Intervention Procedures (EIP) - The facility plans to send two of their staff to get trained to become certified MAB In-service Instructor. A signed copy of this report was provided to the facility representative.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Darla Munoz, Program Director


facility_name: A.B. JESSIE POLINSKY CHILDREN'S CENTER

raw_content:
Narrative:
On 12/15/2020, Community Care Licensing (CCL) received allegations that S1 inappropriately restrained C1 and C1 sustained injuries while in care. Confidential interviews revealed that there are inconsistencies to whether S1 sat on C1 or fell on C1 while trying to intervene between C1 and C2 altercation. Additional information received revealed that no staff witnessed S1 sitting on C1. Confidential interviews indicated that staff had witnessed S1 tripped on C1 and fell on C1 while trying to intervene. Additional information revealed that there was not a witness to S1 restraining C1. Additional information revealed that there were no injuries noted and C1 refused medical attention. Based on confidential interviews and file review, the allegations that S1 inappropriately restrained C1 and C1 sustained injuries while in care may have occurred, however it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and an electronic copy of this report was emailed to PSPM Rosas for review and signature. The original signed copy will be retained in the facility file.

Investigation Findings:
13On 05/28/2021 at 1:30PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted tele-inspection with Protective Service Program Manager (PSPM) Elizabeth Rosas via Microsoft Teams due to COVID-19 pandemic, Public Health Emergency to deliver the findings for the above allegations. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated 05/28/2021) child history report, virtual assessment, medical notes, and special incident report. LPA Meza-Gonzalez interviewed seven out of seven staff [Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4), Staff # 5 (S5), Staff # 6 (S6), and Staff #7]. LPA Meza-Gonzalez interviewed three out of four clients [ Client #1 (C1), Client #3 (C3), and Client #4 (C4)]. Client #2 (C2) declined to be interviewed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 05/28/2021

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

met_with: Elizabeth Rosas


raw_content:
Narrative:
On 01/22/2021, the Department received allegations that facility staff did not prevent youths from engaging in a physical altercation and facility staff did not prevent youth from being bullied. It was alleged that staff did not intervene when C1 was hit by C2. Confidential interviews revealed inconsistency to whether C2 hit C1. There were no witnesses to C2 smacking C1. Additional information revealed that C1 was the aggressor by using in appropriate language towards other clients; C1 was redirected by staff to not use inappropriate language. There was no witnesses to C1 being bullied. Based on confidential interviews and files reviewed, the allegations that facility staff did not prevent C1 and C2 from engaging in a physical altercation, and facility staff did not prevent C1 from being bullied, may have occurred, however it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, appeal rights and LIC 811 was given to PSPM Rogers.

Investigation Findings:
13On 06/14/2021 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Alicia Rogers to discuss and deliver the investigative findings for the allegations noted above. On 01/28/21, LPA Meza-Gonzalez initiated the complaint investigation. During the investigation, LPA Meza-Gonzalez interviewed two out of three clients [Client #1 (C1) and Client #2 (C2)] and five out of five staff [Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Staff #5 (S5)] (see confidential name list, LIC811, dated 06/14/2021) Client #3 (C3) was not available to be interviewed. LPA Meza-Gonzalez reviewed the following documentation: special incident reports (SIRs), staff roster, child history report, virtual assessment screening form, medical notes, personal inventory sheet, and menu. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/14/2021

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

met_with: Alicia Rogers


raw_content:
Narrative:
On 02/02/2021, the Department received allegations that staff used inappropriate form of discipline on C1 and staff do not allow C1 to speak with their biological parent. It was alleged that staff would discipline C1 by leaving C1 outside in the cold. Confidential interviews revealed that C1 is disciplined by removing privileges such as use of the game room, and early bedtime. Confidential interviews did not reveal C1 being left outside in the cold was a form of discipline used by staff. There are no witness to C1 being left outside in the cold. Confidential interviews revealed that there are phone hours for outgoing and incoming phone calls. Additional information revealed that phone calls are only denied when court ordered. There are no witness to C1 being denied to speak with C1's biological parent. Based on confidential interviews and file review, the allegations that that staff uses inappropriate form of discipline on C1 and staff do not allow C1 to speak with their biological parent may have occurred, however it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report, appeal rights and LIC 811 was given to PSPM Rogers.

Investigation Findings:
13On 06/14/2021 at 1: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the facility. LPA Meza-Gonzalez met with Protective Service Program Manager (PSPM) Alicia Rogers to discuss and deliver the investigative findings for the allegation noted above. On 01/28/21, LPA Meza-Gonzalez initiated the complaint investigation. During the investigation, LPA Meza-Gonzalez interviewed two out of three clients [Client #1 (C1) and Client #2 (C2)] and five out of five staff [ Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Staff #5 (S5) ] (see confidential name list, LIC811, dated 06/14/2021) Client #3 (C3) was not available to be interviewed. LPA Meza-Gonzalez reviewed the following documentation: special incident reports (SIRs), staff roster, child history report, virtual assessment screening form, medical notes, personal inventory sheet, and menu. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # San Diego, CA Facility Name: a.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/14/2021

