facility_name: PARADISE OAKS - MARIPOSA

raw_content:
Narrative:
Quarterly Reports, Behavioral Intervention Plans, Discharge Report, and Individual Education Plan. Copies of facility documentation of S1 was also provided including Personnel Record, Child Abuse Reporting Policy, Allegations of Abuse Policy, Statement Acknowledging Requirement to Report Suspected Child Abuse, Training Records, Facility Communication and Meeting Notes, Performance Evaluations and Disciplinary Notice. Client interviews were conducted with C1, C2, C3, C3, C4, C5, C6, C7, C8, from 8/30/2020 to 4/29/2021. Staff interviews were conducted with S1, S2, S3, S4, S5, S6, S7, S8, S9, S10, S11 from 3/25/2021 to 4/29/2021. Additional interviews were conducted with Witness 1 and Witness 2 on 7/27/2020 and 4/13/2021. County Social Workers (CSW) Nina Allen and Michelle Fitzgerald-Panelle were interviewed on 9/25/20 and 4/8/2021 (see LIC811 dated 7/27/2021). On 2/12/2021, Citrus Height Police Department provided a copy of Police Report #CH20-05787. Unsuccessful interviews were attempted with C9, Witness 3 and CSW Lakisha Purham-Davis on various dates (see LIC811 dated 7/27/2021). The first allegation is whether S1 had a sexual relationship with C1 or C2. S1, C1 and C2 denied there was a sexual relationship. Ten staff were interviews and all heard rumors or conversations S1 was having a sexual relationship with C1 and/or C2 but did not witness anything. In addition, C1 reported to two staff there was not a sexual relationship with S1. However, it was reported C2 confirmed to other residents that C2 had oral sex with S1. Based on the investigation, interviews conducted and records reviewed, the complaint allegation is UNSUBSTANTIATED at this time meaning that the allegation is meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. Facility signature is on hard copy. A copy of all reports and appeal rights were provided to the agency via email. Quarterly Reports, Behavioral Intervention Plans, Discharge Report, and Individual Education Plan. Copies of facility documentation of S1 was also provided including Personnel Record, Child Abuse Reporting Policy, Allegations of Abuse Policy, Statement Acknowledging Requirement to Report Suspected Child Abuse, Training Records, Facility Communication and Meeting Notes, Performance Evaluations and Disciplinary Notice. Client interviews were conducted with C1, C2, C3, C3, C4, C5, C6, C7, C8, from 8/30/2020 to 4/29/2021. Staff interviews were conducted with S1, S2, S3, S4, S5, S6, S7, S8, S9, S10, S11 from 3/25/2021 to 4/29/2021. Additional interviews were conducted with Witness 1 and Witness 2 on 7/27/2020 and 4/13/2021. County Social Workers (CSW) Nina Allen and Michelle Fitzgerald-Panelle were interviewed on 9/25/20 and 4/8/2021 (see LIC811 dated 7/27/2021). On 2/12/2021, Citrus Height Police Department provided a copy of Police Report #CH20-05787. Unsuccessful interviews were attempted with C9, Witness 3 and CSW Lakisha Purham-Davis on various dates (see LIC811 dated 7/27/2021). Another allegation is whether S1 had an inappropriate relationship with C1 or C2 resulting unprofessional conduct. C1 admits to more than ten inappropriate incidents with S1. While many of the incidents were identified as occurring after S1 resigned, the investigation was unable to determine if the below incidents occurred before or after S1 resigned. Those incidents include: C1 reported S1 provided him with marijuana 12-13 times, S1 called C1 extremely late on his cell phone multiple times, S1 took C1 to S1's personal residence four times and spent the night twice. S1 encouraged C1 to AWOL and provided transportation. S1 rented a hotel room for C1. The most egregious incidents occurred when S1 obtained and provided C1 the address of a person that assaulted him. S1 showed C1 a "Glock" handgun and allowed C1 to hold it while at S1's residence. Then S1 told C1 to "take care of him". In addition, S1 told C1, her ex-fiancé was abusive and suggested C1 "shoot him up". On 4/12/2021, an electronic search was conducted and determined a firearm is not legally registered to S1. None of the statements made by C2 were consistent. It is noted that S1 was disciplined by the licensee for incidents reported by staff. Based on the investigation, interviews conducted and records reviewed, the complaint allegation is UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted. Facility signature is on hard copy. A copy of all reports and appeal rights were provided to the agency via email.

Investigation Findings:
13Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services (POYS) Administrative Office to conduct an unannounced complaint investigation inspection on 7/27/2021 at 12: PM. LPA Johnson spoke with Laynee Kuhn, Executive Director to discuss the findings of the complaint investigation and allegations stated above. LPA Johnson informed Ms. Kuhn this case was investigated by the Department's Investigator Jaime Eaton and Lori Rodriguez. The investigation included: on 7/15/2020, POYS provided notification of an incident that a former Staff 1 (S1) person had contact with a current Client 1 (C1) and C1 spent the night at S1's home. Photos of Snapchat conversation was also provided. Subsequently the Department received a complaint with the same allegation. On 8/6/2020, the initial 10-day complaint investigation tele-inspection was conducted with the facility. Additional details were obtained alleging S1 also had an inappropriate relationship with C2. Copies of facility documentation of C1 and C2 were provided on various days including: placement agreements, contact information, physical and medical information, intake documentation, CFT notes, Need & Service plans, JPPM notes, incident reports, progress notes, Close Supervision, Safety Watch, Placement Preservation Meeting Notes, UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Cindy Johnson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 07/29/2021

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


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
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. No deficiencies were cited. An exit interview was conducted with the Director . A copy of this report and the Appeal Rights will be emailed to the agency.

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

report_type: Complaint Investigation

met_with: Laynee Kuhn, Director

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On the allegation of lack of supervision resulting in altercation between youth in the facility, based on interviews and incident reports, it was confirmed that the facility moved the youth to a different house due to an altercation with another peer. Incident reports dated 6/3/22 also confirmed that information. On the allegation lack of supervision resulting in youth in possession of marijuana, based on interviews conducted, it was reported that youth obtained substances while on awol. In addition, self-searches and room searches were conducted. It was also reported that prompts are given when youth are seen using substances. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were cited. An exit interview was conducted with the Director. A copy of this report and the Appeal Rights will be emailed to the agency.

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

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


raw_content:
Narrative:
LPA was unable to interview the youth due to being in a 30-day visit pass and was not able to verify how the youth obtained the medication. Additionally, it was confirmed in the interviews that facility staff adequately supervise youths in care. When youths abscond from care, staff shadows youths, redirect and prompt self-search if needed once youths return to the facility. 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. An exit interview was conducted and a copy of this report and the Appeal Rights were provided to the agency.

