summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Leslie Covarrubias on May 19, 2023 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Covarrubias met with Administrator, Francine Haynes and inspected the facility inside and out. LPA reviewed five of child's records and two of staff personnel files on site at the facility. LPA reviewed five of child's psychotropic medications and medication records. LPA interviewed two of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed zero of children currently prescribed psychotropic medication, as clients were not present. LPA will interview two children at their schools. During the inspection the LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Administrator, Francine Haynes.

met_with: Administrator, Francine Haynes


state: CA

facility_name: SARATOGA HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
An unannounced annual inspection was conducted by LPA (Licensing Program Analyst) Lidia Tinoco on at Saratoga House STRTP. LPA met with Brandi Boehme and inspected the facility, inside and out. Currently the facility is inactive and has been inactive since May 2021. All facility smoke detectors were tested and appear to be in appropriate working order, fire extinguisher is properly charged. The facility currently keeps their food supply at an off site warehouse where they store non-perishables, fresh foods, and dairy that would be ready to be transported to the home would they choose to become active again. Individual beds were observed with appropriate clean linens and are in good repair. The facility is maintained at 72 degrees. No bodies of water were observed. No firearms or weapons are allowed in the facility. Licensee has obtained Mental Health Certification Including the following: Mental Health Program Approval valid through September 24, 2021, Medi-Cal site certification valid since 4/26/19 through 4/26/2022 and a county contract valid since September 1, 2019. Licensee has obtained National Accreditation through CARF. The Accreditation is valid through September 30, 2023. Facility has already gone through Annual Review with DHCS for 2021. Due to the facility being inactive no records of personnel/ staff members were reviewed and no records of clients were reviewed. There were no deficiencies to be cited on this date. A copy of this report was left with Brandi Boehme

report_type: Facility Evaluation

visit_type: Annual

met_with: Brandi Boehme


facility_name: SCOTT'S YOUTH FACILITY

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was reported that staff do not adequately supervise clients at night. The Department was informed facility clients were walking around the community at all hours of the day, including the evening, up to three times during one week. Staff denied the allegation. Statements obtained from interviews conducted with staff revealed the facility uses an incentive-based program which affords clients the opportunity to leave the facility and return by a set curfew. Staff interviewed reported clients also leave the facility without authorization. In situations where clients leave without authorization, staff reported they follow protocol. Staff attempt to verbally redirect clients, try to obtain the location of where clients are going and shadow clients as they leave the facility until visual is lost. Upon clients return, staff reported they inquire if clients need medical attention, ask what occurred while they were away from the facility and offer clients a meal. Statements obtained from confidential interviews conducted indicated staff supervise clients diligently. Clients interviewed consistently reported staff follow protocol during unauthorized absences. Statements obtained from CSWs did not reveal concerns related to the reported allegation. One CSW reported her client was prone to leaving the facility without authorization. In an effort to deter the client from leaving the facility without authorization, staff reportedly reach out the clients relatives to schedule visits. The facility offered relatives traveling accommodations to be able to attend the visits. Based on information obtained through interviews conducted and records reviewed the allegation was Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 9/24/21 at 11: AM. During the inspection LPA Larios met with Assistant Administrator Trina Smith. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted a record review on 9/17/21 and obtained copies of staff and client roster for January 2021, special incident reports for January 2021 and client's needs and services plans. LPA Larios conducted interviews with two County Social Workers (CSWs) on 9/16/21, two CSWs on 9/17/21, two staff on 9/17/21, one staff on 9/21/21, three clients on 9/15/21 and two clients on 9/17/21. (Reference Confidential Names list LIC811 dated 9/24/21) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/24/2021

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

report_type: Complaint Investigation

met_with: Trina Smith

complaint_status: unsubstantiated


raw_content:
Narrative:
Facility staff stated that clients are asked to conduct a self-search upon returning from an absence without leave or upon return to the facility. Facility staff stated any discovered contrabands are confiscated and discarded. Facility staff stated that contrabands such as alcohol are never permitted or allowed in the facility for any reason. Confidential statements obtained corroborated the facility staff statements as clients indicated that contrabands such as alcohol are never permitted inside the facility nor consumed inside the facility by the clients. Based on the information gathered, the allegation is unsubstantiated as the preponderance of evidence to prove the allegation was not met although the allegation may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On June 15, 2022 at 2:00PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA Rarela interviewed facility staff on 3/24/22; LPA also interviewed facility clients on 5/12/22, 5/13/22 and 6/15/22 (see Confidential Names Form dated June 15, 2022). LPA also reviewed documents including the placing agency service logs and reports, facility incident reports, medical logs and personnel records. It was alleged that minors are drinking alcohol while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 06/15/2022

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

met_with: Mary Arriaga, HR Manager


raw_content:
Narrative:
Facility staff stated that clients are asked to conduct a self-search upon returning from an absence without leave or upon return to the facility. Facility staff stated any discovered contrabands are confiscated and discarded. Facility staff stated that contrabands such as marijuana or alcohol are never permitted or allowed in the facility for any reason. Confidential statements obtained corroborated the facility staff statements as clients indicated that contrabands such as marijuana and alcohol are never permitted inside the facility nor consumed inside the facility by the clients. Facility staff stated that clients are verbally de-escalated or separated if a fight breaks out between the clients. Facility staff denied allowing clients to engage in physical fights under their supervision in the facility or neglecting any medical needs of the clients. Confidential statements obtained corroborated the facility staff statements as clients indicated that staff intervenes during any fights, and they are taken to medical and mental health services when needed. Facility staff stated that the clients are given their medications on a daily basis. Confidential statements obtained also corroborated facility staff statement as clients indicated that they are provided their medication and taken to their medical and mental health services when needed. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On June 15, 2022 at 2:00PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegation above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA Rarela interviewed facility staff on 3/24/22; LPA also interviewed facility clients on 5/12/22, 5/13/22 and 6/15/22 (see Confidential Names Form dated June 15, 2022). LPA also reviewed documents including the placing agency service logs and reports, facility incident reports, medical logs and personnel records. It was alleged that minors smoke marijuana, minor sustained injuries while in care, staff failed to protect a minor from being harmed by another minor, staff failed to meet minors' medical needs, and staff failed to administer minors' medication as prescribed. (CONTINUED) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 06/15/2022

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


raw_content:
Narrative:
It revealed that another staff was in route to the facility, that the fire department was called and other staff were notified to come to the facility. The investigation revealed that on a second occasion, all the clients ran away from the facility and engaged in another physical altercation, resulting in Ref. #5 fighting Ref. #6 and the other clients jumping Ref. #5. The investigation revealed that the facility was in compliance with Interim Licensing Standards (ILS), Section 87065.5(a)(2) Direct Care Staff/Child Ratios, During the hours of 10 p.m. to 7 a.m., there shall be one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On July 21, 2022 at 4:25 p.m., Licensing Program Analyst (LPA), Karen McGee, met with Assistant Administrator, Trina Smith for the purpose of delivering the investigative findings. On March 1, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: LPA McGee interviewed Client Ref. # March 24 ,2022; LPA Elnora Smith interviewed four staff (see Confidential Names, LIC Ref. #1 dated July 21, 2022) via telephone, one on June 22, 2022 and one on June 28, 2022; two staff on July 11, 2022; two clients, Ref. #5 and #6 via telephone. LPA Smith was unable to contact clients, Ref. #7, 8 and 9. The LPAs reviewed Special Incident Reports. The investigation found that on one occasion, clients, Ref. #5 and 7, engaged in a physical altercation. The investigation revealed statements that there was one staff on duty who attempted to separate the clients. It revealed that during the incident Ref. #5 set Ref. #7's belongings on fire in the closet while the staff was questioning Ref. #7 about trashing Ref. #5's belongings. It revealed that the incident took place at approximately six a.m. and the one staff on duty supervised five clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 07/21/2022