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


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Narrative:
being unresponsive to LPA Mena's requests to interview C1 regarding this allegation. Based on confidential interviews, the allegation that Group Home child sustained injury while in care, more specifically that a bruise was observed underneath C1's left eye which appeared as if she had been punched, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegation. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegation. LPA Meza conducted an inspection to the Children's Residential Center on January 21, 2021 at 1:00pm. No immediate hazards observed. LPAs interviewed four staff members (S1, S2, S3 & S4), as well as reviewed client and facility records. Community Care Licensing received information on January 14, 2021 alleging that Group Home child sustained injury while in care, more specifically that a bruise was observed underneath Client #1 (C1's) left eye which appeared as if she had been punched. Information obtained did not corroborate the allegation with a preponderance of evidence. Confidential interviews denied that C1 had been punched or hit by any other client or staff. According to confidential information obtained, bruise observed was caused as a result of C1 "running into a pole" during outdoor play. LPA Mena was unable to interview C1 in order to corroborate this information due to C1's legal guardian(s) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/12/2021

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

met_with: Alica Rogers


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Narrative:
showed pornography by S1. Confidential interviews stated that all staff, including S1, are never left alone with any client, as well as always maintain proper boundaries with children in care. Confidential interviews also denied that C1 was ever denied the ability to make phone calls to staff and County Social Worker, or that she was ever hit by S1. According to confidential interviews, it was C1 who had accidentally "ran into" S1's arm as they were trying to shield and prevent C1 from attacking another staff and getting involved in an incident involving another resident. Regarding allegation that staff was not insuring that C1 attended school, confidential information obtained during interviews stated that allegation was false, and that it was C1 who refused to go to school or would often times run out of class out of frustration or conflicts with other peers, and that staff did as much as possible to redirect C1 back to class. While other confidential information received by Licensing Office stated that the allegations had occurred. Based on confidential interviews and information obtained, the allegations that Facility Staff #1 (S1) had inappropriate interactions, threatened, spoke inappropriately, as well as showed pornography to C2 on their personal phone, and that facility staff do not make sure that C1 attends school, do not allow her to make phone calls to biological parent and social worker, as well as sustained an injury while in care, more specifically that C1 was hit in the face by S1 during an incident, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on January 28, 2021 at 9:45am and on June 21, 2021 at 11:11am. No immediate hazards observed. LPAs interviewed two of two foster children involved (C1, C2), four staff members (S1, S2, S3 & S4), as well as reviewed client and facility records. Community Care Licensing received information on January 22, 2021 alleging that Facility Staff #1 (S1) had inappropriate interactions, threatened, used profanity, as well as showed pornography to C2 on their personal phone. Allegations also claimed that facility staff do not make sure that C1 attends school, do not allow her to make phone calls to biological parent and social worker, as well as sustained an injury while in care, more specifically that C1 was hit in the face by S1 during an incident. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that C2 was ever cursed at, threatened, or UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/12/2021

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


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Narrative:
always intervene and redirect any type of bullying or physical aggression between clients. According to confidential interviews it was often C2 who would also sometimes bully and display physical aggression towards staff and other clients. While other confidential information received stated that allegations had occurred, and that staff would not always intervene whenever C1 and C2 reported bullying, or where involved in physical altercations. LPA Mena was unable to speak to C1 and C2 regarding complaint allegations, due to C1 and C2's legal guardian's refusal to allow children to be interviewed by LPA Mena. Based on confidential interviews and information obtained, the allegations of a lack of supervision resulting in minor being hit and bullied by another child in care and that facility staff had hit child, more specifically that Staff # 1 (S1) had hit Child # 2 (C2), may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on January 28, 2021 at 11:30am and LPA Mena on August 26, 2021 at 11:00am. No immediate hazards observed. LPAs interviewed five staff (S1, S2, S3, S4 & S5), one of three foster children involved, Resource Parent, as well as reviewed client and facility records. Community Care Licensing received information on February 17, 2021 alleging a lack of supervision resulting in minor being hit and bullied by another child in care and that facility staff had hit child, more specifically that Staff # 1 (S1) had hit Child # 2 (C2), and that Child # 1(C1) was being bullied by Child # (3). Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff, including S1 had ever hit or bullied any child in care. According to confidential interviews, although bullying sometimes does occur, staff UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/17/2021