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

met_with: Administrator, Jovan Metoyer


raw_content:
Narrative:
Documentation further shows that drills were done on all three shifts. The monthly drills are a protocol set forth by the facility's Program Statement, whereas the Health and Safety Code only requires drills to be conducted at least once every three months. Based on LPA's interviews and a records review, the preponderance of evidence standard has been met; therefore the allegation is found to be Substantiated. No citation is being issued due to the aforementioned mitigating circumstances-a Technical Violation Advisory Note (LIC 9102-TV) is being issued. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility. -the facility in each of those unannounced on site inspections, was not found to be in disrepair; multiple outside Social Workers also reported, based on their visits to the facility, similar observations about the STRTP grounds-that the facility is maintained in good repair. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On October 29, Licensing Program Analyst (LPA) Zaria Turner conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met Jovan Metoyer, Facility Adminstrator with whom the following report was discussed: The investigation was opened on 06/21/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and facility records were requested; interviews were conducted with facility staff, youth, and county Social Workers as part of the investigation. A records review found that for the month of May, 2024, there was no documented disaster drill conducted-interviews with Program personnel corroborate that no monthly safety drill was done for that month. However, records indicate that emergency response drills were done for all other months from the start of the year up to the date of this complaint. Report conitnued on LIC9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner 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: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/29/2024

met_with: Jovan Metoyer, Facility Administrator


raw_content:
Narrative:
The one youth who was positively identified or described by the reporting party did not, themselves, confirm any staff violations being perpetrated on any youth in the facility. That same youth reported that staff were present during an incident that closely resembles the one in the complaint-according to this youth, facility staff intervened appropriately. That youth did not report ever having been physically abused or mistreated throughout their time in Paradise Oaks. The youth indicated that they felt safe in the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On October 29, Licensing Program Analyst (LPA) Zaria Turner conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met Facility Administrator, Jovan Metoyer with whom the following report was discussed: The investigation was opened on 06/21/2024 during which time a tour of the interior and exterior areas of the facility's physical plant was done and facility records were requested; interviews were conducted with four facility staff, a youth (the only one available over multiple onsite inspections), and two county Social Workers as part of the investigation. For most of the details in the complaint report, no other interviewed individual corroborated them; obtained statements from youth and staff alike provided descriptions of an incident in question that were inconsistent with each other. Report continued on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner 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: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/29/2024


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

raw_content:
Narrative:
Confidential interviews were conducted with nine individuals, RP, S1, S2, S3, SW1, A1, C1, C2, C4 and attempted with C3 during the period of 06/24/2025 to 08/26/2025. An investigation was conducted regarding the allegation: Staff not implementing prudent parenting standards. Six out of nine confidential interviews conducted were consistent that staff are unfamiliar with prudent parent standards. RP, S1, S2, S3, SW1, and A1 stated they received sufficient training but were unaware of the meaning of reasonable prudent parent standards. Additionally, documentation reviewed such as eleven staff training logs did not show there were Reasonable Prudent Parent Standard trainings conducted. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The facility will be cited for California Code of Regulations, Title 22, Chapter 7. Short-Term Residential Therapeutic Program, Interim Licensing Standards (ILS), Articles Through 10, Version 5, 87067(a) Reasonable and Prudent Parent Standard, are being cited on the attached LIC 9099D." An exit interview was conducted with and a copy of this report and appeal rights were provided to Tahira Francis, Facility Manager. Confidential interviews were conducted with nine individuals, RP, S1, S2, S3, SW1, A1, C1, C2, C4 and attempted with C3 during the period of 06/24/2025 to 08/26/2025. An investigation was conducted regarding the allegation: Facility does not have sufficient staff to meet the youth's needs. Seven out of nine confidential interviews conducted were consistent the facility has sufficient staff to meet the youth's needs. S1, S2, S3, SW1, A1, C1, C2, and C4 stated all staff meet the youth's needs such as hygiene products, food, clothing and transportation services. Additionally, documentation reviewed such as staff work schedule between April to June 2025 documented a minimum of two staff on duty per shift, including a "floater" staff. An investigation was conducted regarding the allegation: Staff not following the Emergency Intervention Plan when youth leave without permission. Eight out of nine confidential interviews conducted were consistent that staff do follow the Emergency Intervention Plan when youth leave without permission. S1, S2, S3, SW1, A1, C1, C2, and C4 stated staff follow during AWOL's until loss of eyesight. Additionally, documentation reviewed such as Runaway plan revealed that staff follow youth who are AWOL until loss of sight. The facility will contact law enforcement if youth is AWOL for 30 minutes or more. An investigation was conducted regarding the allegation: No activities that are age appropriate or can be done separately. Nine out of nine confidential interviews conducted were consistent that youth are allowed to participate in activities that are age appropriate or can be done separately. S1, S2, S3, SW1, A1, C1, C2, and C4 stated they participate in age-appropriate activities and can do them separately. No youth stated they participated in activities that were not age appropriate at the facility. Additionally, documentation reviewed such as activities log between April to June 2025 listed interactive activities that were age appropriate for youth. An investigation was conducted regarding the allegation: Youth not allowed to shut their bedroom doors. Nine out of nine confidential interviews conducted were consistent that youth are not allowed to shut their bedroom doors. RP, S1, S2, S3, SW1, A1, C1, C2, and C4 stated they are to keep doors cracked open. Additionally, documentation reviewed such general rules for youth in the facilities program statement revealed bedroom doors are to remain open at all times according to the facilities general rule, number six. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to X.

Investigation Findings:
13Licensing Program Analyst (LPA) Angelique Hill conducted an unannounced complaint inspection with the above facility on 10/07/2025 at 12:15PM and met with Tahirah Francis, Facility Manager. The purpose of the inspection was to deliver complaint findings for the allegations of: Staff not implementing prudent parenting standards. During the course of the investigation, the following documents were gathered and reviewed: Client Roster between 2024-2025, Staff Roster from 2024-2025 and Staff Schedule, Needs and Services Plans for five youth, CFT notes/Preservation Plan (if applicable), Personal Inventory Log, Safety Plans, Incident Reports for five youth in care, Activities log, training logs, discipline policy, transportation policy, Emergency Intervention plan and in-house/facility rules. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Angelique 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: PARADISE OAKS - MARIPOSAFACILITY NUMBER: VISIT DATE: 10/07/2025

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

Deficiencies:
87067: 1
2
3
4
5
6
7

met_with: Tahira Francis, Facility Manager

title:
REASONABLE AND PRUDENT PARENT STANDARD (a) The facility staff member, designated by the licensee as described in Section 87065(d) shall apply the "Reasonable and Prudent Parent Standard," as defined in Section 87001(r)(1)...and specified in Welfare and Institutions Code sections 362.05 and 727.., in determining
whether to allow a child to participate in age or developmentally appropriate
extracurricular, enrichment, cultural and social activities.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