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


raw_content:
Investigation Findings:
On July 28, 2022 at 3:30 p.m., Licensing Program Analyst (LPA), Karen McGee, met with Assistant Administrator, Trina Smith for the purpose of delivering the investigative findings. On March 7, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: LPA Elnora Smith interviewed four staff (see Confidential Names, LIC Ref. #1 dated July 21, 2022) via telephone, one on June 22, 2022 and one on June 28, 2022; two staff on July 11, 2022; two clients, Ref. #5 and #6 via telephone. LPA Smith was unable to contact clients, Ref. #7, 8 and 9. The LPAs reviewed the Needs and Services Plan and the Special Incident Reports. The investigation did not reveal any staff or clients that observed staff pulling Ref. #8's hair. It did not reveal any client reports to staff about Ref. #8 getting their hair pulled. The investigation revealed that the facility's discipline is level-based. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


raw_content:
Narrative:
The investigation revealed statements that initials were carved into a tree in a neighbor's front yard and that clients pulled branches from a tree. It revealed that no staff interviewed were notified of complaints of vandalism. It revealed that a neighbor's son invited some clients to the neighbor's home and while at the home the clients smoked marijuana. It revealed that the facility received complaints about clients hanging in the neighbor's yard. It revealed that the staff counseled the clients not to hang out in the neighbor's yard, yet the client's would leave the facility without permission and hang in the neighbor's yard anyway. The investigation revealed that other children in the neighborhood also congregated in the neighbor's yard, not just the facility clients. All witnesses stated that the clients are supervised at the facility. It revealed that the clients have community passes. It revealed that staff re-direct clients when they leave the facility without permission and shadow them. It revealed that the staff call law enforcement if the clients do not return to the facility within three hours of leaving without permission. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On August 4, 2022 at 3:10 p.m., Licensing Program Analyst (LPA), Karen McGee, met with Assistant Administrator, Trina Smith for the purpose of delivering the investigative findings. On March 28, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: LPA Elnora Smith interviewed four staff (see Confidential Names, LIC Ref. #1 dated July 21, 2022) via telephone, one on June 22, 2022 and one on June 28, 2022; two staff on July 11, 2022; two clients, Ref. #5 and #6 via telephone. LPA Smith was unable to contact clients, Ref. #7, 8 and 9. LPA McGee interviewed the Human Resources Assistant on April 7, 2022. The investigation revealed that all witnesses denied that clients used drugs at the facility. It revealed that clients leave the facility without permission and use drugs. It revealed that client's are asked to conduct a self-search upon returning from an absence without permission and any discovered contrabands are confiscated and discarded. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 08/04/2022

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


raw_content:
Narrative:
Records show that minor reported being sexually assaulted during AWOL in 2020, and not at the facility. Facility staff was with minor when minor was seen by medical personnel for a sexual assault examination. The investigation did not yield any witnesses who can corroborate the allegations. Based on information obtained during the investigation, the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. Appeal rights provided and explained. There was no deficiency citation issued.

Investigation Findings:
13On August 30, 2022 at 12: PM, Licensing Program Analyst (LPA) Joshua Rarela conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Elisia Rippe and LPA Irene Yamamoto. Confidential interviews reveal that minor denied being sexually assaulted while in care. Minor reported having access to drugs from one unnamed staff and other individuals outside of placement. Minor refused to identify the staff and other individuals; minor also refused to identify the staff who called minor an inappropriate name. Statements provided by other parties did not support the allegations. Minor has reported using drugs to other minors, staff and placement agency worker while minor is on AWOL. Minor never reported being called an inappropriate name to the placement agency. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 08/30/2022

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

met_with: Leilani King, AM Unit Coordinator


raw_content:
Narrative:
It was alleged that a staff and a client hit C1 while in care. Two staff were interviewed. Both staff denied the above allegations. All staff interviewed stated that they did not witness C1 getting hit or attacked by clients or staff in the facility. Staff stated that they have witnessed C1 starting physically altercations with other clients. One client was interviewed and denied the above allegations. The client stated that she did not witness a client engaging in a physical altercation with C1. The client interviewed also stated that she did not witness a staff hit C1. Based on records reviewed, C1 attacked a client then contacted law enforcement and disclosed that staff was physically abusing her. The law enforcement investigation determined that C1 was the aggressor and placed C1 in custody. Based on records reviewed, C1 was arrested for assault with a deadly weapon. Although the allegations 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 as well as the LIC 811 was provided to the facility.

Investigation Findings:
13On September 27, 2022 at 10: AM Licensing Program Analyst (LPA) Timika Martin conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations listed above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 5/13/22 and obtained copies client's needs and services plan (NSP) and special incident reports (SIRs) for May 2022. LPA requested copies of the LIC 500, staff contact information,staff daily shift schedule staff trainings and maintenance log. LPA Martin toured the facility and conducted interviews with 1 client and 2 staff. Confidential interviews were conducted by LPA Martin with Administrator, Facility Manager, Client 3 (C3) (See Confidential Names List Form LIC 811 dated August 00, 2022). LPA was unable to conduct an interview with C1 due to her being incarcerated. LPA conducted a searched through CWS/CMS and was unable to located C2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/27/2022

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


raw_content:
Narrative:
It was alleged that two minors went AWOL from facility, stole the facility vehicle and credit card. Three staff denied the above allegations but admitted that the incidents occurred. All three staff stated that staff were present in the facility when the incidents occurred but did not witness it. All three staff stated that staff tried to redirect the clients and encourage them to not leave the facility. Staff stated that they clients broke into the staff office and took the facility car keys and credit card during their pool party at the facility. Staff stated that the facility cameras were checked to find out this information after realizing the facility vehicle was missing. LPA conducted interviews with three clients, all three clients stated that they did not witness the above allegations but did hear about it. Based on a record review, staff were present during the alleged incidents, followed protocol and reported the above incidents on the same date they occurred. Although the allegations 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 as well as the LIC 811 was provided to the facility.