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


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Narrative:
received, C1 was placed on a restraint on that date due to C1 having become aggressive and physically assaulting staff after coming back to the facility from an AWOL (Absence Without Official Leave). According to confidential interviews, restraint was done according to protocol and at no point was C1 choked, hit or scratched by any of the staff. Confidential interviews also stated that C1's scratches and bruises were already present and most likely a result of C1 climbing over back wall and going thru bushes and trees during multiple AWOLs. Confidential interviews also stated that C1 sometimes had visible "hickeys" on the neck that they had gotten while on AWOL. While other confidential information received stated that allegation had occurred and that C1 was pushed into bushes as well as was chocked by staff during restraint. LPA Mena spoke to County Social Worker who stated that C1 had admitted to hitting staff during incident and that C1 had a history of aggressive behaviors. LPA Mena was unable to speak to C1 regarding complaint allegations dues to C1's current whereabouts being unknown. Based on confidential interviews and information obtained, the allegations that Facility Staff inappropriately restrained and handled Child # 1 (C1) in a rough manner, as well as caused injury to C1, more specifically that he received scratches and bruises on his neck and back as a result of being choked and restrained, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on March 01, 2021 at 9:45am and LPA Mena on August 26, 2021 at 11:00am. No immediate hazards observed. LPAs interviewed six staff (S1, S2, S3, S4, S5 & S6), County Social Worker, Probation Officer, as well as reviewed client and facility records. Community Care Licensing received information on February 17, 2021 alleging that Facility Staff inappropriately restrained and handled Child # 1 (C1) in a rough manner, as well as caused injury to C1, more specifically that C1 received scratches and bruises on the neck and back as a result of being choked and restrained. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that C1 was inappropriately restrained and handled in a rough manner, or that staff had caused any injuries to C1. According to confidential information UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/17/2021

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


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Narrative:
altercations. According to confidential interviews, staff sometimes cannot intervene immediately whenever children have become engaged in a physical altercation, due to sometimes requiring additional staff for assistance. Confidential information stated that staff will try and do as much as possible in order to prevent any physical altercations, but that sometimes it cannot be prevented if children are determined to engage. According to confidential interviews staff never record fights with cellphones, and that it is typically other clients who are present that do this. Confidential interviews also denied that staff ever walk into bathrooms whenever children are changing or suing the restroom without knocking, and that staff ensure to let janitorial staff know whenever there are children using the restroom. While other confidential information received by Licensing Office stated that allegations had occurred, and that staff do not always intervene whenever children are engaged in a physical altercation and will let them fight, or they will be slow to respond. Confidential information received also stated that facility staff walked into restroom on two separate occasions while C1 was changing and using the restroom; once without knocking and the other without giving C1 a chance to respond after a "quick knock" on the door. LPA Mena spoke to C1's County Social Worker who stated that at this moment, they had no concerns regarding children's privacy and staff's level of care and supervision. Based on confidential interviews and information obtained, the allegations that facility staff did not intervene with minors engaged in a physical altercation and that staff did not accord minor privacy, more specifically that facility staff had walked into bathroom while Child # 1 (C1) was changing and using the restroom, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided

Investigation Findings:
13LPA Mena met with Protective Services Program Manager, Alicia Rogers to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Mena and Meza conducted an inspection to the Children's Residential Center on March 01, 2021 at 10:30am and LPA Mena on August 26, 2021 at 11:01am. No immediate hazards observed. LPAs interviewed five staff (S2, S3, S4, S5 & S6), two foster children (C1, C2), County Social Worker, Probation Officer, as well as reviewed client and facility records. Community Care Licensing received information on February 18, 2021 alleging that facility staff did not intervene with minors engaged in a physical altercation and that staff did not accord minor privacy, more specifically that facility staff had walked into bathroom while Child # 1 (C1) was changing and using the restroom. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that staff do not intervene whenever children are engaged in physical UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Natasha Dunlap LICENSING EVALUATOR NAME: Daniel Mena LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 09/24/2021

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


facility_name: BETTY JO MCNEECE RECEIVING HOME

summary: Complaint Investigation - Substantiated - 1 allegation

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Narrative:
On 07/12/2021, Community Care Licensing (CCL) received an allegation that staff did not follow emergency intervention plan resulting in Client #2 (C2) and Client #3 (C3) physically assaulting (C1). Confidential interviews revealed that C2 and C3 got into a physical altercation with C1 due to C1 leaving client #4 (C4) behind during an AWOL. Additional information revealed that staff failed to use emergency intervention to separate C2 and C3 from physically assaulting C1; staff did not conduct a manual restraint when C2 was demonstrating a level of danger. Based on confidential interviews and documentation reviewed the allegations that C2 and C3 physically attacked C1 while in care is substantiated. This poses a potential health, safety and personal rights risk of harm to clients placed in care. The facility is being issued a citation in accordance with Title 22 regulations. Division 6, Chapter 1: Responsibility for Providing Care and Supervision section code 80078 (a). See page LIC809d for the cited deficiencies. An exit interview was conducted, and appeal rights discussed. Exit interview conducted and a copy of this report, LIC811 and appeal rights were given to the PA Cerda. ***This is an amended report***

Investigation Findings:
13On 12/10/2021 at 09: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at the facility. LPA Meza-Gonzalez met with Program Administrator (PA) Pablo Cerda and Social Worker Supervisor (SWS) Alma Garcia to discuss and deliver the investigative findings for the allegations noted above. On 07/21/2021 at 3: PM, LPA Carol Anderson conducted a safety inspection; and there were no safety issues observed. Investigator Ernestina Bellucco with Community Care Licensing Investigative Branch conducted the complaint investigation regarding the above allegations. During the investigation, Investigator Bellucco interviewed PA, Deputy Director, SWS, Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Client #1 (C1) (see confidential name list, LIC811, dated 12/10/2021). Investigator Bellucco reviewed special incident reports, police report, pictures, medical reports, facility roster, staff roster, house rules, Law Enforcement contacts, daily roster, communication log, and case files. See LIC9099C for continuation SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: BETTY JO MCNEECE RECEIVING HOMEFACILITY NUMBER: VISIT DATE: 12/10/2021