summary: Facility Evaluation

raw_content:
Narrative:
On 06/18/21 at 1: PM, the second collaborative a quarterly meeting with Paradise Oaks Youth Services (POYS) was held to provide technical assistance and collaborative support to assist with and ensure POYS operates a successful program. The first meeting was held on March 19, 2020. POYS consists of nine locations: Olivine, Rosa Vista, Hazel, Hickory, Antelope, Mariposa, Old Auburn, Madison, and Sunset. The current census at all locations is 28. Two locations have closed, Linda Creek on 2/3/21 and Violets on 5/11/21. The following were present on an MS Teams virtual meeting: · CCL: Margo Castaneda, Regional Manager, Jodean Hall, Licensing Program Manager, Robin Sullivan, Licensing Program Analyst. · System of Care (SOC): Marjana Jackson, Stacie Kinney. · Sacramento County: Linda Abdelbaki · Department Health Care Services (DHCS): Brian Keefer · POYS: Robert Pye, CEO, Laynee Kuhn, Executive Director, Stephanie Fisher, Program Director, Thomas Harrer, Clinical Director POYS provided a status update of the CARF evaluation stating the accreditation approval is over two months out due to backlogs from covid. An extension of approval is in effect. The Mental Health review by Dept. of Health Care Service (DHCS) was completed in April 2021 and at this time POYS is working with DHCS in providing the plan of corrections. POYS reports numerous clients recently graduated from high school. Some graduates are enrolled in community college, some are working, some are seeking transitional housing programs, and some are still figuring things out. Distance learning challenges were reported to be with band-width issues both from the schools and at the facilities. Distance learning was embraced by about half of the clientele, with the other half preferring in-person learning. CCL reported a decrease in complaints and incident reports. POYS attribute the decline to a more deliberate intake process and screening for better compatibility with the current clients. They also reported they were revamping their level system. In addition, POYS is training house staff to participate more closely with each client and their overall treatment plan. Staff are eliciting more input from youth on what is working/not working with the program. Youth have responded with more engagement. POYS reported they are resuming a higher level of training for staff as more in-person training become available. They have contracted with Relias Learning for staff training. When asked about the status of overnight staff, POYS reported, they have two roamers that are assigned to three homes each. They also have one floater that helps out as needed or if someone calls out. This model is used both for the day shift and nighttime shift. The roamers and floaters meet regularly with staff to discuss client behaviors and needs. Sacramento County had no specific areas of concern. They complimented the discussed areas of change and the graduation of youth. DHCS discussed the pros/cons of the virtual Mental Health review and was appreciative for POYS' feedback on the process. Clarification on mask wearing requirements for POYS clients and staff will be provided as the Department receives details. POYS will submit an electronic Program Statement to include recent revisions. They next meeting is scheduled for September 17, 2021. A copy of this report will be emailed for signatures to Laynee Kuhn.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Executive Management


facility_name: PARADISE OAKS - OLD AUBURN

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cindy Johnson arrived at Paradise Oaks Youth Services Main Office to initiate a Required Annual on 6/23/2021 at 10: AM with Laynee Kuhn, Executive Director, due to this facility not currently having any placements. Areas discussed: annual fees & outstanding fees, updated Administrator Certificate, waiver for 40 hours of annual staff training; and updated Emergency Disaster Plan (per H&S Code 1565). The status of other requirements was discussed, and current/updated version is being requested, for the following: · CARF International Accreditation was conducted 4/26/21-4/28/21, new certificate is pending · Mental Health Contract is renewed annually with Sacramento County · Mental Health Program approval- is currently in process of renewal and making corrections. · Emergency Intervention Log, via Board Meeting Minutes for the past 6 months, LPA Johnson arrived at this facility on 6/25/2021 at 9: AM and conducted the inspection with Amanda Lee, Administrator (another house). The following items were observed and evaluated by LPA Johnson: Posted items in the facility: Facility License, Emergency Mass Casualty Disaster Plan, Foster Youth Personal Rights, Foster Youth Ombudsman posters, exit routes, COVID-19 hand washing instructions with health & safety information. Kitchen- There is no oven in the facility. Two refrigerators tested below 45 degrees F; two freezers tested at zero degrees. Area to post menus is available. Water furnace had been turned off and the water did not meet the regulatory range. After turning it on, it took while for the hot water temperature to reach the regulatory range of 105-120 degrees (107 degrees). Knives and Sharps will be stored and locked inside the staff office. However, none are currently present. Dishwasher is operable. There are no refrigerated medications. Trash can has a lid. No disinfectants or cleaners are stored in the kitchen. Dining table has areas with random paint. Removal of paint or tablecloth was recommended. Additional chairs are needed for the dining table to for the capacity of 6. Living Area- Furniture is clean and in good repair. Smoke & Carbon monoxide detectors are present and operable. Carpet and flooring are in good repair. A fireplace screen is not fastened / attached to secure blockage of access of clients. Bedrooms- There are 3 client bedrooms with double occupancy. Some required furnishings were missing: Bedroom 1- dresser needs repairs, Master bedroom only had one dresser. The facility has the required items for a bed: mattress pad, fitted sheet, top sheet, pillow and mattress in good repair, even if not on the bed; extra linen supply was present. Smoke detectors are operable. There are no staff bedrooms. Bathroom- There are 2 client bathrooms (regular & master) and 1 staff bathroom. Ceiling light/vent in staff bathroom needs some cleaning. Water furnace had been turned off and the water did not meet the regulatory range. After turning it on, it took while for the hot water temperature to reach the regulatory range of 105-120 degrees (105 degrees). Toilets, sinks and tub/showers were operable; toilets need to be cleaned. Buildings and Grounds- - Fire extinguisher was serviced in 2021. Carbon monoxide detector and smoke detector were tested and working. Cleaning & Chemical Supplies were not accessible. Doors and passageways are clean and free of obstructions. Facility has no bodies or water, cameras, or firearms on the premises. Facility Telephone was not operable or present. Detached structure (workshop for maintenance staff) was inspected and stores many dangerous items (tools, chemical, cleaners, & tools). In addition to being locked, it has an audio alarm system. Facility was clear of hazards and observed to be clean, safe and sanitary. Medication- Medication is stored and locked in the filing cabinets inside the staff office, when it is present. Since no youth are currently placed, no medication or documentation were present to inspect. First aid kit was not available to be inspected. Since this facility is currently not occupied with clients and staff are not assigned to this location, file reviews and interviews were not conducted. Prior to resuming operations of this facility, the following items remain needed: Updated forms: LIC 308, 500, 610C If the administrator is changed, an updated board resolution and valid certificate. Adequate food supply- 2 days of perishable, 1 week of non-perishable and snacks Monthly menus and activity schedule need to be posted. Adequate dishware and cooking utensils. Hygiene supplies. Inspection of facility vehicle Beds have all required items No deficiencies are being cited due to no clients in placement. The agency should address all items prior to resuming the operation of the facility. Exit interview conducted and reports discussed with Laynee Kuhn, Executive Director; copies of documentation were provided to the facility, via email.

visit_type: Annual

met_with: Amanda Lee, Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 27, Licensing Program Manger (LPM) Dara Campos, Regional Office Manager Margo Castaneda, and Licensing Program Analyst (LPA) Stephannie Verna held an Informal Conference Meeting from 1: PM to 2: PM to discuss concerns. The meeting was facilitated by LPM Campos. Attendees included (in-person) Paradise Oaks Youth Services staff, Laynee Kuhn (Executive Director), Stephanie Fischer (Administrator), Amanda Lee (administrator) and Board Member Al Werner, as well as (Via Teams Meeting), Shawn Wade Fresno County Social Worker, Julie Leong, Case Manager Mateo County Behavioral Health, Khoa Nguyen Stanislaus County Social Worker, and Tia Carter Sacramento County Social Worker. The topics discussed included: Absent without Permission Temporary Release (TR) Communication with local law enforcement Cancelling Missing Person reports Incident Report details No deficiencies were cited during today's meeting. A copy of this report was provided to Stephanie Fisher, Administrator.