Investigation Findings:
13On September 27, 2022 at 10: AM Licensing Program Analyst (LPA) Timika Martin conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations listed above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Timika Martin conducted a record review on 5/13/22 and obtained copies client's needs and services plan (NSP) and special incident reports (SIRs) for June 2022-July 2022. LPA requested copies of the LIC 500, staff contact information,staff daily shift schedule staff trainings and maintenance log. LPA Martin toured the facility and conducted interviews with 2 clients and 1 staff. Confidential interviews were conducted by LPA Martin with Client 1 (C1), Client 2 (C2), Client 3 (C3) and Staff 1 (S1) on 7/8/22, Administrator (Admin) and Facility Manager (FM) on 7/13/22 (See Confidential Names List Form LIC 811 dated September 00, 2022). LPA was unable to conduct an interview with C4 due to her being incarcerated. LPA conducted a searched through CWS/CMS and was unable to located C5. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/27/2022

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging staff allow minors to have access to contraband while in care, alleging a staff is having an innapropriate relationship with a minor, alleging staff yell and hit minors, alleging staff are not preventing innapropriate sexual interactions between minors at the facility and alleging staff do not adequately supervise minors resulting in minors leaving the facility without permission. Staff denied the allegation that minors are allowed to have access to contraband while in care. The allegation was regarding an incident involving two residents fighting over contraband at the facility on 2/16/23 where law enforcement was contacted to stop the fight. It was alleged law enforcement did not confiscate the contraband and staff allowed the residents to have the contraband. Record review revealed law enforcement was contacted by a resident after the altercation to report assault. In addition, statements obtained confidential interviews conducted indicated that the fight was a result of a resident accusing another resident of stealing her marijuana earlier that day. Statements obtained from confidential interviews conducted and interviews with staff indicated that no contraband was observed or located during the incident. Staff denied the allegation that a staff is having an inappropriate relationship with a client in care. However, statements obtained from interviews conducted with staff revealed clients reported observing inappropriate interactions between a staff and client. When interviewed by the Department and another agency, all clients denied the allegation. Staff denied the allegation that they hit minors at the facility. Statements obtained from confidential interviews conducted revealed there are no witnesses who observed staff physically abuse clients. Statements obtained from interviews conducted with staff revealed staff may use a loud, stern, or raised tone of voice but, it is dependent on the behavior of the clients. Staff stated they use this tone of voice when clients are having a behavior such as arguing, fighting, or bullying another client. Statements obtained from confidential interviews conducted indicated staff yell at residents for insignificant incidents such as not cleaning their rooms, washing dishes, or being loud. Other clients reported staff yell when staff feel clients are provoking them or disrespectful, when clients are misbehaving, when clients are running and screaming inside the facility and when clients do not listen, act aggressively, or damage property. (Continued on page 3) Page Staff denied they are not preventing innapropriate sexual interactions between minors in the facility. Statements obtained from interviews conducted with staff revealed they became aware two clients were dating. Staff immediately adjusted the sleeping arrangements and actively supervised the clients if they were together in common areas. In addition, the facility did not allow the clients to visit each other's room. Staff statements were corroborated by statements obtained while conducting confidential interviews. Staff denied clients leave the facility on an unauthorized absence due to inadequate supervision. Statements obtained from interviews conducted with staff indicate staff verbally redirect clients when they suspect a client will leave the facility without an approved pass. Statements obtained from confidential interviews conducted corroborated staff statements. During the course of the investigation LPA Larios attempted to interview six placing agency social workers however, only two were interviewed. Statements obtained from interviews conducted with social workers indicated there were no concerns regarding the referral. Based on information gathered from interviews conducted and record review the allegations are unsubstantiated. Although the allegations may have happened or are valid, the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names form LIC811 dated 6/15/23 were given to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13On 6/15/23 at 10: AM, Licensing Program Analyst (LPA) Christopher Larios conducted a follow up inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection, LPA Larios met with Human Resource Manager, Mary Arriaga. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. The allegations were investigated by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Marianna Lomeli and LPA Larios. During the course of the investigation LPA Larios conducted a record review on 3/3/23 and obtained copies of the staff and client rosters, special incident reports, needs and services plans, daily log notes and facility sketch. In addition, on 3/28/23, LPA Larios obtained copies of additional needs and services plans and the facility staff training protocol regarding resident's personal rights. LPA Larios also conducted interviews with four clients on 3/22/23 and two clients on 3/27/23, two social workers on 5/2/23, four staff on 5/31/23 and two staff on 6/14/23. LPA Larios also obtained another agency's investigation narrative on 6/13/23. (Continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 06/15/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Mary Arriaga


raw_content:
Narrative:
During the LPAs interviews with witnesses, the LPA was told that Ref. #1 was painting their finger nails and the staff told Ref. #1 to wrap it up, because it was bedtime. The LPA was told that it was Staff Ref. #3 threw Ref. #1's nail polish on the floor and started restraining Ref. #1. The LPA was told that Staff Ref. #4 placed the blanket over Ref. #1's face and it was scratched and bleeding. The investigation revealed that Ref. #1's roommate, Client Ref. #2 was asleep and did not observe the restraint. The incident report dated November 2, 2022, indicated that Ref. #1 was told it was bedtime and Ref. #1 began to argue with staff despite being redirected. It indicated that Ref. #1 rushed staff and began swinging their arms wildly at staff. It indicated that Ref. #1 was placed in a MAB containment for three minutes until calm. The CSW stated that Ref. #1 did not inform them of this incident, and at the time they had weekly Child and Family Team Meetings. The CSW stated that Ref. #1 tantrums when Ref. #1 does not get their way. There were no other witnesses to the incident. The LPA is unable to corroborate the allegations. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On July 20, 2023 at 5:00 p.m., Licensing Program Analyst (LPA), Karen McGee, arrived at the facility to delivering findings of a complaint investigation involving Client (see Confidential Names, LIC Ref #1 dated July 20, 2023). The LPA met with Human Resource Manager, Mary Arriaga. On March 9, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: two clients (see Confidential Names, LIC Ref. #1 and #2 dated July 20, 2023) and Staff, Ref. #3; the County Social Worker for Ref. #1 via telephone on July 20, 2023. The LPA was unable to interview staff Ref. #4, because the Staff is on leave. The LPA reviewed Ref. #1's Monthly and Incident Reports. The investigation revealed that inconsistent statements were provided regarding the incident. The initial allegation included statements that around bedtime, Ref. #1 left their bedroom to ask staff in the office for water. It included a statement that Staff Ref. #3 and #4 placed client Ref. #1 in a restraint and Staff Ref. #3 pulled a blanket over Ref. #1's head. There was a statement that Ref. #1 sustained a scratch on the wrist. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 07/20/2023

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


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on the information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon interviews, the complaint findings are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies were cited. An exit interview was conducted, and a copy of this report was emailed to the above-named facility staff.