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

met_with: Pablo Cerda and Alma Garcia

complaint_status: SUBSTANTIATED


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Narrative:
On January 20, 2022, the Department received a complaint report, with the allegation that staff did not provide a safe environment leading to Client #1 (C1) sustaining injury. Confidential interviews revealed S7 was transporting bikes out of the facility due to C1 using the bikes to be absent from care. Additional interviews revealed that C1 was upset that the bikes were being removed therefore C1 jumped on the truck while it was moving. Confidential interviews revealed conflicting statements that S7 ran over C1's foot while C1 jumped on the moving truck that S7 was driving. Based on record reviews and confidential interviews, that S7 did not provide a safe environment leading to C1 sustaining injury is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations that S7 ran over C1's foot. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report, appeal rights and LIC811 was given to SWS Garcia

Investigation Findings:
13On January 24, 2023, at 12: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at Betty Jo McNeese Receiving Home. LPA Meza-Gonzalez met with Program Administrator (PA) Evelyn Sanchez and Social Worker Supervisor (SWS) Alma Garcia. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Meza-Gonzalez conducted an inspection of the facility on January 27, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed the needs and service plan, staff scheduling, staff contact information, client roster, and special incident reports(SIR). LPA Meza-Gonzalez interviewed five out of six clients (C1, C2, C3, C4, and C5) (see confidential name list, LIC811, dated: January 24, 2023) and seven out of eight staff (S1, S2, S3, S4, S5, S6, and S8). C6 declined to be interviewed. LPA Meza-Gonzalez was not able to interview S7 because LPA Meza-Gonzalez's attempts were not returned. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: BETTY JO MCNEECE RECEIVING HOMEFACILITY NUMBER: VISIT DATE: 01/24/2023

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

met_with: Evelyn Sanchez and Alma Garcia


raw_content:
Narrative:
On February 4, 2022, the Department received a complaint report, with the allegations that staff did not follow the emergency intervention plan resulting in youths engaging in a physical altercation, staff not properly supervising youths in care and the facility does not meet the C1's hygiene needs. Confidential interviews revealed conflicting statements regarding staff not following the emergency intervention plan when clients have physical altercations. Confidential interviews revealed conflicting statements revealed that staff would let clients fight and not separate them. Confidential interviews revealed conflicting statements as to whether the staff is supervising the clients. Confidential interviews reveal conflicting statements that staff has not assisted C1 with C1's hair and has prompted C1 to bathe. On the other hand, interviews revealed staff has assisted with C1's hair and has directed C1 to bathe. Based on record reviews and confidential interviews, that staff did not follow the emergency intervention plan resulting in youths engaging in a physical altercation, staff not properly supervising youths in care and the facility does not meet the C1's hygiene needs is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations that staff did not follow the emergency intervention plan resulting in youths engaging in a physical altercation, staff not properly supervising youths in care and the facility does not meet the C1's hygiene needs. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report, appeal rights and LIC811 was given to SWS Garcia.

Investigation Findings:
13On January 24, 2023, at 02: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at Betty Jo McNeese Receiving Home. LPA Meza-Gonzalez met with Program Administrator (PA) Evelyn Sanchez and Social Worker Supervisor (SWS) Alma Garcia. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Meza-Gonzalez conducted an inspection of the facility on February 9, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed the needs and service plan, staff scheduling, staff contact information, client roster, and special incident reports(SIR). LPA Meza-Gonzalez interviewed three clients (C1, C2, and C3) (see confidential name list, LIC811, dated: January 24, 2023) and four out of six staff (S1, S2, S3, and S5). LPA Meza-Gonzalez was not able to interview S4 and S6 because LPA Meza-Gonzalez's attempts were not returned. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: BETTY JO MCNEECE RECEIVING HOMEFACILITY NUMBER: VISIT DATE: 01/24/2023

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


raw_content:
Narrative:
On February 11, 2022, the Department received a complaint report, with the allegations that the staff does not prevent inappropriate sexual behavior between C4 and C5, staff does not prevent altercations between youths and due to lack of supervision drugs are being brought into the facility. Confidential interviews revealed inconsistency that staff did not prevent C4 and C5 from inappropriate sexualized behavior. Confidential interviews revealed that does re-direct youth from engaging in inappropriate touching in the facility. Confidential interviews revealed inconsistency that staff did not prevent youths from physical altercations. Confidential interviews revealed that staff has had training in emergency intervention and has utilized the training when attempting to prevent youth from engaging in physical altercations. Confidential interviews revealed that staff has conducted on the outside and inside of the facility however youths hide the drugs on their person. Based on record reviews and confidential interviews, the staff does not prevent inappropriate sexual behavior between C4 and C5, staff does not prevent altercations between youths and due to lack of supervision drugs being brought into the facility are unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegations. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to SWS Garcia.