met_with: Stephanie Fisher, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 05, 2023 at 09: A.M. Licensing Program Analyst Stephannie Verna arrived at the above facility and conducted an unannounced annual facility inspection. LPA met with Amanda Lee, Facility Administrator (Olivine) who assisted LPA with the inspection. LPA and the Licensee conducted a joint inspection of the interior and exterior areas of the facility's physical plant. The facility is licensed for a capacity of six ambulatory clients, ages 0 to 17 years old. The census is currently zero. The facility license, Emergency Disaster plan, Facility Sketch, Client Personal Rights postings, Client menu, Client Daily Activity Schedule, and a boards of resources and flyers were posted in a prominent location in the facility. The home is one story and consists of three bedrooms, three bathrooms, kitchen, dining room, living room, a staff office, garage, and a backyard with no swimming pool or pond. There are no cameras utilized in the home or exterior cameras posted. LPA observed that the living room contained two couches, coffee table, along with a television, a desk and computer, and cabinets which contained games. In the hallway LPA observed a drop box to submit grievance forms, however the agency grievance forms and the facility's policy regarding procedures was not posted in a location in the facility which is accessible to children and their authorized representatives. continued on 809-c LPA observed hallway cabinets which contained extra linens, pillows, towels, and paper supplies. There is a fireplace in the living room, that not used. The garage contained storage supplies and holiday decor. LPA observed that the dining area was included in the kitchen and the table had six chairs. LPA observed that the kitchen area was located off the living room and the kitchen area had the stove, oven, dishwasher, microwave and refrigerator/freezer. The kitchen cabinets and drawers were in good repair. Sharps were locked in the staff office in a locked box. The pantry was located in the kitchen. LPA observed sufficient amounts of food in the pantry, refrigerator and freezer and fresh fruits and snacks on the counter. Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days were observed. LPA observed that the facility has three bedrooms with double-occupancy floor plan, and each bedroom had two beds and clean bedding provided including mattress cover, fitted sheet, top sheet and blanket, and pillows. Dressers with operational drawers for personal items, lighting and ample closet or storage space was provided. Windows and screens were in good repair. There were three bathrooms observed in the facility. One bathroom was located in a client bedroom, and the other bathrooms were located in the hallway and the staff office. The bathrooms had a working toilet, shower/tub, and sink faucet. The water temperature was measured to be at 120 degrees Fahrenheit. The bathrooms contained soap and paper towels for hand washing. LPA observed a laundry room, which contained a washer and dryer. Cleaning supplies and detergents were locked in the cabinets. Next to the laundry room is the staff office and a locked door to the breezeway and backyard. The The staff office contained a working landline phone and art supplies, and confidential client medication and records were stored in a locked filing cabinet. continued on 809-c The backyard contained a small courtyard, a lawn, garden, and a basketball court. There were no areas of damage to the surrounding fenced area. The front and back yards were free of clutter; and the passageways and egress were unobstructed. LPA observed working Carbon Monoxide and smoke detectors, and they were tested and in working condition. LPA observed that there was a fire extinguisher in the hallway. The fire extinguishers were charged and last inspected in August 2023. LPA observed the first aid kit were stored in the staff office. The first aid kit was in tact. Upon request to review past licensing reports, the Administrator stated that they do not have facility's past licensing reports for the past three years at the facility and they are stored with the Director at the Agency's Administrative Office. It was observed that while the facility has a written complaint procedures by which children or their authorized representatives are permitted to file complaints, however they were not posted in a location in the facility which is accessible to children and their authorized representatives. LPA Verna conducted one personnel interview, with Amanda Lee, Administrator. LPA Verna completed the following domains of the inspection: Physical Plant, Operations, and Disaster Preparedness. There were no clients in placement at the facility and client and personnel files were not required for inspection. The required annual inspection was completed on today's date. The facility is being issued two technical advisories related to STRTP ILS, section 87072.2(a)(3) and Health and Safety Code, section 1538.5(a)(3). An exit interview was conducted and a copy of this report and technical advisories were provided to Amanda Lee, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced Annual/Random inspection on July 08, 2025 at 10: AM. During the inspection LPA Martinez met with Jovan Metoyer (Facility Administrator) who assisted with the inspection. LPA Martinez conducted a walk-through of the facility inside and out with Jovan Metoyer (Facility Administrator). Facility staff-client ratio at time of inspection: zero staff and zero children. (There are no children who reside at this home).Number of staff interviewed: zero Number of clients interviewed zero LPA Martinez observed # _3__bedrooms, # __2_bathrooms. Posting of license X Personal Rights X Disinfectants/Cleaning solutions inaccessible X Refrigerator Temperature at or below 45 degrees F X Freezer Temperature at or below 0 degrees X Nonperishable Foods one week and fresh perishable foods two days minimum 0 due to having no client the facility Menu present and posted: At this time there is no menu posted due to census being zero. Working telephone X Carbon monoxide detectors X Smoke Detector X First Aid Kit fully stocked X Common Room available X Dining area (enough seating, furniture good condition, not broke or damaged) X Medication centrally stored, locked/inaccessible: There are no medications stored at this facility. Office (locked and privacy) X Hot Water between 105-120 degree F (Properly labeled if over 125 degree F X Continued... Fire Extinguisher X July Toilets wash basin, bath and shower fixtures in good repair water Soap and Paper towels X Laundry Facilities X Bedrooms- required linen and furnishings X Motor Vehicle properly maintained there are no vehicles being used at this facility due to census being zero. Facility free of vermin Yes Locked Facilities (open locked storage area/building/sheds) Yes Bedroom are in good repair and furnished. Complaint Procedures For Youth Reviewed Yes Board Minutes Reviewed- Requested and will be emailed to LPA Martinez. CQI Report Reviewed Requested and will be emailed to LPA Martinez. Disaster and mass casualty plan updated and available Yes Quarterly Drills conducted and documented-There are no children residing at this home. Disaster preparedness supplies verified There are no children residing at this home. There are no current staff or children in the home. At this time, there are no files. There were no deficiencies observed at this annual inspection. An exit interview was conducted with Jovan Metoyer (Facility Administrator), and a copy of this report was provided to Jovan Metoyer (Facility Administrator).

met_with: Jovan Metoyer (Facility Administrator)


facility_name: PARADISE OAKS - OLIVINE

raw_content:
Narrative:
One staff (S1) stated that she is Pro-Act trained but new employees do not get the hands-on role playing because Covid has forced the training online. Staff stated with the assaultive behaviors of their youth, there is not enough staff if there are multiple crises but staff are trained. Staff acknowledge Covid has created employee shortages and lack of in-person training. C3 stated that staff do not do enough when clients are escalated, but there is not much staff can do. C1 stated staff try to get us to disengage with each other and calm us down and go for walks or go outside. C1 stated if there were more staff, there would be more support for everybody. It is alleged that the needs of a child are not being met. CSW stated that C1 is getting TBS from the facility clinicians. Therapeutic behavioral services are an intensive, individualized, one-to-one behavioral mental health service for youth with serious emotional challenges. CSW stated the facility typically had a lot of resources but Covid has made it difficult everywhere. The facility social worker (SW) stated the number one issue is keeping C1 safe from self-harming tendencies. SW is working closely with house staff so interactions with the youth are consistent with her treatment plan. S1 stated youth participates in all her therapies but has a high need for recognition and seeks attention, so it is difficult to answer if youth is getting her needs met. C1 stated she would like more support when she is upset. C1 stated she has a treatment plan and participates in therapy sessions but she feels more one-on-one time would help. C1 used to go on drives with her social worker but that ended with the Covid restrictions. Based on the interviews conducted the allegations, that staff are not adequately trained to intervene during incidents and the treatment needs of a child are not being met, are UNSUBSTANTIATED. Although the allegations may or may not have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report, appeal rights and the LIC811 were discussed and left with Amanda Lee.