Investigation Findings:
13On 10/14/24, Licensing Program Analyst (LPA) Johanna Lofton coducted a follow up inspection visit to Scott's Youth Facility located on Prism Way with the purpose of delivering findings regarding the above complaint allegations for Scott's Youth Facility located on Glenwood Drive. LPA Met with Facility Manager Karissa Kline and discussed the findings. During the investigation, LPA Lofton interviewed the facility clients and facility staff regarding the complaint allegatios. During the confidential interviews, it was reported that the facility clients feel the staff likes to repeat themselves asking the same questions over and over in order to trigger the clients. The allegations weres denied by staff members. During the interviews, facility staff reported the clients use profanities at the facility. Staff repeats themselves and ask the question more than once because they either didn't hear the client or they want to make sure the client answer the questions appropriately because the clients come back saying they didn't answer/said what the staff has on record. Staff members also denied threatening any of the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/14/2023

met_with: Karissa Kline- Facility Manager


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

raw_content:
Narrative:
It was confirmed by the HR Manager that Ref. #2 did not work at the Glenwood facility, but was hired for the Scott's Youth Facility II on Prism Way License #157806101. Ref. #3 worked at the facility without a criminal record clearance or exemption. The LPA observed that Ref. #3 had submitted to a criminal record review and initially obtained fingerprint clearances. The information was present in Ref. #3's personnel record and in the Licensing System. Guardian indicated that on May 23, 2022, Ref. #3 required a Criminal Record Exemption. Correspondence was generated and mailed to three addresses for Scott's Youth Facility, Rancho Sierra St, Bakersfield, 93306, H St., #25, Bakersfield 93301 and Glenwood Drive, Bakersfield, 93306. The correspondence indicated that Ref. #3 could not work or be present in an agency licensed by the Department. As mentioned above, the HR Manager indicated that the H St address is incorrect. The HR Manager denied receiving correspondence regarding Ref. #3 needing an exemption. Guardian indicated that on March 9, 2023, Ref. #3 was denied an exemption. The denial letter was sent to the three addresses mentioned above. The letter indicated the prohibition regarding Ref. #3 working in a licensed facility by the Department. The HR Manager provided the LPA with an Employee Status Change dated November 7, 2023 indicating that Ref. #3's employment was terminated. Based upon this information, there is evidence that Ref. #3 worked at the facility without a criminal record clearance or exemption for approximately 594 days. Based upon the previous information, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. It is determined that a citation be issued: The facility is being cited for violation of Title 22, General Licensing Regulations, Personnel Requirements, Section 80065(i)(1). Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: Obtain a California clearance or a criminal record exemption as required by law or Department regulations. - (see 809d) It is determined that a civil penalty be issued: The facility is being issued a civil penalty due to criminal background check violations prescribed by California Health and Safety Code section 1522, 1568.09, 1569.17, or 1596.871. As a result, a civil penalty of $100 per person per day for a maximum of 5 days is being assessed. A total of $500 is being assessed. The LPA conducted an Exit Interview. The licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. A copy of this report was provided to the facility's authorized representative.

Investigation Findings:
13On January 25, 2024 at 2:30 p.m., Licensing Program Analyst (LPA), Karen McGee delivered the findings of the complaint investigation to the facility. The LPA met with Human Resource Manager, Mary Arriaga. On September 11, 2023, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: the Human Resources (HR) Manager on September 22, 2023 at Scott's Youth Facility located at Glenwood Drive, Bakersfield 93306. The LPA reviewed three Staff (see Confidential Names, LIC Ref. #1, #2 and #3 dated January 26, 2024) files, Personnel Records (LIC500), Guardian, the Licensing System and Employee Status Change for Ref. #3. The investigation revealed the following: Ref. #1 obtained a criminal record clearance. Ref. #1's status in Guardian indicates Eligible. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 01/25/2024

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

Deficiencies:
93301: and 1780 Glenwood Drive, Bakersfield, 93306.  The correspondence indicated that Ref. #3 could not work or be present in an agency licensed by the Department.   As mentioned above, the HR Manager indicated that the 1326 H St address is incorrect.  The HR Manager denied receiving correspondence regarding Ref. #3 needing an exemption.  Guardian indicated that on March 9, 2023, Ref. #3 was denied an exemption. The denial letter was sent to the three addresses mentioned above.  The letter indicated the prohibition regarding Ref. #3 working in a licensed facility by the Department.  The HR Manager provided the LPA with an Employee Status Change dated November 7, 2023 indicating that Ref. #3's employment was terminated.

Based upon this information, there is evidence that Ref. #3 worked at the facility without a criminal record clearance or exemption for approximately 594 days.

Based upon the previous information, it is determined that the complaint is substantiated.  The complaint is valid because the standard of a preponderance of evidence has been met.

It is determined that a citation be issued

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On July 3, 2024, at 11: AM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at the above Short-Term Residential Therapeutic Program (STRTP) and met with the Facility Unit Coordinator Jackie Aguilar. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On January 18, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff did not prevent inappropriate interaction between youth. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members (S1, S2) on 1/30/24, S3 on 2/5/24, and 2 of 3 clients (C2, and C3) on 1/25/24. C1 declined to be interviewed, so no statement was obtained from them. (Reference Confidential Names Form LIC 811, dated July 3, 2024). The Following Allegation(s) were reported: 1. The staff did not prevent inappropriate interaction between youth. The team (S1, S2, and S3) have denied the accusation and highlighted their proficiency in trauma-informed care. They implement all necessary steps to guarantee a secure and healthy environment for all individuals. The team recognizes that each individual is unique and may need different approaches to de-escalate specific situations. In the incident that was reported, it began earlier in the day when C2 and C3 unexpectedly took a photo of C1, which greatly upset C1. Later, on their way back from an outing, C2 and C3 started teasing C1 about the photo taken earlier in the day. S1 stepped in by trying to redirect C2 and C3 verbally and changing the subject of conversation. Upon returning to the facility, C2 and C3 got out of the vehicle, but C1 refused to do so. After a few minutes of attempting to verbally redirect C1, S1 allowed C2 and C3 to enter the facility. However, shortly after, C2 and C3 came back out with a small mop and a hand duster, pretending to clean the vehicle and making noises to provoke C1. The team verbally redirected C2 and C3 back into the facility. Soon after, C1 got out of the vehicle and entered the facility with the team. C1 informed the team that she had called the police while in the car and falsely claimed to have been physically assaulted by C2 and C3. Later that evening, the police arrived at the facility, spoke to all the individuals involved, reviewed the driveway camera footage, and determined that no crime had taken place. The team stresses that, aside from occasional disagreements, the individuals have not had any issues with each other. Information provided by C2 and C3 further supported the above, indicating that they feel safe and satisfied living at the facility. Therefore, based on the information received, the above allegation(s) is determined to be unsubstantiated. Although the allegation(s) may have happened are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. Appeal Rights were provided and discussed with the Foster Family Agency. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the STRTP Unit Coordinator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Jackie Aguilar - STRTP Unit Coordinator


raw_content:
Investigation Findings:
13On 8/7/24, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Scott's Youth Facility with the purpose of delivering findings for the above complaint allegations. LPA Lofton met with Facility Administrator Trina Smith. During the complaint investigation, LPA Lofton conducted confidential interviews with facility staff and clients. LPA Lofton attempted to contact the complainant and social workers with no success. During confidential interviews conducted during the investigation, the allegations were denied by staff members. C1 denied to the allegation. Based on the information obtained during the investigation, it cannot be determined whether the above allegations occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. Therefore the allegation is found to be unsubstantiated. No deficiencies were cited. Exit interview was conducted, and a copy of this report was provided to the facility's administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Trina Smith- Facility Administrator