Investigation Findings:
13On February 3, 2023, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at Betty Jo McNeese Receiving Home. LPA Meza-Gonzalez met with Social Worker Supervisor (SWS) Alma Garcia. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on February 17, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed the client roster, intake packet, discharge summary/release, assessment, needs and service plan, mental health screening tool, incident reports, staff transcripts, degree, employment application, and training. LPA Meza-Gonzalez interviewed four clients (C2, C3, C6, and C8) (see confidential name list, LIC 811 dated February 3, 2023), and seven out of eight staff (S1, S2, S3, S4, S6, S8 and S13). C6 declined to be interviewed. C1 & C5 declined to be interviewed. C4's whereabouts are unknown. S5 was unavailable. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: BETTY JO MCNEECE RECEIVING HOMEFACILITY NUMBER: VISIT DATE: 02/03/2023

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

met_with: Alma Garcia


raw_content:
Narrative:
On May 13, 2022, the Department received a complaint alleging that staff did not provide adequate supervision to minors while in care. Confidential interviews revealed inconsistency regarding staff providing adequate supervision which resulted in C1 having sexual relations with C2 while in care. It was alleged that C1 helped sneak C2 into the facility to have sexual relations in C1's room. Confidential interviews disclosed that staff were always supervising the clients in care, therefore, C2 could not have been able to sneak into the facility without being noticed. Based on record reviews and confidential interviews, the staff did not provide adequate supervision to C1 while in care is unsubstantiated. The details gathered for the incidents did not provide a preponderance of evidence to prove or disprove the allegation. LPA Meza-Gonzalez conducted an exit interview and provided a copy of this report along with appeal rights to PA Sanchez.

Investigation Findings:
13On March 8, 2023, at 10: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced complaint inspection at Betty Jo McNeese Receiving Home. LPA Meza-Gonzalez met with Program Administrator (PA) Evelyn Sanchez. The purpose of the inspection was to deliver the findings for the above complaint allegations. LPA Meza-Gonzalez conducted an inspection of the facility on May 18, 2022, and no deficiencies were noted. During the investigation, LPA Meza-Gonzalez reviewed Client #1 (C1)'s (see confidential name list, LIC 811, dated March 8, 2023) intake sheet, discharge summary/release, assessment, needs and service plan, mental health screening tool, and special incident reports. LPA Meza-Gonzalez interviewed three out of two clients (C1, C3, C5) and three staff (S1, S2, and S3). C2 was unable to be located and C4 declined to be interviewed. See Page 2 - LIC9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, METROPOLITAN DR. # FACILITY NAME: BETTY JO MCNEECE RECEIVING HOMEFACILITY NUMBER: VISIT DATE: 03/08/2023

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

met_with: Evelyn Sanchez


summary: Facility Evaluation

raw_content:
Narrative:
On today's date, Licensing Program Analyst (LPA) Jose Gonzalez arrived to Betty Jo McNeece Receiving Home to conduct an interview with resident 1 identified on the Confidential Names List (LIC 811) dated July 12, 2021. The interview was in regards to an investigation not pertaining to Betty Jo McNeece Receiving Home . A copy of this report along with the LIC 811 was reviewed with and emailed to Pablo Cerda. Pablo Cerda agreed to sign reports and will email signed reports to LPA. Signed reports will be placed in the facility file.