Investigation Findings:
13On 6/28/21 at 9:40 am, Licensing Program Analyst (LPA) Robin Sullivan contacted Amanda Lee, Administrator, to deliver findings for the allegations that staff are not adequately trained to intervene during incidents and the treatment needs of a child are not being met. LPA interviewed three foster youth (C1, C2, C3, see confidential names on LIC811) on 3/24/21, the facility social worker (SW) on 6/14/21, one staff (S1) and the county social worker (CSW) on 6/15/21, and one staff (S2) on 4/8/21. LPA conducted a file review and obtained the following documents: Pro-Act training certificates, staff contacts, maintenance repair logs, four needs and services plans and treatment plans, behavioral plans, and a register of current clients. It is alleged that staff are not adequately trained to intervene during incidents. Staff attend Professional Assault Crisis Training (Pro-Act) for de-escalation and restraint training. The first sixteen hours of Pro-Act training is on hands-off de-escalation techniques. Staff are then trained to use hands-on restraints as a last course of action. If a restraint becomes necessary, two restraint-trained staff must be present to conduct the restraint. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Robin Sullivan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 06/28/2021

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

met_with: Amanda Lee, Administrator


raw_content:
Narrative:
C3 confirmed she smokes cigarettes but learned she may be pregnant and will stop smoking. C3 and three staff confirm that when youth leaves the facility, staff follow her. If staff loses sight they immediately call law enforcement to report a runaway. C2 confirmed she sometimes smokes marijuana when she goes on unauthorized leave but not at the facility because staff get in her face. S1 stated C2 uses substances infrequently. All clients are offered alcohol and substance use classes if they are using substances or they indicate they may be interested in attending. If clients are using substances staff discuss the dangers, coax clients to give substance to staff, have clients conduct a self-search if they show signs of intoxication or use, and encourage substance use treatment. It is alleged that a minor in care is not adequately provided with care and supervision. C1 fears that C3 is too aggressive and impulsive to live there and that regular staff are doing their best but if C3 returns to the facility she will be a threat to herself, other clients, and staff. C1 stated that C3 needs a higher level of care. According to S1, C3 will not be returning to the facility. A higher level of care is being sought for the youth. Based on information obtained from the interviews C1's concerns were based on fear that C3 may come back to the facility. Staff follow runaway protocol and contact law enforcement if they lose sight of a youth. Substance use treatment is offered to clients and searches are conducted if contraband is suspected. The inappropriate interactions between minors in care occurred during an unauthorized absence. Staff were not present but had notified law enforcement of youth's absence. It was determined that C3 requires a higher level of care and will not return to the facility. Although the incidents have occurred, staff followed standard procedures, therefore the allegations that inappropriate interactions between minors in care, staff did not prevent minors from smoking marijuana, minor in care not adequately provided with care and supervision, and lack of supervision resulting in minor going AWOL are UNSUBSTANTIATED. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report left at the facility.

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


raw_content:
Narrative:
In LPA's review of the facility's Program Statement, there was no mention of confiscating clients' belongings as a consequence and storing them locked in the garage for 24 hours. The Department has not approved this method. The facility's Program Statement states the facility uses positive discipline, trauma-informed practices, and that, "staff are trained not to be punitive with the youth." The facility is not following their Program Statement, nor CCL Personal Rights regulations, by confiscating clients' clothes and other personal belongings as a consequence. This practice is also not trauma-informed. Based on LPA's interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Short Term Residential Therapeutic Program Interim Licensing Standards, Version 4, Section 87072(c)(11) is being cited on the attached LIC 9099D. An exit interview was conducted with FM and a copy of this report along with appeal rights was emailed to FM with a read receipt which will serve as the record of receipt. LPA learned from confidential interviews that C1 would often try to push their way into the staff office and need to be prevented from entering by way of body blocking, removing them from the door, or by shutting the door before C1 could enter. LPA reviewed four incident reports detailing incidents like that. LPA was informed in one confidential interview that when C1 had barricaded themselves in their room, S1 tried to push open the door. It became a pushing back and forth situation between them and one individual states that staff pushed the door on the client, and another individual denied it. All other non-involved individuals interviewed either stated they have never seen S1 do that to a client, or that they did not have knowledge of the incident. All staff and all but one client interviewed denied that staff have threatened a client before, other than phrasing for giving consequences. An example of this could be something to the effect of: "if you don't do X, you'll have a point taken away." One client claimed that S1 threatened violence on them. S1 denies ever threatening any client. Based on all evidence collected through interviews and incident reports, LPA has found that C1 and S1 at times have a tumultuous relationship, there are inconsistent statements from clients and staff, and it is uncertain whether or not the allegations occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with FM and a copy of this report along with appeal rights was emailed to FM with a read receipt which will serve as the record of receipt.

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with facility manager Joanna Barnhill, who assisted with the inspection. LPA investigated this complaint by reviewing the facility's Program Statement, Incident Reports, and by conducting confidential interviews with six staff, the Administrator, and five clients on 6/15/2022, 6/16/2022, 6/21/2022, 6/22/2022, and 6/23/2022. LPA also received a written statement from the Administrator on 4/1/2022. Based on confidential interviews, LPA learned that staff and clients do put clients' belongings in the garage due to overflow in the clients' own room. This is generally a voluntary choice by the client. However LPA also learned from four clients, the Administrator, and four staff interviewed that clients have had their belongings taken away from them as a punishment for at least 24 hours before, which staff locked inside of the garage. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 06/29/2022

met_with: Joanna Barnhill


raw_content:
Investigation Findings:
13On 8/31/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for this complaint alleging "Facility is violating client's personal rights by not providing adequate clothing." LPA met with Amanda Lee, Administrator, to review findings. During the course of the investigation, LPA conducted five confidential interviews, and reviewed client files for needs and services plans, clothing inventories, journal entries, and cash resources. LPA interviews determined that each youth is provided adequate clothing. This agency has investigated the allegations of this complaint. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 regulations were cited during today's inspection. Exit interview was conducted with administrator and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger 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 1

met_with: Amanda Leel; Administrator


raw_content:
Narrative:
During interviews, three out of three clients denied that staff took inappropriate pictures or videos of them, and instead stated in various ways that staff ask permission first, take a picture for them then delete it, or take a picture of the client on the client's phone. All of these instances were of appropriate pictures. During interviews with the Reporting Party, Assistant Administrator, and the Administrator LPA learned that the accused staff member has been harassed by a former partner who they believe fabricated this allegation. LPA reviewed harassing voicemails and texts by this individual towards the staff. LPA was also informed that there is a past history of this, and Law Enforcement found no merit to this allegation. No inappropriate videos or information were provided to Law Enforcement, and there was no physical evidence of this allegation occurring. 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. An exit interview was conducted with Assistant Administrator and a copy of this report and appeal rights were left with them