raw_content:
Narrative:
On January 26, 2024, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Confidential interviews were conducted that included, but were not limited to: four clients (see Confidential Names, LIC Ref. #2, 3, 4 and 6) at their placements on May 15, 2024, May 31, 2024, June 6, 2024 and July 12, 2024; and the Administrator Trina Smith on July 9, 2024. The LPA was unable to interview clients Ref. #1 and 5 after several attempts. The LPA toured the facility and observed the food supply on February 2, 2024. The LPA observed the restroom in the front hallway on June 6, 2024. The LPA reviewed incident reports. The investigation revealed that Ref. #2 admitted to using drugs and having them at the facility. Ref. #2 revealed that staff did not allow Ref. #2 to have the drugs, but that they hid the drugs in private areas on their person and the staff at the facility could not search them. There were statements that older clients gave drugs to younger client, who turned them into the staff. There was another statement made that older clients did not give drugs to the younger client, but that the younger client obtained drugs on their own. The investigation revealed that the facility reported incidents of Ref. #2's drug use to law enforcement and Community Care Licensing. The LPA toured the facility and observed it to be clean and sanitary. On February 2, 2024, the LPA observed the bathroom near the staff's office to be clean. On June 6, 2024, the LPA observed a staff cleaning the facility. An interview with the Administrator revealed that staff are required to clean nightly, including client bedrooms and submit pictures to management. The Administrator indicated that if staff are unable to clean at night due to supervision issues, then the morning staff are required to clean. There were statements made that there was mold in the bathrooms. The LPA did not observe mold. The staff informed the LPA that the facility maintenance repaired caulking in the bathroom and there was no mold. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On August 8, 2024 at 5:30 p.m., Licensing Program Analyst (LPA), Karen McGee, arrived at the facility for the purpose of delivering the Complaint Investigation Report. The LPA met with Facility Manager, Kayla Taylor. This Complaint Investigation Report (LIC9099) was created to note a correction and add additional information to the report on July 16, 2024. The July 16, Complaint Investigation Report indicates that the type of inspection was a RO (Regional Office) Meeting which is incorrect. The correct inspection type was a Visit to the facility. The LPA observed sufficient perishable and non-perishable food at the facility. The interviews revealed inconsistent statements regarding food. One client had no complaints regarding the food, another indicated they had sufficient food, but were not offered alternatives, another indicated that there was too much processed food, another client indicated that they were punished with processed foods. The LPA observed the food menus. The investigation revealed that the meal menu is followed, but can be changed based upon client requests. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Karen McGee LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 08/08/2024

visit_type: Complaint Investigation

met_with: Kayla Taylor


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint regarding alleged Neglect/Lack of Supervision by facility staff resulted in a client accessing the facility vehicle and a client sustaining injuries during a car accident. Information obtained during the course of the investigation corroborated the allegations. On 8/19/24 around 1: AM, a client was able to obtain the key to a facility vehicle and drove herself, and two other clients away from the facility. Law enforcement was contacted and the vehicle was located. The client refused to yield to law enforcement and a pursuit ensued. Ultimately, the pursuit concluded when the client drove past a red light, through an intersection and struck another vehicle. Responding deputies observed a client "pinned" inside the front passenger side of the vehicle, unresponsive and unconscious. Medical records obtained during the course of the investigation revealed the passenger sustained trauma to the head resulting in brain bleeding. Statements obtained from confidential interviews conducted revealed the client was able to enter the staff office through an unlocked door and obtain the key from a safe which was also unlocked. Although staff who were interviewed stated it is procedure to ensure the staff office and safe are secure, staff could not confirm that the procedure was followed on the date of the incident. The facility is cited for violation of California Code of Regulations, Title 22, Section 80078(a) Responsibility for Providing Care and Supervision. The facility staff failed to ensure the vehicle key was secure and inaccessible to clients, resulting a client stealing a facility vehicle and client sustaining injuries during the ensuing car ride. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(E), an Enhanced Civil Penalty (ECP) determination is pending due to the substantiated allegation. If an ECP is warranted, a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment. A copy of this report, LIC9099D and appeals rights were provided to the above mentioned staff. Exit interview conducted.

Investigation Findings:
13On October 9, 2024, at 1: PM, Licensing Program Analysts (LPAs) Christopher Larios and Emad Elias conducted a follow up complaint inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection LPAs met with Unit Coordinator (UC) Monique Salinas. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Jorge Jauregui. During the course of the investigation SI Jauregui conducted interviews with a Kern County Sheriff's Department Detective, the facility Administrator, three facility clients, and three Facility Managers between 8/22/24 and 9/06/24. In addition, SI Jauregui obtained law enforcement and medical records between 8/21/24 and 8/29/24. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/09/2024

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 0

met_with: Monique Salinas


raw_content:
Narrative:
Page The Department received a complaint alleging a staff (S1) (See Confidential Names form LIC811 dated 11/20/24) threatened to hit a client (C1) with a curtain rod and punched C1. S1 denied the allegation. Confidential interviews conducted by LPA Larios did not corroborate the allegation. Although the alleged victim maintained she was punched on the face by S1, other clients did not report witnessing S1 hit C1 or reported they were aware of the allegation through hearsay. Record review revealed KCSD deputies arrived at the facility on the evening of 6/5/24 in response to an alleged battery incident and observed C1 with minor injuries to her nose and cheek. The KCSD report states no other clients or staff members witnessed the alleged incident. Based on information gathered from interviewed conducted and record review, the allegation is unsubstantiated. Although the incident may have happened or is valid the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names form LIC811 dated 11/20/24 were provided to the above mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 11/20/24 at 10: AM. During the inspection LPA Larios met with Unit Coordinator (UC) Jackilyn Aguilar. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegation. During the course of the investigation LPA Larios conducted a record review on 6/11/24 and obtained copies of, but not limited to, a client's monthly reports, discharge report, staff and client rosters and training records. Also, LPA Larios obtained a Kern County Sheriff's Department (KCSD) report on 6/11/24. In addition, LPA Larios conducted interviews with a client on 8/12/24, one social worker on 8/15/24, two clients and one staff on 9/18/24, one staff on 9/27/24 and one client on 10/9/24. LPA Larios attempted to interview two other social workers however, contact attempts were unreturned. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 11/20/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Jackilyn Aguilar


raw_content:
Narrative:
Interviews completed on 08/22/24 with S2 and FY2, 08/27/24-FY3,FY4, 10/14/24-S1, 03/10/25-FY1 (Reference Confidential Names Form LIC 811, dated February 20, 2025). STRTP staff interviews revealed that they denied hitting or pushing the youth with a fan and stated they had no recollection of the allegation.STRTP staff explained that they have never used an object to move or physically harm a youth in their care. Four youths were interviewed as part of the investigation. Interviews with two foster youths revealed that neither witnessed the alleged incident involving S1 and a fan. One youth heard about a disagreement involving S1 but did not know the details while the other was asleep. Three out of four youths reported feeling safe in the facility and denied witnessing or experiencing physical harm from staff.One youth stated that she tried to retrieve a fan being used to cool off, and while holding the fan with S1, the back of the fan hit her stomach. Based on the statements provided by staff and other youth in the home, there is insufficient evidence to confirm that a staff member used a fan to push or hit minor in care. One staff member stated, "I do not recall the specific incident and have never used an object to harm a youth." The interviewed youth reported hearing about a disagreement but did not witness any physical altercation. Therefore, the allegation that a staff member used a fan to push or hit a youth is unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. An exit interview was conducted, and LPA Martinez provided a signed LIC 9099 to the representative.