met_with: Pablo Cerdea


summary: Facility Evaluation

raw_content:
Narrative:
On 08/19/2021 at 09: AM, Licensing Program Analysts (LPAs)Gloria Meza and LPA Danielle Garcia conducted an unannounced inspection at the Temporary Shelter Care Facility (TSCF). The purpose of this inspection is to conduct an annual inspection. LPA Meza and LPA Garcia met with Program Administrator (PA) Pablo Cerda and Social Worker Supervisor II I(SWS) Alma Garcia. The TSCF has a capacity of 30 clients, mixed gender, ages 0-17 years of age. This program provides emergency shelter for the Imperial County. There currently are ten children in care. LPA Meza, LA Garcia, SWS Garcia and PA Cerda inspected the interior and exterior of the facility at 10: AM. The facility is a one-story building. LPA Meza and LPA Garcia observed the following: There are five staff offices, a medical office, storage closets for cleaning supplies and personal protective equipment (PPE)s. The client records are kept in a lock cabinet in the lock control center. LPA Meza reviewed ten client files. LPA Meza observed the client files to complete and in order. LPA Garcia interviewed five clients (see Confidential Name List, LIC 811: dated 08/19/2021). The Medication Administration Records (MARs) are kept in the medical office. LPA Meza reviewed MARs. LPA Meza observed the facility using the correct MARs, LIC 622A and LIC 622B, and Centrally stored and destruction record, LIC622 are complete and in order. Staff files are kept in the administrator office in a lock cabinet. LPA Meza reviewed nine staff files. LPA Meza observed the staff files to complete and in order. The medication is locked in a cabinet in the locked medical office. There is a communal area is a sitting area. LPA Meza and LPA Garcia observed two age appropriate play areas. There are four closets and the honor room, in the communal area. Closet #1 is points room/prize room. Closet #2 has arts and crafts. Closet #3 has hygiene products and age appropriate shoes. Closet #4 has school supplies, prizes, extra toys for the children and the honor room. The honor room has a TV, video games and couch. See page 2. The boys' dorm, ages 6-17 years old, has five rooms with two twin beds in each room and one room with a single twin bed. Each room has plenty of closet and storage space. The hot water in the boys' bathroom measured at 109 degrees Fahrenheit in which is within Community Care Licensing (CCL) Regulation 105 degrees to 120 degrees Fahrenheit. Each bed had proper bedding and linen. In the boys' hallway there is a locked janitor's room, staff office/supplies room, a room for age appropriate clothing and a file/storage room. The girls' dorm, ages 6-17 years old, has six rooms with two twin beds in each room and one room with a single twin bed. The hot water in the girls' bathroom measured at 105 degrees Fahrenheit which is within CCL Regulations of 105 degrees to 120 degrees Fahrenheit . Each bed had proper bedding and linen. In the girls' hallway there is a storage closet, electrical room, and a room for appropriate clothing. The facility has a library with age appropriate books. The facility has a room used for visitation, staff training, arts/crafts and COVID-19 isolation. The room has a storage closet two beds, a crib, and a bathroom. LPA Meza observed two nurseries for children ages 0-5. In nursery #1 there is five cribs and one toddler beds and one changing table. The facility is currently not using nursery #2. The hot water in the nurseries measured at 105 degrees Fahrenheit in which is within CCL Regulations of 105 degrees to 120 degrees Fahrenheit. The nurseries are stocked with age appropriate diapers and hygiene products. The room next to the nursery #1 has stores clothing, hygiene products and diapers. The laundry room stores additional car seats for children ages 0-8 years old and additional clothing for the nursery. The laundry room has two washers and two dryers. The kitchen has seven days of non-perishable and three days of perishable food. Menus and daily activities are posted. The smoke detectors are hardwired throughout the facility. The facility last fire drill was held on 08/19/21 at 10: AM. The carbon monoxide was checked and operable. The facility appeared clean, sanitary and in good repair. The entire facility has central heating and air-conditioning. The clients' personal rights and the Office of the ombudsman information is posted by entrance to the cafeteria. The facility's physical plant meets the minimum requirements of Title 22 regulations. This annual inspection will be extended to conduct staff interviews. An exit interview conducted; a copy of this report was given to PA Cerda.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On August 26, 2021 at 10: AM, Licensing Program Analysts (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection. LPA Meza-Gonzalez with Program Administrator (PA) Pablo Cerda. The purpose of this inspection is to complete the annual inspection from 08/19/2021 for the Temporary Shelter Care Facility (TSCF). TSCF has a capacity of 30 clients, mixed gender, ages 0-17 years of age. This program provides emergency shelter care for Imperial County. LPA Meza-Gonzalez interviewed four staff. Based on observations made during the inspection, the facility meets California Code of Regulations, Title 22. An exit interview conducted, and a copy of this report along with will be provided to PA Cerda.

met_with: Pablo Cerda


facility_name: CHILDREN'S RECEIVING HOME OF SACRAMENTO

summary: Facility Evaluation

raw_content:
Narrative:
On 06/30/2021, starting at approximately AM, Licensing Program Analyst (LPA) conducted an on-site inspection of this facility. LPA was met by Administrators Georgeta Muresan and Elisianna Rios. The purpose of this inspection was to confirm that the Temporary Shelter Care Facility (TSCF) has been vacated of clients. LPA was given a tour of the interior and exterior areas of the program's physical plant--no indications of ongoing placements were observed. This TSCF side of the Children's Receiving Home of Sacramento (CRH) is closing--Community Care Licensing (CCL) was formally notified of this closure via a letter dated 06/28/2021 citing the reason for the closure as the "termination of the Emergency Shelter Care Contract by Sacramento County effective June 30, 2021." The posted licenses were surrendered to this LPA. A closure plan was also obtained by this LPA. No citations were issued as a result of this inspection. Exit interview conducted; a copy of this report is being provided to the facility.