Investigation Findings:
13Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with Assistant Administrator Johanna Barnhill who assisted with the inspection. LPA investigated this complaint by conducting confidential interviews with the Reporting Party, three clients, the Assistant Administrator and the Administrator on 1/10/2023 and 1/11/2023. LPA also conducted an internet search for the accused staff and reviewed the staff's social media accounts and personal phone and tablet pictures, which were voluntarily shown to LPA by the staff. LPA did not observe any pictures or videos of any client posted by the accused staff on any of their social media accounts. There were also no inappropriate pictures or videos of clients in the staff's cellphone or tablet. There were three deleted pictures of one client which the staff took for the client and then deleted afterwards. These pictures were not inappropriate. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 01/25/2023

met_with: Johanna Barnhill


raw_content:
Narrative:
Confidential interviews were conducted with nine individuals, and attempted with two individuals, during the period of 03/27/2023 to 05/17/2023. LPA's observation, interviews conducted, and records reviewed were inconsistent that staff, S1, caused injury to a minor in care, FC1. Statements given by individuals interviewed were inconsistent, including regarding the events that occurred, and the location of the incident. Additionally, it could not be determined when the injury and bruising on FC1's arm occurred or if it had been caused by S1. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Amanda Lee- Administrator Confidential interviews were conducted with nine individuals, and attempted with two individuals, during the period of 03/27/2023 to 05/17/2023. LPA's observation, interviews conducted, and records reviewed were consistent that staff, S1, used profanity and made inappropriate comments to youth in care. Statements given during interviews were consistent that there were multiple occasions where S1 used profanity and/or made inappropriate comments to youth. Staff were made aware of one instance that S1 used profanity and/or made inappropriate comments to FC5. Based on a review of personnel documentation and based on statements given, this instance was not reported to the Department and the facility stated that no disciplinary action was taken against S1. Additionally, while some allegations of S1 using profanity and/or making inappropriate comments to youth were denied by S1, S1 did admit to multiple instances of using profanity and making inappropriate comments to youth, including to FC1 and FC5, due to "losing their patience" with the youth. The facility is being issued one citation for violations to STRTP ILS section 87072(c)(10). See LIC 809-D for citation and Plan of Correction (POC) information. An exit interview was conducted and a copy of this report and appeal rights were provided to Amanda Lee- Administrator

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on May 23, 2023 at 03: PM and met with Stephanie Piring, Floating Administrator. The purpose of the inspection was to deliver complaint findings for the above allegations. On March 27, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Stephanie Piring, Floating Administrator. During the course of the investigation, the following documents were gathered and reviewed: Incident Reports for multiple youth, Needs and Services Plans, Intake documentation, and client face sheet for one youth, staff personnel documentation, staff roster and client roster. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION NO. Cal Cr/res., Natomas Park Dr., STE This is an official report of an unannounced visit/investigation of a complaint received in our office on 03/17/2023 and conducted by Evaluator Stephannie Verna PUBLICCOMPLAINT CONTROL NUMBER: 23-CR- FACILITY NAME:PARADISE OAKS - OLIVINEFACILITY NUMBER: ADMINISTRATOR:AMANDA LEEFACILITY TYPE: ADDRESS: OLIVINE AVENUETELEPHONE: (916) 726- CITY:CITRUS HEIGHTSSTATE: CAZIP CODE: CAPACITY:6CENSUS: DATE: 05/23/ UNANNOUNCEDTIME BEGAN: 03: PM MET WITH:Amanda Lee- AdministratorTIME COMPLETED:04: PM Staff caused an injury to minor INVESTIGATION FINDINGS: 13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on May 23, 2023 at 03: PM and met with Stephanie Piring, Floating Administrator. The purpose of the inspection was to deliver complaint findings for the above allegations. On March 27, 2023 at 12: PM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegations. LPA met with Stephanie Piring, Floating Administrator. During the course of the investigation, the following documents were gathered and reviewed: Incident Reports for multiple youth, Needs and Services Plans, Intake documentation, and client face sheet for one youth, staff personnel documentation, staff roster and client roster. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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: 3 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 NO. Cal Cr/res., Natomas Park Dr., STE FACILITY NAME: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 05/23/2023

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

met_with: Amanda Lee- Administrator.


raw_content:
Narrative:
The youth was discharged to their Authorized Representative and the future custody of the youth was between Authorized Representative and a community member who works at the facility. Based on LPA's observations, interviews, and record reviews, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. A signed copy of this report and appeal rights were provided to the facility. An exit interview was conducted.

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

met_with: Tasha Bradford, Facility Manager


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews were conducted with ten individuals and attempted with one individual during the period of 10/05/2023 to 12/28/2023. LPA's interviews conducted, and records reviewed were consistent that a staff violated a youth's personal rights. Multiple statements given during interviews were consistent that S1 had violated FC1's personal rights, by not affording them dignity and respect, when laughing at the youth, making insensitive comments and power-struggling with the youth. Additionally, S1 did not utilize a trauma-informed approach when engaging with FC1. Documentation, including Incident Reports, revealed that there was prior known concerns of personal rights and HIPAA violations regarding S1 recording FC1 during an interaction that occurred on 10/02/2023. S1 has received coaching from their Supervisor in the months of October and November 2023, however additional development and training was identified as still being needed for S1, per S1's employment evaluation completed and dated October 22, 2023. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is being issued one citation regarding a violation of STRTP ILS section 87072(c)(10), Personal Rights. The facility is also being issued a Civil Penalty for a repeat violation of the same regulation within a 12 month period. An exit interview was conducted and a copy of this report and appeal rights were provided to Amanda Lee, Administror.

Investigation Findings:
13Licensing Program Analyst (LPA) Stephannie Verna conducted an unannounced complaint inspection with the above facility on December 28, 2023 at 02: PM and met with Amanda Lee, Administrator. The purpose of the inspection was to deliver complaint findings for the above allegation. On October 09, 2023 at 10: AM Licensing Program Analyst (LPA), Stephannie Verna, arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Aubrey Douglas, Facility Manager. LPA completed an inspection of the facility and gathered documentation related to the complaint allegations. During the course of the investigation, the following documents were gathered and reviewed: Two personnel files, including staff training records, background clearance records, written disciplinary actions and internal investigation documents for S1, facility Grievance Forms issued for/by S1 and S2; and facility roster, staff roster; and one client file, including Needs and Services Plans, Placement Agreement, Reward System Documentation, Electronic Contract, Intake Documentation, Incident Reports. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Stephannie Verna 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: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 12/28/2023

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

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
During the period of 1/22/2026 and 4/17/2026 confidential interviews were conducted with eight individuals (C1, AD, AD2, AA, FM, S1, S2, RP). Based on LPA observations, records reviewed, and interviews conducted, the program statement indicates that staff should be available; however, while staff were on duty, they were not present at that specific location. Additionally, four out of six staff interviewed stated that the procedure is to leave a note on the door indicating staff's location, while two out of six staff were unaware of this procedure, indicating inconsistent implementation. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. 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. No title 22 regulations were cited during today's inspection. Exit interview conducted and a copy of this report was left with Joanna Barnhill, Assistant Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) MAie Soliman conducted an unannounced complaint inspection with the above facility on 5/1/2026 at 3 pm and met with Joanna Barnhill, Assistant Administrator. The purpose of the inspection was to deliver complaint findings for the above allegation. On 1/29/2026 at 11:00 am Licensing Program Analyst (LPA) Maie Soliman arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Naeem Brown, Administrator. LPA toured the facility, no concerns noted. During the course of the investigation, the following documents were gathered and reviewed: LPA requested the following documents for three youths for review: Client Roster, Staff Schedule for Olivine and Rosa Vista locations, Harm Reduction Plans, Needs and Services Plans, CFT notes, Safety Plans, house meeting notes, training logs, Placement agreements and agency signed policies and procedures and pictures of facility door. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Maie Soliman 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: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 05/01/2026