Investigation Findings:
13On 02/20/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the STRTP representative named above. The inspection aims to deliver the finding for the above allegation. On 08/13/24, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Facility Staff Hit Minor In Care With An Object. LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 02/20/2025

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

met_with: Marisa Alvidrez


raw_content:
Narrative:
Confidential interviews were completed on 09/20/24 with S2 and C6, 09/27/ C3 and C4, 10/14/24 with S1 (Reference Confidential Names Form LIC 811, dated February 20, 2025). The investigation revealed the following: Three youth were interviewed as part of the investigation. Two youth claimed that S1 became aggressive and stated she was "going to call her friends," One youth also admitted that she became confrontational in response. Youth interviews could not recall specific details, such as who else was present, date and time of the alleged allegation. STRTP staff denied threatening or using inappropriate language, stating they could not recall the specific interaction. Staff denied any wrongdoing and stated that "youth make daily allegations towards the staff.Staff expressed facility's policies regarding respectful communication with youth placed in their care. LPA Martinez observed the video and confirmed that inappropriate language was heard. However, the recording was too dark to identify who was speaking, and LPA Martinez could not verify the date, time of the recording. At this time, LPA Martinez was unable to retrieve a copy of the recording. While the video supports that inappropriate language was used, it does not provide clear evidence regarding who was involved. Given the lack of corroborating details and the inability to verify key elements the allegations are unsubstantiated. An unsubstantiated determination means the allegation lacks a preponderance of the evidence to prove that the violation occurred. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the STRTP representative.

Investigation Findings:
13On 02/20/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Short Term Residential Therapeutic Program (STRTP). LPA Martinez met with the facility representative named above. The purpose of the inspection is to deliver the finding for the above allegation. On 09/13/24, the Community Care Licensing Division of the California Department of Social Services received a complaint with the following allegation(s): Facility staff threatened youth and used inappropriate language towards them. LPA Martinez investigated the above allegation. The investigation consisted of but was not limited to a review of records and confidential interviews. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 02/20/2025

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


raw_content:
Narrative:
names, LIC811, dated 09/11/2025). On 06/18/25, LPA Aracena conducted a follow-up complaint inspection at the facility. On 08/19/25, LPA Yerkatyan interviewed facility staff and county investigator; On 08/21/25, LPA Yerkatyan attempted to interview C1; On 08/22/25, LPA Yerkatyan attempted to interview C2; On 08/25/25, LPA Yerkatyan attempted to contact the facility, attempted to interview county social worker, C2, C3, C4, and interviewed C6; On 08/26/25, LPA Yerkatyan attempted to contact the facility, interviewed county social worker, C2, and attempted to interview C3; On 08/27/25, LPA Yerkatyan interviewed facility staff, attempted to interview C1 however C1 refused, attempted to interview C3, and attempted to interview C5 however C5 refused; On 08/28/25, LPA Yerkatyan attempted to interview C3; On 08/29/25, LPA Yerkatyan attempted to interview C3 however C3's whereabouts are unknown; On 09/05/25, LPA Yerkatyan attempted to interview C4; On 09/08/25, LPA Yerkatyan attempted to interview C4, however C4 refused to be interviewed. LPA reviewed and obtained copies of the following documents: LIC 500, client rooster, client incident reports, and needs and service plan. Investigation revealed the following: It was alleged the facility staff did not address inappropriate behavior between children in care. LPA Yerkatyan was only able to obtain a statement from two out of the six clients due to clients refusing to be interviewed and one client's whereabouts are unknown. LPA Smith's interviews revealed that the staff had never seen or heard anything inappropriate among the clients. Staff interviews denied the allegation. However, LPA's obtained information indicating the above allegation did take place. Due to the inconsistency of information obtained during the investigation, it cannot be determined whether the above allegation occurred. Based upon the interviews, the complaint findings are Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred.

Investigation Findings:
13On 09/11/2025 at 8: AM, Licensing Program Analyst (LPA) Noubar Yerkatyan conducted an unannounced visit to Scott's Youth Facility for the purpose of concluding the above complaint investigation. LPA met with Jackie Aguilar, Facility Unit Coordinator and discussed the above complaint findings. Investigation consisted of the following: On 04/03/25, LPA Lockhart conducted a 10-day complaint investigation to the facility; On 05/15/25, LPA Smith conducted interviews with two staff, and attempted to interview two staff; On 05/16/25, LPA Smith interviewed facility administrator and attempted to interview county social worker and reporting party; On 05/19/25, LPA smith interviewed two staff and attempted to interview two county social workers; On 05/19/25, LPA Smith interviewed two staff; On 05/21/25, LPA Smith interviewed one county social worker and attempted to interview reporting party; On 05/23/25, LPA Smith attempted to interview one county social worker; On 05/28/25, LPA Smith interviewed one county social worker; On 06/12/ LPA Smith attempted to interview reporting party, Parents (see confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Noubar Yerkatyan LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 09/11/2025

met_with: Jacie Aguilar, Unit Coordinator


raw_content:
Narrative:
Continued... On August 15, 2025, the Department received a complaint alleging that staff did not allow youth(s) the opportunity to prepare food. During LPA's investigation, video footage was reviewed which showed C1 and C2 having frozen chicken inside their bedroom. Staff (S1) were observed entering the bedroom and instructing the youth to give her the frozen chicken, explaining that facility policy does not allow clients to store or keep raw or frozen food items in their bedrooms for health and safety reasons. S1 was then observed directing the youth to place the frozen chicken in the kitchen sink to properly thaw. S1 informed the youth that once it thawed, they would be able to proceed with cooking the chicken in the kitchen. Interviews and video evidence revealed that S1 did not restrict or deny C1 and C2 the opportunity to prepare food. Rather, S1 ensured that food safety procedures were followed and that meal preparation occurred in a sanitary and supervised area in accordance with facility and health standards. There was no evidence to suggest that the personal rights of C1 and C2 were violated. Based on the information obtained through interviews, and video footage, there is insufficient evidence to support the allegation that staff (S1) did not allow the clients the opportunity to prepare food. Although the allegation may have occurred or be valid to some degree, there is not enough preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the above allegation is found to be Unsubstantiated. Exit interview was conducted. The complaint findings and appeal rights were discussed with the facility representative, and a signed copy of this report was provided.