met_with: Georgeta Muresan; Elisianna Rios


facility_name: CHILDREN'S RECEIVING HOME TSCF

raw_content:
Narrative:
Camera footage review of the incident indicates that S2 moved from the common area to the staff office and C1 also moved themselves and their chair closer to the staff door. S1 responded at the staff office door and appeared to ask that C1 move the chair back and themselves back to the table where C1 was seated prior. S1 then attempted to close the staff door but C1, being seated outside the staff door, extended their leg, preventing the door from closing. S1 then raised their own foot in an effort to move C1's leg and when that did not work, S1 moved C1's leg with their hand and closed the staff door. During the camera footage review, it was acknowledged by the administrator and administrator in training, that there did not appear to be any reason for S1 to have placed hands on C1 as it did not appear that C1 was exhibiting any behaviors that warranted S1 to make physical contact with C1. As a result of the investigation conducted including camera footage review and interviews conducted, the allegation that staff handled minor in a rough manner is SUBSTANTIATED meaning the "preponderance of the evidence" standard has been met. Facility was cited for violation of the Interim Licensing Standards section WIC 16001.9(a) Personal Rights as youth have a right to be free of any actions of a punitive nature while in care. C1 was not exhibiting any behavior that posed a danger to themselves or others when S1 placed their foot and/or hand on C1 which is punitive. Exit interview was conducted with Ms. Muresan and Mr. DeSantiago and documentation, along with appeal rights, were provided to the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill conducted a complaint inspection on 7/3/25 at 10: AM and met with Georgeta Muresan & Aleksei DeSantiago to deliver findings on the complaint allegations as stated. LPA Hill informed Ms. Muresan and Mr. DeSantiago that the complaint investigation included an initial inspection to the facility on 6/17/25 where camera footage and incident report was reviewed for a 6/13/25 incident and interviews were conducted for C1 and S1 (see LIC811 dated 7/3/25). The allegatin that staff handled a minor in a rough manner is related to the 6/13/25 incident where S1 placed their hands on C1's leg in an attempt to move C1's out of the way to facilitate the closure of a staff door in the dorm where S2 was attempting to complete their documenting duties for the day. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S RECEIVING HOME TSCFFACILITY NUMBER: VISIT DATE: 07/03/2025

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

met_with: Georgeta Muresan & Aleksei DeSantiago


raw_content:
Narrative:
Youth are able to have these plates of food any time between those hours but at 10: PM, they only offer youth snack items or fruit if they express that they are hungry. This policy has been vetted in the facility's program statement and approved by the Department. During the alleged incident, youth was offered the snack and fruit but refused. Youth was offered food and refused and as a result, the allegation that youth was denied access to food is UNSUBSTANTIATED meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. The allegation that staff mishandled a minor's personal belongings is related to C1's planarians which are free-living flatworms that, depending on the specific species, can be hazardous to humans. C1 was in possession of a small tank containing these planarians when they arrived at the facility but claimed they were not dangerous. C1 was told they could not bring them into the dorm and they needed to be stored outdoors. C1 explained that the planarians would die if they got too warm, even if still in water. Agency policy is to not allow pets or other critters into the dorm as they could be harmful to youth in care. C1 brought the small tank into their room and was keeping the small tank in their personal belongings without staff knowledge. Agency staff stated that upon finding out the tank was in client's bedroom, did not force C1 to then put it back outside and did attempt to educate themselves on the planarians. As a result of the investigation, the allegation that staff mishandled C1's personal belongings is UNSUBSTANTIATED meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted and document was provided to the facility, along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced complaint inspection on DATE at TIME and met with Aleksei DeSantiago, Administrator in Training, and Georgeta Muresan, Administrator, to deliver findings for the allegations stated. LPA Hill informed agency staff that the investigation included an initial inspection conducted on 6/24/25 where documentation was obtained regarding clients in care, staff roster and client roster and a subsequent inspection was conducted on 7/7/25 where staff and clients were interviewed. The allegation that staff denied a minor from accessing food is related to youth asking for a full meal plate of food after bedtime. Confidential interviews were conducted with youth and staff and revealed that it is agency policy to only give youth fruit or snack items past their bedtime. Staff indicate that meals are sent to the dorms by the kitchen staff and typically they get two to four additional plates of food, depending on the number of youth in care, for when youth get hungry between dinner time and bedtime. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S RECEIVING HOME TSCFFACILITY NUMBER: VISIT DATE: 07/17/2025

met_with: Aleksei DeSantiago and Georgeta Muresan


raw_content:
Narrative:
During a review of the incidents involving youth in care, there were several incidents requiring staff verbal and/or physical interventions to keep youth separated or to redirect youth. Confidential interviews with staff and clients in care indicated that each of the youth play a part in harassing, bullying, and using racial and offensive slurs at one another since being in the facility. During one particular incident on 6/26/25, C1 did kick C2 out of frustration which lead to C2 being escalated and another youth getting involved and throwing items at C1. Confidential interviews with staff and clients indicated that all three youth have been known to behave in ways that escalate the other in care which leads to the youth yelling and screaming at one another, slinging racial slurs at one another, attempts to hit or kick one another, and even engage by throwing items at one another. Staff indicated that their intervention protocol is to get in between youth to prevent physical contact, redirecting youth outside of the dorm until things calm down, removing youth from the immediate area but that physical intervention is a last resort and used only in times when imminent danger exists. Staff interviewed indicated they have been trained in de-escalation techniques and they do utilize all avenues available to keep youth from harming others or saying awful things to one another. Staff indicated that they can typically de-escalate the youth by getting them outside of the facility to play basketball, go for a walk, or employing soothing techniques designated by their therapist. As a result of the investigation conducted including interviews with staff and clients and review of incident reports, the allegations that staff did not prevent minor from hitting another minor in care and that staff did not prevent minors from harassing another minor in care are UNSUBSTANTIATED meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview was conducted and document was provided to the facility, along with appeal rights.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced complaint inspection on 7/17/25 at 2: PM and met with Aleksei DeSantiago, Administrator in Training, and Georgeta Muresan, Administrator, to deliver findings for the allegations stated. LPA Hill informed agency staff that the investigation included an initial inspection conducted on 6/24/25 where documentation was obtained regarding clients in care, staff roster and client roster and interviews were conducted. A subsequent inspection was conducted on 7/7/25 where staff and clients were interviewed. The allegations that staff did not prevent minor from hitting another minor in care and that staff did not prevent minors from harrassing another minor in care is related to several incidents involving physical interactions, verbal and offensive slurs between C1, C2, and C3 (see LIC811 dated 7/17/25). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S RECEIVING HOME TSCFFACILITY NUMBER: VISIT DATE: 07/17/2025