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


raw_content:
Narrative:
During the period of 1/22/2026 and 4/17/2026 confidential interviews were conducted with eight individuals (C1, AD, AD2, AA, FM, S1, S2, RP). Based on LPA observations, records reviewed, and interviews conducted, the facility did not ensure that staff arrived in a timely manner after the youth returned from leaving without permission. As a result, they were required to wait outside in the rain, wind, and cold at night for over one hour before staff arrived. Additionally, four out of six staff interviewed stated that the procedure is to leave a note on the door indicating staff's location, while two out of six staff were unaware of this procedure, indicating inconsistent implementation. Furthermore, when the LPA arrived on 02/24/2026, no staff were present, and there was no notice on the door indicating who youth should contact. A youth is currently AWOL. Based on these findings, the facility failed to meet the youth's basic need for shelter during inclement weather. Based on LPA documentation reviewed, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is cited for Interim License Standards 87072 (c)(1) Personal Rights . An exit interview was conducted with and a copy of this report and appeal rights were provided to .Joanna Barnhill, Assistant Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA) Maie Soliman conducted an unannounced complaint inspection with the above facility on 5/1/2026 at 3:30pm and met with Joanna Barnhill, Assistant Administrator. The purpose of the inspection was to deliver complaint findings for the above allegation. On 1/29/2026 at 11:00 am Licensing Program Analyst (LPA) Maie Soliman arrived unannounced at the facility for the purpose of initiating a complaint investigation related to the above allegation. LPA met with Naeem Brown, Administrator. LPA toured the facility, no concerns noted. During the course of the investigation, the following documents were gathered and reviewed: LPA requested the following documents for three youths for review: Client Roster, Staff Schedule for Olivine and Rosa Vista locations, Harm Reduction Plans, Needs and Services Plans, CFT notes, Safety Plans, house meeting notes, training logs, Placement agreements and agency signed policies and procedures and pictures of facility door. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Maie Soliman 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: PARADISE OAKS - OLIVINEFACILITY NUMBER: VISIT DATE: 05/01/2026

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

met_with: Joanna BArnhill, Assistant Administrator.


facility_name: PARADISE OAKS - ROSA VISTA

raw_content:
Narrative:
Based on the interviews conducted and the documents reviewed the allegation that staff had a hit and run accident while transporting a foster child is UNSUBSTANTIATED. 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. An exit interview was conducted and a copy of this report, appeal rights and the LIC811 were discussed and emailed to Breana Gatson.

Investigation Findings:
13On 11/10/2021 at 11: AM, Licensing Program Analyst (LPA) Robin Sullivan went, unannounced, to the facility for the purpose of delivering findings on the allegation that staff had a hit and run accident while transporting a foster child. LPA met with Breana Gatson, Assistant Administrator. During the investigation LPA interviewed one staff (S4) on 7/26/21, three clients (C1-C3) and one staff (S3) on 10/21/21, two staff (S1, S2) on 10/25/21 and one client (C3) on 11/2/21. The following documents were obtained and reviewed: facility vehicle maintenance log, client rosters, and staff schedules and contact information. The investigation revealed that two of three clients have no memory of being in a facility vehicle that may have backed into a parked car or hit an object. Four staff have no knowledge of either facility van being involved in an accident. LPA observed two facility vehicles to have dents, dings, and scratches on the rear bumper. The facility vehicle maintenance log has no record of vehicle body repair between 10/03/2020 - 08/03/2021. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Greene LICENSING EVALUATOR NAME: Robin Sullivan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 11/10/2021

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

met_with: Breana Gatson, Assistant Administrator


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

raw_content:
Narrative:
with staff and clients state the staff plan meals, grocery shop and prepare food and the clients only participation is when staff ask if the client wants something special on the grocery order. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. The facility is cited on the attached LIC 9099D under the California Code of Regulations, Interim Licensing Standards, Regulation Food Service for failing to have menus written at least one week in advance of the menus as served shall be dated and kept on file for at least 30 days and ... a child shall have the opportunity to plan meals, grocery shop, and store and prepare food. Exit interview conducted and a copy of this report and a copy of the appeal rights were left at the facility with Amanda Lee Administrator

Investigation Findings:
13Licensing Program Analysts (LPAs) Jean Stidman and Jessica Caplinger conducted an unannounced inspection to the facility on 4/29/22 at 10:45am to deliver complaint allegation findings. LPA met with Amanda Lee Admiistrator and discussed the above allegations. During the investigation of facility has expired food/fruits are old, LPA toured the facility with Amanda Lee, Administrator on 1/19/22. On this inspection, LPA inspected the physical plant and observed the facility has one refrigerator in the home as well as one refrigerator and one freezer in the garage. The garage also has two storage shelves full of non-perishable food in the garage. The kitchen refrigerator had a bowl of six watermelon slices dated 1/14/22 that were moldy and faded in color. LPA observed there was no fresh fruit available. On 1/19/ LPA obtained documentation for the complaint investigation of weekly grocery receipts for 12/1/21-1/20/22, and LPA conducted interviews with S2, S3, S AD, 1, C2, C3, C4 and C5 and observed the menu posted was dated July 2021. LPA reviewed the facility's program statement (PS) section 21 which states menus run on a four-week cycle and that all youth have the opportunity to plan meals, grocery shop and prepare food. However, based on interviews SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jean Stidman LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 04/29/2022

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

Deficiencies:
87076(a): (80076(A)(5) states Menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the clients or their authorized representatives and the licensing agency upon request.

met_with: Amanda Lee Admiistrator

title: Food Service the following shall apply


raw_content:
Narrative:
the alleged violations did or did not occur. No title 22 regulations were cited. Exit interview conducted and a copy of this report was left with Amanda Lee Administrator.

Investigation Findings:
13Licensing Program Analysts (LPAs) Jean Stidman and Jessica Caplinger conducted an unannounced inspection to the facility on 4/29/22 at 10:45am to deliver complaint allegation findings. LPA met with Amanda Lee Administrator and discussed the above allegations. During the investigation of staff speak inappropriately to youth in care and the facility doesn't have enough food, LPA toured the facility with Amanda Lee, Administrator on 1/19/22. On this inspection, LPA inspected the physical plant and observed the facility has one refrigerator in the home as well as one refrigerator and one freezer in the garage. The garage also has two storage shelves full of non-perishable food in the garage. On 1/19/ LPA obtained documentation for the complaint investigation of weekly grocery receipts for 12/1/21-1/20/22, and LPA conducted interviews with S2, S3, S AD, 1, C2, C3, C4 and C5. Based upon interviews which were conducted, and records reviewed, LPA observed the facility has enough food and there was no evidence of staff speaking inappropriately to youth, therefore the preponderance of evidence standard has not been met, therefore the above allegations are found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jean Stidman LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 04/29/2022

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

met_with: Amanda Lee Administrator


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
Based on LPAs observations and confidential interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards v4, Regulation 87076(6) is being cited on the attached LIC 9099D. Exit interview was conducted and a copy of this report and a copy of the appeal rights were left at the facility with Amanda Lee, Administrator.