Investigation Findings:
13On October 30, 2025, at 8:47 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Scott's Youth Facility - Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegations. LPA met with Jackie Aguilar, Unit Coordinator (UC). LPA's investigation consisted of a phone interview with the Reporting Party (RP) on 8/21/2025, attempted interviews with Clients (C1 and C2) (See LIC811 - Confidential Names list dated: 8/21/2025) on 8/21/2025 and 8/26/2025 at the STRTP. But to no avail. Both clients refused to meet and interview with LPA. On 8/21/2025, LPA met with and interviewed the UC at the STRTP, as well as completing a phone interview with the Facility Administrator (FA) on 8/26/2025. On 9/19/2025, LPA completed an interview via phone call with S1 (due to S1 no longer working at the facility). On 8/21/2025, LPA conducted a review of the STRTP's complaint history, reviewed documentation obtained from other agencies and Guardian / LIS systems. On 8/21/2025, LPA obtained and reviewed the facility's LIC500 (Personnel Report), current client roster, initial Needs and Services Plans for client 1 (C1) and client 2 (C2), and any relevant Special Incident Reports (SIRS). Continued on LIC9099c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/30/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 90

met_with: Jackie Aguilar, Unit Coordinator


raw_content:
Narrative:
Continued... On August 15, 2025, the Department received a complaint alleging that staff handled youth(s) in a rough manner. During the interview with Staff (S1) on 9/19/2025, in which S1 admitted to LPA that a verbal altercation occurred between C2 and her (S1) on 8/14/2025, that progressed into a physical incident between both S1 and C2. On 10/16/2025, LPA obtained and reviewed video footage via text, which shows a verbal altercation involving both parties, that turned into a physical tussle between S1 and C2, taken place in one of the bedrooms located in the STRTP. The video also shows S1 placing what appears to be her right hand against C2's forehead/face, and during the tussle between the two (S1 and C2), there is video evidence of S1 grabbing and tugging on C2's braids / hair. FA and UC completed a wellness check with the client on 8/14/25. C2 reported no injuries sustained from the incident with S1. Based on the LPA's interviews, and video observation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. The facility is being cited under Interim Licensing Standards (ILS) section number 87072(c)(16) Personal Rights - To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, exploitation, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature (...). Exit interview was conducted. The findings, deficiency citation, plan of correction (POC), and appeal rights were discussed with the facility representative, and a signed copy of this report was provided.

Investigation Findings:
13On October 30, 2025, at 8:47 a.m., Licensing Program Analyst (LPA) Christopher J. Williams conducted a follow-up inspection at the Scott's Youth Facility - Short Term Residential Therapeutic Program (STRTP) for the purpose of delivering findings on the above allegations. LPA met with Jackie Aguilar, Unit Coordinator (UC). LPA's investigation consisted of a phone interview with the Reporting Party (RP) on 8/21/2025, attempted interviews with Clients (C1 and C2) (See LIC811 - Confidential Names list dated: 8/21/2025) on 8/21/2025 and 8/26/2025 at the STRTP. But to no avail. Both clients refused to meet and interview with LPA. On 8/21/2025, LPA met with and interviewed the UC at the STRTP, as well as completing a phone interview with the Facility Administrator (FA) on 8/26/2025. On 9/19/2025, LPA completed an interview via phone call with S1 (due to S1 no longer working at the facility). On 8/21/2025, LPA conducted a review of the STRTP's complaint history, reviewed documentation obtained from other agencies and Guardian / LIS systems. On 8/21/2025, LPA obtained and reviewed the facility's LIC500 (Personnel Report), current client roster, initial Needs and Services Plans for client 1 (C1) and client, and any relevant Special Incident Reports (SIRS). Continued on LIC9099c. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Christopher J Williams LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: SCOTT'S YOUTH FACILITYFACILITY NUMBER: VISIT DATE: 10/30/2025

Allegations:
- SubstantiatedEstimated Days of Completion:
- Estimated Days of Completion:
- Estimated Days of Completion: 90


summary: Facility Evaluation

raw_content:
Narrative:
On 08/06/21 at 11:45am, Licensing Program Analyst (LPA) Johanna Lofton made an announced visit to Glenwood Drive, Bakersfield, CA 93306 with the purpose of conducting a Pre-licensing inspection for the move of Scott's Youth Facility from Rancho Sierra, Bakersfield, CA 93306. LPA Lofton was greeted and allowed into the facility by Scotts CEO Robert Carter and together toured the facility. The facility will be licensed for a capacity of six (6) ambulatory female clients ages 12-17 years old and services will also be provided to non-minor dependents. The facility is a one-story home located in a residential neighborhood. It consists of three (3) bedrooms, three (3) bathrooms, living room, recreation room, library area, dining room and kitchen. There are other three (3) rooms that will be used as human resource office, staff/administrators' office and mental health therapy room. The facility also has a laundry room equipped with washer and dryer. Front yard and backyard are clean, maintained and free of debris. Garage is clean of any obstruction. There is a pool on the premises which has a 5 feet tall pool gate with two self-latching gate doors. Gate will always be locked, unless clients are in the pool with staff supervision. The ratio is one staff for two clients. All of the facility's staff have been certified for water safety procedures. During the inspection visit LPA Lofton observed the following: PHYSICAL PLANT 1st Floor Bedroom #1: vacant/ room and closet space Bedroom #2: vacant/room and closet space Bedroom #3: vacant/ room and closet space Room #4: Human Resource office Room #5: Staff/Administrators office Room #6: Mental Health Therapy room At the time of the inspection the house was empty pending licensing approval to move furniture from old address. All fire and carbon monoxide alarms were tested and were operational. All utilities were on available for use. Hot water temperature is maintained between 105 and 120 degrees (F). Medicine will be kept in a locked safe that will be located in the staff office and only accessible to employees supervising stored medications. There will be no firearms/weapons on the premises. Overall facility temperature in the home is maintained between 68 and 85 degrees (F). Disinfectants, cleaning solutions and poisons are locked and kept in locked cabinets in the laundry room. There are three (3) fully charged fire extinguishers throughout the facility. There were no citations during this visit. Facility is ready and available for the clients to move in. This report was finalized on 8/13/2021 due technical issues with the system. Exit interview was conducted and a copy of this report was provided to the Mary Ramos.

visit_type: Prelicensing

met_with: Mary Ramos- HR Manaer


summary: Facility Evaluation

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Narrative:
On October 28, 2021, Licensing Program Analyst (LPA) Zeyda Loera conducted an unannounced Post Licensing inspection at the facility. LPA met with Trina Smith Administrator Assistant. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP's Mental Health Program Application and National Accreditation are pending approval. The facility provides services to five (5) female children (ages 11-17) and one (1) non-minor dependents. LPA conducted a tour of the facility on October 28, 2021 at 09: AM. PHYSICAL PLANT Facility is a one (1) story home that has three bedrooms double occupancy. Bedroom are accommodating of all required furnishings. Individual beds in good repair, equipped with good springs, clean mattresses and pillows observed. Adequate supply of additional beddings and lines observed. Facility has all required posters. Adequate food observed upon inspection. In the kitchen one (1) drawer is missing and one (1) cabinet door is missing. In the master restroom, the tub has a leak. The hot water was measured at F, which was within required temperature range. All smoke detectors and carbon monoxide were tested and in proper working order. Sharps items are in a locked box inside the staff office. First aid was inspected and found to be complete. All hallways and backyard were free of obstructions. The facility has a pool with a fence of five (5) feet tall. LPA observed a lock on the gate. Generally, the facility is clean, safe, and sanitary. Annual to be continue at a later date.