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


raw_content:
Narrative:
privacy when they observed youth was talking on the phone. Youth did not take the call into their room for privacy and instead continued their call in the main room of the dorm where all individuals present could hear. C1 made no effort to be discrete during their phone call. The allegation related to staff behavior poses as a risk to a minor is related to S1 and C1 having a conversation during which C1 made comments to S1 about their lack of qualifications and experience. S1 disengaged in the initial conversation. When C1 went to their room, S1 went into the room to check in with C1. The conversation between C1 and S1 escalated again and S1 perceived that C1 was coming after S1 in an aggressive manner. When S1 exited the room, they closed the door behind them, placing their body against the door, preventing C1 from exiting their room. S2 stepped in at that time to de-escalate the situation, requesting S1 to leave the dorm. Confidential interviews conducted failed to indicate S1's behavior posed a risk to C1 during this exchange. As a result of the interviews conducted, documents obtained, and incident reports reviewed, the allegations that staff did not afford C1 privacy and that S1's behavior posed a risk to C1 are UNSUBSTANTIATED at this time meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview was conducted and documentation was provided.

Investigation Findings:
13Licensing Program Analyst (LPA) Tamara Hill conducted an unannounced complaint inspection on 7/24/25 at 9: AM and met with Georgeta Muresan, Administrator, and Kayla Miller, Program Manager, to discuss the findings of the allegations. LPA Hill informed Ms. Muresan and Ms. Miller that the complaint investigation included an initial inspection on 6/17/25 and obtained documents related to staff and clients in care. Subsequent inspections were conducted on 7/7/25 and 7/17/25 where interviews of staff and clients in care were conducted. The allegation that staff did not afford a minor privacy is related to C1 (see LIC811 dated 7/24/25) being on a call and S1 being in the general vicinity while C1 was talking on the phone. Interviews conducted indicated that youth felt like staff was listening to the content of their call but staff denied they were listening in to the content of youth's call. Additional staff present indicated they prompted youth to take the call in their room for UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Tamara Jensen-Hill LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S RECEIVING HOME TSCFFACILITY NUMBER: VISIT DATE: 07/24/2025

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

met_with: Georgeta Muresan & Kayla Miller


raw_content:
Narrative:
Statements from the two youths involved in the referenced incident were inconsistent on the details of what transpired, but they did agree on the following: that, by and large, multiple staff were present and that there was little or nothing staff could have done to prevent the assault. The youths also reported that staff immediately took action to stop the altercation and that they sought or offered medical attention to both youths, neither of whom sustained any serious injuries. Additional interviews with other youths corroborated that the facility's staffing, and the care and supervision provided, are sufficient. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the Children's Receiving Home.

Investigation Findings:
13On 10/09/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this TSCF (Temporary Shelter Care Facility) to deliver the findings of, and close, the complaint investigation. LPA met with Melvin Cockhren II, Program Supervisor, and the following report was discussed: LPA investigated a complaint allegation that "Due to lack of supervision, minor physically assaulted another minor." The investigation was opened on 07/07/2025. A tour of the facility's interior and exterior grounds was conducted; relevant incident reports and intake records were reviewed; interviews were done with several current and former youth residents as well as Shelter staffers. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CHILDREN'S RECEIVING HOME TSCFFACILITY NUMBER: VISIT DATE: 10/09/2025

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

met_with: Melvin Cockhren II, Program Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Tamara Hill, Levi Huser, AGPA, and Alicia Bernstein, Manager, System of Care Branch, Provider Policy Implementation Unit met with Georgeta Mureson, Administrator, and Glynis Butler-Stone, CEO, to discuss the review of the application for Temporary Shelter Care Facility.. LPA Hill provided the agency with a copy of the review tool that gave the facility a list of the items to review and agreed that the revisions will be provided by August 27, 2024. In the interim that the agency is working on their revisions, Systems of Care Branch will provide their written review. LPA Hill also noted that the Pre-Licensing Inspection and Component III could be conducted once all parties agree. Exit interview conducted and documentation was provided.

met_with: Glynis Butler-Stone, CEO