Investigation Findings:
13On 7/27/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for a complaint with allegations of "Facility does not provide adequate food to clients." LPA met with Amanda Lee, Administrator, and discussed the above allegation. During the investigation, LPA Caplinger conducted unannounced inspections on 5/18/22, 6/10/22 and 6/15/22. LPA Caplinger obtained documentation for the complaint investigation of staff communication logs, team meeting notes, house meeting notes, and activity plans as well as reviewed three client files during inspection. LPA conducted ten confidential interviews regarding the complaint. Confidential interviews and record review revealed the facility was out of compliance with providing adequate food to clients. Based on five confidential interviews and record review, it was determined that clients are not given the opportunity to grocery shop for items. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 07/27/2022

Deficiencies:
87076: Based on confidential interviews and record review, five interviews revealed that clients1
2
3
4
5
6
7Facility will ensure all youth have the opportunity to plan meals, grocery shop, and store and prepare food by discussing this during the weekly house meeting.

met_with: Amanda Lee; Administrator

title: (c) (6) As agreed upon with a licensee, a child shall have the opportunity to plan meals, grocery shop, and store and prepare food. This was not met as evidenced by


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on LPAs observations and confidential interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards v4, Regulation 87079(e) is being cited on the attached LIC 9099D. Exit interview was conducted and a copy of this report and a copy of the appeal rights were left at the facility with Amanda Lee, Administrator.

Investigation Findings:
13On 7/27/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for a complaint with allegations of "Facility does not provide activities for clients." LPA met with Amanda Lee, Administrator, and discussed the above allegation. During the investigation, LPA Caplinger conducted unannounced inspections on 5/18/22, 6/10/22 and 6/15/22. LPA Caplinger obtained documentation for the complaint investigation of staff communication logs, team meeting notes, house meeting notes, and activity plans as well as reviewed three client files during inspection. LPA conducted ten confidential interviews regarding the complaint. Confidential interviews and record review revealed the facility was out of compliance with providing activities for clients. On 6/15/22, the facility did not have a weekly schedule of activities posted and copies of the weekly schedules were not available for review. Based on five confidential interviews and record review, it was also determined that clients are not given the opportunity to plan activities. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 07/27/2022


raw_content:
Narrative:
Based on LPAs observations and interviews which were conducted and record review, 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. No title 22 regulations were cited during today's inspection. Exit interview was conducted and a copy of this report was left with Amanda Lee, Administrator.

Investigation Findings:
13On 7/27/22, Licensing Program Analyst (LPA) Jessica Caplinger, conducted an unannounced inspection to deliver findings for a complaint with allegations of "Facility gave a 14-day notice on client without sufficient reason." LPA met with Amanda Lee, Administrator, and discussed the above allegation. During the investigation, LPA Caplinger conducted unannounced inspections on 5/18/22, 6/10/22 and 6/15/22. LPA Caplinger obtained documentation for the complaint investigation of needs and service plan for client, team meeting notes, and correspondence regarding client as well as reviewed three client files during inspection. LPA conducted ten confidential interviews regarding the complaint. Confidential interviews and record review revealed the facility has a plan in place for removal and/or transfer of a client, but it is unclear if those procedures were being followed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Jessica Caplinger LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 07/27/2022


raw_content:
Narrative:
Investigator Borton conducted six confidential interviews and reviewed documentation of Citrus Heights Police Department (CHPD) report #CH22-04307, staff schedule, two client records, one employee record, incident reports and employee contact list. Three of the interviews validated the allegations of staff calling youth inappropriate names and threatening the youth with a weapon. Documentation was reviewed to include a video of the incident that validated the allegations. Based on Investigators observations, confidential interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards v4, Regulation 87072(c)(11) is being cited on the attached LIC 9099D. Exit interview was conducted and a copy of this report and a copy of the appeal rights were reviewed and left at the facility with Carla Izzarelli, Administrator.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Carla Izzarelli; Administrator


raw_content:
Narrative:
Investigator Borton conducted six confidential interviews and reviewed documentation of Citrus Heights Police Department (CHPD) report #CH22-04307, staff schedule, two client records, one employee record, incident reports and employee contact list. One of six interviews recalled hearing a discussion of photographs being requested but did not have any additional details. Five of six interviews believed the allegations to be false including the youth that the allegations were regarding. Interviews conducted were not consistent regarding allegations of requesting inappropriate pictures or propositioning minor for sex acts. Based on LPA observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. 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. No title 22 regulations were cited during today's inspection. Exit interview was conducted and a copy of this report and a copy of the appeal rights were reviewed and left at the facility with Carla Izzarelli, Administrator.

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

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


raw_content:
Narrative:
Interviews with C1 and C2 reported that staff were not checking on them during prior to the fifteen-minute time period of C1 and C2 leaving the facility and returning. Interviews with S2 reported that staff were checking on C1 and C2 consistently but did not observe any alcohol consumption. AM, C3, FSW, S1 could not provide any additional information as they wre not present during the incident. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is receiving a citation on the attached LIC9099-D under the California Code of Regulations, Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, Section 80078(a) Responsibility for Providing Care and Supervision. Exit interview conducted and a copy of this report and a copy of the appeal rights was issued to Naeem Brown, Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA), Elena Gonzalez-Soto, conducted an unannounced inspection to the facility on 05/21/26 at 11: AM to deliver complaint allegation findings. LPA met with Naeem Brown, Administrator and discussed the above allegation. During the investigation of staff did not prevent minor from consuming alcohol while in care LPA toured the facility with Naem Brown on 12/31/2026, 03/10/2026, and 03/18/2026. On these inspections, LPA inspected the physical plant inside and out, obtained three client files that included Needs and Services Plan and Incident Reports three youth, and a safety plan for one youth. LPA observed the safety plan was reviewed with and signed by the applicable youth in care. LPA conducted interviews on 12/31/2025 with C3, S1, FSW, AM, 03/10/2026 with C2, and on 03/18/2026 with C1, S2. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Elena Gonzalez-Soto 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: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 05/21/2026

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

Deficiencies:
80078: 1
2
3
4
5
6
7

met_with: Naeem Brown, Administrator

title:
Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the client's needs.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


raw_content:
Narrative:
Interviews with C1, S1, FSW, S2 reported that facility staff are aware of C1's self-harming behavior and take measures such as securing chemicals, removing electronic devices and offering weekly therapy. C2, C3, and AM did not report any information in regards to this allegation. Based on LPA's observations, interviews which were conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. 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. No title 22 regulations were cited during today's inspection. Exit interview conducted and a copy of this report was left with Naeem Brown. Administrator.

Investigation Findings:
13Licensing Program Analyst (LPA), Elena Gonzalez-Soto, conducted an unannounced inspection to the facility or agency on 05/21/26 at 12: PM to deliver complaint allegation findings. LPA met with Naeem Brown, Administrator and discussed the above allegation. During the investigation of staff did not address minor's self-harming behavior LPA toured the facility with Naem Brown on 12/31/2026, 03/10/2026, and 03/18/2026. On these inspections, LPA inspected the physical plant inside and out, obtained three client files that included Needs and Services Plan and Incident Reports three youth, and a safety plan for one youth. LPA observed the safety plan was reviewed with and signed by the applicable youth in care. LPA conducted interviews on 12/31/2025 with C3, S1, FSW, AM, 03/10/2026 with C2, and on 03/18/2026 with C1, S2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Elena Gonzalez-Soto 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: PARADISE OAKS - ROSA VISTAFACILITY NUMBER: VISIT DATE: 05/21/2026

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

met_with: Naeem Brown, Adiminstrator