met_with: Trina Smith, Administrator Assistant


summary: Facility Evaluation

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Narrative:
On October 26, 2022, Licensing Program Analysts (LPAs) Johanna Lofton, Claudia Portillo, and Demitris Teal conducted an unannounced Annual Inspection at the facility and met with Trina Smith, Facility's Administrator Assistant. LPAs stated the purpose of the inspection to the STRTP representative. During the inspection a copy of the Register of Facility Clients and Personnel Report was provided upon request. The following topics were inspected: LPA obtained and reviewed the following updated documentation: · LIC Personnel and client roster · LIC C Emergency Disaster Plan · Council on Accreditation · Board of Directors report, Continuous Quality Improvement data report and program statement Annual compliance Review consisted of the following (2) domains: physical plant and operations. A copy of the PIN-21- CRP Inspection tool to review was provided to the facility staff. An exit interview was conducted and the STRTP Administrator, Robert Carter and Administrator Assistant, Trina Smith who agreed with the review finding and recommendation. LPA's provided a signed copy of this report LIC 809. The inspection will be resumed on a different date.

met_with: Trina Smith - Assistant Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 1/11/ Licensing Program Analysts (LPAs) Dawn Mahecha and Johanna Lofton made an unannounced visit to the Scotts Youth facility for the purpose of a case management- Annual continuation. LPAs met with Administrator and discussed the following: LPAs toured home and observed facility grounds. LPAs were unable to open annual continuation inspection tool and were unable to complete continued annual inspection. LPAs told Administrator that LPAs would be back at a later date to complete annual inspection. Exit interview completed, no deficiencies cited and a copy of this report was emailed to Administrator.

visit_type: Case Management

met_with: Trina Smith, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 3/6/ Licensing Program Analyst (LPAs) Dawn Mahecha and Johanna Lofton made an unannounced visit to the Scotts Youth Facility for the purpose of a Case Management- Annual continuation. LPAs met with Administrator Trina Smith and reviewed the following. LPA Lofton reviewed five (5) children's files and four (4) staff files including one facility manager, social worker, and head of mental health. LPAs Claudia Portillo and Johanna Lofton initiated annual inspection on 10/26/2022 and during that time completed the facility walk thru and review of administrative postings and emergency plan. At this time LPAs observed no deficiencies, all files were current and up to date. Exit interview completed, no deficiencies cited and a copy of this report was provided to Administrator.

met_with: Trina Smith- Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 9/5/ Licensing Program Analysts (LPAs) Dawn Mahecha and Christopher Williams made an unannounced visit to the Scotts Youth facility for the purpose of an annual required inspection. LPAs met with unit coordinator and together did a walk through of the facility. LPAs observed the following: This is a single-story residential facility located in a residential neighborhood. Facility has a human resource office, administrative office, mental health office, four (4) bedrooms, three (3) bathrooms, kitchen, and an attached garage. Facility has a pool that was observed to be empty. LPAs obtained and reviewed the following updated documentation: · LIC Personnel and client roster · LIC C Emergency Disaster Plan · Board of Directors report, allowance log, disaster, and restraint logs. Annual compliance Review consisted of the all domains. LPAs reviewed 4 client files and 4 staff files. At the time of this inspection all smoke detectors tested audible, fire extinguishers were charged and lights/ appliances were in working order. Facility has cameras inside and outside of the facility that are monitored by human resource coordinator. Exit interview completed, LPAs observed and cited the following deficiencies. A copy of this report and deficiencies was provided to unit coordinator.

met_with: Jackie Aguilar, Facility manager


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2024, at 10:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced collateral inspection to Scott's Youth Facility I Short Term Residential Therapeutic Program (STRTP) for the purpose of reviewing staff files pertaining to an annual inspection being conducted at Scott's Youth Facility II. LPA met with Mary Arriaga, HR Manager. LPA reviewed 5 facility staff files (See LIC Confidential Names list dated 10/18/24). No deficiencies cited at this time. Exit interview conducted.

met_with: Mary Arriaga, HR Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 12/10/24 at 8: AM. During the inspection LPA Larios met with Administrator, Trina Smith. The purpose of the inspection was to assess an Enhanced Civil Penalty (ECP) due to a client sustaining seriously bodily injury while in the care of the Short Term Residential Therapeutic Program (STRTP). On August 20, 2024, the Department received a complaint alleging a client residing at this STRTP sustained severe injuries due to staff neglect and, in addition, STRTP staff did not ensure clients did not have access to facility vehicle keys. The allegations were substantiated; the investigation concluded STRTP staff did not ensure the staff office was inaccessible to clients and did not secure a safe containing the facility vehicle key. On 8/19/24, at 1: AM, a client accessed the staff office through an unlocked door, obtained the facility vehicle key, stole the facility vehicle and was involved in a vehicle collision while driving. A passenger client suffered traumatic brain injury with multiple punctate hemorrhages, predominantly involving the anterior frontal and temporal lobes during the collision. The Department has concluded an analysis and determined that an ECP is warranted. Under Health and Safety Code section 1548 (f)(1)(C) a violation that the Department determines results in serious bodily injury as defined in Section 243 of the Penal Code, to a person receiving care at a short term residential therapeutic program, there shall be a civil penalty of $2,500.00. Under Section 243 of the Penal Code, "Serious bodily injury" means a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement. Exit interview conducted. A copy of this report, Confidential Names form LIC811 dated 12/10/24, Appeal Rights and form LIC421-D(CRP) for a Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were provided to the facility representative.

met_with: Trina Smith


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2025, at 12:00 p.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Incident inspection at Scott's Youth Facility, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to follow-up on a Special Incident Report (SIR) received by the Department on May 21, 2025. LPA met with Maria Vidales, Facility Manager. On May 21, 2025, the Department received an SIR stating that a client (C1) (See LIC Confidential Names list dated 06/10/25) was groped by staff during a restraint and felt uncomfortable. Law enforcement was contacted; however, no police report was attached to the documentation. Based on document review and interviews, Law Enforcement responded to STRTP and interviewed client and staff members involved. Law enforcement did not leave a report with STRTP staff. The STRTP was issued one technical assistance during this inspection. Refer to LIC9102TA (technical assistance page). Exit interview was conducted. Signed copies of Licensing Reports were provided to STRTP representative. Appeal rights explained.

met_with: Maria Vidales, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 1, 2025, at 11:00 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced collateral inspection at Scott's Youth Facility for the purpose of interviewing a client (C1)(See LIC Confidential names list dated 07/01/25) on an unrelated complaint investigation. LPA met with Maria Vidales, PM Unit Coordinator. Ms. Vidales informed LPA that C1 had been transferred previously to Scott's Youth Facility II, but had since been discharged from that facility on Friday, June 27, 2025. Upon arriving at facility, LPA noticed that the front doorbell was not working properly. Ms. Vidales immediately put in a work order and provided a copy to LPA. No deficiencies cited during this inspection, a Technical Violation was issued to facility. Please refer to LIC9102TV. Exit interview conducted. A signed copy of this report, LIC811, and LIC9102TV were provided to Ms. Vidales. Appeal rights explained and given.

met_with: Maria, Vidales, PM Unit Coordinator